Suicide and Life-Threatening Behavior最新文献_第10页

Back to the roots of perceived burdensomeness: The potential role of perceived contribution. 回到感知负担的根源：感知贡献的潜在作用。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-06-20 DOI: 10.1111/sltb.13107

Ryan M Hill, Raymond P Tucker, Tyler Hendley, Austin Starkey, Jeremy W Pettit

{"title":"Back to the roots of perceived burdensomeness: The potential role of perceived contribution.","authors":"Ryan M Hill, Raymond P Tucker, Tyler Hendley, Austin Starkey, Jeremy W Pettit","doi":"10.1111/sltb.13107","DOIUrl":"10.1111/sltb.13107","url":null,"abstract":"Background: The Interpersonal-Psychological Theory of Suicide (IPTS), identifies perceived burdensomeness as a critical factor in the development of suicidal ideation. Measurement of perceived burdensomeness using the INQ in research has predominantly focused on liability toward others. Recent studies have demonstrated the role of perceived contribution toward others as an aspect of perceived burdensomeness. This study proposes a hypothesized transactional model of perceived burdensomeness, in which perceived burdensomeness can be viewed as the balance between perceived contributions and perceived liability to others.Method: Participants (n = 1112) were college students (M age = 18.86 years, SD = 1.50) who completed survey measures. Participants were predominantly cisgender women (73.6%), heterosexual (78.8%), and white (58.3%).Results: Perceived contribution was negatively associated with perceived burdensomeness, suicidal ideation, and psychological pain after controlling for perceived liability. Further, the difference between perceived contributions and perceived liability accounted for variability in suicidal ideation after controlling for INQ perceived burdensomeness.Discussion: The inclusion of perceived contribution as an element of perceived burdensomeness may offer new opportunities for clinical formulation and intervention. Future research is needed to further evaluate the proposed transactional model of perceived burdensomeness.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1029-1040"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlates of dangerous firearm storage among a representative sample of firearm owners across nine states. 九个州具有代表性的枪支拥有者样本中危险枪支存储的相关因素。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-18 DOI: 10.1111/sltb.13116

Jayna Moceri-Brooks, Jennifer Paruk, Daniel Semenza, Michael D Anestis

{"title":"Correlates of dangerous firearm storage among a representative sample of firearm owners across nine states.","authors":"Jayna Moceri-Brooks, Jennifer Paruk, Daniel Semenza, Michael D Anestis","doi":"10.1111/sltb.13116","DOIUrl":"10.1111/sltb.13116","url":null,"abstract":"Objective: To identify demographic and behavioral correlates of dangerous firearm storage (i.e., unlocked and loaded) among firearm owners in nine states.Methods: Online survey data from the probability-based sample were collected using Ipsos Knowledge Panel. Participants were adults residing in nine states across the United States (n = 7785).Results: Nearly one third of the firearm owners within the sample stored at least one of their firearms unlocked and loaded. Greater threat sensitivity was associated with dangerous firearm storage. Established firearm owners who purchased an additional firearm during the firearm purchasing surge (2020-2021) had increased odds of storing at least one firearm unlocked and loaded. Those who had direct exposure to firearm violence and those whose primary reason for having a firearm at home was protection also had increased odds of storing at least one firearm unlocked and loaded.Conclusions: The results contribute to the literature on firearm storage tendencies, highlighting correlates of dangerous firearm storage within the home related to perceptions of threat and direct experiences with firearm violence. Implications include the need for broad public education on the value of secure storage targeted toward to those who have an elevated perception of danger and have been personally exposed to firearm violence.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1113-1122"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Entrapment in the military context: Factor structure and associations with suicidal thoughts and behaviors. 军事背景下的诱捕：因素结构以及与自杀想法和行为的关联。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-08-13 DOI: 10.1111/sltb.13105

Justin C Baker, Sam Cacace, Robert J Cramer, Susan Rasmussen, Christiana Martin, Alexis M May, Cynthia Thomsen, AnnaBelle O Bryan, Craig J Bryan

{"title":"Entrapment in the military context: Factor structure and associations with suicidal thoughts and behaviors.","authors":"Justin C Baker, Sam Cacace, Robert J Cramer, Susan Rasmussen, Christiana Martin, Alexis M May, Cynthia Thomsen, AnnaBelle O Bryan, Craig J Bryan","doi":"10.1111/sltb.13105","DOIUrl":"10.1111/sltb.13105","url":null,"abstract":"Background: Improved understanding of how US service members transition from chronic/baseline to acute suicide risk is warranted. One such model, the Integrated Motivational Volitional Model of Suicide, posits entrapment as central to this process. However, entrapment has not been extensively investigated within military populations.Methods: This study examines the factor structure, reliability, and predictive validity of the Entrapment Scale (E-Scale) within a military population. Exploratory structural equation modeling (SEM) and confirmatory factor analysis compared one- versus two-factor structures of the E-Scale. Autoregressive SEM assessed if E-Scale scores predicted suicidal ideation and suicide attempt likelihood at 6- and 12-month follow-up, and examined whether the impact of entrapment was moderated by social support (i.e., appraisal, tangible, and belonging).Results: Results favored a two-factor solution (external and internal) of entrapment. The relationship between entrapment and suicide outcomes was moderated by perceived social support but in unexpected directions. Unexpectedly, social support strengthened the relationship between external entrapment and suicide outcomes for most models. Only tangible support moderated the relationship between internal entrapment (IE) and suicide outcomes as predicted.Conclusions: IE is linked with suicidal ideation in the short-term, whereas external entrapments relationship with suicide outcomes may reflect more persistent social challenges for military members.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1006-1028"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Communicating the science of suicide prevention: A call to action for psychologists. 传播预防自杀的科学知识：呼吁心理学家行动起来。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-10 DOI: 10.1111/sltb.13114

Allison E Bond, Taylor R Rodriguez, Shelby L Bandel, Jessica L Hamilton, Simone I Boyd, Kathryn Gordon, Michael D Anestis

{"title":"Communicating the science of suicide prevention: A call to action for psychologists.","authors":"Allison E Bond, Taylor R Rodriguez, Shelby L Bandel, Jessica L Hamilton, Simone I Boyd, Kathryn Gordon, Michael D Anestis","doi":"10.1111/sltb.13114","DOIUrl":"10.1111/sltb.13114","url":null,"abstract":"Introduction: Suicide is a major public health concern within the United States, and prevention efforts are essential for decreasing the suicide rate. Researchers and clinicians have knowledge and effective treatments for preventing suicide; however, their impact is limited to those with access to services. Science Communication (SciComm) is an effective tool that can be integrated into the field of suicide prevention and can bridge the gap between scientific findings and the general population. SciComm can help disseminate evidence-based strategies for suicide prevention, dispel misinformation on suicide, and normalize help-seeking.Purpose: In this article, we propose specific, tangible ways that SciComm can be integrated into graduate school programs, mentorship, career advancement requirements and can help enact systemic change within the field of suicide prevention. Additionally, we discuss why it is important that the field of suicide prevention, specifically, adopts a SciComm framework. Embracing SciComm can help the field of suicide prevention to have a broader impact and can help to reduce rates of suicide.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1092-1100"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Culturally tailoring a secondary suicide prevention intervention for American Indian and Alaska Native people in substance use treatment. 针对接受药物使用治疗的美国印第安人和阿拉斯加原住民，从文化角度制定二级自杀预防干预措施。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-06-28 DOI: 10.1111/sltb.13098

Kelley J Jansen, Adam Livengood, Richard Ries, Katherine Anne Comtois, Dustin M Bergerson, Juli Skinner, Jennifer L Shaw

{"title":"Culturally tailoring a secondary suicide prevention intervention for American Indian and Alaska Native people in substance use treatment.","authors":"Kelley J Jansen, Adam Livengood, Richard Ries, Katherine Anne Comtois, Dustin M Bergerson, Juli Skinner, Jennifer L Shaw","doi":"10.1111/sltb.13098","DOIUrl":"10.1111/sltb.13098","url":null,"abstract":"Background: Substance use treatment programs are ideal places for suicide prevention interventions. People who misuse substances are at elevated risk for suicide compared to the general population. However, most treatment programs do not incorporate suicide prevention, and none have been adapted for American Indian and Alaska Native (AI/AN) people. Preventing Addiction Related Suicide (PARS) is a suicide prevention module developed for use with people in treatment for substance misuse. A previous study demonstrated increased suicide help-seeking among this population.Objective: Culturally adapt PARS for use with AI/AN communities.Methods: We conducted focus groups and interviews with stakeholders in three Tribal health systems. We elicited feedback on PARS content, structure, and implementation. Data were analyzed using constant comparison. Results were used to adapt PARS and member checking was used to refine it.Results: Participants unanimously endorsed using PARS in their health systems. Suggested adaptations included shortening the module, using community-specific information, removing jargon and stigmatizing language, and emphasizing cultural connectedness.Discussion: This community-based, qualitative study adapted the PARS module for use with AI/AN communities. Research is needed to evaluate the clinical effectiveness of the adapted module. If found effective, this would represent the first evidence-based suicide prevention intervention among AI/AN individuals in treatment for substance misuse.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"949-971"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improved insomnia is one pathway underlying the anti-suicidal properties of clozapine. 改善失眠是氯氮平具有抗自杀特性的一个途径。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-06-07 DOI: 10.1111/sltb.13099

Ankita Vayalapalli, William V McCall, Joseph P McEvoy, Brian J Miller

{"title":"Improved insomnia is one pathway underlying the anti-suicidal properties of clozapine.","authors":"Ankita Vayalapalli, William V McCall, Joseph P McEvoy, Brian J Miller","doi":"10.1111/sltb.13099","DOIUrl":"10.1111/sltb.13099","url":null,"abstract":"Background: Insomnia is common in schizophrenia and associated with suicide. Clozapine has anti-suicidal properties and beneficial effects on sleep. Whether effects on insomnia mediate the anti-suicidal properties of clozapine remains unclear.Methods: In n = 76 patients from the Clinical Antipsychotic Trials of intervention effectiveness schizophrenia trial using a within-subjects design, we investigated whether improvement in terminal insomnia was associated with improvement in suicidal ideation (SI) after treatment with non-clozapine antipsychotics, and then after treatment with clozapine, using binary logistic regression. Terminal insomnia and SI over the past 2 weeks were assessed before and after both non-clozapine antipsychotic and clozapine treatment with the Calgary Depression Scale for Schizophrenia.Results: There was no association between improved terminal insomnia and resolution of SI after treatment with non-clozapine antipsychotics (OR = 0.2, 95% CI 0.0-9.0, p = 0.41). In the same patients, improved terminal insomnia was associated with resolution of SI after clozapine treatment (OR = 14.6, 95% CI 1.7-129.2, p = 0.02).Conclusions: Improved terminal insomnia is associated with improved SI following clozapine treatment. Findings warrant replication in a larger sample with standard instruments in the assessment of insomnia and suicide, but suggest beneficial effects on sleep as a mediator of the anti-suicidal properties of clozapine. Future mechanistic studies are also needed.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"972-981"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emotional reactivity and past self-injurious behavior moderate the association between trauma exposure and fearlessness about death. 情绪反应和过去的自伤行为会调节创伤暴露与对死亡的恐惧之间的关系。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-11 DOI: 10.1111/sltb.13112

Anna D Stumps, Nadia Bounoua, Ana E Sheehan, Naomi Sadeh

{"title":"Emotional reactivity and past self-injurious behavior moderate the association between trauma exposure and fearlessness about death.","authors":"Anna D Stumps, Nadia Bounoua, Ana E Sheehan, Naomi Sadeh","doi":"10.1111/sltb.13112","DOIUrl":"10.1111/sltb.13112","url":null,"abstract":"Introduction: As suicide remains a global public health concern, recent work has sought to characterize mechanisms underlying the transition from suicidal ideation to action. Acquired capability for suicide, or fearlessness about death, has been identified as one key factor underlying this transition; however, understanding how this capability emerges remains limited. This study sought to extend previous work on the correlates of fearlessness about death by examining its relationship with painful and provocative events and emotional reactivity.Methods: We tested the extent to which trait emotional reactivity and past self-injurious behavior moderated the relationship between assaultive trauma exposure and fearlessness about death in a diverse sample of 273 community adults (aged 18-55, M/SD = 32.77/10.78).Results: A three-way interaction emerged, such that among individuals with heightened emotional reactivity and a history of self-injurious behavior (suicide attempt or non-suicidal self-injury), assaultive trauma was associated with increased fearlessness about death. In contrast, among adults with low emotional reactivity and a history of self-injurious behavior, assaultive trauma was associated with reduced fearlessness about death.Conclusions: Results suggest that emotional reactivity may be a key dispositional factor that influences how trauma exposure and self-injurious behavior impact fearlessness about death.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1072-1082"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beliefs about mental health treatment, treatment initiation, and suicidal behaviors among veterans and service members at-risk for suicide and not in treatment. 有自杀风险但未接受治疗的退伍军人和现役军人对心理健康治疗、开始治疗和自杀行为的看法。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-15 DOI: 10.1111/sltb.13113

Nicole A Short, Nicholas P Allan, Lisham Ashrafioun, Tracy Stecker

{"title":"Beliefs about mental health treatment, treatment initiation, and suicidal behaviors among veterans and service members at-risk for suicide and not in treatment.","authors":"Nicole A Short, Nicholas P Allan, Lisham Ashrafioun, Tracy Stecker","doi":"10.1111/sltb.13113","DOIUrl":"10.1111/sltb.13113","url":null,"abstract":"Introduction: Previous research has identified a variety of barriers to mental health care among military personnel and veterans, despite high rates of mental health symptoms. The current study is the first to examine beliefs about mental health treatment barriers among post-9/11 military personnel and veterans at elevated suicide risk not involved in treatment and whether these beliefs are associated with treatment initiation, engagement, or suicidal behaviors.Methods: Four hundred and twenty-two participants reported on beliefs about treatment during a cognitive behavioral treatment session and responded to follow-up questionnaires on mental health treatment initiation, engagement, and suicidal behaviors over 12 months. Beliefs identified in the therapy session were coded thematically, and rates of treatment initiation, engagement, and suicidal behavior were examined by belief category.Results: Nine belief themes emerged. Participants reporting logistical barriers and preferences about treatment type were least likely to initiate mental health treatment and participated in the fewest number of sessions, respectively. Participants endorsing beliefs about stigma or using other ways to cope were most likely to engage in suicidal behavior.Conclusions: The current findings point to specific beliefs that may identify individuals who would benefit from systemic and individual interventions for mental health treatment engagement.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"1083-1091"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suicidal ambivalence: A scoping review. 自杀的矛盾心理：范围界定综述。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-05-06 DOI: 10.1111/sltb.13092

Tobias Teismann, Annika Maria Siebert, Thomas Forkmann

{"title":"Suicidal ambivalence: A scoping review.","authors":"Tobias Teismann, Annika Maria Siebert, Thomas Forkmann","doi":"10.1111/sltb.13092","DOIUrl":"10.1111/sltb.13092","url":null,"abstract":"Background: Suicidal ambivalence is considered a characteristic condition of suicidal individuals. At the same time, there is a lack of a uniform definition, conception and assessment of suicidal ambivalence. On this background, the current scoping review aims to explore the extent, range, and nature of research activity on suicidal ambivalence and to summarize research findings.Methods: A systematic literature search was conducted in four different databases (PubMed, Psychinfo, Web of Science, and Google Scholar) using an array of search terms (e.g., ambivalence, internal suicide debate, reasons for living and reasons for dying, wish to live and wish to die).Results: In total, 28 articles published between 1977 and 2023 were included in the scoping review. The study situation lacks a clear definition, conceptualization and operationalization of suicidal ambivalence. Nonetheless, suicidal ambivalence is a common experience in persons contemplating suicide and suicidal ambivalence seems to be present before, during and after a suicide attempt. Suicidal ambivalence is associated with diverse markers of negative/positive mental health as well as suicidal ideation and behavior.Conclusion: Results point to the relevance of suicidal ambivalence. At the same time, there are large gaps in knowledge about the development, impact and therapeutic responsiveness of suicidal ambivalence.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"802-813"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The end of ambivalence. A narrative perspective on ambivalence in the suicidal process. 矛盾心理的终结。从叙事角度看自杀过程中的矛盾心理。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-06-07 DOI: 10.1111/sltb.13101

Dariusz Galasiński, Justyna Ziółkowska

{"title":"The end of ambivalence. A narrative perspective on ambivalence in the suicidal process.","authors":"Dariusz Galasiński, Justyna Ziółkowska","doi":"10.1111/sltb.13101","DOIUrl":"10.1111/sltb.13101","url":null,"abstract":"Introduction: Suicidal ambivalence is a recognized phenomenon in suicidology, yet not much is known about it in the context of progression from suicidal ideation to action. The current study addresses this gap. We explore narrative dynamics of suicidal ambivalence in stories about transition from suicidal ideation to action.Methods: We employ an experiential qualitative approach to gain in-depth understanding of narrated experience of suicidal ambivalence. We conducted semi-structured interviews with 22 patients hospitalized after a suicide attempt. For a detailed analysis, we selected 11 interviews in which the interviewees' accounts spontaneously referred to their ambivalence about attempting suicide. We used a text-oriented version of Critical Discourse Studies (CDS) to analyze the semantics and syntax, as well as the functions of what was said within the local context, and the social actions thus accomplished.Results: Our study shows primarily that ambivalence is not resolved. Rather, it is set aside and removed from the narrative and replaced by an action-focused narrative with no references to mental activities.Conclusion: We propose that ambivalence recedes and gives way to action and that qualitative research provides a useful evidence base for conceptualizing and understanding the role of ambivalence in transition from suicidal ideation to action.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"888-899"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0