Mental disorders and beyond in the quest to understand suicide: A reply to Joiner and Robison

We reply to the thoughtful commentary by Joiner and Robison (this issue) about the documentary Robin’s Wish. Joiner and Robison suggest that a major depressive episode may have been a proximal cause of Robin Williams’ suicide, but that stigma surrounding mental illness led the documentary to eschew a role for depression. We find this perspective […]

Proximal correlates of suicidal ideation among transgender and gender diverse people: A preliminary test of the three-step theory

Introduction Transgender and gender diverse (TGD) people experience higher rates of suicidal ideation than their cisgender peers; however, very little is known about factors that proximally relate to suicidal ideation in this population. This limited understanding may be due to the lack of theory-guided studies that are capable of testing proximal correlates of suicidal ideation […]

Examining the Three-Step Theory (3ST) of suicide in a prospective study of adult psychiatric inpatients

This study examined the validity and predictive utility of Three-Step Theory (3ST) of Suicide in psychiatric patients. Participants were 190 consecutively admitted adult psychiatric inpatients (53% female; 60% Caucasian; ages 18–73) assessed at three time-points: baseline, 4 weeks later (n = 112), and 3 months post-discharge (n = 102). Results were broadly supportive of the 3ST. First, at baseline, an interactive […]

A test of the three-step theory of suicide among Chinese people: A study based on the ideation-to-action framework

The aim of this study was to test the Three-Step Theory (3ST) of suicide in a sample of college students in China (N = 1,097). All participants completed a battery of questionnaires indexing psychological pain, hopelessness, connectedness, suicide capacity, suicide ideation, and suicide attempt. The prevalence of suicide ideation and suicide attempt among the sample were 21.42% […]

An empirical test of the three-step theory of suicide in U.K. university students

The purpose of this study was to further our understanding of how individuals move down the pathway from first thinking about suicide to ultimately attempting to take their own lives by empirically testing the Three-Step Theory (3ST) in a sample of university students (n = 665). Results largely support the theory’s central propositions. First, an interactive model […]