Examining the Relationship Between Attitudes Toward Suicide and Suicide Attempt History

Crisis. 2019 Jul;40(4):265-272. doi: 10.1027/0227-5910/a000564. Epub 2018 Nov 26.

Abstract

Background: Relatively little is known regarding the relationship between attitudes toward suicide, suicide attempt (SA) history, and future suicidal behaviors. Aims: Utilizing a sample of firefighters, this study compared attitudes toward suicide between individuals with/without a career SA history and evaluated whether certain attitudes toward suicide are associated with a greater self-reported likelihood of making a future SA. Method: US firefighters (N = 818) completed self-report measures. One-way ANOVAs and linear regression analyses were utilized to address study aims. Results: Firefighters with a career SA reported significantly greater normalization/glorification of suicide - yet lower attributions of suicide to isolation/depression - than those without this history. More stigmatizing attitudes toward suicide and greater normalization/glorification of suicide were each significantly associated with greater self-reported future SA likelihood. Limitations: Data were cross-sectional and findings may not be generalizable. Conclusion: Firefighters who have made an SA during their firefighting careers may normalize and glorify suicide more than those who have not. These attitudes may be associated with greater self-perceived risk for future SAs. Research is needed to replicate findings and evaluate strategies for targeting potentially harmful beliefs about suicide among SA survivors.

Keywords: attitudes; firefighters; stigma; suicide; suicide attempt.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude to Health*
  • Depression / epidemiology
  • Depression / psychology
  • Depressive Disorder / epidemiology
  • Depressive Disorder / psychology
  • Female
  • Firefighters / psychology
  • Firefighters / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Self Report
  • Social Isolation
  • Social Stigma
  • Suicide, Attempted / psychology
  • Suicide, Attempted / statistics & numerical data*
  • Young Adult