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Copings and suicidal ideation in men from the clinical and control groups

Published online by Cambridge University Press:  27 August 2024

T. I. Medvedeva
Affiliation:
1Clinical psychology, Federal Stare Budgetary Scientific Institution “Mental Health Research Center”, Moscow, Russian Federation
O. M. Boyko*
Affiliation:
1Clinical psychology, Federal Stare Budgetary Scientific Institution “Mental Health Research Center”, Moscow, Russian Federation
O. U. Vorontsova
Affiliation:
1Clinical psychology, Federal Stare Budgetary Scientific Institution “Mental Health Research Center”, Moscow, Russian Federation
S. N. Enikolopov
Affiliation:
1Clinical psychology, Federal Stare Budgetary Scientific Institution “Mental Health Research Center”, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Suicidal ideation is often an indicator of suicidal risk. However, suicidality is one of the most stigmatized themes thus suicidal ideation can be difficult to diagnose using direct questions. So, it’s impotent to look for psychological traits those may be linked to suicidal ideation. This can be useful for the diagnostic of suicidal risk and prevention of suicidal behavior. The identification of copings that correlate with suicidal ideation and do not depend on mental health allows finding universal ways to reduce suicidal risk.

Objectives

The aim of the study is to find “copings” which have universal impact on suicidal ideation in men.

Methods

The data were obtained using the study of 193 men (clinical group: 67 men with F20, F31, F33 diagnosis aged 17 to 34 (mean age 21,1±4,25); control group: 126 men aged 18 to 63 (mean age 40,04±14,71) who never asked for psychiatric assistance. 3 questions about suicidal ideation (estimate of frequency of last week with Likert’ scale from 0 - “not at all” to 4 -“extremely”), COPE (Carver, 1989). Correlation analysis (Spearman) were used.

Results

The table consists correlation that are statistically significant for both groups.

Control group
questionDenialBehavioral disengagementMental disengagement/self-distractionSubstance useVenting
Feeling hopeless about the future,218*,177*,237**,208*,304**
Thoughts of ending your life,189*,217*,240**,189*---
Thoughts of death or dying,117---,290**,215*,301**
Clinical group
Feeling hopeless about the future,494**,177*,478**,208*,375**
Thoughts of ending your life,347**,217*,363**,342**---
Thoughts of death or dying,353**---,302*,323**,249*

* - p≤0,05; ** p ≤0,01

Conclusions

Our results demonstrate that avoidant copings (Denial, Behavioral disengagement, Mental disengagement /self-distraction) link to suicidal ideation in all men regardless of their mental state. This can be explained by general pathological effect of avoidant copings of people lives: its hinder an identification and settlement of the everyday problems and its contribute to worsening of the situation. This underlines the importance of promotion more active copings as part of prevention antisuicidal work. The “Substance use” coping comforts for a while and anyway helps to formation suicidal ideation through worsening a mental and physical states, increase impulsivity. All this shows that work aimed the substance use prevention constitutes a suicidal ideation prevention work. Increased frequency of use of a Venting coping can leave men in emotional storm state that carries risk of suicide. This points to the importance of wide popularization of affordable ways to the calm, reduce of the power of emotion.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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