Iryna Pospielova, Olha Berezhna PSYCHOLOGICAL FACTORS OF SUICIDAL RISK AMONG INTERNALLY DISPLACED WOMEN IN CONDITIONS OF UNCERTAINTY

(2026) Science and education, 3, 73-81. Odessa.

DOI:https://doi.org/10.24195/2414-4665-2026-3-8

Iryna Pospielova,
PhD (Candidate of Psychological Sciences),
Associate Professor of the Department of Theory and
Methods of Practical Psychology,
The State Institution «South Ukrainian National Pedagogical
University named after K. D. Ushynsky»,
26, Staroportofrankivska Str., Odesa, Ukraine,
ORCID ID: https://orcid.org/0000-0001-8802-475X

Olha Berezhna,
graduate student of specialty 053 Psychology
of the Department of Theory and Methods of Practical Psychology,
The State Institution «South Ukrainian National Pedagogical
University named after K. D. Ushynsky»,
26, Staroportofrankivska Str., Odesa, Ukraine,
ORCID ID: https://orcid.org/0009-0006-9367-6676

 

PSYCHOLOGICAL FACTORS OF SUICIDAL RISK AMONG INTERNALLY DISPLACED WOMEN IN CONDITIONS OF UNCERTAINTY

SUMMARY:

The article examines the association of state and trait anxiety, neuropsychic instability, and suicidal risk among internally displaced women living in rural communities of Ukraine during the full-scale war. The cross-sectional comparative-correlational study included 50 women aged 18–65: 27 internally displaced women and 23 local residents from the same communities. The State-Trait Anxiety Inventory, Bodrov’s Prognosis questionnaire, and the SR-45 Suicidal Reactions Test were used. Group differences were assessed with parametric and categorical tests, associations with Pearson correlations, and Sr-based subgroups of displaced women with the Kruskal–Wallis test followed by Holm-adjusted pairwise comparisons. Displaced women had higher state anxiety than local residents (M=54.67, SD=11.83 vs. M=46.35, SD=11.07; t=2.552; p=.014; d=.72), whereas the difference in trait anxiety was not significant. Mean suicidal risk and neuropsychic instability did not differ between status groups. Suicidal risk was associated with neuropsychic instability (r=.509), state anxiety (r=.466), and trait anxiety (r=.440; all p<.01). The nonparametric subgroup analysis identified a difference only in neuropsychic instability (H(2)=8.717; p=.013; ε²=.280); after Holm correction, the low- and critical-risk subgroups remained different (U=0; adjusted p=.013). No significant subgroup differences were found for state or trait anxiety. The findings support multidimensional screening that combines suicidal-risk assessment with evaluation of regulatory resources and access to social support. The cross-sectional design, however, does not establish causal effects of displacement status or rural residence.

KEYWORDS:

internally displaced women, suicidal risk, state anxiety, neuropsychic instability, rural communities, war, psychosocial prevention

FULL TEXT:

REFERENCES:
  1. Blinova, O. Ye. (2016). Sotsialno-psykholohichna adaptatsiia vymushenykh mihrantiv: pidkhody i problemy vyvchennia fenomena akulturatsii [Socio-psychological adaptation of forced migrants: Approaches and problems of studying the acculturation phenomenon]. Naukovyi visnyk Khersonskoho derzhavnoho universytetu. Seriia: Psykholohichni nauky, 3(1), 111–117. [in Ukrainian].
  2. Velychko, T. P. (2020). Psykholohichni chynnyky suitsidalnykh ryzykiv [Psychological factors of suicidal risks]. Habitus, 19, 100–105. https://doi.org/10.32843/2663-5208.2020.19.17 [in Ukrainian].
  3. Hundertailo, Yu. D. (2018). Problemy styhmatyzatsii i samostyhmatyzatsii vnutrishno peremishchenykh osib u protsesi vidnovlennia zhyttievoi neperervnosti pislia perezhyvannia travmatychnykh podii [Problems of stigmatization and self-stigmatization of internally displaced persons in restoring life continuity after traumatic events]. Naukovi studii iz sotsialnoi ta politychnoi psykholohii, 42(45), 160–169. https://doi.org/10.33120/ssj.vi42(45).201 [in Ukrainian].
  4. Durkheim, E. (1998). Samohubstvo: Sotsiolohichnyi etiud [Suicide: A sociological study]. Osnovy. [in Ukrainian].
  5. Isakov, R. I. (2020). Stan sotsialno-psykholohichnoi adaptatsii/dezadaptatsii v strukturi depresyvnykh rozladiv riznoho genezy u zhinok z riznym rivnem urazhenosti vnaslidok dii dezadaptuiuchykh chynnykiv makrosotsialnoho rivnia [Socio-psychological adaptation/maladaptation in women with depressive disorders under macrosocial maladaptive factors]. Zdobutky klinichnoi i eksperymentalnoi medytsyny, 1, 89–96. https://doi.org/10.11603/1811-2471.2020.v.i1.11075 [in Ukrainian].
  6. Karamushka, L. M., & Karamushka, T. V. (2022). Empirychne doslidzhennia osoblyvostei psykhichnoho zdorovia vymushenykh «vnutrishnikh» pereselentsiv v umovakh viiny [An empirical study of the mental health of internally displaced persons during war]. Orhanizatsiina psykholohiia. Ekonomichna psykholohiia, 2(26), 48–59. https://doi.org/10.31108/2.2022.2.26.6 [in Ukrainian].
  7. Kokun, O. M., Ahaiev, N. A., Pishko, I. O., Lozinska, N. S., & Kornia, L. V. (2019). Psykholohichna otsinka suitsidalnoho ryzyku u viiskovosluzhbovtsiv: Metodychnyi posibnyk [Psychological assessment of suicide risk in military personnel: A methodological guide]. NDTs HP ZSU. [in Ukrainian].
  8. Pyliahina, H. Ya., & Vynnyk, M. I. (2007). Problema samoruinivnoi povedinky sered naselennia Ukrainy [The problem of self-destructive behavior among the population of Ukraine]. Novyny medytsyny ta farmatsii, (215), 10–11. https://www.mif-ua.com/archive/article/1364 [in Ukrainian].
  9. Sprynska, Z. V. (2018). Psykholohichni osoblyvosti vnutrishno peremishchenykh osib [Psychological features of internally displaced persons]. Teoriia i praktyka suchasnoi psykholohii, 6, 50–56. [in Ukrainian].
  10. Falko, N., Varina, H., & Horobets, S. (2025). Psykholohichni osoblyvosti rozvytku zhyttiestiikosti ta konstruktyvnykh kopinh-stratehii povedinky u vymusheno peremishchenykh osib [Psychological features of resilience and constructive coping strategies in internally displaced persons]. Psykholohichni travelohy, 1, 160–169. https://doi.org/10.31891/PT-2025-1-17 [in Ukrainian].
  11. Shneidman, E. S. (1996). The suicidal mind. Oxford University Press. https://doi.org/10.1093/oso/9780195103663.001.0001
  12. Bogic, M., Ajdukovic, D., Bremner, S., Franciskovic, T., Galeazzi, G. M., Kucukalic, A., Lecic-Tosevski, D., Morina, N., Popovski, M., Schützwohl, M., Wang, D., & Priebe, S. (2012). Factors associated with mental disorders in long-settled war refugees: Refugees from the former Yugoslavia in Germany, Italy and the UK. The British Journal of Psychiatry, 200(3), 216–223. https://doi.org/10.1192/bjp.bp.110.084764
  13. Cacioppo, J. T., & Cacioppo, S. (2012). The phenotype of loneliness. European Journal of Developmental Psychology, 9(4), 446–452. https://doi.org/10.1080/17405629.2012.690510
  14. Calati, R., Ferrari, C., Brittner, M., Oasi, O., Olié, E., Carvalho, A. F., & Courtet, P. (2019). Suicidal thoughts and behaviors and social isolation: A narrative review of the literature. Journal of Affective Disorders, 245, 653–667. https://doi.org/10.1016/j.jad.2018.11.022
  15. De Jong Gierveld, J., & Havens, B. (2004). Cross-national comparisons of social isolation and loneliness: Introduction and overview. Canadian Journal on Aging, 23(2), 109–113. https://doi.org/10.1353/cja.2004.0021
  16. Fazel, M., Reed, R. V., Panter-Brick, C., & Stein, A. (2012). Mental health of displaced and refugee children resettled in high-income countries: Risk and protective factors. The Lancet, 379(9812), 266–282. https://doi.org/10.1016/S0140-6736(11)60051-2
  17. Fukunaga, R., Abe, Y., Nakagawa, Y., Koyama, A., Fujise, N., & Ikeda, M. (2012). Living alone is associated with depression among the elderly in a rural community in Japan. Psychogeriatrics, 12(3), 179–185. https://doi.org/10.1111/j.1479-8301.2012.00402.x
  18. Joiner, T. (2005). Why people die by suicide. Harvard University Press.
  19. Kaneko, Y., Motohashi, Y., Sasaki, H., & Yamaji, M. (2007). Prevalence of depressive symptoms and related risk factors for depressive symptoms among elderly persons living in a rural Japanese community. Community Mental Health Journal, 43(6), 583–590. https://doi.org/10.1007/s10597-007-9096-5
  20. Miller, K. E., & Rasmussen, A. (2010). War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks. Social Science & Medicine, 70(1), 7–16. https://doi.org/10.1016/j.socscimed.2009.09.029
  21. Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: An ecological model of refugee distress. Epidemiology and Psychiatric Sciences, 26(2), 129–138. https://doi.org/10.1017/S2045796016000172
  22. Olfson, M., Cosgrove, C. M., Altekruse, S. F., Wall, M. M., & Blanco, C. (2022). Living alone and suicide risk in the United States, 2008–2019. American Journal of Public Health, 112(12), 1774–1782. https://doi.org/10.2105/AJPH.2022.307080
  23. Sahle, B. W., Reavley, N. J., Li, W., Morgan, A. J., Yap, M. B. H., Reupert, A., & Jorm, A. F. (2022). The association between adverse childhood experiences and common mental disorders and suicidality: An umbrella review of systematic reviews and meta-analyses. European Child & Adolescent Psychiatry, 31(10), 1489–1499. https://doi.org/10.1007/s00787-021-01745-2
  24. Shaw, R. J., Cullen, B., Graham, N., Lyall, D. M., Mackay, D., Okolie, C., Pearsall, R., Ward, J., John, A., & Smith, D. J. (2021). Living alone, loneliness and lack of emotional support as predictors of suicide and self-harm: A nine-year follow-up of the UK Biobank cohort. Journal of Affective Disorders, 279, 316–323. https://doi.org/10.1016/j.jad.2020.10.026
  25. Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. JAMA, 302(5), 537–549. https://doi.org/10.1001/jama.2009.1132
  26. Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697
  27. Wasserman, D. (Ed.). (2001). Suicide: An unnecessary death. Martin Dunitz.