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Dissertations / Theses on the topic 'Mechanisms of suicidal behavior'

Author: Grafiati

Published: 28 May 2022

Last updated: 30 July 2025

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1

Maruta, N., Ірина Григорівна Мудренко, Ирина Григорьевна Мудренко, and Iryna Hryhorivna Mudrenko. "Clinical-psychopathologic mechanisms of formation of suicidal behavior in dementia." Thesis, Cambridge University Press, 2020. https://essuir.sumdu.edu.ua/handle/123456789/83450.

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Suicidal behavior (SB) is one of the main problem of the public health. Along with a cognitive deficiency, nonadaptive forms of behavior, including SB, are registered in more than 50% of patients with dementia.

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2

Britton, Peter C., Orden Kimberly A. Van, Jameson K. Hirsch, and Geoffrey C. Williams. "Basic Psychological Needs, Suicidal Ideation, and Risk for Suicidal Behavior in Young Adults." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/862.

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Associations between the satisfaction of basic psychological needs of autonomy, competence, and relatedness with current suicidal ideation and risk for suicidal behavior were examined. Two logistic regressions were conducted with a cross-sectional database of 440 university students to examine the association of need satisfaction with suicidal ideation and risk for suicidal behavior, while controlling for demographics and depressive symptoms. Suicidal ideation was reported by 15% of participants and 18% were found to be at risk for suicidal behavior. A one standard deviation increase in need s

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Rabon, Jessica Kelliher, Jon R. Webb, Edward C. Chang, and Jameson K. Hirsch. "Forgiveness and Suicidal Behavior in Primary Care: Mediating Role of Future Orientation." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2788.

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Forgiveness, a cognitive-emotional and behavioral reduction of negative responses to offenses, is directly related to less suicide risk, but may be indirectly related via its relation with future orientation, the ability to envision a positive future. In 100 rural primary care patients, we examined the association between self-forgiveness, other-forgiveness, and forgiveness by God and suicidal behavior, with future orientation as a mediator. Forgiveness was related to greater future orientation and, in turn, to, less suicidal behavior. Addressing the past may promote adaptive views of the futu

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4

Dangel, Trever J., Jon R. Webb, and Jameson K. Hirsch. "Forgiveness and Suicidal Behavior: Cynicism and Psychache as Serial Mediators." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/2748.

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Research is burgeoning regarding the beneficial association of forgiveness with numerous health-related outcomes; however, its particular relationship to suicidal behavior has received relatively little attention. Both cynicism and psychache, or agonizing psychological pain, have displayed deleterious associations with suicidal behavior, but have rarely been incorporated into more comprehensive models of suicidal behavior. Consistent with the recent development of a theoretical model regarding the forgiveness–suicidal behavior association, the present study utilized an undergraduate sample of

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Walker, Kristin L., Jameson K. Hirsch, Edward C. Chang, and Elizabeth L. Jeglic. "Non-Suicidal Self-Injury and Suicidal Behavior in a Diverse Sample: The Moderating Role of Social Problem-Solving Ability." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/844.

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Non-suicidal self-injury and suicidal behavior are prevalent in young adults, and often constitute a continuum of self-destructiveness. Not all those who self-injure, however, engage in suicidal behaviors with intent to die, perhaps due to protective intrapersonal characteristics. We examined the role of one such potential buffer, social problem-solving ability, as a moderator of the association between non-suicidal self-injury and suicidal thoughts and attempts, hypothesizing that individuals with greater social problem-solving ability would report fewer suicidal behaviors in relation to self

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Lee, Jerin, Edward C. Chang, Abigael G. Lucas, and Jameson K. Hirsch. "Academic Motivation and Psychological Needs as Predictors of Suicidal Risk." Digital Commons @ East Tennessee State University, 2019. https://doi.org/10.1002/jocc.12123.

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This study examined academic motivation and basic psychological needs as predictors of suicidal risk (namely, depressive symptoms and suicidal behaviors) in a sample of 348 college students. Results from regression analyses indicated that academic motivation was a significant predictor of suicidal risk. The inclusion of basic psychological needs significantly augmented the prediction model. The authors discuss implications for considering academic motivation and basic psychological needs in college counseling on the basis of the results.

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7

Hirsch, Jameson K., Jon R. Webb, and Elizabeth L. Jeglic. "Forgiveness as a Moderator of the Association Between Anger Expression and Suicidal Behaviour." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/678.

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Anger is often associated with poor physical and mental health, including suicidal behaviour. Anger expression is typically conceptualised as inward or outward-directed, with each mode of expression having potentially different aetiologies and health manifestations. Individual characteristics such as religion or spirituality may buffer against the effects of anger. One such characteristic, forgiveness, is the voluntary process of changing ones’ beliefs, behaviours, and emotions towards a transgressor from negative to positive. We examined forgiveness of self, forgiveness of others and feeling

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8

Treaster, Morgan K., Jessica K. Rabon, Kelly C. Pugh, et al. "Fibromyalgia Impact and Suicidal Behavior: Effects of Stress and Self-Compassion." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/609.

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Fibromyalgia, a chronic illness characterized by widespread muscle pain, tenderness, joint stiffness, and fatigue, affects 3-6% of the world’s population. Symptoms of fibromyalgia impact the ability to complete daily activities, such as cooking, cleaning or employment, possibly leading to greater perceived stress and, in turn, to engagement in suicidal behavior. For persons with fibromyalgia, pressure to complete previous routines, and emergence of frustration at the inability to do so, may result in the experience of being overwhelmed by stressors. Further, persons with fibromyalgia are at gr

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9

Rowe, Catherine A., Kristin L. Walker, Peter C. Britton, and Jameson K. Hirsch. "The Relationship Between Negative Life Events and Suicidal Behavior." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/668.

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Background: Individuals who experience negative life events may be at increased risk for suicidal behavior. Intrapersonal characteristics, such as basic psychological needs, however, may buffer this association. Aims: To assess the potential moderating role of overall basic psychological needs, and the separate components of autonomy, competence, and relatedness, on the association between negative life events and suicidal behavior. MethodOur sample of 439 college students (311 females, 71%) completed the following self-report surveys: Life Events Scale, Basic Psychological Needs Scale, Beck D

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10

Hall, Benjamin B., Jon R. Webb, and Jameson K. Hirsch. "Spirituality and Suicidal Behavior: The Mediating Role of Self-forgiveness and Psychache." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5550.

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Growing evidence for the salubrious association of spirituality with physical and mental health related outcomes has led to the consideration of spirituality as a protective factor against suicidal behavior. Although support for this basic association is robust, particularly in the context of religious belief and attendance, spirituality has yet to be explored as it relates to psychache—intense, unrelenting psychological pain. Additionally, self-forgiveness has emerged as an important protective factor against suicidal behavior, but has not been explored in the context of psychache. Following

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11

Chang, Edward C., Liangqiu Wan, Pengzi Li, et al. "Loneliness and Suicidal Risk in Young Adults: Does Believing in a Changeable Future Help Minimize Suicidal Risk Among the Lonely?" Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/662.

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This study examined loneliness and future orientation as predictors of suicidal risk, namely, depressive symptoms and suicide ideation, in a sample of 228 college students (54 males and 174 females). Results of regression analyses indicated that loneliness was a significant predictor of both indices of suicidal risk. The inclusion of future orientation was found to significantly augment the prediction model of both depressive symptoms and suicide ideation, even after accounting for loneliness. Noteworthy, beyond loneliness and future orientation, the Loneliness × Future Orientation interaction

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12

Hirsch, Jameson K., K. L. Walker, S. Nsamenang, and P. Loess. "Affect and Suicidal Behaviors: The Mediating Role of Alcohol and Drug Use." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/606.

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13

Kaniuka, Andrea, Jessica Kelliher-Rabon, Edward C. Chang, Fuschia M. Sirois, and Jameson Hirsch. "Symptoms of Anxiety and Depression and Suicidal Behavior in College Students: Conditional Indirect Effects of Non-Suicidal Self-Injury and Self-Compassion." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5495.

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Adults of college age are at particular risk for psychopathology, non-suicidal self-injury (NSSI), and suicidal behavior, but protective factors (e.g., self-compassion) may buffer risk. We examined the mediating effect of NSSI on the relation between anxiety/depressive symptoms and suicide risk, and the moderating role of self-compassion. Students (N = 338) with greater psychopathology reported more engagement in NSSI and, consequently, more suicide risk; self-compassion weakened the psychopathology-NSSI linkage. Therapeutically addressing psychopathology and NSSI, perhaps via Cognitive Behavi

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14

Kaniuka, Andrea, Kyle Long, Byron Brooks, Erin Poindexter, Jameson K. Hirsch, and Kelly C. Cukrowicz. "Non-Suicidal Self Injury and Suicidal Behavior in College Students: Conditional Indirect Effects of Substance Abuse and Thwarted Interpersonal Needs." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/629.

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Non-suicidal self-injury (NSSI), or deliberate self-harm, and suicidal behaviors are significant public health concerns, and college students may be at particular risk. For instance, approximately 17% of college students engage in NSSI and suicide is the 2nd leading cause of death in college students. Commonalities between NSSI and suicidal behavior exist, including etiology; as an example, misuse of substances and interpersonal difficulties are related to both outcomes. For college students, substance use disorders and social dysfunction are two of the most common psychosocial problems; for i

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15

Southerland, Jodi L., Shimin Zheng, Mark Dula, Yan Cao, and Deborah L. Slawson. "Relationship Between Physical Activity and Suicidal Behaviors Among 65,182 Middle School Students." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/131.

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Background: The psychosocial benefits of participating in physical activity (PA) are well known; less is known about the relationship between suicidal behaviors and PA among adolescents, especially among middle school-aged youth. This study seeks to fill that gap by assessing the cross-sectional relationship between these variables. Methods: A secondary analysis of the 2010 Tennessee Middle School Youth Risk Behavior Survey data was conducted among 65,182 middle school students. Items examined were PA, sports team engagement, physical education (PE) class, screen time, suicidal behaviors, drug

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McKinney, Jessica, Lauren Beuttel, Jon R. Webb, Peter C. Britton, and Jameson K. Hirsch. "Forgiveness and Suicidal Behavior in Veterans: Mediating Role of Posttraumatic Growth." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/622.

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Suicide rates are higher in veterans compared to the general population, making up a disproportionate 22% of suicides reported annually in the U.S. One factor related to suicidal behavior among veterans is increased exposure to traumatic events. However, not all traumatized veterans engage in suicidal behavior, perhaps due to the presence of protective factors. One such factor, forgiveness (of self, others, and by God), conceptualized as a positive change in cognition, emotion, and behavior, toward a transgressor or transgression, may buffer against suicide risk by facilitating a “letting go”

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Rabon, Jessica K., A. Turner, Jon R. Webb, Edward C. Chang, and Jameson K. Hirsch. "Forgiveness and Suicidal Behavior in Primary Care: Mediating Role of Future Orientation." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/615.

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18

Kaniuka, Andrea R., M. Montgomery, Byron D. Brooks, Fuschia M. Sirois, and Jameson K. Hirsch. "Suicidal Behavior Among Fibromyalgia Patients: What Are the Risk and Protective Factors?" Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/627.

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19

Lakey, Chad E., Jameson K. Hirsch, Lyndsay A. Nelson, and Sheri A. Nsamenang. "Effects of Contingent Self-Esteem on Depressive Symptoms and Suicidal Behavior." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/658.

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Contingent self-esteem, or self-worth hinged upon successfully meeting standards or attaining goals, requires continual maintenance and validation. Despite the inherent instability that accompanies contingent self-esteem, relatively little is known about how it relates to markers of mental health. A sample of 371 college students completed measures of self-esteem, contingent self-esteem, suicidal behaviors, and depression. Individuals with fragile low self-esteem, described as highly contingent, reported greater depressive symptoms and suicidal behavior. Among those with secure high self-estee

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Webb, Jon R., Bridget R. Jeter, Julie I. Hunter, David Bumgarner, Kayla Mitchell, and Jameson K. Hirsch. "Mindfulness, Psychological Distress and Suicidal Behavior in Adult Children of Alcoholics." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/617.

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21

Britton, Peter C., Jessica M. McKinney, Todd M. Bishop, Wilfred R. Pigeon, and Jameson K. Hirsch. "Insomnia and Risk for Suicidal Behavior: A Test of a Mechanistic Transdiagnostic Model in Veterans." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/5545.

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Background: Insomnia has been shown to have direct and indirect associations with suicidal ideation, attempts, and death in U.S. military and veteran populations. However, transdiagnostic models of insomnia and psychopathology have not been used to examine the contribution of psychopathology. Method: The present study is a secondary analysis examining the associations among insomnia symptoms, posttraumatic stress disorder (PTSD) and depressive symptoms, interpersonal theory of suicide variables, and risk for suicidal behavior in community veterans (n = 392). Serial mediation was used to test s

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22

Walker, Kristin L., Edward C. Chang, and Jameson K. Hirsch. "Neuroticism and Suicidal Behavior: Conditional Indirect Effects of Social Problem Solving and Hopelessness." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/856.

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Individuals with problem solving deficits, and higher levels of neuroticism and hopelessness, are at increased risk for suicide, yet little is known about the interrelationships between these vulnerability characteristics. In a sample of 223 low-income, primary care patients, we examined the potential mediating role of hopelessness on the relation between neuroticism and suicidal behavior, and the potential moderating role of social problem solving ability. Participants completed self-report questionnaires: Suicidal Behaviors Questionnaire-Revised, Social Problem Solving Inventory-Revised, Bec

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Hirsch, Jameson K., Kelly C. Cukrowicz, and Kristin L. Walker. "Pain and Suicidal Behavior in Primary Care Patients: Mediating Role of Interpersonal Needs." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/855.

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Individuals experiencing chronic pain are at greater risk for suicidal behavior. The mechanism of action for this association is unexplored, but may involve the influence of pain on interpersonal functioning. We examined the mediating role of unsatisfied interpersonal needs on the relation between pain severity and interference, and suicidal behavior. Low income, uninsured participants completed self-report measures of pain severity and interference, thwarted interpersonal needs and suicidal behavior. Our hypotheses were partially supported; in simple mediation models, an indirect only effect

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McKinney, Jessica, Lauren Beuttel, Peter C. Britton, and Jameson K. Hirsch. "Posttraumatic Growth and Suicidal Behavior: Serial Effects via Time Perspective and Depressive Symptoms." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/613.

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Kafelghazal, Sally, Jerin Lee, Lizbeth Diaz, et al. "Examining Emic and Etic Predictors of Suicide Risk in Latinos: Does Loneliness Add, Beyond Ethnic Identitiy, to the Prediction of Hopelessness and Suicidal Behaviors?" Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/608.

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Suicide represents a major problem for all members of society. Findings from studies have shown that suicide risk is among the highest in young adult populations. Although a variety of factors have been identified in trying to predict suicide risk in young adults, one variable that has received considerable attention has been social disconnectedness. For example, according to Joiner’s (2005) theory of suicide, being socially disconnected from others represents a critical factor that heightens a person’s risk for suicide. Consistent with this view, findings from numerous studies have shown a re

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Nsamenang, Sheri A., Jon R. Webb, Kelly C. Cukrowicz, and Jameson K. Hirsch. "Depressive Symptoms and Interpersonal Needs as Mediators of Forgiveness and Suicidal Behavior Among Rural Primary Care Patients." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/657.

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Background: Suicide is the 10th leading cause of death in the US, and rates of suicide are higher in rural than urban areas. As proposed by the Interpersonal-Psychological Theory of Suicide, thwarted belongingness and perceived burdensomeness are risk factors for suicidal behavior, although protective individual-level characteristics such as forgiveness, may indirectly affect suicidal behavior by decreasing the deleterious effect of thwarted interpersonal needs. Method: A sample of uninsured adults recruited from a rural primary clinic (N=101) completed the Brief Multidimensional Measure of Re

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Chu, Carol, Melanie A. Hom, Megan L. Rogers, et al. "Insomnia and Suicide-Related Behaviors: A Multi-Study Investigation of Thwarted Belongingness as a Distinct Explanatory Factor." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/853.

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Background: Insomnia is a robust correlate of suicidal ideation and behavior. Preliminary research has identified thwarted belongingness (c.f. social disconnection) as an explanatory link between insomnia and suicidal ideation. Objectives: This study replicates and extends previous findings using both cross-sectional and longitudinal designs in four demographically diverse samples. Additionally, the specificity of thwarted belongingness was evaluated by testing anxiety as a rival mediator. Method: Self-report measures of insomnia symptoms, thwarted belongingness, suicidal ideation and behavior

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Chang, Edward C., Elizabeth A. Yu, Emma R. Kahle, et al. "The Relationship Between Domestic Partner Violence and Suicidal Behaviors in an Adult Community Sample: Examining Hope Agency and Pathways as Protective Factors." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5551.

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We examined an additive and interactive model involving domestic partner violence (DPV) and hope in accounting for suicidal behaviors in a sample of 98 community adults. Results showed that DPV accounted for a significant amount of variance in suicidal behaviors. Hope further augmented the prediction model and accounted for suicidal behaviors beyond DPV. Finally, we found that DPV significantly interacted with both dimensions of hope to further account for additional variance in suicidal behaviors above and beyond the independent effects of DPV and hope. Implications for the role of hope in th

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Hirsch, Jameson Kenneth, Jessica Kelliher Rabon, Esther E. Reynolds, Alison L. Barton, and Edward C. Chang. "Perceived Stress and Suicidal Behaviors in College Students: Conditional Indirect Effects of Depressive Symptoms and Mental Health Stigma." Digital Commons @ East Tennessee State University, 2017. https://doi.org/10.1037/sah0000125.

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Suicide is a significant public health concern and the second leading cause of death for college students. Perceived stress, depression, and mental health stigma are established risk factors for suicidal behavior; however, their interrelationships are unknown. Data were collected from 913 collegiate housing residents (70.8% female; N = 646). Using data from self-report measures, depressive symptoms were examined as a mediator of the relation between stress and suicidal behavior, along with the moderating effect of mental health stigma. Depressive symptoms partially mediated the stress–suicide

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Hirsch, Jameson K., Jessica Kelliher Rabon, Esther E. Reynolds, Alison L. Barton, and Edward C. Chang. "Perceived Stress and Suicidal Behaviors in College Students: Conditional Indirect Effects of Depressive Symptoms and Mental Health Stigma." Digital Commons @ East Tennessee State University, 2019. http://doi.org/10.1037/sah0000125.

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Suicide is a significant public health concern and the second leading cause of death for college students. Perceived stress, depression, and mental health stigma are established risk factors for suicidal behavior; however, their interrelationships are unknown. Data were collected from 913 collegiate housing residents (70.8% female; N = 646). Using data from self-report measures, depressive symptoms were examined as a mediator of the relation between stress and suicidal behavior, along with the moderating effect of mental health stigma. Depressive symptoms partially mediated the stress–suicide

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Chu, Carol, Kristin L. Walker, Ian H. Stanley, et al. "Perceived Problem-Solving Deficits and Suicidal Ideation: Evidence for the Explanatory Roles of Thwarted Belongingness and Perceived Burdensomeness in Five Samples." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/843.

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Perceived social problem-solving deficits are associated with suicide risk; however, little research has examined the mechanisms underlying this relationship. The interpersonal theory of suicide proposes 2 mechanisms in the pathogenesis of suicidal desire: intractable feelings of thwarted belongingness (TB) and perceived burdensomeness (PB). This study tested whether TB and PB serve as explanatory links in the relationship between perceived social problem-solving (SPS) deficits and suicidal thoughts and behaviors cross-sectionally and longitudinally. The specificity of TB and PB was evaluated

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Treaster, Morgan K., Jessica K. Rabon, and Jameson K. Hirsch. "Fibromyalgia Impact and Suicidal Behavior: Conditional Indirect Effects of Anxiety and the Perception of a Silver Lining." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/623.

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Rabon, Jessica Kelliher, and Jameson K. Hirsch. "Beck Hopelessness Inventory." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5491.

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Reynolds, Esther, J. Rabon Kelliher, and Jameson K. Hirsch. "Financial Stigma and Suicidal Behavior in Primary Care: Serial Indirect Effects via Optimism and Interpersonal Needs." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/628.

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Wise, Haley A., Byron D. Brooks, Raymond Tucker, LaRicka Wingate, and Jameson K. Hirsch. "Negative Life Events and Suicidal Behavior in College Students: Conditional Indirect Effects of Hopelessness and Self-compassion." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/630.

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Approximately 43% of college students report experiencing suicidal ideation in the past year, and suicide is the 2nd leading cause of death among college students, making it a significant public health concern. Development of successful suicide intervention and prevention strategies is predicated on identification of risk (e.g. negative life events, hopelessness) and protective factors (e.g. self-compassion) that may be targeted for treatment. A well-established linkage exists between life stressors and suicidal behavior; however, potential mechanisms of action underlying this association are

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Toussaint, L., J. R. Webb, and Jameson K. Hirsch. "Self-Forgiveness, Self-Harm and Suicidal Behavior: Understanding the Role of Forgiving the Self in the Act of Hurting One’s Self." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/471.

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Book Summary: The present volume is a ground-breaking and agenda-setting investigation of the psychology of self-forgiveness. It brings together the work of expert clinicians and researchers working within the field, to address questions such as: Why is self-forgiveness so difficult? What contexts and psychological experiences give rise to the need for self-forgiveness? What approaches can therapists use to help people process difficult experiences that elicit guilt, shame and self-condemnation? How can people work through their own failures and transgressions? Assembling current theories and

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Hirsch, Jameson K., Tracy J. Cohn, Catherine A. Rowe, and Sarah E. Rimmer. "Minority Sexual Orientation, Gender Identity Status and Suicidal Behavior: Serial Indirect Effects of Hope, Hopelessness and Depressive Symptoms." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/848.

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Death by suicide, and suicidal behaviors, are a significant public mental health problem, and individuals who are lesbian, gay, bisexual, transgendered and questioning (LGBTQ), may be at increased risk. Potential underlying mechanisms of this association are unknown, but may involve the impact of LGBTQ status on future orientation and mood. Our purpose was to determine the influence of sexual identity, sequentially, on cognitive and emotional functioning, and consequent relation to suicidal behavior. In a sample of 349 college students, we used serial mediation models to investigate the relati

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Chang, Edward C., Mine Muyan, and Jameson K. Hirsch. "Loneliness, Positive Life Events, and Psychological Maladjustment: When Good Things Happen, Even Lonely People Feel Better!" Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/664.

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The present study investigated loneliness and positive life events as predictors of psychological maladjustment (viz., depression, hopelessness, & suicidal behaviors) in a sample of 327 adults. Beyond the expected role of loneliness in psychological maladjustment, positive life events were found to further augment the prediction of depression, hopelessness, and suicidal behaviors. In addition, the presence of positive life events was found to buffer the positive association between loneliness and maladjustment. Specifically, the positive association between loneliness and psychological maladju

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Chang, Edward C., Xiang Lian, Tina Yu, et al. "Loneliness Under Assault: Understanding the Impact of Sexual Assault on the Relation Between Loneliness and Suicidal Risk in College Students." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/689.

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The present study sought to examine for how loneliness and sexual assault are involved in predicting suicidal risk (viz., hopelessness & suicide probability) in a sample of 334 college students. Specifically, we were interested in examining whether sexual assault may play an additive as well as interactive role in the prediction of suicidal risk above and beyond loneliness. Results from regression analyses indicated that both loneliness and sexual assault were important and unique predictors of suicidal risk in students. Moreover, consistent with expectations, we found support for a Loneliness

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Chang, Edward C., Jerin Lee, Kaitlin M. Wright, et al. "Examining Sexual Assault Victimization and Loneliness as Risk Factors Associated With Nonlethal Self-Harm Behaviors in Female College Students: Is It Important to Control for Concomitant Suicidal Behaviors (and Vice Versa)?" Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/849.

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The present study examined sexual assault victimization and loneliness as predictors of self-harm behaviors in a sample of 224 female college students. Results from conducting regression analysis indicated that both sexual assault victimization and loneliness were unique and significant predictors of self-harm behaviors. This pattern remained even after controlling for concomitant suicidal behaviors. Interestingly, in a post hoc analysis predicting suicidal behaviors, it was found that loneliness, but not sexual assault victimization, was the only unique and significant predictor after control

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Chang, Edward C., Tina Yu, Zunaira Jilani, et al. "Hope Under Assault: Understanding the Impact of Sexual Assault on the Relation Between Hope and Suicidal Risk in College Students." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/688.

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The present study sought to examine for how hope and sexual assault are involved in suicidal risk in a sample of 325 college students. Specifically, we were interested to examine whether sexual assault may play an additive as well as interactive role in the prediction of suicidal risk (viz., suicidal behaviors & reasons for living) above and beyond hope. Results from regression analyses indicated that hope and sexual assault were important and unique predictors of suicidal risk in students. Moreover, we found some support for a Hope × Sexual Assault interaction in predicting both suicidal beha

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Chang, Edward C., Elizabeth A. Yu, Tina Yu, et al. "Ethnic Variables and Negative Life Events as Predictors of Depressive Symptoms and Suicidal Behaviors in Latino College Students: On the Centrality of Receptivo a los Demás." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/857.

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In the present study, we examined ethnic variables (viz., multigroup ethnic identity and other group orientation) along with negative life events as predictors of depressive symptoms and suicidal behaviors in a sample of 156 (38 male and 118 female) Latino college students. Results of conducting hierarchical regression analyses indicated that the set of ethnic variables accounted for significant variance in both depressive symptoms and suicidal behaviors. The inclusion of negative life events was found to account for significant additional variance in both outcomes, beyond what was accounted f

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Hirsch, Jameson K., K. L. Walker, S. A. Nsamenang, Catherine A. Rowe, and Kelly C. Cukrowicz. "A Series of Studies of Risk and Protective Factors for Suicidal Behavior in Rural Primary Care: An Eye Toward Intervention Design." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/602.

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Hirsch, Jameson K., Preston L. Visser, Edward C. Chang, and Elizabeth L. Jeglic. "Race and Ethnic Differences in Hope and Hopelessness as Moderators of the Association Between Depressive Symptoms and Suicidal Behavior." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/656.

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Objective: The authors examined trait hope and hopelessness as potential moderators of the association between depressive symptoms and suicidal behavior. Participants: A diverse sample of 372 college students. Methods: Depressive symptoms, hopelessness (Beck Hopelessness Scale), trait hope (Trait Hope Scale), and suicidal behaviors were assessed. Trait hope is defined as confidence in the ability to identify and attain goals, whereas hopelessness encompasses future attitudes and motivation loss. Results: In independent models, low hopelessness buffered the association between depressive sympto

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Hirsch, Jameson K., Edward C. Chang, and Elizabeth L. Jeglic. "Social Problem Solving and Suicidal Behavior: Ethnic Differences in the Moderating Effects of Loneliness and Life Stress." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/697.

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The objective of this study was to examine the combined moderating effects of life stress and loneliness on the association between social problem solving ability (SPS) and suicidal behaviors. We assessed SPS, suicidal behavior, loneliness, and stressful life events in a sample of 385 ethnically diverse college students. Overall, only loneliness moderated the association between SPS and suicidal behaviors. Across ethnic groups, loneliness moderated the association between SPS and suicidal behavior for Blacks, Whites, and Asians; life stress was a moderator for Hispanics. For most individuals,

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Hom, Melanie A., Carol Chu, Matthew E. Schneider, et al. "Thwarted Belongingness as an Explanatory Link Between Insomnia Symptoms and Suicidal Ideation: Findings from Three Samples of Military Service Members and Veterans." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/698.

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Background: Although insomnia has been identified as a robust predictor of suicidal ideation and behaviors, little is known about the mechanisms by which sleep disturbances confer risk for suicide. We investigated thwarted belongingness as an explanatory link between insomnia symptoms and suicidal ideation across three military service member and veteran samples. Methods: Data were collected among United States military service members and veterans (N1=937, N2=3,386, N3=417) who completed self-report measures of insomnia symptoms, thwarted belongingness, suicidal ideation, and related psychiat

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Chang, Edward C., Elizabeth A. Yu, Emma R. Kahle, Elizabeth L. Jeglic, and Jameson K. Hirsch. "Is Doubling Up on Positive Future Cognitions Associated with Lower Suicidal Risk in Latinos?: A Look at Hope and Positive Problem Orientation." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/691.

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In the present study, we examined hope and positive problem orientation as additive predictors of suicidal risk, namely, hopelessness and suicide behavior, in a sample of 155 (37 males and 118 females) Latinos. Consistent with expectations, we found hope and positive problem orientation to be associated with lower suicidal risk. In addition, results of conducting hierarchical regression analyses indicated that hope accounted for significant variance in both indices of suicidal risk. Moreover, the inclusion of positive problem orientation as a predictor was found to account for additional uniqu

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Chang, Edward C., Tina Yu, Alexandria S. M. Najarian, et al. "Understanding the Association Between Negative Life Events and Suicidal Risk in College Students: Examining Self-Compassion as a Potential Mediator." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/854.

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Objective: We tested a hypothesized model consistent with the notion that self-compassion mediates the association between negative life events and suicidal risk (viz., depressive symptoms and suicidal behaviors) in college students. Method: The sample was comprised of 331 college students. Self-compassion facets (viz., self-kindness, self-judgment, common humanity, isolation, mindfulness, and overidentification) were used in testing for multiple mediation, controlling for sex. Results: Common humanity, mindfulness, and overidentification were found to mediate the association between negative

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Pooley, Edward Charles. "Genetic association studies of serotonergic gene polymorphisms with obsessive-compulsive disorder, deliberate self-harm and obesity." Thesis, University of Oxford, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.670094.

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Chang, Edward C., and Jameson K. Hirsch. "Social Problem Solving Under Assault: Understanding the Impact of Sexual Assault on the Relation Between Social Problem Solving and Suicidal Risk in Female College Students." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/659.

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The present study sought to examine how social problem solving and sexual assault are involved in suicidal risk in a sample of 221 female college students. Specifically, we were interested to examine whether sexual assault may play an additive as well as interactive role in the prediction of suicidal risk (viz., hopelessness and suicidal behaviors) above and beyond social problem solving. Results from regression analyses indicated that deficits in social problem solving, especially low positive problem orientation, and sexual assault were important and unique predictors of suicidal risk in fem

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