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The surge in firearm sales from the onset of the COVID-19 pandemic have been linked to increases in firearm violence, which is of public concern given that having firearms in one's home is associated with increased risk for domestic violence and suicide. Consistent with pre-pandemic trends, individuals tended to purchase firearms for self-protection during COVID-19. Prior work indicates that protective firearm ownership is motivated not only by perceptions that the world (and one's local environment) is dangerous, but also by one's endorsement of masculinity norms found in U.S. cultures of honor (primarily southern and western states). Honor-based masculinity norms emphasis reputation defense, toughness, and an absolute intolerance of disrespect. The present research examined the relative motivating influences of various threat perceptions and masculine honor endorsement in predicting reasons for non-COVID-19 firearm ownership, firearm purchasing during COVID-19, and purchase intentions. Three separate samples (total N = 2483) of mostly White U.S. men completed online surveys during different months of the first year of the COVID-19 pandemic. Participants completed measures of their endorsement of masculine honor norms, factors associated with firearm purchasing (e.g., dangerous world beliefs, intolerance of uncertainty), and firearm purchasing behaviors. Results indicated that masculine honor endorsement was higher among (1) protective firearm owners compared to non-owners and non-protective owners, (2) firearm owners who purchased a firearm during COVID-19 compared to non-owners and non-purchasing owners, and (3) firearm owners with intentions to purchase firearms in the next year compared to those without intentions and undecided owners. Relative to other predictors (e.g., COVID-19 concerns, dangerous world beliefs), masculine honor endorsement was consistently the strongest predictor of these outcomes. Findings add to the literature by highlighting the strength of masculine honor endorsement in motivating (protective) firearm ownership. Implications for interpersonal violence and suicide are discussed., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Michael D. Anestis receives personal income from book royalties, speaking fees, and consulting on firearms and suicide.

Background: Suicide rates among Black and Hispanic youth have been increasing over the past decade in the United States. The objective of this study was to identify risk factors for suicide ideation and attempt among Black and Hispanic youth in the United States using intersectionality theory and minority stress theory as a framework., Methods: Data from the CDC Youth Risk Behavior Surveillance System (YRBSS; 2015-2019) were analyzed and delimited to include only Black and Hispanic youth., Results: About 37% of the subsample identified as Black and 63% of the subsample identified as Hispanic; mean age was 16 years (SE = 0.02). Weighted multivariate logistic regressions were used to explore associations between suicide ideation and attempt, depressive symptoms, bullying, dating violence, and being threatened with a weapon. Black and Hispanic youth who had depressive symptoms, experienced bullying, dating violence, or threatened with a weapon all had increased odds of having suicide ideation and suicide attempt. Hispanic youth had the higher odds of suicide ideation and attempt than Black youth. Girls in the study also had elevated odds of suicide ideation., Conclusion: This study adds to the literature on risk factors of suicide in Black and Hispanic youth and bringing to awareness the gender disparities in suicide ideation and attempt among youth., (© 2023 The American Association of Suicidology.)

Our study explored the link between body mass index (BMI) and symptoms of depression, anxiety, and suicidality among university students in China. We conducted a cross-sectional study involving 11 251 undergraduates from seven provinces. Body mass index, physical health status, economic status, depression and anxiety symptoms, and suicidality were self-reported using validated questionnaires. Multiple logistic regression models were fitted for males and females. Results showed that of 11 251 participants (mean age = 20.7 ± 1.3), 22.6% were with underweight, 6.1% with overweight, and 2.7% with obesity. Females with class III obesity had higher suicide risk (adjusted odds ratio [aOR] = 2.05) and suicide attempt history (aOR = 3.55). Males with overweight and class I obesity had lower odds of depressive symptoms. Suicide attempt history was associated with higher odds of overweight for males (aOR = 2.58). Clinicians and public health authorities should take into consideration the implications of overweight and obesity levels on suicidality., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Recently, research has reported that the rates of suicide among Black children between the ages of 5 to 12-years-old are increasing as they are now more likely to commit suicide than White children. Yet, there are very few, if any, frameworks being used by researchers to explain the risks of suicide among Black children. Suicide research has overwhelmingly been focused on White youth thus leaving a critical gap in suicide research. This conceptual paper provides an integrated framework using the Interpersonal-Psychological Theory of Suicide and Intersectionality theory, as a guide for researchers, clinicians, and practitioners to incorporate culturally appropriate techniques in their work as a way to prevent suicide among Black children. This framework highlights racial discrimination, mental health, socioeconomic status, and sexual/gender minority status to be the most preeminent, yet understudied factors leading to suicide risk among Black children in the United States. Reprinted with permission of SAGE Publications; Opara et al. J Black Stud (51:611-631), copyright 2020., (Copyright © 2022 by the American Psychiatric Association.)

Purpose: Gun access among youth may contribute to youth suicide deaths by increasing practical capability. The present work examines the association between youth gun and weapon carrying behavior and suicide rates among those aged 24 years and younger., Methods: Using the 2005-2017 Youth Risk Behavior Surveillance System, the associations over time between youth gun and weapon carrying and youth suicide rates were examined. A series of generalized estimating equations were used to examine population-level associations between states and across time., Results: As anticipated youth gun carrying behavior was a significant contributor to the prediction of firearm suicide rates for those aged 24 years and younger, with higher rates of youth gun carrying associated with higher suicide rates. Youth gun carrying was not a significant predictor of overall suicide rates for those aged 24 years and younger. Youth weapon carrying (which includes guns, knives, and other weapons) was a significant predictor of both firearm-specific and overall suicide rates for those aged 24 years and younger., Conclusions: Previous research has linked youth gun carrying behavior to past year suicide attempts. This study represents the first attempt at examining the associations between youth gun carrying behavior and suicide mortality among the young. In line with our expectations, states with higher percentages of youth reporting gun and weapon carrying behavior had greater rates of suicide among the young (those aged 24 years and younger). The present work points toward the importance of limiting youth access to firearms in reducing suicide mortality., (Copyright © 2021 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)

Purpose –: Death by suicide among Black people in the USA have increased by 35.6% within the past decade. Among youth under the age of 24 years old, death by suicide among Black youth have risen substantially. Researchers have found that structural inequities (e.g. educational attainment) and state-specific variables (e.g. minimum wage, incarceration rates) may increase risk for suicide among Black people compared to White people in the USA. Given the limited understanding of how such factors systematically affect Black and White communities differently, this paper aims to examine these relationships across US states using publicly available data from 2015 to 2019., Design/methodology/approach –: Data were aggregated from various national sources including the National Center for Education Statistics, the Department of Labor, the FBI's Crime in the US Reports and the Census Bureau. Four generalized estimating equations (GEE) models were used to examine the impact of state-level variables on suicide rates: Black adults suicide rate, Black youth (24 years and younger) suicide rate, White adult suicide rate and White youth suicide rate. Each model includes state-level hate group rates, minimum wage, violent crime rates, gross vacancy rates, and race-specific state-level poverty rates, incarceration rates and graduation rates., Findings –: Across all GEE models, suicide rates rose between 2015-2019 (ß = 1.11 - 2.78; ß = 0.91 - 1.82; ß = 0.52 - 3.09; ß = 0.16 - 1.53). For the Black adult suicide rate, state rates increased as the proportion of Black incarceration rose (ß = 1.14) but fell as the gross housing vacancy rates increased (ß = -1.52). Among Black youth, state suicide rates rose as Black incarcerations increased (ß = 0.93). For the adult White suicide rate, state rates increased as White incarceration (ß = 1.05) and percent uninsured increased (ß = 1.83), but fell as White graduation rates increased (ß = -2.36). Finally, among White youth, state suicide rates increased as the White incarceration rate rose (ß = 0.55) and as the violent crime rate rose (ß = 0.55) but decreased as state minimum wages (ß = -0.61), White poverty rates (ß = -0.40) and graduation rates increased (ß = -0.97)., Originality/value –: This work underscores how structural factors are associated with suicide rates, and how such factors differentially impact White and Black communities.

The Interpersonal Theory of Suicide (IPTS) proposes that suicide is the result of three constructs: perceived burdensomeness, thwarted belonging, and the acquired capability for suicide. To explore the presence of these constructs in suicides, two raters read 72 summaries of biographies of famous suicide for the extent to which each construct was present. Only 11 of the 72 (15.3%) suicides were judged to have perceived burdensomeness compared to 65 (90.3%) and 48 (66.7%) for thwarted belonging and the acquired capability, respectively, indicating that a sense of burdensomeness is not commonly found in suicides.

Youth who carry guns are at increased risk of violence and premature death-but what impact firearm legislation plays in deterring this behavior is less known. The present study aims to fill this gap by exploring the associations between state gun laws and youth gun carrying behavior using the Youth Risk Behavior Surveillance System (YRBSS). This work builds on previous research but expands it by considering a greater number of years than previous work and using an academic, as opposed to an advocacy-based, gun law coding system. Two models were assessed using generalized estimating equations (GEE): (1) youth gun carrying, (2) youth weapon carrying at school (e.g., guns, knives, clubs). The sample for Model 1 included data for 20 of the 50 U.S. states with 1 state from the northeast, 4 from the midwest, 10 from the south, and 5 from the west. The sample for Model 2 included 33 of the 50 U.S. states with 3 states from the northeast, 9 from the midwest, 12 from the south, and 9 from the west. Data for each state across the 2005-2017 YRBSS biennial surveys were included in the analysis. For youth gun carrying and overall weapon carrying, the total gun regulation index was a significant predictor with lower gun regulation index scores associated with greater youth gun and weapon carrying behavior. The present study points to the potential of gun laws in reducing youth gun carrying behavior. States with more gun laws had fewer youth reporting gun-carrying behavior.

Recently, research has reported that the rates of suicide among Black children between the ages of 5 to 12-years-old are increasing as they are now more likely to commit suicide than White children. Yet, there are very few, if any, frameworks being used by researchers to explain the risks of suicide among Black children. Suicide research has overwhelmingly been focused on White youth thus leaving a critical gap in suicide research. This conceptual paper provides an integrated framework using the Interpersonal-Psychological Theory of Suicide and Intersectionality theory, as a guide for researchers, clinicians, and practitioners to incorporate culturally appropriate techniques in their work as a way to prevent suicide among Black children. This framework highlights racial discrimination, mental health, socioeconomic status, and sexual/gender minority status to be the most preeminent, yet understudied factors leading to suicide risk among Black children in the United States., Competing Interests: Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Background: This study examines the relationship between three different types of social connectivity and suicidal thoughts and behaviors., Methods: Using the Add Health dataset, three domains of social connection were explored: parental connection, school connection, and social integration. Logistic regression was used to examine whether changes over time in connectedness predicted suicidal thoughts and behavior., Results: Youth whose difference scores on social integration and parental connectedness increased were less likely to experience suicidal ideation. Increases in difference scores for perceived school connectedness protected youth who reported ideation from engaging in a suicide attempt., Conclusions: Perceptions of social connection are key factors in understanding adolescent suicidal thoughts and behaviors. It is important to consider social connection across different relationship contexts., (© 2018 Association for Child and Adolescent Mental Health.)

A sample of 87 Turkish undergraduate students was administered scales to measure hopelessness, problem-solving skills, emotion dysregulation, and psychiatric symptoms. All of the scores from these scales were strongly associated. In a multiple regression, hopelessness scores were predicted by poor problem-solving skills and emotion dysregulation.

Background: Recent research in Japan and Taiwan has found that the volume of Internet searches each month on Google for suicide-related terms is sometimes associated with the monthly suicide rate. The present study sought to examine whether this association between suicide rates and Google searches for suicide are found over regions., Methods: Suicide rates in the state of America in 2009 were examined for their association with search volume on Google for "commit suicide," "how to suicide" and "suicide prevention.", Results: Suicide rates for the 50 American states were positively associated with the search volume for all three terms., Conclusions: Internet searches for suicide may provide a faster way of monitoring possible trends in suicide than waiting for central governments to compile suicide statistics., (Copyright © 2012 Elsevier B.V. All rights reserved.)

In a previous article in this journal, Gunn, Lester and McSwain provided evidence that the ten warnings signs for suicide proposed by the American Association for Suicidology are valid for predicting suicidal ideation and behavior A video posted on YouTube by a 15-year-old girl scored 8-9 out of 10 for these signs. Thirty-nine days after positing the video, the girl killed herself.

Three series of suicides were examined for evidence of clustering: suicides on the Hong Kong subway (1979-1989), suicides from the Golden Gate Bridge (1999-2009), and suicides in the Wayne County Jail (1967-1992). The inter-suicide intervals were examined for their fit to a random Poisson distribution and found not to differ significantly, indicating that there was no evidence for clustering.

The presence of 10 warning signs for suicide proposed by the American Association of Suicidology was compared in 215 postings on a suicide forum and 94 postings on a self-injury forum. The suicide forum postings received a higher score on the 10 signs than the self-injury forum postings, and significant differences were found for 6 of the 10 signs: suicidal ideation, purposelessness, trapped, hopelessness, withdrawal, and, in the reverse direction, recklessness. Overall, the findings support the usefulness of the warning signs in identifying suicidal individuals.

Background: Joiner's interpersonal theory of suicide postulates that suicide occurs because of thwarted belongingness and perceived burdensomeness, combined with a capability for committing suicide., Aims: The present study examines the frequency of the presence of the themes of thwarted belongingness and perceived burdensomeness in suicide notes., Methods: A total of 261 suicide notes from 1091 consecutive completed suicides in Tasmania were rated for the presence of thwarted belongingness and perceived burdensomeness., Results: Contrary to the theory, few suicide notes were found to include perceived burdensomeness (10.3%) and thwarted belongingness (30.7%), and only 4.2% had both themes. The notes of women more often contained the theme of perceived burdensomeness, while the notes of younger suicides more often contained the theme of thwarted belongingness., Conclusions: Joiner's theory of suicide may apply to only a small percentage of suicides who leave suicide notes.

In a sample of 115 undergraduates, women expressed more sympathy for hypothetical attempted suicides than did men, but not more empathy or agreement with the actions. A history of considering suicide was not associated with judgments about attempting suicide.

The suicide rates of 18 European nations were associated with the proportion of sad words in the lyrics of their national anthems as well as the gloominess of the music. It is suggested that a possible suicide prevention tactic might involve changing the music and lyrics of national anthems.

The 10 warning signs for suicide, encapsulated in the mnemonic IS PATH WARM, did not differentiate between genuine suicide notes and those written by people simulating a suicidal crisis or between notes written by completed suicides and those written by attempted suicides.

In a sample of 18 European nations, suicide rates were positively associated with the proportion of low notes in the national anthems and, albeit less strongly, with students' ratings of how gloomy and how sad the anthems sounded, supporting a hypothesis proposed by Rihmer.

In order to help crisis counselors assess clients for their suicidal risk, in 2003 the American Association of Suicidology proposed ten warning signs, memorized through the acronym IS PATH WARM However, little research has been done investigating their effectiveness for predicting suicidal behavior The present study compared (1) suicide ideators with non-suicide ideator controls and (2) suicide ideators with suicide attempters on six of the IS PATH WARM warning signs, along with depression in the past year, marital status, and gender With regards to the comparison between suicide ideators and non-ideators, all variables but gender; abuse of alcohol in the past year, and anxiety in the past year were predictive of suicide ideation. However, when comparing suicide ideators who had not made a suicide attempt with those who had, only anger/aggression, depression in the past year, and marital status were predictive of a suicide attempt.

In a sample of 115 undergraduates, no association was found between a measure of moral development and the perception of attempted suicides. For the 85 women in the sample, a higher moral development score was associated with less approval of physician-assisted suicide.