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http://hdl.handle.net/11375/29669
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DC Field | Value | Language |
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dc.contributor.advisor | Samaan, Zena | - |
dc.contributor.author | Panesar, Balpreet | - |
dc.date.accessioned | 2024-04-15T17:30:58Z | - |
dc.date.available | 2024-04-15T17:30:58Z | - |
dc.date.issued | 2024 | - |
dc.identifier.uri | http://hdl.handle.net/11375/29669 | - |
dc.description.abstract | Abstract Background In Canada, approximately 12 people die by suicide every day and recent trends have been showing increases in the occurrence of suicidal behaviour. There are various protective and risk factors associated with suicide. Risk factors can include lack of access to mental health services, and lack of social support. Protective factors can include social support, and connectedness with family and supports. These factors can be interconnected. Thus, it is important to explore the complexity of protective and risk factors for suicide. Methods We began our investigation by conducting a systematic review to assess the inclusion of family-based recommendations in national suicide guidelines. We then conducted a cross-sectional investigation looking at the influence of perceived social support on the association between stressful life events and suicidal behaviour. We then chose to implement a pilot study that looked at the Brief Intervention and Contact program, an evidenced based suicide intervention rooted in social support. We ended our investigation by exploring the patient perspective in suicide risk and assessed the association between patient important goals in Opioid Use Disorder treatment and suicidal ideation. Results Every national suicide guideline had some form of family-based recommendation, but limited implementation plans. Perceived social support did not influence the association between stressful life events and suicidal behaviour. The pilot study found reduced occurrence of adverse primary outcomes in the intervention arm. Finally, odds of having suicidal ideation were higher if participants with Opioid Use Disorder reported pain management or avoidance of illicit drugs as a goal, but lower if they reported wanting to stop treatment as a goal. Conclusion Future studies should continue to explore the complexities of protective and risk factors for suicide, while also focusing on the development and implementation of evidence-based suicide mitigation strategies. | en_US |
dc.language.iso | en | en_US |
dc.title | Exploration of Protective and Risk Factors for Suicide Using Multiple Approaches | en_US |
dc.type | Article | en_US |
dc.description.degreetype | Thesis | en_US |
dc.description.degree | Doctor of Philosophy (PhD) | en_US |
dc.description.layabstract | Lay Abstract Suicide rates in Canada have been increasing, with approximately 12 people dying by suicide every day. It is important to understand the factors that contribute to suicidal behavior and identify ways to prevent it. This study aimed to explore the protective and risk factors associated with suicide and assess evidence-based interventions. We conducted a systematic review of national suicide guidelines to identify any family-based recommendations. We found that all guidelines included some form of family-based recommendation, but lacked specific plans for implementation, suggesting a need for better implementation of strategies. Next, we conducted a cross-sectional investigation to examine the influence of perceived social support on the association between stressful life events and suicidal behavior and found that perceived social support did not significantly affect this association. To further explore the role of social support, we implemented a pilot study using the Brief Intervention and Contact program, which is based on providing social support. We found that this intervention led to a reduction in adverse outcomes associated with suicide. This highlights the importance of implementing evidence-based suicide interventions that focus on providing social support. Lastly, we looked at the patient perspective in suicide risk and found that participants with Opioid Use Disorder who reported treatment goals related to pain management or avoiding illicit drugs had higher odds of having suicidal thoughts, but those who reported wanting to stop treatment had lower odds of suicidal ideation. This suggests the importance of addressing patient goals and preferences in Opioid Use Disorder treatment to address suicide. In conclusion, this investigation emphasizes the need for further research on the complex factors contributing to suicide and the development and implementation of evidence-based interventions. By understanding and addressing these factors, we can work towards reducing suicide rates and provide effective supports for individuals at risk of suicide. | en_US |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Description | Size | Format | |
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Panesar_Balpreet_K_202401_PhD.pdf | 2.56 MB | Adobe PDF | View/Open |
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