The aim of the current study was to determine which variable would be a better predictor of suicide risk: perceived social support or serum cholesterol level. There was a significant negative correlation between suicide risk and perceived social support but no significant correlation between suicide risk and serum cholesterol. Perceived social support was a better predictor of suicide risk than was serum cholesterol level and accounted for 17% of the variance. Depressed patients with a history of suicide attempt had a significantly lower serum cholesterol level, scored significantly higher on the Suicide Risk Scale, and scored significantly lower on the Perceived Social Support Scale than did depressed patients with no history of suicide attempt. Findings suggest that perceived social support is a better predictor of suicide risk for depressed African Americans.
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References
1.
American Heart Association
. (1998). J-curve phenomenon [Online]. Available: http://www.americanheart.org.
2.
Bostick, J. M.
(1998). Treatment of suicidal patients [Letter to the Editor]. New England Journal of Medicine, 338(4), 261-262.
3.
Boston, P. F.
, Dursun, S. M., & Reveley, M. A. (1996). Cholesterol and mental disorder. British Journal of Psychiatry, 169(6), 682-689.
4.
Chance, S. E.
, Kaslow, N. J., Summerville, M. B., & Wood, K. (1998). Suicidal behavior in African American individuals: Current status and future directions. Cultural Diversity and Mental Health, 4(1), 19-37.
5.
Dilworth-Anderson, P.
, & Marshall, S. (1996). Social support in its cultural context. In G. R. Pierce, B. R. Sarason, & I. G. Sarason (Eds.), Handbook of social support and the family (pp. 67-79). New York: Plenum.
6.
Frasure-Smith, N.
, Lesperance, F., Gravel, G., Masson, A., Juneau, M., Talajic, M., & Bourassa, M. G. (2000). Social support, depression, and mortality during the first year after myocardial infarction. Circulation, 101, 1919-1924.
7.
Freedman, D. S.
, Byers, T., Barrett, D. H., Stroup, N. E., Eaker, E., & Monroe-Blum, H. (1995). Plasma lipid levels and psychological characteristics in men. American Journal of Epidemiology, 141, 507-517.
8.
Gallerani, M.
, Manfredini, R., Caracciolo, S., Scapoli, C., Molinari, S., & Fersini, C. (1995). Serum cholesterol concentrations in parasuicide. British Medical Journal, 310, 1632-1636.
9.
Geurian, K. L.
(1996). The cholesterol controversy. Annals of Pharmacotherapy, 30, 495-500.
10.
Glueck, C. J.
, Tieger, M., Kunkel, R., Hamer, T., Tracy, T., & Speirs, J. (1994). Hypocholesterolemia and affective disorders. American Journal of the Medical Sciences, 308(4), 218-225.
11.
Golier, J. A.
, Marzuk, P. M., Leon, A. C., Weiner, C., & Tardiff, K. (1995). Low serum cholesterol level and attempted suicide. American Journal of Psychiatry, 152(3), 419-423.
12.
Hart, E. E.
, Williams, C. L., & Davidson, J. A. (1988). Suicidal behaviour, social networks and psychiatric diagnosis. Social Psychiatry and Psychiatric Epidemiology, 23, 222-228.
13.
Heikkinen, M.
, Aro, H., & Lonnqvist, J. (1994). Recent life events, social support and suicide. Acta Psychiatrica Scandinavica, 377 (Suppl.), 65-72.
14.
Horsten, M.
, Wamala, S. P., Vingerhoets, A., & Orth-Gomer, K. (1997). Depressive symptoms, social support, and lipid profile in healthy middle-age women. Psychosomatic Medicine, 59(5), 521-528.
15.
Johnson, E. H.
, Collier P., Nazzaro, & Gilbert, D. C. (1993). Psychological and physiological predictors of lipids in Black males. Journal of Behavioral Medicine, 15(3), 285-298.
16.
Kotler, M.
, Finkelstein, G., Molcho, A., Botsis, A. J., Plutchik, R., Brown, S., & Van Praag, H. M. (1993). Correlates of suicide and violence risk in an inpatient population: Coping styles and social support. Psychiatry Research, 47, 281-290.
17.
Kung, H. C.
, Liu, X., & Juon, H. S. (1998). Risk factors for suicide in Caucasians and in African-Americans: A matched case control study. Social Psychiatry and Psychiatric Epidemiology, 33, 155-161.
18.
Kunugi, H.
, Takei, N., Aoki, H., & Nanko, S. (1997). Low serum cholesterol in suicide attempters. Biological Psychiatry, 41, 196-200.
19.
Law, M. R.
, Thompson, S. G., & Wald, N. J. (1994). Assessing possible hazards of reducing serum cholesterol. British Medical Journal, 308, 373-379.
20.
Magne-Ingvar, U.
, Ojehagen, A., & Traskman-Bendz, L. (1992). The social network of people who attempt suicide. Acta Psychiatrica Scandinavica, 86, 153-158.
21.
Markovitz, J. H.
, Smith, D., Raczynski, J. M., Oberman, A., Williams, O. D., Knox, S., & Jacobs D. R. (1997). Lack of relations of hostility, negative affect, and high-risk behavior with low plasma lipid levels in the coronary artery risk development in young adults study. Archives of Internal Medicine, 157, 1953-1959.
22.
Modai, I.
, Valevski, A., Dror, S., & Weizman, A. (1994). Serum cholesterol levels and suicidal tendencies in psychiatric inpatients. Journal of Clinical Psychiatry, 55(6), 252-254.
23.
Muldoon, M. F.
, Manuck, S. B., & Matthews, K. A. (1990). Lowering cholesterol concentrations and mortality: A quantitative review of primary prevention trials. British Medical Journal, 301, 309-314.
24.
Mullis, M. R.
, & Byers, P. H. (1987). Social support in suicidal patients. Journal of Psychosocial Nursing & Mental Health Services, 25(4), 16-19.
25.
National Institute of Health
. (1993). So you have high blood cholesterol (NIH Publication No. 93-2922). Washington, DC: Government Printing Office.
26.
Neeleman, J.
, & Power, M. J. (1994). Social support and depression in three groups of psychiatric patients and a group of medical controls. Social Psychiatry and Psychiatric Epidemiology, 29, 46-51.
27.
New, A. S.
, Sevin, E. M., Mitropoulou, V., Reynolds, D., Novotny, S. L., Callahan, A., Trestman, R. L., & Siever, L. J. (1999). Serum cholesterol and impulsivity in personality disorders. Psychiatry Research, 85(2), 145-150.
28.
Nisbet, P. A.
(1996). Protective factors for suicidal Black females. Suicide and Life-Threatening Behavior, 26(4), 325-341.
29.
Overholser, J. C.
, Norman, W. H., & Miller, I. W. (1990). Life stress and social supports in depressed inpatients. Behavioral Medicine, 16(3), 125-132.
30.
Plutchik, R.
, Van Praag, H. M., Conte, H. R., & Picard, S. (1989). Correlates of suicide and violence risk 1: The suicide risk measure. Comprehensive Psychiatry, 30(4), 296-302.
31.
Pochard, F.
, Robin, M., & Kannas, S. (1998). Treatment of suicidal patients [Letter to the Editor]. New England Journal of Medicine, 338(4), 262.
32.
Ravnskov, U.
(1992). Cholesterol lowering trials in coronary heart disease: Frequency of citation and outcome. British Medical Journal, 305, 15-19.
33.
Rossouw, J. E.
, Lewis, B., & Rifkind, B. M. (1990). The value of lowering cholesterol after myocardial infarction. New England Journal of Medicine, 323(16), 1112-1119.
34.
Stack, S.
(1996). The effect of marital integration on African American suicide. Suicide and Life-Threatening Behavior, 26(4), 405-414.
35.
Sullivan, P. F.
, Joyce, P. R., Bulik, C. M., Mulder, R. T., & Oakley-Brown, M. (1994). Total cholesterol and suicidality in depression. Biological Psychiatry, 36, 472-477.
36.
Thomas, P. D.
, Goodwin, J. M., & Goodwin, J. S. (1985). Effect of social support on stress-related changes in cholesterol level, uric acid level, and immune function in an elderly sample. American Journal of Psychiatry, 142(6), 735-737.
37.
Veiel, H.O.F.
, Brill, G., Hafner, H., & Weiz, R. (1988). The social supports of suicide attempters: The different roles of family and friends. American Journal of Community Psychology, 16(6), 839-861.
38.
Wade, T. D.
, & Kendler, K. S. (2000). The relationship between social support and major depression: Cross-sectional, longitudinal, and genetic perspectives. Journal of Nervous and Mental Disease, 188(5), 251-258.
39.
Wardle, J.
(1995). Cholesterol and psychological well-being. Journal of Psychosomatic Research, 39(5), 549-562.
40.
Warren, B. J.
(1997). Depression, stressful life events, social support, and self-esteem in middle class African American women. Archives of Psychiatric Nursing, 11(3), 107-117.
41.
Yates, W. R.
, & Wallace, R. (1987). Cardiovascular risk factors in affective disorder. Journal of Affective Disorders, 12, 129-134.
42.
Zimet, G. D.
, Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41.
43.
Zureik, M.
, Courbon, D., & Ducimetiere, P. (1996). Serum cholesterol concentration and death from suicide in men: Paris prospective study I. British Medical Journal, 313, 649-651.
