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Examining the Relationship Between Attitudes Toward Suicide and Suicide Attempt History

A Study of United States Firefighters

Published Online:https://doi.org/10.1027/0227-5910/a000564

Abstract.Background: Relatively little is known regarding the relationship between attitudes toward suicide, suicide attempt (SA) history, and future suicidal behaviors. Aims: Utilizing a sample of firefighters, this study compared attitudes toward suicide between individuals with/without a career SA history and evaluated whether certain attitudes toward suicide are associated with a greater self-reported likelihood of making a future SA. Method: US firefighters (N = 818) completed self-report measures. One-way ANOVAs and linear regression analyses were utilized to address study aims. Results: Firefighters with a career SA reported significantly greater normalization/glorification of suicide – yet lower attributions of suicide to isolation/depression – than those without this history. More stigmatizing attitudes toward suicide and greater normalization/glorification of suicide were each significantly associated with greater self-reported future SA likelihood. Limitations: Data were cross-sectional and findings may not be generalizable. Conclusion: Firefighters who have made an SA during their firefighting careers may normalize and glorify suicide more than those who have not. These attitudes may be associated with greater self-perceived risk for future SAs. Research is needed to replicate findings and evaluate strategies for targeting potentially harmful beliefs about suicide among SA survivors.

References

  • Acosta, J. D., Becker, A., Cerully, J. L., Fisher, M. P., Martin, L. T., Vardavas, R., … Schell, T. L. (2014). Mental health stigma in the military. Santa Monica, CA: RAND Corporation. First citation in articleCrossrefGoogle Scholar

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. First citation in articleCrossrefGoogle Scholar

  • Batterham, P., Calear, A., & Christensen, H. (2013a). Correlates of suicide stigma and suicide literacy in the community. Suicide and Life-Threatening Behavior, 43(4), 406–17. 10.1111/sltb.12026 First citation in articleCrossref MedlineGoogle Scholar

  • Batterham, P., Calear, A., & Christensen, H. (2013b). The Stigma of Suicide Scale. Psychometric properties and correlates of the stigma of suicide. Crisis, 34(1), 13–21. 10.1027/0227-5910/a000156 First citation in articleLinkGoogle Scholar

  • Beautrais, A. L., Horwood, L. J., & Fergusson, D. M. (2004). Knowledge and attitudes about suicide in 25-year-olds. Australian and New Zealand Journal of Psychiatry, 38(4), 260–265. 10.1111/j.1440-1614.2004.01334.x First citation in articleCrossref MedlineGoogle Scholar

  • Boyd, K. A., & Chung, H. (2012). Opinions toward suicide: Cross-national evaluation of cultural and religious effects on individuals. Social Science Research, 41(6), 1565–80. 10.1016/j.ssresearch.2012.07.001 First citation in articleCrossref MedlineGoogle Scholar

  • Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., … Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, 45(1), 11–27. 10.1017/S0033291714000129 First citation in articleCrossref MedlineGoogle Scholar

  • Eskin, M., Schild, A., Öncü, B., Stieger, S., & Voracek, M. (2015). A cross-cultural investigation of suicidal disclosures and attitudes in Austrian and Turkish University students. Death Studies, 39(10), 584–91. 10.1080/07481187.2015.1037971 First citation in articleCrossref MedlineGoogle Scholar

  • Forman, E. M., Berk, M. S., Henriques, G. R., Brown, G. K., & Beck, A. T. (2004). History of multiple suicide attempts as a behavioral marker of severe psychopathology. American Journal of Psychiatry, 161(3), 437–443. 10.1176/appi.ajp.161.3.437 First citation in articleCrossref MedlineGoogle Scholar

  • Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Musacchio, K. M., … Nock, M. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232. 10.1037/bul0000084 First citation in articleCrossref MedlineGoogle Scholar

  • Frey, L. M., Hans, J. D., & Cerel, J. (2016). Perceptions of suicide stigma. Crisis, 37(2), 95–103. 10.1027/0227-5910/a000358 First citation in articleLinkGoogle Scholar

  • Gibb, B. E., Andover, M.S., & Beach, S. R. H. (2006). Suicidal ideation and attitudes toward suicide. Suicide and Life-Threatening Behavior, 36(1), 12–18. 10.1521/suli.2006.36.1.12 First citation in articleCrossref MedlineGoogle Scholar

  • Hinshaw, S. P., & Stier, A. (2008). Stigma as related to mental disorders. Annual Review of Clinical Psychology, 4(1), 367–393. 10.1146/annurev.clinpsy.4.022007.141245 First citation in articleCrossref MedlineGoogle Scholar

  • Hom, M. A., Davis, L., & Joiner, T. E. (2018). Survivors of Suicide Attempts (SOSA) Support Group: Preliminary findings from an open-label trial. Psychological Services, 15(3), 289–297. 10.1037/ser0000195 First citation in articleCrossref MedlineGoogle Scholar

  • Joiner, T. E., Hom, M. A., Hagan, C. R., & Silva, C. (2016). Suicide as a derangement of the self-sacrificial aspect of eusociality. Psychological Review. 10.1037/rev0000020 First citation in articleCrossref MedlineGoogle Scholar

  • Joiner, T. E., Jr., Van Orden, K. A., Witte, T. K., & Rudd, M. D. (2009). The interpersonal theory of suicide: Guidance for working with suicidal clients. Washington, DC: American Psychological Association. 10.1037/11869-000 First citation in articleCrossrefGoogle Scholar

  • Klonsky, E. D., & May, A. M. (2014). Differentiating suicide attempters from suicide ideators: A critical frontier for suicidology research. Suicide and Life-Threatening Behavior, 44(1), 1–5. 10.1111/sltb.12068 First citation in articleCrossref MedlineGoogle Scholar

  • Lewinsohn, P. M., Seeley, J. R., Roberts, R. E., & Allen, N. B. (1997). Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychology and Aging, 12(2), 277–287. First citation in articleCrossref MedlineGoogle Scholar

  • Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-Injurious Thoughts and Behaviors Interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309–317. 10.1037/1040-3590.19.3.309 First citation in articleCrossref MedlineGoogle Scholar

  • Quigley, J., Rasmussen, S., & McAlaney, J. (2017). The associations between children's and adolescents' suicidal and self-harming behaviors, and related behaviors within their social networks: A systematic review. Archives of Suicide Research, 21(2), 185–236. 10.1080/13811118.2016.1193075 First citation in articleCrossref MedlineGoogle Scholar

  • Reynders, A., Kerkhof, A., Molenberghs, G., & Van Audenhove, C. (2015). Help-seeking, stigma and attitudes of people with and without a suicidal past. A comparison between a low and a high suicide rate country. Journal of Affective Disorders, 178, 5–11. 10.1016/j.jad.2015.02.013 First citation in articleCrossref MedlineGoogle Scholar

  • Rimkeviciene, J., Hawgood, J., O'Gorman, J., & De Leo, D. (2015). Personal stigma in suicide attempters. Death Studies, 1–8. 10.1080/07481187.2015.1037972 First citation in articleCrossrefGoogle Scholar

  • Sheehan, L. L., Corrigan, P. W., & Al-Khouja, M. A., & Stigma of Suicide Research Team. (2017). Stakeholder perspectives on the stigma of suicide attempt survivors. Crisis, 38, 73–81. 10.1027/0227-5910/a000413 First citation in articleLinkGoogle Scholar

  • Stanley, I. H., Hom, M. A., Hagan, C. R., & Joiner, T. E. (2015). Career prevalence and correlates of suicidal thoughts and behaviors among firefighters. Journal of Affective Disorders, 187, 163–171. 10.1016/j.jad.2015.08.007 First citation in articleCrossref MedlineGoogle Scholar

  • Stanley, I. H., Hom, M. A., & Joiner, T. E. (2016). A systematic review of suicidal thoughts and behaviors among police officers, firefighters, EMTs, and paramedics. Clinical Psychology Review, 44, 25–44. 10.1016/j.cpr.2015.12.002 First citation in articleCrossref MedlineGoogle Scholar

  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E., Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. 10.1037/a0018697 First citation in articleCrossref MedlineGoogle Scholar

  • World Health Organization. (2014). Preventing suicide: A global imperative. Geneva: WHO Press. First citation in articleGoogle Scholar

  • Zetterqvist, M., Lundh, L. G., Dahlström, O., & Svedin, C. G. (2013). Prevalence and function of non-suicidal self-injury (NSSI) in a community sample of adolescents, using suggested DSM-5 criteria for a potential NSSI disorder. Journal of Abnormal Child Psychology, 41(5), 759–73. 10.1007/s10802-013-9712-5 First citation in articleCrossref MedlineGoogle Scholar