Predictors of Suicide Risk: Capability, Reasons, and Identification
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2010
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ndltd-OhioLink-oai-etd.ohiolink.edu-toledo12788566752021-08-03T06:07:48Z Predictors of Suicide Risk: Capability, Reasons, and Identification Kene, Prachi Psychology Suicide Acquired Capability Reasons for Attempting Suicide Implicit Attitude Implicit Identification Inpatient Psychiatric Setting A completed suicide is one of the most dreaded outcomes in the field of mental health. Although a variety of empirical suicide risk and protective factors have been identified, there is paucity of data regarding the role of theory-driven constructs. The present study examined the role of theoretical constructs – acquired capability for suicide, reasons for attempting suicide (internal perturbation based reasons vs. extrapunitive/manipulative reasons), implicit identification with self-injury, and implicit attitude towards self-injury. Suicide ideation, clinician-judgment of suicide risk, observation level, and lethality served as criterion variables. Participants were 100 forensic and civil inpatients at three psychiatric hospitals. A history of attempted suicide was very common in this sample. All patients completed the self-report measures and Self-Injury Implicit Association Test. A chart review was conducted for all patients to complete the Suicide Assessment Checklist and Lethality of Suicide Attempt Rating Scale and to identify patient’s observation level during the four weeks prior to the survey date. As predicted, acquired capability for suicide was significantly associated with clinician judgment of suicide risk, observation level, and lethality. In contrast to the expected trend, acquired capability was significantly associated with suicide ideation. Internal perturbation based reasons were significantly associated with suicide ideation, clinician judgment of suicide risk, and patient’s observation level. As predicted, extrapunitive/manipulative reasons were not significantly associated with suicide risk. Depression and hopelessness were unrelated to lethality. Regression analyses indicated that the acquired capability was a particularly useful predictor of suicide ideation, clinician judgment of suicide risk, and lethality, independently of depression and hopelessness. Internal perturbation based reasons did not independently predict suicide risk after depression and hopelessness had been taken into account in the analysis. Axis I diagnosis and hopelessness were the only significant predictors of observation level. Attempters and non-attempters did not significantly differ with respect to implicit identification with self-injury and implicit attitude towards self-injury. Implications are presented for assessment of suicide risk, treatment of suicidality, and future research. 2010-09-08 English text University of Toledo / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=toledo1278856675 http://rave.ohiolink.edu/etdc/view?acc_num=toledo1278856675 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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language |
English |
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Psychology Suicide Acquired Capability Reasons for Attempting Suicide Implicit Attitude Implicit Identification Inpatient Psychiatric Setting |
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Psychology Suicide Acquired Capability Reasons for Attempting Suicide Implicit Attitude Implicit Identification Inpatient Psychiatric Setting Kene, Prachi Predictors of Suicide Risk: Capability, Reasons, and Identification |
author |
Kene, Prachi |
author_facet |
Kene, Prachi |
author_sort |
Kene, Prachi |
title |
Predictors of Suicide Risk: Capability, Reasons, and Identification |
title_short |
Predictors of Suicide Risk: Capability, Reasons, and Identification |
title_full |
Predictors of Suicide Risk: Capability, Reasons, and Identification |
title_fullStr |
Predictors of Suicide Risk: Capability, Reasons, and Identification |
title_full_unstemmed |
Predictors of Suicide Risk: Capability, Reasons, and Identification |
title_sort |
predictors of suicide risk: capability, reasons, and identification |
publisher |
University of Toledo / OhioLINK |
publishDate |
2010 |
url |
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1278856675 |
work_keys_str_mv |
AT keneprachi predictorsofsuicideriskcapabilityreasonsandidentification |
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