Suicide in deaf populations: a literature review

Springer Science and Business Media LLC - 2007
Oliver Turner1, Kirsten Windfuhr1, Navneet Kapur1
1National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, Centre for Suicide Prevention, University of Manchester, Manchester, UK

Tóm tắt

Abstract Background Studies have found that deaf individuals have higher rates of psychiatric disorder than those who are hearing, while at the same time encountering difficulties in accessing mental health services. These factors might increase the risk of suicide. However, the burden of suicidal behaviour in deaf people is currently unknown. The aim of the present review was to provide a summary of literature on suicidal behaviour with specific reference to deaf individuals. The objectives of the review were to establish the incidence and prevalence of suicidal behaviour in deaf populations; describe risk factors for suicidal behaviour in deaf populations; describe approaches to intervention and suicide prevention that have been used in deaf populations. Methods A number of electronic databases (e.g. Medline, PsycINFO, CINAHL, EMBASE, Dissertation Abstracts International, Web of Science, ComDisDome, ASSIA, Education Sage Full Text, Google Scholar, and the grey literature databases FADE and SIGLE) were explored using a combination of key words and medical subject headings as search terms. Reference lists of papers were also searched. The Science and Social Sciences Citation Index electronic databases were used to identify studies that had cited key papers. We also contacted experts and organisations with an interest in the field. Results Very few studies focussed specifically on suicide in deaf populations. Those studies that were included (n = 13) generally involved small and unrepresentative samples. There were limited data on the rate of suicidal behaviour in deaf people. One study reported evidence of hearing impairment in 0.2% of all suicide deaths. Another found that individuals with tinnitus seen in specialist clinics had an elevated rate of suicide compared to the general population. The rates of attempted suicide in deaf school and college students during the previous year ranged from 1.7% to 18%, with lifetime rates as high as 30%. Little evidence was found to suggest that risk factors for suicide in deaf people differed systematically from those in the general population. However, studies did report higher levels of depression and higher levels of perceived risk among deaf individuals than hearing control groups. No firm evidence was found regarding the effectiveness of suicide prevention strategies in deaf people, but suggested strategies include developing specific screening tools, training clinical staff, promoting deaf awareness, increasing the availability of specialist mental health services for deaf people. Conclusion There is a significant gap in our understanding of suicide in deaf populations. Clinicians should be aware of the possible association between suicide and deafness. Specialist mental health services should be readily accessible to deaf individuals and specific preventative strategies may be of benefit. However, further research using a variety of study designs is needed to increase our understanding of this issue.

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Tài liệu tham khảo

World Health Organisation 2006 suicide prevention guidelines. [http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/]

Maris RW: Suicide. Lancet. 2002, 360: 319-326. 10.1016/S0140-6736(02)09556-9.

Department of Health: A Sign of the Times. 2003, London: Department of Health

Kvam MH, Loeb M, Tambs K: Mental health in deaf adults: symptoms of anxiety and depression among hearing and deaf individuals. J Deaf Stud Deaf Educ. 2006, 12 (1): 1-7. 10.1093/deafed/enl015.

Deaf Connections: Making Positive Connections – Suicide and Deaf Communities in Glasgow. 2006, Glasgow: Deaf Connections

Royal National Institute for the Deaf. [http://www.rnid.org.uk]

Kapur N: Self harm in the general hospital. Psychiatry. 2006, 5: 76-80. 10.1383/psyt.2006.5.3.76.

Holt J, Hotto S, Cole K: Demographic Aspects of Hearing Impairment: Questions and Answers. 1994, Washington, DC: Center for Assessment and Demographic Studies, Gallaudet University;, 3

US Government suicide statistics. [http://www.nimh.nih.gov/publicat/harmsway.cfm]

Dudzinski EF: An analysis of administrative response patterns to suicide ideation among deaf young adults. PhD thesis. 1998, Gallaudet University, Washington DC

Boyechko V: Suicidal behaviour and its correlates among hearing impaired college students. PhD thesis. 1992, University of South Dakota, Vermillion

Critchfield AB, Morrison F, Quinn WM: Suicide intervention with hearing impaired adolescents. Innovations in the habilitation and rehabilitation of Deaf adolescents. Selected proceedings of the second national conference on the habilitation and rehabilitation of Deaf Adolescents. Edited by: Anderson GB, Watson D. 1987, Arkansas: American Deafness and Rehabilitation Association, 187-203.

Silverman M: The language of suicidology. Suicide Life Threat Behav. 2006, 36: 519-532. 10.1521/suli.2006.36.5.519.

NHS Centre for Reviews and Dissemination: Deliberate self-harm. Effective Health Care Bulletin. 1998, 4 (6): 1-12.

De Leo D, Hickey AP, Meneghel G, Cantor CH: Blindness, fear of sight loss and suicide. Psychosomatics. 1999, 40: 339-344.

Lewis J, Stephens D, Huws D: Suicide in tinnitus sufferers. J Audiologic Med. 1992, 1: 30-37.

Lewis J, Stephens D: Parasuicide and tinnitus. J Audiologic Med. 1995, 4: 34-39.

Lewis JE, Stephens SDG, McKenna L: Tinnitus and suicide. Clin Otolaryngol. 1994, 19: 50-54. 10.1111/j.1365-2273.1994.tb01147.x.

Leigh IW, Robins CJ, Welkowitz J: Modification of the Beck Depression Inventory for use with a deaf population. J Clin Psychol. 1988, 44: 728-732. 10.1002/1097-4679(198809)44:5<728::AID-JCLP2270440510>3.0.CO;2-A.

Leigh IW, Robins CJ, Welkowitz J, Bond RN: Toward greater understanding of depression in deaf individuals. Am Ann Deaf. 1989, 134: 249-254.

Watt J, Davis FE: The prevalence of boredom proneness and depression among profoundly deaf residential school adolescents. Am Ann Deaf. 1991, 136: 409-413.

Marcus AL: The prevalence of depression among deaf college students. PhD thesis. 1991, Temple University

Black PA, Glickman NS: Demographics, psychiatric diagnoses, and other characteristics of North American Deaf and hard-of-hearing inpatients. J Deaf Stud Deaf Educ. 2006, 11 (3): 303-321. 10.1093/deafed/enj042.

Barrios LC, Everett SA, Simon TR, Brener ND: Suicide ideation among US college students: associations with other injury risk behaviours. J Am Coll Health. 2000, 48: 229-233.

Patton GC, Harris R, Carlin JB, Hibbert ME, Coffey C, Schwartz M, Bowes G: Adolescent suicidal behaviours: a population-based study of risk. Psychol Med. 1997, 27: 715-724. 10.1017/S003329179600462X.

Hawton K, Rodham K, Evans E, Weatherall R: Deliberate self harm in adolescents: self report survey in schools in England. BMJ. 2002, 325: 1207-1211. 10.1136/bmj.325.7374.1207.

Whitlock J, Eckenrode J, Silverman D: Self-injurious behaviors in a college population. Pediatrics. 2006, 117: 1939-1948. 10.1542/peds.2005-2543.

Kapur N, Gask L: Introduction to suicide and self-harm. Psychiatry. 2006, 5: 259-262. 10.1053/j.mppsy.2006.05.004.

National Confidential Inquiry into Suicide. [http://www.medicine.manchester.ac.uk/suicideprevention/nci/]

Murphy E, Dickson S, Donaldson I, Healey M, Kapur N, Appleby L, Cooper J: Self-harm in Manchester: 1st September 2003 to 31st August 2005. 2007, Manchester: University of Manchester

Walley T, Mantgani A: The UK General Practice Research Database. Lancet. 1997, 350: 1097-1099. 10.1016/S0140-6736(97)04248-7.

Gunnell D, Harbord R, Singleton N, Jenkins R, Lewis G: Factors influencing the development and amelioration of suicidal thoughts in the general population. Cohort study. Br J Psychiatry. 2004, 185: 385-393. 10.1192/bjp.185.5.385.

Qin P, Nordentoft M: Suicide risk in relation to psychiatric hospitalisation. Evidence based on longitudinal registers. Arch Gen Psychiatry. 2005, 62: 427-432. 10.1001/archpsyc.62.4.427.

National Institute for Mental Health in England: Mental Health and Deafness – Towards Equity and Access. 2005, London: Department of Health

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