Suicidal ideation, marital discord, and decrease effective relations among women from Iran

Introduction: Interpersonal conflicts, such as marital conflicts are among the most commonly reported reasons for self-harm and suicide. This study aimed to investigating suicidal ideation, marital discord, and decrease effective relations among women from Iran. Methods: This cross-sectional study was conducted with participation of 923 married women aged 18 to 59 years from Gilan-e Gharb County, the west part of Iran in 2017. Data gathering tool was a four-part questionnaire included questions about participant's demographic variables, Beck Scale for Suicidal Ideation, questionnaire of Decrease Effective Relations in spouses, and questions about marital discord. Data were analyzed with SPSS 19 software, using Independent T-test, and Chi square at a 95% confidence level. Results: The subjects’ mean age was 37.28±9.58 years. Out of 923 participants, 345 women (37.4%) had some degree of suicidal ideation. The mean score of suicidal ideation in all of participants was 5.84±7.55 while in 345 suicide ideators was 15.1±3.4. Women with suicidal ideation had higher mean score of Decrease Effective Relations compared to women without suicidal ideation. Also three items of marital discord including conflict with spouse, physical conflict with the spouse and official application for divorce were higher in suicidal ideators significantly. Conclusion: The present study concluded that suicidal ideation and decrease effective relations were high and notable among understudied women. In addition, this study showed that decrease effective relations and marital discord in suicidal ideators are higher than the women without suicidal ideation. Therefore, the further studies are recommended to focus on designing and delivering suicide prevention programs tailored to resolve marital conflict. (Anatolian Journal of Psychiatry 2018; 19(5):459-465)

___

35. Foster T. Adverse life events proximal to adult suicide: a synthesis of findings from psychological autopsy studies. Arch Suicide Res 2011; 15:1-15.

34. Linda WP, Marroquín B, Miranda R. Active and passive problem solving as moderators of the relation between negative life event stress and suicidal ideation among suicide attempters and non-attempters. Arch Suicide Res 2012; 16:183-197.

33. Bagge CL, Glenn CR, Lee HJ. Quantifying the impact of recent negative life events on suicide attempts. Abnorm Psychol 2013; 122:359-368.

32. da Silva RM, Mangas RM, Figueiredo AE, Vieira LJ, de Sousa GS, Cavalcanti AM, et al. The influence of family problems and conflicts on suicidal ideation and suicide attempts in elderly people. Cien Saude Colet 2015; 20:1703-1710.

31. Zhai H, Bai B, Chen L, Han D, Wang L, Qiao Z, et al. Correlation between Family Environment and Suicidal Ideation in University Students in China. Int J Environ Res Public Health 2015; 12:1412-1424.

30. Van Orden KA, Witte TK, Cukrowicz KC, Braith-waite SR, Selby EA, Joiner TE Jr. The interper-sonal theory of suicide. Psychol Rev 2010; 117:575-600.

29. Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X. Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychol Bull 2017; 143:187-232.

28. World Health Organization. Public Health Action for the Prevention of Suicide: A Framework. Geneva: WHO, 2012.

27. Rostami M, Jalilian A, Ghasemi S, Kamali A. Sui-cide mortality risk in Kermanshah province, Iran: A county-level spatial analysis. Epidemiol Biostat Public Health 2016; 13:e11829-1-e11829-7.

26. Veisani Y, Mohamadian F, Delpisheh A. Preva-lence and comorbidity of common mental disor-ders and associations with suicidal ideation in the adult population. Epidemiol Health 2017; 39:e2017031

25. Ziaaddini, H, Navadeh, S, Saeedi, A. Prevalence of suicide ideation, attempts and the associated factors among a sample of Iranian population in south part of the country: a population based study. Iran J Psychiatry 2009; 4:92-96.

24. Malakouti SK, Nojomi M, Bolhari J, Hakim-shooshtari M, Poshtmashhadi M, De Leo D. Pre-valence of suicide thoughts, plans and attempts in a community sample from Karaj, Iran. Community Ment Health J 2009; 45:37-41.

23. Boostanipoor A, Sanai-Zaker B. The Questionnaire of Marital Conflicts: A confirmatory factor analysis (CFA). Int J Psychol Stud 2016; 8:125-132.

22. Esfahani M, Hashemi Y, Alavi K. Psychometric assessment of beck scale for suicidal ideation (BSSI) in general population in Tehran. Med J Islam Repub Iran 2015; 29:862-871.

21. Anisi J, Majdian M, Mirzamani SM. The factors associated with suicide ideation in Iranian sol-diers. Iran J Psychiatry 2010; 5:97-101.

20. Ducher JL, Dalery J. Concurrent validation of sui-cidal risk assessment Scale (RSD) with the Beck’s Suicidal Ideation Scale. Encephale 2004; 30:249-254.

19. Beck AT, Steer R. Manual for the Beck Scale for Suicidal Ideation. San Antonio: The Psychological Corporation, 1991.

18. Kaslow NJ, Thompson MP, Brooks AE, Twomey HB. Ratings of family functioning of suicidal and non-suicidal African American women. J Fam Psychol 2000; 14:585-599.

17. Armitage CJ, Panagioti M, Abdul Rahim W, Rowe R, O'Connor RC. Completed suicides and self-harm in Malaysia: a systematic review. Gen Hosp Psychiatry 2015; 37:153-165.

16. Nazarzadeh M , Bidel Z, Ayubi E, Asadollahi KH, Carson VK, Sayehmiri K. Determination of the social related factors of suicide in Iran: a system-atic review and meta-analysis. BMC Public Health 2013; 13:4.

15. Kposowa AJ. Marital status and suicide in the National Longitudinal Mortality Study. J Epidemiol Community Health 2000; 54:254-261.

14. Choi H, Marks NF. Socioeconomic status, marital status continuity and change, marital conflict, and mortality. J Aging Health 2011; 23:714-742.

13. Armstrong G, Jorm AF, Samson L, Joubert L, Singh S, Kermode M. Suicidal ideation and attempts among men who inject drugs in Delhi, India: psychological and social risk factors. Soc Psychiatry Psychiatr Epidemiol 2014; 49:1367-1377.

12. Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and suicidal behavior. Epidemiol Rev 2008; 30:133-154.

11. Nock MK, Borges G, Bromet E J, Alonso J, Anger-meyer M, Beautrais A, et al. Cross national pre-valence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry 2008; 192:98-105.

10. Beck AT, Brown GK, Steer RA, Dahlsgaard KK, Grisham JR. Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpa-tients. Suicide Life Threat Behav 1999; 29:1-9.

9. Nordentoft M, Jeppesen P, Abel M, Kassow P, Petersen L, Thorup A, et al. OPUS study: suicidal behavior, suicidal ideation and hopelessness among patients with first-episode. Br J Psychiatry 2002(Suppl.); 43:98-106.

8. Taylor A, Dal Grande E, Gill T, Fisher L, Goldney R. Detecting determinants of suicidal ideation: South Australian surveillance system results. Int J Public Health 2007; 52:142-152.

7. Murad MK. Suicide prevention and developing countries. J R Soc Med 2005; 98:459-463.

6. Bertolote JM, Fleishman A. A global perspective in the epidemiology of suicide. Suicidologi 2002; 7:6-8.

5. World Health Organization. Preventing Suicide: a Global Imperative. Geneva: World Health Organi-zation, 2014.

4. De Leo D, Krysinska K. Suicide and self-directed violence. K Heggenhougen, S Quah (Eds.), International Encyclopedia of Public Health, San Diego: Academic Press, 2008.

3. Wimmer CL. Assessing Item and Scale Sensitivity to Therapeutic Chang on the College Adjustment Scales: Working toward a Counseling Center Specific Outcome Questionnaire. Unpublished Doctoral Thesis, Utah, Brigham Young University, 2007.

2. Thompson AH, Dewa CS, Phare S. The suicidal process: age of onset and severity of suicidal behavior. Soc Psychiatry Psychiatr Epidemiol 2012; 47:1263-1269.

1. World Health Organization. Preventing Suicide: a Resource for Media Professionals, Update 2017. Geneva: World Health Organization, 2017
Anadolu Psikiyatri Dergisi-Cover
  • ISSN: 1302-6631
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 2000
  • Yayıncı: -
Sayıdaki Diğer Makaleler

Remisyondaki şizofreni ve bipolar bozukluk hastalarında tedavi uyumu ve iç görü, yaşam kalitesi ile ilişkili midir?

Leman İNANÇ, Ümit Başer SEMİZ, Aysun DEMİR ÖZDEMİR, Merih ALTINTAŞ, Hüseyin GÜLEÇ

Üç yıl ve üzerindeki DEHB tedavisi uzun dönem komplikasyonları engelleyebilir: Türkiye’de tek bir merkezde DEHB’li çocukların uzun dönem prognozu ile ilgili bir ön çalışma

Emel SARI GÖKTEN, Nagihan SADAY DUMAN, Burcu UÇKUN, Ali Evren TUFAN

Treatment of ADHD for at least three years may prevent long-term complications: a preliminary study on long-term prognosis of children diagnosed with ADHD at a single center in Turkey

Emel SARI GÖKTEN, Nagihan SADAY DUMAN, Burcu UÇKUN, Ali Evren TUFAN

Gelişim Psikolojisi Bakış Açısıyla Çocuk Suçluluğu

Asil Ali ÖZDOĞRU, Ömer AÇIKGÖZ

İstanbul ilinde öğrenim gören lise öğrencilerinde aleksitimi karakter özellikleri ile üst biliş özellikleri ve ruhsal sorunlar arasındaki ilişkinin incelenmesi

Gizem UZAL, MESUT YAVUZ, BURAK AKDENİZ, Selda ÇALLI, NURULLAH BOLAT

Investigation of autism spectrum disorder and autistic symptoms in obese children and adolescents

Çağatay UĞUR, Ahmet UÇAKTÜRK, Eda MENGEN UÇAKTÜRK

Heart rate variability as an indicator of autonomous nervous system activity in children with attention deficit hyperactivity disorder

TUĞBA YÜKSEL, ÖZLEM ÖZCAN

Are treatment adherence and insight related to quality of life in patients with schizophrenia and bipolar disorder in remission?

Aysun DEMİR ÖZDEMİR, LEMAN İNANÇ, Merih ALTINTAŞ, Hüseyin GÜLEÇ, Ümit Başer SEMİZ

İlaç kullanmayan ve eş tanısı olmayan obsesif kompulsif bozukluk hastalarında plasma allopregnanolon düzeyleri

Lara Utku İNCE, Lale GÖNENİR ERBAY

Elektrokonvulsif tedavi sırasında beyin oksijenlenmesi

BENGÜ GÜLHAN AYDIN, GAMZE KÜÇÜKOSMAN, NURAY ATASOY