1. J Abnorm Psychol. 2013 Jul 8. [Epub ahead of print]
Facets of Anger, Childhood Sexual Victimization, and Gender as Predictors of
Suicide Attempts by Psychiatric Patients After Hospital Discharge.
Sadeh N, McNiel DE.
Models of suicidal behavior that assess the interplay of multiple risk factors
are needed to better identify at-risk individuals during periods of elevated
risk, including following psychiatric hospitalization. This study investigated
contributions of facets of anger, gender, and sexual victimization to risk for
suicide attempts after hospital discharge. Psychiatric patients (N = 748; ages
18-40; 44% female) recruited from 3 inpatient facilities were assessed during
hospitalization and every 10 weeks during the year following discharge as part of
the MacArthur Violence Risk Assessment Study. Multiple logistic regression models
with facets of anger (disposition toward physiological arousal, hostile
cognitions, and angry behavior) from the Novaco Anger Scale (Novaco, 1994),
gender, and childhood sexual victimization history were used to predict suicide
attempts in the year following hospital discharge. Facets of anger differentially
predicted suicide attempts as a function of gender and sexual victimization
history, over and above the variance accounted for by symptoms of depression,
anxiety, and recent suicide attempts. In men, greater disposition toward angry
behavior predicted an overall greater likelihood of a suicide attempt in the year
following hospital discharge, particularly among men with childhood sexual
victimization. In women with a history of childhood sexual victimization,
physiological arousal predicted suicide attempts. Results indicate that facets of
anger are relevant predictors of suicide attempts following hospital discharge
for psychiatric patients with a history of childhood sexual victimization.
Further, results suggest that incorporating gender and victimization history into
models of risk for suicide can help clarify relationships between anger and
self-directed violence. (PsycINFO Database Record (c) 2013 APA, all rights
reserved).
PMID: 23834063 [PubMed - as supplied by publisher]