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Distinguishing suicide ideation from suicide attempts: Further test of the integrated motivational-volitional model of suicidal behavior

Journal of Psychiatric Research Jul 31, 2019

Branley-Bell D, et al. - Considering the importance of research into the factors that distinguish between suicide ideation and an actual suicide attempt, researchers examined core views of the Integrated Motivational-Volitional Model of suicidal behavior (IMV, O’Connor and Kirtley, 2018) which says factors in the volitional phase drive the transition from contemplating to attempting suicide. They conducted a face-to-face interview with 299 adults and seperated them to groups based on their suicidal history: Suicide attempt group (N = 100), suicide ideation group (N = 105), and a control group (N = 94). They obtained measures at baseline, at 1-month and 6-months follow-up. A higher capability for suicide, a higher likelihood of having a family member or friend who had self-injured or attempted suicide, and greater impulsivity correlated with having attempted suicide. At baseline, defeat and entrapment were significantly predictive of ideation, and as per mediation analyses, there was an indirect effect of defeat on ideation through entrapment at baseline and at 1-month follow-up. In support of the IMV model, the results emphasize routinely including entrapment in suicide risk assessments.

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