Defense Mechanisms and Suicide Risk in Major Depression

@article{Hovanesian2009DefenseMA,
  title={Defense Mechanisms and Suicide Risk in Major Depression},
  author={Shushan Hovanesian and Isakov L.K. Isakov and Kelly L. Cervellione},
  journal={Archives of Suicide Research},
  year={2009},
  volume={13},
  pages={74 - 86}
}
Past suicide attempt has been consistently reported to be the best predictor of future suicide attempt. The need to identify predictors that can be targets of therapy is of great importance. Coping styles and defense mechanisms have now been linked to suicide in numerous reports. In this study, we expand on past research by exploring differences in defense mechanism use between three groups: 1) without current suicide ideation/attempt; 2) with current suicide ideation/no attempt; and 3) with… 

Differences in Defense Mechanisms and Psychological Characteristics According to Suicide Attempt in Patients with Depression

TLDR
It appears that depressed patients who attempt suicide experience more clinical symptoms, use primitive defense mechanisms and, apparently, have some predictably characteristic problems.

Risk factors for fatal and nonfatal repetition of suicide attempt: a critical appraisal

TLDR
The risk for a suicide attempt is higher for people who had previously attempted and having a psychiatric diagnosis and more specifically a mood disorder is also a strong predictor for both fatal and nonfatal suicide attempt.

Gender differences in defense mechanisms, ways of coping with stress and sense of identity in adolescent suicide attempts.

TLDR
The data indicated the importance of identity confusion, major depression and ADHD in adolescents with suicide attempt in both genders and there were differences between genders with respect to the defense mechanisms used.

The relationship between self-harming behavior, suicide attempt history and defense mechanisms in patients with opioid-use disorder

  • Sema BaykaraK. Alban
  • Psychology
    Dusunen Adam: The Journal of Psychiatry and Neurological Sciences
  • 2018
TLDR
Association of a history of SHB or SA with the use of immature defense mechanisms may require consideration of the application of therapeutic programs that include a more effective use of mature defenses in addition to specific pharmacotherapies for patients with OUD.

The Treacherous Path: Developmental Psychopathology and the Evolution of Risk for Suicide

ABSTRACT As suicide rates continue to rise in the United States, efforts to study the factors that might create vulnerability to suicidal thoughts and behaviors have similarly increased. Challenges

Defense Styles That are Related with History of Self-Mutilation and Suicide Attempt in Alcohol Dependent Inpatients

TLDR
The results show that to reduce self-mutilative behaviors and SAs among young alcohol dependent inpatients, therapies should focus on increasing the use of mature defense styles and decreasing theUse of immature defense styles.

Prevalence of suicide attempt in individuals with major depressive disorder: a meta-analysis of observational surveys

TLDR
This meta-analysis confirmed that SA was common in individuals with MDD across the world, and careful screening and appropriate interventions should be implemented for SA in the MDD population.

Defence styles and social adaptation during a depressive episode: bipolar depression vs. major depression

Objective: The aim of this study was to perform a comparative investigation of defense styles in major and bipolar depression patients and to determine the relationship between defense styles and

Association of Depression and Suicidal Ideation with Unreasonable Patient Demands and Complaints Among Japanese Physicians: A National Cross-sectional Survey

TLDR
The number of unreasonable demands and complaints in the previous 6 months was significantly associated with depressive symptoms and suicidal ideation for both men and women (P for trend <0.01).

Buffering Effects of Social Support and Parental Monitoring on Suicide.

TLDR
Findings provide specific directions to develop and culturally tailor effective suicide intervention programs for adolescents with histories of depression to reduce their suicidal behavior.

References

SHOWING 1-10 OF 42 REFERENCES

Defense styles in depressed suicide attempters

TLDR
Although it was not significantly different in terms of sociodemographic and depression variables, recent suicide attempters had higher scores on immature style, especially acting out, passive agression, autistic fantasy and projection, which may help discriminate depressed patients with high risk of imminent suicide attempt.

Sex differences in clinical predictors of suicidal acts after major depression: a prospective study.

TLDR
It is suggested that the importance of risk factors for suicidal acts differs in depressed men and women and this knowledge may improve suicide risk evaluation and guide future research on suicide assessment and prevention.

Defense Styles, Impulsivity and Suicide Attempts in Major Depression

TLDR
Like impulsivity, defense styles may be relevant to discriminate recurrent suicide attempters in depression and Prospective assessment of defense styles and suicide attempts in depression is needed.

Coping styles and suicide risk

TLDR
Findings may have important implications for therapists and primary prevention workers, and might pave the way towards recognition of the role played by coping styles in predicting suicide and its use for cognitive intervention in these high‐risk patients.

Prospective study of clinical predictors of suicidal acts after a major depressive episode in patients with major depressive disorder or bipolar disorder.

TLDR
Clinicians may find it useful to assess patients' current level of pessimism, aggressive/impulsive traits, and comorbidity with substance use disorders, including nicotine-related disorders, to help identify patients at risk for suicidal behavior after major depression.

Affective disorders and suicide risk: a reexamination.

TLDR
A hierarchy of risk based on the intensity of the treatment setting is demonstrated among patients with affective disorders, showing that patients with a hospitalization history, particularly when suicidal, have a much elevated suicide prevalence over both psychiatric outpatients and nonpatients.

History of suicide attempts in pediatric bipolar disorder: factors associated with increased risk.

TLDR
These findings indicate that children and adolescents with BP exhibit high rates of suicidal behavior, with more severe features of BP illness and comorbidity increasing the risk for suicide attempt.

Risk of suicide ideation associated with problem-solving ability and attitudes toward suicidal behavior in university students.

TLDR
Investigating the risk of lifetime suicide ideation associated with problem-solving ability and attitudes toward suicidal behavior in a sample of 328 university students found greater agreement with the attitude that suicidal behavior is normal was associated with significantly increased risk of being an ideator.

Personality traits and cognitive styles as risk factors for serious suicide attempts among young people.

TLDR
The contribution of a series of measures of personality and/or cognitive style to serious suicide attempt risk in young people was examined in a case-control study and found that self-esteem, extraversion, and impulsiveness were not significantly associated with suicide attemptrisk.