A cross-sectional investigation of the suicidal spectrum: typologies of suicidality based on ambivalence about living and dying

O’Connor, Stephen S.; Jobes, David A.; Yeargin, M.K.; Fitzgerald, Matthew E.; Rodríguez, Vivian M.; Conrad, Amy K.; Lineberry, Timothy W.

doi:10.1016/j.comppsych.2011.09.007

Cited by 52 publications

(41 citation statements)

References 28 publications

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“…Assessment of suicidal ambivalence (i.e., both the wish to die and the wish to live) has successfully predicted future suicidal thoughts and behaviors, response to suicide treatment, and eventual suicide (O’Connor, Jobes, Yeargin, et al, 2012; Brown, Steer, Henriques, & Beck, 2005; O’Connor, Jobes, Comtois, et al, 2012; Lento, Ellis, Hinnant, & Jobes, 2013). We recommend that clinicians assess both reasons to live and reasons to die when calculating suicide risk and throughout treatment in order to monitor progress.…”

Section: Discussionmentioning

confidence: 99%

Suicide Attempt Characteristics Among Veterans and Active-Duty Service Members Receiving Mental Health Services: A Pooled Data Analysis

Villatte

O’Connor

Leitner

et al. 2015

Military Behavioral Health

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Past suicidal behaviors are among the strongest and most consistent predictors of eventual suicide and may be particularly salient in military suicide. The current study compared characteristics of suicide attempts in veterans (N = 746) and active-duty service members (N = 1,013) receiving treatment for acute suicide risk. Baseline data from six randomized controlled trials were pooled and analyzed using robust regression. Service members had greater odds of having attempted suicide relative to veterans, though there were no differences in number of attempts made. Service members also had higher rates of premilitary suicide attempts and nonsuicidal self-injury (NSSI). Veterans disproportionately attempted suicide by means of overdose. In veterans, combat deployment was associated with lower odds of lifetime suicide attempt, while history of NSSI was associated with greater attempt odds. Neither was significantly associated with lifetime suicide attempt in service members. Implications for suicide assessment and treatment are discussed.

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Section: Discussionmentioning

confidence: 99%

Suicide Attempt Characteristics Among Veterans and Active-Duty Service Members Receiving Mental Health Services: A Pooled Data Analysis

Villatte

O’Connor

Leitner

et al. 2015

Military Behavioral Health

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“…The WTL and the WTD may be interpreted as distinguishable subjective phenomena, deduced by the finding that the majority of suicide attempters reported “an internal debate” over whether to live or to die. The ISH was investigated in different adult study populations such as psychiatric outpatients (Brown et al ., ), internet users (Harris et al ., ), outpatients of mental health centers (Corona et al ., ), and psychiatric inpatients (O'Connor et al ., ). Interestingly, implicit evidence for the internal struggle hypothesis was also found in a study that investigated underlying motives of suicide attempts: all suicide attempters (between 14 and 70 years of age) who reported a WTD also reported at least one other “non‐death” motive (McAuliffe et al ., ).…”

Section: Introductionmentioning

confidence: 97%

Factors determining the balance between the wish to die and the wish to live in older adults

Bonnewyn

Shah

Bruffærts

et al. 2016

Int J Geriat Psychiatry

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Our results suggest a simultaneous presence of a WTL and a WTD in older inpatients, and also that the balance between them is determined by "Subjective Well-being" and "Social Support". Unexpectedly, the AMB group showed the highest scores on "Social Support". We hypothesize that higher social support might function as an important determinant of a remaining WTL when a WTD is present because of a lower sense of well-being. The study suggests that the groups WTL-AMB-WTD can not situated on a one-dimensional continuum. Copyright © 2016 John Wiley & Sons, Ltd.

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“…Some researchers have conceptualized suicidal thinking and behavior as a continuum of suicidality ranging from suicidal ideation, through suicidal desire and suicidal intent, to attempted and completed suicide (Fawcett et al., ; Ghazinour et al., ; Gil, ; Goldstein, Black, Nasrallah, & Winokur, ; Moscicki, ; O'Connor et al., ). Suicidal ideation means that people think about taking their lives, or consider suicide as a potential way out, but neither wish to be dead nor would they show self‐threatening or harmful behavior.…”

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confidence: 99%

The Relation of Cognitive Reappraisal and Expressive Suppression to Suicidal Ideation and Suicidal Desire

Forkmann

Scherer

Böcker

et al. 2014

Suicide & Life Threat Behav

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The differential relations between the emotion regulation strategies "cognitive reappraisal" and "expressive suppression" and suicidality in a mixed inpatient sample (N = 232, 69.4% female) of a German psychotherapeutic hospital were examined. Patients filled in the Emotion Regulation Questionnaire and items on suicidal ideation and desire. A structural equation model fitted the data (RMSEA = .044; CFI = .96) and revealed that "expressive suppression" significantly predicted increased suicidal ideation. Moderation analysis showed that results were independent from a current depressive episode. Potential implications for psychotherapeutic treatment of suicidality are discussed.

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A cross-sectional investigation of the suicidal spectrum: typologies of suicidality based on ambivalence about living and dying

Cited by 52 publications

References 28 publications

Suicide Attempt Characteristics Among Veterans and Active-Duty Service Members Receiving Mental Health Services: A Pooled Data Analysis

Suicide Attempt Characteristics Among Veterans and Active-Duty Service Members Receiving Mental Health Services: A Pooled Data Analysis

Factors determining the balance between the wish to die and the wish to live in older adults

The Relation of Cognitive Reappraisal and Expressive Suppression to Suicidal Ideation and Suicidal Desire

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