A New Approach to Suicidal Behavior Diagnostics: A Review of Foreign Sources

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Abstract

The paper presents a review of the studies on innovative suicide prevention strategies, methods, and approaches to diagnosing suicide risk. We examine the results of the studies that allow developing new approaches to creating effective suicide risk assessment tools, based on building a trusting relationship with the patient/client and focusing on the doctor’s/therapist’s own emotional experiences. We describe a complex narrative-crisis model of suicide that includes long-term and short-term risk factors for suicidal behavior and incorporates the suicidal crisis syndrome. We conclude with describing modern tendencies in suicide risk diagnostics — namely, overestimating the methods’ efficiency. New methods for assessing critical states possessing good predictive validity should be developed and implemented.

General Information

Keywords: suicide, diagnostic methods for suicidal behavior, suicidal crisis syn¬drome, narrative crisis model of suicide

Journal rubric: Research Reviews

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2020280102

For citation: Bannikov G.S., Vikhristyuk O.V., Galynker I. A New Approach to Suicidal Behavior Diagnostics: A Review of Foreign Sources. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2020. Vol. 28, no. 1, pp. 8–24. DOI: 10.17759/cpp.2020280102. (In Russ., аbstr. in Engl.)

References

  1. Bannikov G.S., Vikhristyuk O.V. Rannee vyyavlenie aktual’nykh i potentsial’nykh faktorov riska suitsidal’nogo povedeniya sredi nesovershennoletnikh [Early identification of current and potential risk factors for suicidal behavior among minors]. Psikhicheskoe zdorov’e i obrazovanie: sbornik nauchnykh statei po materialam II Kongressa «Psikhicheskoe zdorov’e cheloveka XXI veka» (g. Moskva, 5—7 oktyabrya 2018 g.) [Mental Health and Education: Collection of Scientific Papers of the II Congress on Mental Health: Meeting the Needs of the XXI Century]. Moscow: Gorodets Publ., 2018, pp. 237—240.
  2. Bannikov G.S., Vikhristyuk O.V., Fedunina N.Yu. Primenenie tekhnologii vyyavleniya faktorov riska razvitiya suitsidal’nogo povedeniya sredi podrostkov i molodezhi [Application of technology for identifying risk factors for developing suicidal behavior among adolescents and young people]. Psikhologicheskaya nauka i obrazovanie [Psychological Science and Education], 2018. Vol. 23 (4), pp. 91—101. doi:10.17759/pse.2018230409
  3. Polozhii B.S. Kontseptual’naya model’ suitsidal’nogo povedeniya. Suitsidologiya [Suicidology], 2015. Vol. 6 (1), pp. 3—7.
  4. Barzilay S., Yaseen Z.S., Hawes M., et al. Determinants and predictive value of clinician assessment of short-term suicide risk. Suicide and Life-Threatening Behavior, 2019, Vol. 49 (2), pp. 614—626. doi:10.1111/sltb.12462
  5. Bridge J.A., Goldstein T.R., Brent D.A. Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry, 2006. Vol. 47 (3/4), pp. 372—394. doi:10.1111/j.1469-7610.2006.01615.x
  6. Calati R., Nemeroff C.B., Lopez-Castroman J., et al. Candidate biomarkers of suicide crisis syndrome: What to test next? A concept paper [Elektronnyi resurs]. International Journal of Neuropsychopharmacology, 2019. Available at: https:// academic.oup.com/ijnp/advance-article/doi/10.1093/ijnp/pyz063/5645557 (Accessed 5.12.2019). doi:10.1093/ijnp/pyz063
  7. Calati R., Cohen L.J., Schuck A., et al. The Modular Assessment of Risk for Imminent Suicide (MARIS): A validation study of a novel tool for suicide risk assessment. Journal of Affective Disorders, 2020. Vol. 263, pp. 121—128. doi:10.1016/j. jad.2019.12.001
  8. Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS) from National Center for Injury Prevention and Control, 2016 [Elektronnyi resurs]. Available at: https://www.cdc.gov/injury/ wisqars/index.html (Accessed 1.12.2019).
  9. Chan M.K.Y., Bhatti H., Meader N., et al. Predicting suicide following self-harm: A systematic review of risk factors and risk scales. British Journal of Psychiatry, 2016. Vol. 209 (4), pp. 277—283. doi:10.1192/bjp.bp.115.170050
  10. Cohen L.J., Gorman B., Briggs J., et al. The suicidal narrative and its relationship to the suicide crisis syndrome and recent suicidal behavior. Suicide and Life-Threatening Behavior, 2019. Vol. 49 (2), pp. 413—422. doi:10.1111/sltb.12439
  11. Draper B. Isn’t it a bit risky to dismiss suicide risk assessment? Australian and New Zealand Journal of Psychiatry, 2012. Vol. 46 (4), pp. 385—386. doi:10.1177/0004867411433222
  12. Galynker I. The Suicidal Crisis Clinical Guide to the Assessment of Imminent Suicide Risk. New York: Oxford University Press, 2017. 344 p.
  13. Goldstein R.B., Black D.W., Nasrallah A., et al. The prediction of suicide: Sensitivity, specificity, and predictive value of a multivariate model applied to suicide among 1906 patients with affective disorders. Archives of General Psychiatry, 1991. Vol. 48 (5), pp. 418—422. doi:10.1001/archpsyc.1991.01810290030004
  14. Hawgood J., De Leo D. Suicide Prediction — A Shift in Paradigm Is Needed Crisis, 2016. Vol. 37 (4), pp. 251—255. doi:10.1027/0227-5910/a000440
  15. Jacobs D.G., Brewer M., Klein-Benheim M. Suicide assessment: An Overview and recommended protocol. In Jacobs D.G. (ed.). The Harvard Medical School guide to suicide assessment and intervention. San Francisco, CA: Jossey-Bass. 1999, pp. 3—39.
  16. Joiner T.E. Why people die by suicide. Cambridge, MA: Harvard University Press, 2005. 276 p. doi:10.2307/j.ctvjghv2f
  17. Kraemer H.C., Measelle J.R., Ablow J.C., et al. A new approach to integrating data from multiple in formants in psychiatric assessment and research: mixing and matching contexts and perspectives. The American Journal of Psychiatry, 2003. Vol. 160 (9), pp. 1566—1577.
  18. Large M., Kaneson M., Myles N., et al. Meta-analysis of longitudinal cohort studies of suicide risk assessment among psychiatric patients: Heterogeneity in results and lack of improvement over time [Elektronnyi resurs]. PLoS ONE, 2016. Vol. 11 (6). Available at: https://journals.plos.org/plosone/article?id=10.1371/journal. pone.0156322 (Accessed 8.12.2019). doi:10.1371/journal.pone.0156322
  19. Large M., Sharma S., Cannon E., et al. Risk factors for suicide within a year of discharge from psychiatric hospital: A systematic meta-analysis. Australian and New Zealand Journal of Psychiatry, 2011. Vol. 45 (8), pp. 619—628. doi:10.3109/000486 74.2011.590465
  20. Large M., Ryan C.J. Letter to the editor: Screening for suicide: A comment on Steeg et al. Psychological Medicine, 2012. Vol. 42 (9), pp. 2011—2012. doi:10.1017/ S0033291712001377
  21. Mann J.J. The neurobiology of suicide. Nature Medicine, 1998. Vol. 4 (1), pp. 25— 30. doi:10.1038/nm0198-025
  22. Michel K., Jobes D.A. Building a therapeutic alliance with the suicidal patient. Washington, DC: American Psychological Association, 2010. 428 p.
  23. National Action Alliance for Suicide Prevention: Research Prioritization Task Force. A prioritized research agenda for suicide prevention: an action plan to save lives [Elektronnyi resurs]. Rockville, MD: National institute of mental Health and the research prioritization Task Force, 2014. Available at: https://theactionalliance. org/sites/default/files/agenda.pdf (Accessed 1.11.2019).
  24. National Suicide Prevention strategies: progress, examples and indicators [Elektronnyi resurs]. Geneva, Switzerland: World Health Organization, 2018. 79 p. Available at: https://www.who.int/mental_health/suicide-prevention/national_ strategies_2019/en/ (Accessed 18.12.2019).
  25. O`Connor R.C. The Integrated Motivational-Volitional Model of Suicidal Behavior. Crisis, 2011. Vol. 32 (6), pp. 295—298. doi:10.1027/0227-5910/a000120
  26. Oquendo M.A., Currier D., Mann J.J. Prospective studies of suicidal behavior in major depressive and bipolar disorders: What is the evidence for predictive risk factors? Acta Psychiatrica Scandinavica, 2006. Vol. 114 (3), pp. 151—158. doi:10.1111/j.1600-0447.2006.00829.x
  27. Pokorny A.D. Prediction of suicide in psychiatric patients. Report of a prospective study. Archives of General Psychiatry, 1983. Vol. 40 (3), pp. 249—257.
  28. Schotte D.E., Clum G.A. Problem-solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 1987. Vol. 55 (1), pp. 49—54. doi:10.1037/0022006X.55.1.49
  29. Schuck A., Calati R., Barzilay S., et al. Suicide Crisis Syndrome: A review of supporting evidence for a new suicide-specific diagnosis. Behavioral Sciences & the Law, 2019. Vol. 37 (3), pp. 223—239. doi:10.1002/bsl.2397
  30. Stone D.M., Simon T.R., Fowler K.A., et al. Vital signs: trends in state suicide rates — United States, 1999-2016 and circumstances contributing to suicide — 27 States, 2015. Morbidity and Mortality Weekly Report, 2018. Vol. 67 (22), pp. 617— 624. doi:10.15585/mmwr.mm6722a1
  31. Tucker R.P., Crowley K.J., Davidson C.L., et al. Risk factors, warning signs, and drivers of suicide: What are they, how do they differ, and why does it matter? Suicide and Life-Threatening Behavior, 2015. Vol. 45 (6), pp. 679—689. doi:10.1111/sltb.12161
  32. Wenzel A., Beck A.T. A cognitive model of suicidal behavior: Theory and treatment. Applied and Preventive Psychology, 2008. Vol. 12 (4), pp. 189—201. doi:10.1016/j. appsy.2008.05.001
  33. Yaseen Z.S., Hawes M., Barzilay S., et al. Predictive Validity of Proposed Diagnostic Criteria for the Suicide Crisis Syndrome: An Acute Presuicidal State. Suicide and Life-Threatening Behavior, 2019. Vol. 49 (2), pp. 1124—1135. doi:10.1111/sltb.12495

Information About the Authors

Gennady S. Bannikov, PhD in Medicine, Senior Researcher, Department of Suicidology, Moscow Research Institute of Psychiatry (Branch), V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology of the Ministry of Health of the Russian Federation, Senior Researcher, Department of Scientific and Methodological Support, Federal Coordination Center for the Provision of Psychological Services in the Education System of the Russian Federation, Moscow State University of Psychology & Education, Moscow, Russia, ORCID: https://orcid.org/0000-0003-4929-2908, e-mail: bannikov68@mail.ru

Olesya V. Vikhristyuk, PhD in Psychology, Director of Center for Emergent Psychological Aid, Moscow State University of Psychology and Education, Moscow, Russia, ORCID: https://orcid.org/0000-0001-5982-1098, e-mail: vihristukov@mgppu.ru

Igor Galynker, Doctor of Medicine, Doctor of Chemistry, Professor of Psychiatry, Institute name Aikana, Deputy Head of the Department for Research at Mount Sinai Beth Israel Hospital, Director of the Laboratory for Suicide Prevention and Research, ORCID: https://orcid.org/0000-0001-8083-9479, e-mail: galynke@gmail.com

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