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J Clin Psychol. 2018 Mar;74(3):407-417. doi: 10.1002/jclp.22518. Epub 2017 Sep 7.

Exposure to suicide in the family: Suicide risk and psychache in individuals who have lost a family member by suicide.

Author information

1
University of √Čvora, Portugal.
2
Queen's University, Canada.
3
Portuguese Red Cross.

Abstract

OBJECTIVE:

The aim of the present study was to compare a sample of Portuguese individuals exposed to suicide in their families with a control group, for lifetime suicidality. This study also evaluated the incremental value of psychache (i.e., extreme psychological pain) in determining suicide risk beyond the contribution associated with having lost a family member by suicide.

METHOD:

A total of 225 community adults participated. Two groups were defined: a group exposed to suicide (n = 53), and a control group (n = 172).

RESULTS:

Results demonstrated that groups did significantly differ on the total score of the Suicide Behaviors Questionnaire-Revised (SBQ-R), on the four individual SBQ-R items, and on psychache. Results from a hierarchical multiple regression analysis demonstrated that having lost a family member by suicide and the construct of psychache each provided a significant unique contribution to explaining variance in suicide risk. The interaction between group membership and psychache also provided a further enhancement to the statistical prediction of suicide risk.

CONCLUSION:

Findings are discussed with regard to their implications for clinical intervention and postvention.

KEYWORDS:

family member; psychache; suicide exposure; suicide risk

PMID:
28881015
DOI:
10.1002/jclp.22518

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