TY  - JOUR
PY  - 2015//
TI  - Effect of hopelessness on the links between psychiatric symptoms and suicidality in a vulnerable population at risk of suicide
JO  - Psychiatry research
A1  - Gooding, Patricia
A1  - Tarrier, Nicholas
A1  - Dunn, Graham
A1  - Shaw, Jennifer
A1  - Awenat, Yvonne
A1  - Ulph, Fiona
A1  - Pratt, Daniel
SP  - 464
EP  - 471
VL  - 230
IS  - 2
N2  - The aim of this study was to examine the impact of two risk factors working together on a measure of suicide probability in a highly vulnerable group who were male prisoners identified as being at risk of self harm. The first risk factor was psychiatric symptoms, including general psychiatric symptoms and symptoms of personality disorder. The second risk factor was psychological precursors of suicidal thoughts and behaviours which were defeat, entrapment, and hopelessness. Sixty-five male prisoners from a high secure prison in NW England, UK, were recruited, all of whom were considered at risk of suicide by prison staff. General psychiatric symptoms and symptoms of personality disorders predicted the probability of suicide. Hopelessness amplified the strength of the positive relationship between general psychiatric symptoms and suicide probability. These amplification effects acted most strongly on suicidal ideation as opposed to negative self evaluations or hostility. In contrast, defeat, entrapment and hopelessness did not affect the relationship between personality disorders and suicide probability. Clinical assessments of highly vulnerable individuals, as exemplified by prisoners, should include measures of a range of general psychiatric symptoms, together with measures of psychological components, in particular perceptions of hopelessness.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2015.09.037
ID  - ref1
ER  -