Gender Differentiation of Indirect Self-Destructiveness in Drug Addicted Individuals (Indirect Self-Destructiveness in Addicted Women and Men).

The use of psychoactive substances is considered to be a typical self-destructive behaviour with addiction itself regarded as one of the self-destructiveness forms. The aim of this work was to explore the gender differentiation of the indirect self-destructiveness syndrome (and its particular categories) in drug addicted individuals treated in drug addiction treatment centres. 172 drug addicted individuals (116 men and 56 women, M age = 23,5), ranged from 19 to 28 years, was recruited. In order to examine indirect self-destructiveness and its manifestations, the Polish version of the "Chronic Self-Destructiveness Scale" by Kelley (CS-DS) was administered. The statistical processing of scores used the Mann-Whitney U significance test. Women treated for drug addiction achieved significantly higher scores on indirect self-destructiveness: general score (p = 0.001), subscales of Transgression and Risk (p = 0.001), Personal and Social Neglects (p = 0.02), and Lack of Planfulness (p < 0.001). They scored lower on Poor Health Maintenance (p < 0.002) and Helplessness (p < 0.001). There is a need for specific, gender-adjusted manners of intervention and treatment in addicted women. Optimistically, after an addiction treatment, women cope and feel better psychologically and socially. They also care more about their health.

Indirect Self-Destructiveness in Women who Experience Domestic Violence.

Lives of people experiencing domestic or/and intimate partner violence abound in many unpleasant events and physical and psychological suffering, which affects their psychosocial functioning. The aim of this study was to explore indirect self-destructiveness as a generalised behavioural tendency and its manifestations in women experiencing domestic violence. The "Chronic Self-Destructiveness Scale" (CS-DS) was used to study two groups of women: 52 women aged 30-65 years (mean age: 40.15) using assistance of the Crisis Intervention Centre due to experienced domestic violence (V group) and 150 well-matched women not experiencing domestic violence (NV group). Women suffering domestic violence (V) obtained significantly higher scores than women not experiencing domestic violence (NV) for both the general index and a majority of CS-DS subscales; it was only for the A1 (Transgression and Risk) subscale that they achieved somewhat lower scores. Correlation coefficients between particular CS-DS subscales in the V group were higher than in the NV group; there were also certain differences in coefficients between the groups. Subscale factor analysis results were different too: only one factor was isolated in the V group while two were distinguished in the NV group. It can be inferred from the results that the intensity of indirect self-destructiveness as a generalised behavioural tendency as well as of most its categories was higher in women experiencing domestic violence. Tendencies and categories of indirectly self-destructive behaviours in women suffering domestic violence were more closely connected with one another, and the internal coherence of indirect self-destructiveness in those women might also be higher.

Indirect self-destructiveness in individuals with schizophrenia

Objective: To explore the indirect self-destructiveness syndrome in patients with schizophrenia. Methods: Two hundred individuals with paranoid schizophrenia (117 men and 83 women, mean age 37.15 years), all in remission, were examined using the Polish version of the Chronic Self-Destructiveness Scale. Two hundred well-matched healthy individuals served as a control group. Results: The intensity of indirect self-destructiveness was greater in the schizophrenia group than in controls. The intensity of each manifestation was as follows (in decreasing order): helplessness and passiveness in the face of difficulties (A5), personal and social neglects (A3), lack of planfulness (A4), poor health maintenance (A2), transgression and risk (A1). Conclusion: Patients with schizophrenia displayed more behaviors that were indirectly self-destructive than healthy controls; they scored better than healthy controls only on caring for their own health. The patients showed the lowest intensity of behaviors connected with the active form of indirect self-destructiveness, and the highest intensity of behaviors connected with the passive form. These findings may enable delivery of more effective forms of pharmacological and psychosocial help to patients with schizophrenia.

Resilience in Women who Experience Domestic Violence.

Violence in the family constitutes a serious social and psychological problem with harmful consequences leading, among others, to changes in the psychological functioning of the victim and, secondarily, also the perpetrator. The aim of this study was to examine resilience in women experiencing domestic violence. The "Ego Resiliency Scale" (ERS) was used to study the group of women suffering domestic violence. The study group included 52 women aged 30-65 years (mean age: 40.15) using assistance of the Crisis Intervention Centre due to experienced domestic violence. They most often reported suffering psychological and physical violence, with the husband or intimate partner being the most common perpetrator. Study women experiencing domestic violence obtained significantly lower scores on the ERS. The lowest scores on the ERS were achieved by women suffering paternal violence, while the highest - by women experiencing violence on the part of the intimate partner. Resilience of study women suffering domestic violence was lower than resilience of the general population, i.e. individuals not experiencing domestic violence. Suffered violence inflicted by the father exerted the greatest adverse impact on resilience. It seems advisable to consider resilience in the process of providing women experiencing domestic violence with psychosocial help.

Indirect self-destructiveness in individuals with schizophrenia.

OBJECTIVE: To explore the indirect self-destructiveness syndrome in patients with schizophrenia. METHODS: Two hundred individuals with paranoid schizophrenia (117 men and 83 women, mean age 37.15 years), all in remission, were examined using the Polish version of the Chronic Self-Destructiveness Scale. Two hundred well-matched healthy individuals served as a control group. RESULTS: The intensity of indirect self-destructiveness was greater in the schizophrenia group than in controls. The intensity of each manifestation was as follows (in decreasing order): helplessness and passiveness in the face of difficulties (A5), personal and social neglects (A3), lack of planfulness (A4), poor health maintenance (A2), transgression and risk (A1). CONCLUSION: Patients with schizophrenia displayed more behaviors that were indirectly self-destructive than healthy controls; they scored better than healthy controls only on caring for their own health. The patients showed the lowest intensity of behaviors connected with the active form of indirect self-destructiveness, and the highest intensity of behaviors connected with the passive form. These findings may enable delivery of more effective forms of pharmacological and psychosocial help to patients with schizophrenia.

Women, Femininity, Indirect and Direct Self-Destructiveness. A Review.

The aim of this work was to review results of research into direct and indirect self-destructiveness in women. Studied projects covered two populations: individuals who attempted suicide and individuals who did not attempt suicide. The Chronic Self-Destructiveness Scale and Bem Sex Role Inventory were used. Intensity of indirect self-destructiveness is lower in women. A probable explanation of the gender paradox in suicides may be the hypothesis that suicides attempted by men more often end in death as men display stronger indirect self-destructiveness. Masculinity and male sex are factors that predispose to indirect self-destructiveness, while femininity and female sex are factors protecting against it. Gender schema opposite to biological sex is significant to intensity of indirect self-destructiveness.

Transgression and Gender.

Human activity is determined to a great extent by not only biological sex but also gender. The aim of the study was to examine relationships between transgression and types of gender. A population of 558 individuals (399 women and 159 men) aged 19-25 (mean age: 22.6) were studied. The age of the women ranged from 19 to 24 (mean age: 22.4) and of the men-from 19 to 25 (mean age: 22.8). In order to examine the intensity of transgression, the Polish version of the chronic self-destructiveness scale was applied. The gender was studied by means of the Polish version of the Bem sex role inventory. Androgynous women achieved the highest and feminine men-the lowest scores on the transgression scale. In women, the masculinity scale positively correlated with the transgression scale, whereas the femininity scale did not significantly correlate with transgression, although the coefficient was negative. No statistically significant correlations were found in men (although the coefficients were positive). Biological sex and gender were qualitative variables that differentiated the intensity of transgression. Equilibrium between the psychological dimension of femininity and the psychological dimension of masculinity was vital for transgressive tendencies, particularly in women. Androgynous women showed rather the adaptive aspect of transgression.

Gender Differentiation of Relationships Between Manifestations of Indirect Self-Destructiveness and Dimensions of Emotional Intelligence.

The aim of this study has been to explore the gender differentiation of relationships between individual manifestations of indirect self-destructiveness and particular dimensions of emotional intelligence. A population of 260 individuals (130 women and 130 men) aged 20-30 (mean age of 24.5) was studied by using the Polish version of the Chronic Self-Destructiveness Scale (CS-DS) and INTE, i.e. the Polish version of the Assessing Emotions Scale (AES). Manifestations of indirect self-destructiveness showed significant correlations with INTE variables, and those correlations were mainly negative. Relationships between specific dimensions of emotional intelligence and specific manifestations of self-destructiveness differed between women and men. One of the most important differences was the relationship between transgression and ability to recognize emotions. The knowledge of the differentiation of the above relationships may allow to orient prophylactic and therapeutic actions, and adjust them to the specific gender.

Indirect Self-Destructiveness and Emotional Intelligence.

While emotional intelligence may have a favourable influence on the life and psychological and social functioning of the individual, indirect self-destructiveness exerts a rather negative influence. The aim of this study has been to explore possible relations between indirect self-destructiveness and emotional intelligence. A population of 260 individuals (130 females and 130 males) aged 20-30 (mean age of 24.5) was studied by using the Polish version of the chronic self-destructiveness scale and INTE, i.e., the Polish version of the assessing emotions scale. Indirect self-destructiveness has significant correlations with all variables of INTE (overall score, factor I, factor II), and these correlations are negative. The intensity of indirect self-destructiveness differentiates significantly the height of the emotional intelligence and vice versa: the height of the emotional intelligence differentiates significantly the intensity of indirect self-destructiveness. Indirect self-destructiveness has negative correlations with emotional intelligence as well as its components: the ability to recognize emotions and the ability to utilize emotions. The height of emotional intelligence differentiates the intensity of indirect self-destructiveness, and vice versa: the intensity of indirect self-destructiveness differentiates the height of emotional intelligence. It seems advisable to use emotional intelligence in the prophylactic and therapeutic work with persons with various types of disorders, especially with the syndrome of indirect self-destructiveness.

Emotional Intelligence of Women Who Experience Domestic Violence.

Violence in family constitutes serious social and psychological problem with harmful consequences leading, among others, to changes in emotional functioning of victim and, secondarily, also perpetrator. The aim of this study was to examine emotional intelligence of women experiencing domestic violence. INTE, i.e. Polish version of "Assessing Emotional Scale" by Schutte, was used to study two groups of women. Study (criterion) group included 40 women aged 23-47 years (mean age 35.28) using assistance of Crisis Intervention Centre due to experienced domestic violence. Reference (control) group was well-matched in terms of socio-demographic characteristics and consisted of 140 women not experiencing domestic violence. Study women experiencing domestic violence have significantly lower scores on all INTE indicators (general score, Factor I and Factor II). Women not experiencing domestic violence achieved significantly higher scores on Factor I than on Factor II. In this group all INTE components (general score, Factor I, Factor II) are positively correlated, whereas in group of women experiencing domestic violence there is no significant correlation between Factor I and Factor II and coefficients are lower. Emotional intelligence of study women experiencing domestic violence is lower than emotional intelligence of women not experiencing domestic violence. Their abilities and skills making up emotional intelligence are also less developed. The internal structure of emotional intelligence of study women experiencing domestic violence differs from emotional intelligence of women not experiencing domestic violence. It seems advisable to consider emotional intelligence in the process of providing women experiencing domestic violence with psychosocial help.

Psychopathological Predictors of Indirect Self-Destructiveness in Patients with Schizophrenia.

Behaviours causing harm to the individual are generally called self-destructive behaviours. For some time now, direct/acute self-destructiveness has been distinguished from indirect/chronic self-destructiveness. Indirectly self-destructive behaviours occur not only in healthy people (examined in most of the studies) but also in mentally ill individuals, which has not been researched. The aim of this study has been to explore psychopathological (clinical) predictors of indirect self-destructiveness in patients with schizophrenia. Research was conducted among 200 patients suffering from paranoid schizophrenia (Sc) (according to ICD-10); average age: 37.15 (27-58) years. To assess indirect self-destructiveness, the Polish version of the "Chronic Self-Destructiveness Scale" was applied, whereas, to examine psychopathological characteristics, the Polish version of the "Minnesota Multiphasic Personality Inventory-2" was used. The correlation-regression procedure was followed. There were many statistically significant correlations, among which the strongest association occurred between indirect self-destructiveness and Sc and paranoia (Pa) scales (0.522 and 0.435 respectively). Significant predictors were found to be schizophrenia (Sc; R: 0.545; ß: 0.412), lack of ego mastery, conative (Sc2b; R: 0.633; ß: 0.632), and persecutory ideas (Pa1; R: 0.506; ß: 0.335). schizophrenic disorders were a predictor explaining the indirect self-destructiveness syndrome in the patients. That aspect of psycho(patho)logical functioning, i.e. indirect self-destructiveness, which is strongly associated with schizophrenic and paranoid symptoms/disorders, should be considered in therapeutic work as well.

Manifestations of Indirect Self-Destructiveness and Dimensions of Emotional Intelligence.

While indirect self-destructiveness exerts a rather negative influence on the life and psychological and social functioning of the individual, emotional intelligence may have a favourable effect. The aim of this study has been to explore possible relationships between manifestations of indirect self-destructiveness and dimensions of emotional intelligence. A population of 260 individuals (130 females and 130 males) aged 20-30 (mean age of 24.5) was studied by using the Polish version of the Chronic Self-Destructiveness Scale and INTE, i.e., the Polish version of the Assessing Emotions Scale. Manifestations of indirect self-destructiveness show many significant correlations with variables of the INTE, and those correlations are negative. Generally, it can be said that low emotional intelligence is associated with poor psychosocial and social functioning, which, in turn, is associated with indirect self-destructiveness and its manifestations. It seems advisable to use emotional intelligence in the prophylactic and therapeutic work with individuals suffering from various types of disorders, especially the syndrome of indirect self-destructiveness.

Differentiation of indirect self-destructiveness due to sex (gender) in individuals after suicide attempts.

OBJECTIVES: The aim of this study was to examine the sex (gender) differentiation of indirect self-destructiveness as a generalised behavioural tendency and its manifestations in individuals who attempted suicides. METHODS: 147 individuals (114 females and 33 males) after suicide attempts were studied; the reference group consisted of 558 individuals (399 females and 159 males). Indirect self-destructiveness was examined by means of the Polish version of the Chronic Self-Destructiveness Scale (CS-DS) including Transgression and Risk (A1), Poor Health Maintenance (A2), Personal and Social Neglects (A3), Lack of Planfulness (A4) and Helplessness, Passiveness in the Face of Problems/Difficulties (A5). RESULTS: Sex (gender) and suicide attempt significantly differentiate scores of the subjects on all indices/scales of indirect self-destructiveness. Scores of individuals after suicide attempts are considerably higher on almost all scales. In that group, significant differences between females and males occurred on the A2-Poor Health Maintenance, A3-Personal and Social Neglects, A4-Lack of Planfulness and A5-Helplessness scales. It was only on the A2-Poor Health Maintenance scale that females achieved higher scores. CONCLUSIONS: The intensity of indirect self-destructiveness in females who attempted suicides achieved the level observed in males who attempted suicides. Poor health maintenance was also more intense in them than in the group of males. Males after suicide attempts displayed the lowest poor health maintenance. Results of this study may have preventive and therapeutic implications.

Indirect self-destructiveness in homosexual individuals.

OBJECTIVES: The aim of this study was to comprehensively examine the syndrome of indirect self-destructiveness in homosexual individuals. METHODS: 156 homosexual individuals (111 males, 45 females) aged 25-35 (mean age of 29.6) and 561 heterosexual individuals (400 males, 161 females) aged 24-36 (mean age of 28.2) were studied with regard to indirect self-destructiveness. The research instrument was the Polish version of the Chronic Self-Destructiveness Scale (CS-DS) including: Transgression and Risk (A1), Poor Health Maintenance (A2), Personal and Social Neglects (A3), Lack of Planfulness (A4) and Helplessness and Passiveness in the face of problems (A5). RESULTS: Homosexual individuals obtained significantly higher scores than heterosexual ones in numerous scales: Indirect Self-Destructiveness - global (general) index (p<0.001), A1-Transgression and Risk (p<0.001), A4-Lack of Planfulness (p<0.001) and A5-Helplessness, Passiveness (p=0.04) There were no significant differences in the Poor Health Maintenance scale (A2). They also achieved significantly higher scores in the subscales assessing using of psychoactive substances. Factor analysis revealed the presence of only one factor both in the group of homosexual and heterosexual individuals. CONCLUSIONS: The research results indicate that, as compared with the group of heterosexual individuals, in the group of homosexuals there occurs a worsening in psychological functioning, which may be also manifested by an increased indirect self-destructiveness index. The increased intensity of indirect self-destructiveness in homosexual individuals may be considered a manifestation of worsened psychological functioning. The homosexual individuals look after their health similarly to heterosexuals.

Anxiety and styles of coping with occupational stress resulting from work with 'dangerous' prisoners in prison service officers.

OBJECTIVE: Prisoners categorised as 'dangerous' are a category of prisoners that require and/or force into using special measures of caution, protection and security. The aim of the study was to examine the intensity of anxiety (as a state and as a trait) experienced by officers working with 'dangerous' prisoners and styles of coping with stress they adopt. METHODS: A total of 40 officers working with 'dangerous' prisoners (the study group, SG) and 60 officers of the security department not working with 'dangerous' prisoners (the reference group, RG) were studied. The intensity of anxiety was assessed applying the Polish version of 'State-Trait Anxiety Inventory' (STAI); styles of coping with stress were explored employing the Polish version of 'Coping Inventory for Stressful Situations' (CISS) and the author's own questionnaire. Data were analysed using the mean, standard deviation, difference testing (the Mann-Whitney U test), correlation-regression procedure (Kendall's tau, τ correlation coefficient and forward stepwise multiple regression). RESULTS: Officers in the SG faced verbal and physical aggression; nevertheless, scores of officers in both the groups were within the interval of mean scores for all the studied STAI and CISS variables. Officers in the SG achieved significantly higher scores on the state-anxiety scale and the Emotion-Oriented Style (EOS), and lower scores on the Task-Oriented Style (TOS) and Social Diversion (SD). The correlation-regression procedure indicated that there were relationships between anxiety and styles of coping with stress but they differed slightly between the groups. CONCLUSIONS: Officers in the SG feel state anxiety stronger and display a stronger preference for the EOS than officers in the RG. Officers in the RG more strongly prefer the TOS and SD. State anxiety is a variable negatively explaining the TOS in the SG, whereas anxiety as a trait is a variable explaining the EOS in both the groups. The coping styles of warders dealing with dangerous prisoners are different and may need specific psychological counselling and training programmes.

[Indirect self-destructiveness and psychological gender]. / Autodestruktywnosc posrednia a plec psychologiczna.

AIM: Behaviours causing harm to a subject are generally called self-destructive behaviours. For some time now direct/acute self-destructiveness and indirect/chronic self-destructiveness have been distinguished. Human activity is determined to a large degree by not only biological (somatic) sex but also psychological gender. The aim of the study was to examine relationships between indirect self-destructiveness and types of psychological gender. MATERIAL AND METHOD: 558 individuals (399 females and 159 males) aged 19-25 were studied (mean age: 22.6). The age of the females ranged from 19 to 24 (mean age: 22.4) and of the males - from 19 to 25 (mean age: 22.8). In order to examine the intensity of indirect self-destructiveness, the Polish version of the Chronic Self-Destructiveness Scale by Kelley (CS-DS), as adapted by Suchanska, was applied. The psychological gender was examined by means of the Polish version of the Bem Sex Role Inventory (BSRI) by Bem, as adapted by Kuczynska. RESULTS: The highest scores on indirect self-destructiveness were achieved by non-sex-typed individuals, lower- by sex-typed and cross-sex-typed individuals (very similar scores). In females, indirect self-destructiveness positively correlates with the masculinity scale, whereas in males, it negatively correlates with the femininity scale. CONCLUSIONS: Biological sex and psychological gender are qualitative variables that differentiate the intensity of indirect self-destructiveness. Psychological gender opposite to biological sex is of significance to the intensity of indirect self-destructiveness. The psychological dimension of femininity protects against indirect self-destructiveness, while the psychological dimension of masculinity predisposes to it.

Gender differentiation in indirect self-destructiveness and suicide attempt methods (gender, indirect self-destructiveness, and suicide attempts).

The objective of this study is to examine the gender (sex) differentiation of indirect self-destructiveness and its manifestations as well as its relationships with suicide attempt methods in females and males. The study was conducted among 147 persons (114 females, 33 males) who attempted suicide. The research instrument was the polish version of the Chronic Self-Destructiveness Scale including Transgression and Risk, Poor Health Maintenance, Personal and Social Neglects, Lack of Planfulness, and Helplessness and Passiveness in the face of problems. Differences testing and correlation analyses were applied. Females scored higher on poor health maintenance and males scored significantly higher on personal and social neglects, lack of planfulness, and helplessness. Noteworthy is that the intensity of indirect self-destructiveness in females reached the same magnitude as in males. A number of statistically significant correlations were found between indirect self-destructiveness, or its manifestations, and the methods of suicide attempt in the two groups. Among these categories, the highest contribution was of helplessness and passiveness (both of groups), poor health maintenance (males), and personal and social neglects (females). Results of this study can be useful in the therapeutic efforts and prevention of not only indirectly self-destructive behaviours but also possible suicide attempts. Both preventive and therapeutic activities can take into account the specificity of those phenomena resulting from one's sex/gender. It is important to adapt preventive and therapeutic measures to psychological (personal) features that arise from an individual's sex/gender.

Gender differentiation of indirect self-destructiveness.

OBJECTIVES: The objective of this study was to examine the sex (gender) differentiation of indirect self-destructiveness intensity and its manifestations, as well as relationships between indirect self-destructiveness and its manifestations (categories) and the psychological dimensions of masculinity and femininity, also from the point of view of assessing occupational health and safety. MATERIALS AND METHODS: A population of 558 individuals (399 females and 159 males) aged 19-25 (mean age: 22.6) was studied. The Polish version of the "Chronic Self-Destructiveness Scale" (CS-DS) by Kelley adapted by Suchanska was used in order to examine indirect self-destructiveness and its manifestations. Gender testing applied the Polish version of the Bem Sex Role Inventory (BSRI) by Bem in its adaptation by Kuczynska. RESULTS: Males' scores are significantly higher than those of females for the majority of CS-DS scales/indices: Indirect Self-Destructiveness (general index), Poor Health Maintenance (A2), Lack of Planfulness (A4), and Helplessness, Passiveness (A5). Moreover, there are statistically significant correlations between CS-DS scales and the masculinity dimension (positive) as well as the femininity dimension (negative). CONCLUSIONS: Masculinity is a factor that may predispose towards indirectly self-destructive behaviors, while femininity is a factor protecting against those. The study results may prove useful in preventing indirectly and directly self-destructive behaviors as well as in therapy work with the individuals who display such tendencies or have made attempts on their own lives, in particular taking into account their being of a specific sex/gender and in the context of work (especially in difficult or dangerous conditions or both).

Manifestations of indirect self-destructiveness and methods of suicide attempts.

The method of suicide attempt is related to motivational processes and the psycho(patho)logical mechanisms and traits of an individual. Indirect self-destructiveness is related to direct self-destructiveness. It is presumed that it can transform to the latter thus leading to suicide attempts or death by suicide. The study objective was to examine the relationship between individual manifestations of indirect self-destructiveness and the methods of suicide attempt as well as to explore the indirect predictors of particular suicide methods. The study was conducted among 147 persons (114 females, 33 males) who attempted suicide. The research instrument was the Polish version of the "Chronic Self-Destructiveness Scale" (CS-DS), including Transgression and Risk, Poor Health Maintenance, Personal and Social Neglects, Lack of Planfulness, and Helplessness and Passiveness in the face of problems. Correlation and regression analyses were applied. A number of statistically significant correlations were found between indirect self-destructiveness, or its manifestations, and the methods of suicide attempt. Moreover, the particular categories of indirect self-destructive behaviour were found to largely determine the choice of the method of suicide attempt. Among these categories, the strongest predictor appeared to be Helplessness and Passiveness in the face of problems. The method of suicide attempt is a variable related to psychosocial determinants of suicidal behaviour. The findings of this study may prove useful in the design and implementation of therapeutic activities focused on persons who attempted suicide. Recognising the particular manifestations of indirect self-destructive behaviours of an attempter can guide implementation of therapeutic measures, for him/her e.g. via strengthening coping skills and eliminating risk factors for self-harm.

Gender differentiation in methods of suicide attempts.

BACKGROUND: Suicide is an important public health problem worldwide, especially due to an increasing rate of suicides committed by violent methods. This study compared and assessed the methods used in suicide attempts (but no completed suicides) as undertaken by men and women and investigated the possible role of gender in the selection of suicide method. MATERIAL/METHODS: The study was conducted among persons who attempted suicide by various methods and were admitted to hospital. The study population comprised 147 participants (33 males and 114 females) aged between 14 and 33 years. RESULTS: The most prevalent methods of suicide attempts were pharmacological drugs abuse (42.31%) and exsanguination (25.64%), and the least frequent were poisoning and throwing oneself under a moving car (1.28%). The findings revealed that the female subjects tended to choose pharmacological drugs overdose and exsanguination as the suicide method, while males more frequently used hanging and asphyxia. Females also used a greater number of different suicide methods. CONCLUSIONS: The study results indicate that women as a group more frequently attempted suicide rather than actually committing it, whereas men were more likely to complete suicides and choose more violent suicide methods; thus, women are the "attempters" and "survivors" of suicide attempts. The study findings may have implications for therapy and prevention of suicide, and suggest that psychotherapeutic activities should be tailored to the psychological and personality traits associated with gender identity.