Ambulance clinicians’ responsibility when encountering patients in a suicidal process

Background Even though the traditional focus in emergency care is on life-threatening medical crisis, ambulance clinicians frequently encounter patients with mental illness, including suicidal ideation. A suicide is preceded by a complex process where most of the suicidal ideation is invisible to others. However, as most patients seek healthcare in the year before suicide, ambulance […]

Sociodemographic characteristics associated with hospital contact in the year prior to suicide: A data linkage cohort study in Victoria, Australia

Aims The aims of this study were to examine the prevalence of hospital contact in the year prior to suicide in Victoria, Australia, and to compare characteristics among those who did and did not have contact in the year prior to suicide. Methods The study was a data linkage cohort study of 4348 Victorians who […]

The structure of suicidal beliefs: A bifactor analysis of the suicide cognitions scale

The Suicide Cognitions Scale (SCS) was developed to measure a broad spectrum of suicidogenic cognitions collectively referred to as the suicidal belief system. Prior confirmatory factor analyses have suggested both a unidimensional and multidimensional structure and high intercorrelations among identified factors, suggesting the possible influence of an underlying general factor. The present study used bifactor […]

Last suicide attempt before completed suicide in severe depression: An extended suicidal process may be found in men rather than women.

Journal copy held in CSP Library.

Pathways to High-Lethality Suicide Attempts in Individuals With Borderline Personality Disorder

This study developed & tested a model of high-lethality suicide attempts in individuals with borderline personality disorder. An increased number of prior suicide attempts, substance use immediately prior to the attempt, & objective planning were proposed to lead directly to a high-lethality suicide attempt, while aggression & impulsivity were hypothesized to lead indirectly to a […]

Cross-National Analysis of the Associations Among Mental Disorders and Suicidal Behavior: Findings From the WHO World Mental Health Surveys

Data on the lifetime presence & age-of-onset of mental disorders & nonfatal suicidal behaviours were collected via structured face-to-face interviews with 108,664 respondents from 21 countries. The results show each lifetime disorder examined significantly predicts the subsequent first onset of suicide attempt. After controlling for comorbidity, these associations decreased substantially but remained significant in most […]

Suicide in Creative Women (IN: Suicide and the Creative Arts, edited by S Stack & D Lester)

This chapter explores the question of whether the suicides of creative women were because they were women, because they were creative, or because they were creative women. The lives of six creative women who died by suicide are compared to six creative women who died from natural causes to see if clear differences are apparent […]

Capable of Suicide: a Functional Model of the Acquired Capability Component of the Interpersonal-Psychological Theory of Suicide

A functional model of the acquired capability for suicide, a component of Joiner’s (2005) Interpersonal-Psychological Theory of Suicide, is presented. The model integrates the points dicussed by Joiner into a unified & specific conceptualization of acquired capability. Several points are elaborated on, such as the interaction between specific diatheses with life events, the role of […]

Is Your Patient a Suicide Risk?

The author provides an overview of suicide & suicide prevention in a medical/surgical setting. Risk factors are discussed as are elements of an effective suicide assessment, & nursing interventions that can applied in everyday practice. (5 refs.) JA

Identifying the Pathways to Suicide in Child Sexual Abuse Victims

In this editorial, the author briefly reviews an article by Cutajar et al (2010) on the relationship of childhood sexual abuse & suicide. It is concluded that much more work is needed to understand the issues involved in the pathways leading to suicide in child sexual abuse victims & that preventing child sexual abuse requires […]

The Duration of the Suicidal Process: how Much Time is Left for Intervention Between Consideration and Accomplishment of a Suicide Attempt

This study investigated suicide attempters’ reports on the length of time between consideration & accomplishment of a suicide attempt. 82 patients referred to a psychiatric university hospital were approached within 3 days after their attempt. Data were collected from July 2004-December 2005. Nearly half of the patients reported the period between the first current thought […]

Four Studies on how Past and Current Suicidality Relate Even When “Everything but the Kitchen Sink” is Covaried

Joiner’s theory of suicidal behaviour suggests past suicidal behaviour plays an important role in future suicidality. However, the mechanism by which this risk is transferred & the causal implications have not been well studied. This study provides evaluation of the nature & limits of this relationship across 4 populations, with varying degrees of suicidal behaviour. […]

Adjustment Disorder and the Course of the Suicidal Process in Adolescents

The association of adjustment disorders (with depressed mood) & suicide in adolescents was investigated by means of a psychological autopsy study. Relatives & other informants of 19 Belgian suicide victims were interviewed. Differences in the duration of the suicidal process between suicide victims diagnosed with adjustment disorder & suicide cases diagnosed with other psychiatric disorders […]

Non-Fatal Suicidal Behavior Among South Africans: Results From the South Africa Stress and Health Study

This study examined the prevalence, age of onset, & sociodemographic correlates of suicide ideation, planning, & attempts among South Africans. Nationally representative data are from the South Africa Stress & Health Study. Bivariate & survival analyses were used to delineate patterns & correlates of nonfatal suicidal behaviour. Transitions are estimated using life table analysis. The […]

The Prevalence of Suicidal Ideation in the General Population: Results From the Outcome of Depression International Network (ODIN) Study

A 2-stage screening approach of over 12,000 adults from the general population were evaluated by face-to-face interview to identify those meeting ICD-10 criteria for depressive disorders at 8 sites in 5 European countries. A cross-sectional analysis of Item 9 (suicide ideation) of the Beck Depression Inventory was done. The standardised period prevalence for all suicide […]

Continuity From Suicidal Ideations to Suicide Attempts? An Investigation in 18-55 Years old Adult Iranian Kurds

A cross-sectional study with a random sample of 1000 adult Iranian Kurds examined attitudes toward suicide. Iranian Kurds reported very few suicide attempts whereas the prevalence of reported suicidal thoughts was found to be very high. The reported frequency of suicidal thoughts & the number of suicide attempts during the last year was significantly higher […]

Police Suicide: Fatal Misunderstandings (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

This chapter reviews themes common in the suicides of uniformed law enforcement officers & special agent personnel. Cases reviewed repeatedly show injury to self-esteem & the loss of control. In every death studied, there were viable alternatives to suicide but the interventions were not perceived to be viable to the officer at risk. The focus […]

Police Suicide’s Missing Link: Plain and Simple Logical Models for Intervention and Prevention of Suicide (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

Both psychological research in & statistical analysis of police suicide will produce a great level of understanding, but these should not lead to decisions about interventions & prevention programs. Once data has been collected, researchers should curb the use of statistics; the essential elements of all applied science are logic & common sense. This chapter […]

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 […]

Pathways of Adolescent Suicidal Behavior

This study addresses 3 questions on adolescent suicidal behaviour: 1) why do some adolescents with psychiatric disorders have a history of suicidal behaviours & some do not? 2) how do intrapsychic & interpersonal underpinnings of adolescent suicidal behaviours differ from patterns of similar behaviour among children & adults? 3) how do pathways of adolescent suicidal […]

Psychoanalysis and Suicide: Process and Typology(IN: Relating to Self-Harm and Suicide. Psychoanalytic Perspectives on Practice, Theory and Prevention, ed. by S Briggs, A Lemma and W Crouch)


Mental Pain, Pain-Producing Constructs, the Suicidal Body, and Suicide(IN: Relating to Self-Harm and Suicide. Psychoanalytic Perspectives on Practice, Theory and Prevention, ed. by S Briggs, A Lemma and W Crouch)


Transitions to, and Correlates of, Suicidal Ideation, Plans, and Unplanned and Planned Suicide Attempts Among 3,729 men and Women With Alcohol Dependence

Using a heuristic model of suicide ideation & behaviour, the 2 objectives of this study were to identify correlates of unique suicide-related outcomes & specific transitions from one suicide-related category to the next. Analyses were conducted with data from the Collaborative Study on the Genetics of Alcoholism. There were 3,729 subjects, all 18 years & […]