The Presence and the Search Constructs of Meaning in Life in Suicidal Patients Attending a Psychiatric Emergency Department.

Meaning in Life protective factors suicidal behavior suicidal ideation suicide suicide attempt

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2020
Historique:
received: 04 01 2020
accepted: 01 04 2020
entrez: 20 5 2020
pubmed: 20 5 2020
medline: 20 5 2020
Statut: epublish

Résumé

Meaning in Life (MiL) is considered protective against suicidal behavior (SB). However, few studies specifically addressed the role of the constructs, "presence of MiL" and "search for MiL," and their dynamic interplay. In this cross-sectional study of patients with SB (N = 199) visiting a psychiatric Emergency Department for either suicidal ideation (SI) or suicide attempt (SA), we pursued the following objectives: 1) to explore the relationship between the two constructs; 2) to verify the protective value of presence of MiL on SB; and 3) to assess the influence of search for MiL on the relationship between presence of MiL and SI. The two constructs were found to be independent of one another. Higher presence of MiL was globally associated with lower SB levels, particularly SI. Search for MiL was not related to SB and did not moderate the relationship between presence of MiL and SI. In conclusion, formal support for the role of presence of MiL against SB in a psychiatric sample was demonstrated. These findings, with a view toward refinement of SB risk assessment and new psychotherapeutic approaches, may lead to an enrichment of the dialogue with suicidal patients to help alleviate their unbearable suffering. Our conclusions must be replicated in psychiatric clinical populations in settings other than a psychiatric ED and by using a longitudinal prospective and case-control study design.

Identifiants

pubmed: 32425828
doi: 10.3389/fpsyt.2020.00327
pmc: PMC7212391
doi:

Types de publication

Journal Article

Langues

eng

Pagination

327

Informations de copyright

Copyright © 2020 Costanza, Baertschi, Richard-Lepouriel, Weber, Pompili and Canuto.

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Auteurs

Alessandra Costanza (A)

Department of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), Geneva, Switzerland.
Department of Psychiatry, ASO Santi Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy.

Marc Baertschi (M)

Service of General Psychiatry and Psychotherapy, Nant Foundation, Montreux, Switzerland.

Hélène Richard-Lepouriel (H)

Service of Psychiatric Specialties, Department of Psychiatry, Geneva University Hospitals, Geneva, Switzerland.

Kerstin Weber (K)

Division of Institutional Measures, Medical Direction, Geneva University Hospitals, Geneva, Switzerland.

Maurizio Pompili (M)

Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.

Alessandra Canuto (A)

Department of Psychiatry, Faculty of Medicine, University of Geneva (UNIGE), Geneva, Switzerland.

Classifications MeSH