E-ISSN : 2733-4538
The purpose of the study was to examine the role of self-conscious negative emotions in suicidal behaviors among adults with alcohol disorders. Participants were recruited from residental alcohol treatment centers and hospitals. All participants completed self-report questionnaires including the Differential Emotions Scale-IV (DES-IV), Patient Health Questionnaire-9 (PHQ-9), Alcohol Use Disorders Identification Test (AUDIT), and responded to the questions of lifetime history of suicidal ideation and attempt. Multinomial logistic regression indicated that depressive symptoms were significantly associated with lifetime history of suicidal ideation while alcohol-related problems were significantly associated with lifetime history of suicide attempt in a multivariate model including sociodemographic risk factors, psychiatric symptoms, and eleven distinct emotion factors. Among emotion factors, only ‘hostility-inward’ was significantly associated with lifetime history of suicidal attempt. These findings highlight the critical role of self-hate or hostile affect toward the self in suicide attempt in adults with alcohol disorders.
Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97, 90-113.
Bryan, C. J., Morrow, C. E., Etienne, N., & Ray-Sannerud, B. (2013). Guilt, shame, and suicidal ideation in a military outpatient clinical sample. Depression and Anxiety, 30, 55-60.
Choi, H. S., Choi, J. H., Park, K. H., Joo, K. J., Ga, H., Ko, H. J., & Kim, S. R. (2007). Standardization of the Korean version of Patient Health Questionnaire-9 as a screening instrument for major depressive disorder. Korean Journal of Family Medicine, 28, 114-119.
Conner, K. R., Bohnert, A. S., McCarthy, J. F., Valenstein, M., Bossarte, R., Ignacio, R., ... & Ilgen, M. A. (2013). Mental disorder comorbidity and suicide among 2.96 million men receiving care in the veterans health administration health system. Journal of Abnormal Psychology, 122, 256-263.
Everall, R. D., Bostik, K. E., & Paulson, B. L. (2006). Being in the safety zone emotional experiences of suicidal adolescents and emerging adults. Journal of Adolescent Research, 21, 370-392.
Hirokawa, S., Kawakami, N., Matsumoto, T., Inagaki, A., Eguchi, N., Tsuchiya, M., ... & Takeshima, T. (2012). Mental disorders and suicide in Japan: A nation-wide psychological autopsy case-control study. Journal of Affective Disorders, 140, 168-175.
Hufford, M. R. (2001). Alcohol and suicidal behavior. Clinical Psychology Review, 21, 797- 811.
Izard, C. E., Libero, D. Z., Putnam, P., & Haynes, O. M. (1993). Stability of emotion experiences and their relations to traits of personality. Journal of Personality and Social Psychology, 64, 847-860.
Jeon, H. J., Lee, J. Y., Lee, Y. M., Hong, J. P., Won, S. H., Cho, S. J., ... & Cho, M. J. (2010). Unplanned versus planned suicide attempters, precipitants, methods, and an association with mental disorders in a Korea- based community sample. Journal of Affective Disorders, 127, 274-280.
Kessler, R. C., Borges, G., & Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the national comorbidity survey. Archives of General Psychiatry, 56, 617-626.
Kim, J. S., (1998). Understanding of recovery process of patients with alcoholism. Korean Journal of Family Medicine, 19, 304-312.
Kim, J. S., Oh, M. K., Park, B. K., Lee, M. K., Kim, G. J., & Oh, J. K. (1999). Screening criteria of alcoholism by alcohol use disorders identification test(AUDIT) in Korea. Korean Journal of Family Medicine, 20, 1152-1159.
Kwon, Y. S., & Hyun, M. H. (2014). Relationship between sense of self-control, hopelessness, perceived support from family, and suicidal ideation in alcohol use disorders. Korean Journal of Psychology: Health, 19, 585-605.
Lee, S. H. (2012). Alexithymia and anhedonia in suicidal ideation and attempt among alcoholics. (Unpublished master’s thesis). Chungbuk National University, Cheongju, Korea.
Lee, S. H., Kim, B. M., & You, S. (2012). Validation of the Differential Emotions Scales-IV (DES-IV) in a Korean population. Korean Journal of Psychology: General, 31, 147-167.
Modesto-Lowe, V., Brooks, D., & Ghani, M., (2006). Alcohol dependence and suicidal behavior: From research to clinical challenges. Harvard Review of Psychiatry, 14, 241-248.
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30, 133-154.
Pirkola, S. P., Suominen, K., & Isometsä, E. T. (2004). Suicide in alcohol-dependent individuals: Epidemiology and management. CNS Drugs, 18, 423-436.
Preuss, U. W., Schuckit, M. A., Smith, T. L., Danko, G. P., Buckman, K., Bierut, L., ... & Reich, T. (2002). Comparison of 3190 alcohol dependent individuals with and without suicide attempts. Alcoholism: Clinical and Experimental Research, 26, 471-477.
Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption‐II. Addiction, 88, 791-804.
Seidlitz, L., Conwell, Y., Duberstein, P., Cox, C., & Denning, D. (2001). Emotion traits in older suicide attempters and non-attempters. Journal of Affective Disorders, 66, 123-131.
Sher, L. (2006). Alcoholism and suicidal behavior: A clinical overview. Acta Psychiatrica Scandinavica, 113, 13-22.
Shneidman, E. S. (1993). Some controversies in suicidology: Toward a mentalistic discipline. Suicide and Life-Threatening Behavior, 23, 292- 298.
Spitzer, R. L., Kroenke, K., Williams, J. B., & Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. JAMA, 282, 1737-1744.
Wiklander, M., Samuelsson, M., Jokinen, J., Nilsonne, Å., Wilczek, A., Rylander, G., & Asberg, M. (2012). Shame-proneness in attempted suicide patients. BMC Psychiatry, 12, 1-9.
Wilcox, H. C., Conner, K. R., & Caine, E. D. (2004). Association of alcohol and drug use disorders and completed suicide: An empirical review of cohort studies. Drug and Alcohol Dependence, 76, S11-S19.
You, S., Talbot, N. L., He, H., & Conner, K. R. (2012). Emotions and suicidal ideation among depressed women with childhood sexual abuse histories. Suicide and Life-Threatening Behavior, 42, 244-254.