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Suicide and the Predictions of Suicide.

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Suicide and the Predictions of Suicide Diane Poulos Abnormal Psychology 4-17-04 In the first paper I read about hopelessness and eventual suicide, four authors studied 207 hospitalized patients with suicidal ideation. There was a follow up period of 5-10 years when these patients were systematically checked up on to see their status. Fourteen eventually completed suicide within the follow up period. In the study the researchers used the Beck Depression Inventory, the Hopelessness Scale, and the Scale of Suicidal Ideation. The only tools that eventually predicted the suicides were the Hopelessness Scale and the pessimism items on the Beck Depression Inventory. This study is to prove the importance of hopelessness as an indicator of eventual suicide. Another study proved the extremity of suicidal attempts is more correlated with hopelessness than depression. Hopelessness seems to be more correlated with suicide in patients with alcohol and drug abusers. To run the experiment, researchers administered the self rating scale and the standardized assessment as soon as the patient was willing and ready to take them. After being released from the hospital, the 5-10 year follow up program begin to make certain whether the patient was alive or dead at each contact. ...read more.


The SADs item of depressive turmoil showed up in 4 of the 25 suicide patients, but only 13 of the entire 954. This shows trends with more dissatisfaction with life, social withdrawal, alcohol abuse, drug abuse, and loss of work role function as consistent, yet not significant. The third paper I read is a collaborative Depression Study. It talks about Dexamethasone and its suppression in suicide. The Dexamethasone suppression test is a measure of hyperactivity of the hypothalmicpituitary-adrenal axis. Seventy eight inpatients with major depressive disorder or schizophrenia depressed type participated in this study. The patients were given a DST test and then began a long 15 year follow up period to check their status. There were thirty two abnormal DST results out of the seventy eight subjects. They were diagnosed and followed up with by interviewers periodically. The DST testing was not part of the procedure so the group with the testing done was limited. Out of the 8 suicide completers, 7 had a DST result showing non suppression of cortisol. In this study, the only significant indicators of eventual suicide were if there was a suicide attempt during the index episode and Non suppression of the drug. ...read more.


Can it be then, that after leaving the hospital certain patients feel as though it is like being taken off a drug? Relapsing, therefore falling into another depression and becoming hopeless and committing suicide? This would fit with the findings of the studies. I read that the suicide rate in America has been 12 out of 100,000 since 1905, only changing during the Great Depression to 17 out of 100,000. In the article I read called "Treating the Depressed Suicidal Patient" Nemeroff says that it "may be due to increased reporting and a low percentage of compliance with anti-depressants." This would not fit into the findings in the studies. The studies, besides the DST testing, puts most impact on emotional wellbeing rather than Nemeroff's leaning towards human physiology; the conflict may be due to the different samples. There are a lot of variables involved in every aspect of our existence; therefore many must be involved in our death. The studies show that even though we have started to develop ways of knowing and intercepting human destiny, we are far from uncovering the core of the human mind and ways. According to the studies right now, I think the Hopelessness Scale score is the greatest indicator of potential suicide completion. ...read more.

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