The path not taken: Distinguishing individuals who die by suicide from those who die by natural causes despite a shared history of suicide attempt

Objectives This study aimed to identify variables that distinguish suicide risk among individuals with previous suicide attempts. Method Using psychological autopsy procedures, we evaluated 86 decedents who had at least one lifetime suicide attempt before eventual death by suicide (n = 65) or natural causes (n = 21). Results The Suicide Death group was more likely to be […]

Anticipatory, relief-oriented and permissive beliefs in patients with suicidal behaviors: An exploratory case-control study

Objective: The objective is to propose a specific understanding of decision-making in suicidal behavior by using a psychometric instrument, namely the Suicidal Ambivalence Scale (SAS). The SAS, initially used in addictive disorders, allows to distinguish 3 types of thoughts: first anticipatory beliefs [A] (positive expectations regarding behavior); second relief-oriented beliefs [R] (aim to reduce the feeling […]

Death ambivalence and treatment seeking: Suicidality in opiate addiction

Rates of suicide and opiate overdose have recently skyrocketed in the USA. In light of impulsivity and impaired motivation common in people with substance use disorders, suicidality is common in addiction. Recent findings Chart review surveys indicate two primary suicidal populations that are important to distinguish for clinical practice and healthcare policy. One group is […]

Clustering suicide attempters: Impulsive-ambivalent, well-planned, or frequent.

Attempts to predict suicidal behavior within high-risk populations have so far shown insufficient accuracy. Although several psychosocial and clinical features have been consistently associated with suicide attempts, investigations of latent structure in well-characterized populations of suicide attempters are lacking. METHODS: We analyzed a sample of 1,009 hospitalized suicide attempters that were recruited between 1999 and […]

Detecting Suicide Risk in Psychiatric Emergency Services

The objective of this study was to provide guidelines for the identification of suicide risk & protective factors & the management of suicidal persons in emergency settings. A literature review identified relevant & illustrative key cases. The clinical interview is the best method to evaluate suicidal risk & has a twofold purpose: providing emotional support […]

Gender Differences in Suicidal Behavior in Korea

Gender differences in suicidal behavior were examined in a sample of 344 South Koreans who had attempted suicide. Significantly more women than men were admitted to emergency rooms due to attempted suicide during the study period, August 2003-December 2006. The male attempters were older & had a higher rate of employment than the females. Depression […]

Subtle Suicide: our Silent Epidemic of Ambivalence About Living

The authors have developed the concept of “subtle suicide”, risky behaviour where the individual does not care if he or she lives or dies. Based on psychotherapy sessions & case studies, the book also offers biographical sketches of well-known people who exhibited subtle suicide behaviour, including Marilyn Monroe, Anna Nicole Smith, Jim Morrison, & Evel […]

The Perspectives of Young Adults on Recovery From Repeated Suicide-Related Behavior

This qualitative grounded theory study sought to develop an understanding of how young adults, ages 18-25, who have a history of 2 or more suicide attempts, transition away from high-risk suicide-related behaviors. 16 young adults who had completed at least one cycle of intervention participated. The young adults described a pathway that included 3 major […]

Suicide, the Discursive Process

The scientific development of psychology-based suicidology during the past 50 years recognizes a psychological process which precedes the suicide act. This process is also a discursive process, as the individual immerses himself in an internal suicidal discourse, which is shaped by cultural norms, common language, & influenced by biological, cognitive, & affective mechanisms. The authors […]

Assessment of Suicide Intent by a Visual Analogue Scale

This presentation reported on the use of the Visual Analogue Scale in measuring the wish to live & the wish to die components of patients who had attempted suicide. The results were compared with those obtained by the validated Suicide Intent Scale. The scale was administered to 36 women, aged 18-30 years. Results suggested, in […]

Fatal Attachments: the Instigation to Suicide

The author’s belief is that instigators are responsible in a significant number of suicides. She hypothesizes that early trauma associated with death or abandonment can lead a person to become an instigator. Research, case studies, & examples from history & literature are used to examine the role of the instigator in suicide in diverse populations […]

Just a Smile and a Hello on the Golden Gate Bridge


Motives and Suicide Intent Underlying Hospital Treated Deliberate Self-Harm and Their Association With Repetition

The association between motives for deliberate self-harm (DSH), level of suicide intent, and history of DSH is poorly understood. As part of the WHO/EURO Multicentre Study on Suicidal Behavior, the Suicide Intent Scale, and the Motives for Parasuicide Questionnaire were administered to 146 patients presenting with DSH in the Cork region in Ireland. DSH patients […]

The Internet and its Potential Influence on Suicide


Gestalt Therapy Approaches to Crisis Intervention With Suicidal Clients

Recognition of Suicide Risk According to the Characteristics of the Suicide Process

The Stengel Research Award: the man

Imminent Suicide: the Illusion of Short-term Prediction

This article examines the concept of imminent suicide. A search of National Electronic Library for Mental Health, the Cochrane Library, PubMed, OVID, & MD Consult databases was conducted using the terms Òsuicide, imminent.Ó The term ÒimminentÓ frequently appears in the mental health literature, finding common usage among clinicians. Managed care admission protocols may contain imminence […]

Can Suicide be Ethical? A Utilitarian Perspective on the Appropriateness of Choosing to die

In this article, the author uses a utilitarian ethical perspective to critique Lester’s (2006) assertion that each person should determine whether suicide is appropriate for him or her in relative isolation from the opinion of others. According to utilitarianism, the goodness of an action is judged by its impact not only on the individual but […]

Deliberate Self-Harm at an Adolescent Unit: a Qualitative Investigation

This investigation aimed to identify some of the personal & interpersonal processes involved in deliberate self-harm at a residential treatment setting for adolescents with mental health problems. The authors found that the act of self-harm created a temporary resolution from intense feelings of anger & interpersonal conflicts. They also found that adolescents competed to be […]

Suicidal Preoccupations Among Youth With Eating Disorders


Being Trapped in a Circle: Life After a Suicide Attempt in Taiwan

The purpose of this hermeneutic phenomenological study was to understand how suicidal patients experienced their lives after attempted suicide. 10 participants were interviewed over a 5-month period about their experiences & feelings after their suicide attempts. 3 main themes were found: a) being controlled by others versus striving to live for oneself, b) being rebuffed […]

Young Adults’ Support Strategies When Peers Disclose Suicidal Intent

The present study examined whether young adults’ own history of suicidal ideation, gender, social history with suicide, & ambiguity of the disclosure would predict their response to a hypothetical suicidal peer. The data revealed significant effects of ambiguity & participants’ suicidal ideation on the confidants’ response strategy. The confidants’ experience with others’ attempted or completed […]