A cognitive model of suicidal behavior: theory and treatment
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The Cognitive Model of Suicidal Behavior proposes that stress activates suicide schemas such as hopelessness and perceptions of unbearability, leading to maladaptive cognitive processing that could immediately precede a suicide crisis.
“Relatedly, the Cognitive Model of Suicidal Behavior proposes that stress activates suicide schemas such as hopelessness and perceptions of unbearability, leading to maladaptive cognitive processing (e.g., attentional fixation on suicide-related cues) that could immediately precede a suicide crisis (Wenzel & Beck, 2008).”
From Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks (2023) · cites this paper as Wenzel & Beck, 2008
Maladaptive cognitive processing could trigger a suicide crisis through attentional fixation on suicide-relevant information.
“maladaptive cognitive processing could trigger a suicide crisis through attentional fixation on suicide-relevant information, as, for instance, in the Cognitive Model of Suicidal Behavior (Wenzel & Beck, 2008).”
From Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks (2023) · cites this paper as Wenzel & Beck, 2008
All dispositional trait and state factors, such as biological, environmental, psychological, and neurocognitive factors, can increase vulnerability towards suicide by reducing individuals' control over their experiences.
“Our theoretical framework posits that all dispositional trait and state factors, such as biological, environmental, psychological, and neurocognitive factors (Wenzel and Beck, 2008; Brodsky and Mann, 2017), can increase vulnerability towards suicide by reducing individuals’ control over their experiences.”
From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Wenzel and Beck, 2008
The theoretical framework we present, as applied to suicide, has important advantages over theoretical models such as the Stress-diathesis model of suicide and a cognitive model of suicidal behavior.
“The theoretical framework we present, as applied to suicide, has important advantages over theoretical models such as the Stress-diathesis model of suicide (Brodsky and Mann, 2017) and a cognitive model of suicidal behavior (Wenzel and Beck, 2008).”
From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Wenzel and Beck, 2008
Theorists have postulated that some individuals experience a narrowing of attention (or "cognitive constriction"), only focusing on certain aspects of their experiences when they are feeling suicidal.
“Theorists have postulated that some individuals experience a narrowing of attention (or “cognitive constriction”), only focusing on certain aspects of their experiences when they are feeling suicidal (Shneidman, 1964; Johnson et al., 2008; Wenzel and Beck, 2008; Williams et al., 2016).”
From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Wenzel and Beck, 2008
The process of focusing on the goal to end one's life and having limited awareness of other goals may explain what is referred to as "tunnel vision" in anecdotal accounts of suicide attempts.
“The process of focusing on the goal to end one’s life and having limited awareness of other goals may explain what is referred to as “tunnel vision” in anecdotal accounts of suicide attempts (Wenzel and Beck, 2008).”
From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Wenzel and Beck, 2008
Suicidal individuals in the transition phase describe an all-embracing "focus on death"; to outsiders, the suicidal person may appear "zombie-like" rather than emotionally agitated, a "thousand yards stare" seems to characterize some.
“Suicidal individuals in the transition phase describe an all-embracing “focus on death” (31, 35, 67); to outsiders, the suicidal person may appear “zombie-like” rather than emotionally agitated (68), a “thousand yards stare” (69) seems to characterize some.”
From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [35]
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Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017) · Psychological Bulletin · doi:10.1037/bul0000084 · Cited by 3,784 · see citing works
The psychology of suicidal behaviour
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Predicting Risk of Suicide Attempts Over Time Through Machine Learning
Walsh, C. G., Ribeiro, J. D., & Franklin, J. C. (2017) · Clinical Psychological Science · doi:10.1177/2167702617691560 · Cited by 571 · see citing works
“Given the substantial overlap between risk factors for these behaviors and suicidal behaviors (Fox et al., 2015; Franklin et al., 2017; Neeleman, 2001; Wenzel & Beck, 2008), we expected this control group to provide a rigorous test of ML algorithm performance.”
BackgroundTowards an integrated motivational–volitional model of suicidal behaviour
O'connor, R. C. (2011) · International Handbook of Suicide Prevention · doi:10.1002/9781119998556.ch11 · Cited by 552 · see citing works
Suicidal ideation in transgender people: Gender minority stress and interpersonal theory factors.
Testa, R. J., Michaels, M. S., Bliss, W., Rogers, M. L., Balsam, K. F., & Joiner, T. (2017) · Journal of Abnormal Psychology · doi:10.1037/abn0000234 · Cited by 455 · see citing works
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Bentley, K. H., Franklin, J. C., Ribeiro, J. D., Kleiman, E. M., Fox, K. R., & Nock, M. K. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.11.008 · Cited by 422 · see citing works
“Prominent theories of suicide (e.g., Baumeister, 1990; Joiner, 2005; Wenzel & Beck, 2008) also either directly address anxiety and/or are consistent with findings implicating the role of acute anxiety/agitation in suicidal behavior.”
BackgroundResultLife events and suicidal ideation and behavior: a systematic review
Liu, R. T., & Miller, I. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.01.006 · Cited by 324 · see citing works
“Moreover, life stressors feature prominently in several etiological theories of suicide (e.g., Hawton, Saunders, & O'Connor, 2012; Joiner, 2005; Mann, Waternaux, Haas, & Malone, 1999, Mann et al., 2005; O'Connor, Rasmussen, & Hawton, 2012; Wenzel & Beck, 2008).”
Attentional bias toward suicide-related stimuli predicts suicidal behavior
Cha, C. B., Najmi, S., Park, J. M., Finn, C. T., & Nock, M. K. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0019710 · Cited by 303 · see citing works
“Wenzel and Beck (2008) proposed that suicide-specific attentional bias—in 1We acknowledge that the term “cognitive marker” also is appropriate here, but use “behavioral marker” because we operationalized cognitive factors using objective, behavioral measures.”
The cultural theory and model of suicide
Chu, J. P., Goldblum, P., Floyd, R., & Bongar, B. (2010) · Applied and Preventive Psychology · doi:10.1016/j.appsy.2011.11.001 · Cited by 279 · see citing works
Predicting suicide attempts in adolescents with longitudinal clinical data and machine learning
Walsh, C. G., Ribeiro, J. D., & Franklin, J. C. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12916 · Cited by 264 · see citing works
Horwitz, A. G., Czyz, E. K., & King, C. A. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.910789 · Cited by 207 · see citing works
Liu, R. T., Trout, Z. M., Hernandez, E. M., Cheek, S. M., & Gerlus, N. (2017) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2017.09.019 · Cited by 201 · see citing works
“Furthermore, it is among the most widely studied constructs in relation to suicide (Wenzel and Beck, 2008), and has been similarly much studied in the context of NSSI (Hamza et al., 2015).”
Miranda, R., Gallagher, M., Bauchner, B., Vaysman, R., & Marroquín, B. (2012) · Depression and Anxiety · doi:10.1002/da.20915 · Cited by 159 · see citing works
“Wenzel and Beck suggest that this type of cognitive constriction, which they describe as a preoccupation with suicide as a solution, may transact with hopelessness to increase risk for future suicidal thoughts and behavior.[29] One way in which cognitive inflexibility may contribute to suicidal ideation is by increasi…”
BackgroundFlett, G. L., Hewitt, P. L., & Heisel, M. J. (2014) · Review of General Psychology · doi:10.1037/gpr0000011 · Cited by 155 · see citing works
“Wenzel and Beck (2008) also empha- T hi s do cu m en t is co py ri gh te d by th e A m er ic an Ps yc ho lo gi ca l A ss oc ia tio n or on e of its al lie d pu bl is he rs .”
Kliem, S., Lohmann, A., Mößle, T., & Brähler, E. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1559-9 · Cited by 141 · see citing works
Czyz, E. K., Horwitz, A. G., Arango, A., & King, C. A. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12974 · Cited by 130 · see citing works
“…uthor M anuscript A uthor M anuscript A uthor M anuscript Our focus on hopelessness, defined as negative expectations about the future, is guided by a cognitive framework (Wenzel & Beck, 2008) wherein hopelessness is conceptualized as both central and proximal to the emergence of suicidal ideation.”
Cognitive inflexibility and suicidal ideation: Mediating role of brooding and hopelessness
Miranda, R., Valderrama, J., Tsypes, A., Gadol, E., & Gallagher, M. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.02.033 · Cited by 129 · see citing works
“Wenzel and Beck (2008) suggest a cognitive model of suicidality in which suicidal individuals exhibit a narrowing of attentional focus, such that suicide is perceived as the only solution to their distress.”
BackgroundResultInfluentialPsychological Models of Suicide
Barzilay, S., & Apter, A. (2014) · Archives of Suicide Research · doi:10.1080/13811118.2013.824825 · Cited by 131 · see citing works
“Wenzel and Beck (2008) formulated a comprehensive model of suicide wherein the interaction among three main constructs lead to suicidal act: dispositional vulnerability factors, cognitive processes associated with psychiatric disturbance, and cognitive processes associated with suicidal acts.”
BackgroundGlenn, C. R., Kleiman, E. M., Cha, C. B., Deming, C. A., Franklin, J. C., & Nock, M. K. (2017) · Depression and Anxiety · doi:10.1002/da.22686 · Cited by 128 · see citing works
“…that fall within the Negative Valence Systems domain (e.g., hopelessness, rumination) and have been linked to several suicide theories (Abramson et al., 2002; Joiner, 2005; Wenzel & Beck, 2008), whereas much less research has focused on the Positive Valence Systems domain (e.g., reward learning).”
BackgroundGlenn, C. R., Cha, C. B., Kleiman, E. M., & Nock, M. K. (2017) · Clinical Psychological Science · doi:10.1177/2167702616686854 · Cited by 113 · see citing works
Fulginiti, A., Rhoades, H., Mamey, M. R., Klemmer, C., Srivastava, A., Weskamp, G., & Goldbach, J. T. (2021) · Journal of Youth and Adolescence · doi:10.1007/s10964-020-01354-3 · Cited by 112 · see citing works
“Relatedly, scholars offer varied reasons that hopelessness functions as a near-term suicide precipitant, such as cognitive constriction that can result in an inability to see that suicide is not the only solution (Wenzel and Beck 2008).”
BackgroundChildhood Maltreatment and Impulsivity: A Meta-Analysis and Recommendations for Future Study
Liu, R. T. (2018) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-018-0445-3 · Cited by 113 · see citing works
Executive function and suicidal risk in women with Borderline Personality Disorder
LeGris, J., Links, P. S., van Reekum, R., Tannock, R., & Toplak, M. E. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2011.10.008 · Cited by 112 · see citing works
Chatard, A., & Selimbegović, L. (2011) · Journal of Personality and Social Psychology · doi:10.1037/a0022461 · Cited by 107 · see citing works
Stress, cortisol and suicide risk
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Cognition and self-injurious thoughts and behaviors: a systematic review of longitudinal studies
Cha, C. B., Wilson, K. M., Tezanos, K. M., DiVasto, K. A., & Tolchin, G. K. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.07.002 · Cited by 94 · see citing works
Tucker, R. P., Crowley, K. J., Davidson, C. L., & Gutierrez, P. M. (2015) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12161 · Cited by 95 · see citing works
Burke, T. A., Connolly, S. L., Hamilton, J. L., Stange, J. P., Abramson, L. Y., & Alloy, L. B. (2016) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-015-0104-x · Cited by 92 · see citing works
“According to this cognitive model of suicide, suicidal acts occur when an individual reaches his or her threshold for tolerating the pain associated with a suicidal crisis (Wenzel and Beck 2008).”
BackgroundInfluentialRogers, M. L., & Joiner, T. E. (2018) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2017.12.017 · Cited by 86 · see citing works
Work and suicide: An interdisciplinary systematic literature review
Howard, M. C., Follmer, K. B., Smith, M. B., Tucker, R. P., & Zandt, E. C. V. (2021) · Journal of Organizational Behavior · doi:10.1002/job.2519 · Cited by 89 · see citing works
“Psychache is being denied essential human needs that produces a cognitive state of “constriction,” such that people are unable to identify effective methods to reduce their psychache (Shneidman, 1998; Wenzel & Beck, 2008).”
BackgroundFrom the outside looking in: Sense of belonging, depression, and suicide risk
Fisher, L. B., Overholser, J. C., Ridley, J., Braden, A., & Rosoff, C. (2015) · Psychiatry · doi:10.1080/00332747.2015.1015867 · Cited by 98 · see citing works
Tucker, R. P., O’Connor, R. C., & Wingate, L. R. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1158682 · Cited by 75 · see citing works
“…to be tested, including the Interpersonal Theory of Suicide (ITS; Joiner, 2005; Van Orden et al., 2010), the cognitive model of suicidal behavior (Wenzel & Beck, 2008), and an ideation to action framework of understanding Archives of Suicide Research, 20:553–566, 2016 Copyright # International…”
BackgroundPeer victimization and suicidal ideation: The role of gender and depression in a school-based sample
Fredrick, S. S., & Demaray, M. K. (2018) · Journal of School Psychology · doi:10.1016/j.jsp.2018.02.001 · Cited by 76 · see citing works
Kleiman, E. M., Glenn, C. R., & Liu, R. T. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2019.1666400 · Cited by 68 · see citing works
“For example, both Beck’s (Wenzel & Beck, 2008) and Alloy and Abramson’s (Abramson et al., 2000) theories of suicide propose trait-like dispositions (i.e., cognitive vulnerabilities) that confer risk for suicide only when activated by the occurrence of stressors in everyday life, leading to…”
BackgroundBloch‐Elkouby, S., Gorman, B. S., Lloveras, L. B., Wilkerson, T., Schuck, A., Barzilay, S., Calati, R., Schnur, D. B., & GALYNKER, I. I. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.08.088 · Cited by 71 · see citing works
Moore, F. R., Doughty, H., Neumann, T., McClelland, H., Allott, C., & O’Connor, R. C. (2022) · EClinicalMedicine · doi:10.1016/j.eclinm.2022.101307 · Cited by 73 · see citing works
Rogers, M. L., & Joiner, T. E. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000373 · Cited by 71 · see citing works
Leavey, K., & Hawkins, R. M. F. (2017) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1332095 · Cited by 69 · see citing works
“Wenzel and Beck (2008) proposed a cognitive model of suicidal behaviour, which highlights the role of hopelessness and attentional fixation in suicide risk (with the conclusion that suicide is the only option to the current problems), alongside predisposing vulnerabilities such as psychiatric…”
BackgroundKliem, S., Lohmann, A., Mößle, T., & Brähler, E. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1646-6 · Cited by 69 · see citing works
“In their cognitive model of suicidal behavior Wenzel and Beck [5] acknowledge the crucial role of hopelessness in the context of suicide.”
BackgroundAlarcón, G., Sauder, M., Teoh, J. Y., Forbes, E. E., & Quevedo, K. (2019) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2018.06.036 · Cited by 66 · see citing works
Cognitive control deficits differentiate adolescent suicide ideators from attempters
Stewart, J. G., Glenn, C. R., Esposito, E. C., Cha, C. B., Nock, M. K., & Auerbach, R. P. (2017) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.16m10647 · Cited by 67 · see citing works
The Integrated Motivational‐Volitional Model of Suicidal Behavior
O’Connor, R. C., Cleare, S., Eschle, S., Wetherall, K., & Kirtley, O. J. (2016) · doi:10.1002/9781118903223.ch13 · Cited by 66 · see citing works
“Some models, such as suicide as escape from self (Baumeister, 1990), have focused on a single driving motivation (i.e., escape); others, for example, the cognitive model of suicidal behavior (Wenzel & Beck, 2008), have attended to a specific domain of risk (e.g., cognition).”
BackgroundSocially Aware Synthetic Data Generation for Suicidal Ideation Detection Using Large Language Models
Ghanadian, H., Nejadgholi, I., & Osman, H. A. (2024) · IEEE Access · doi:10.1109/access.2024.3358206 · Cited by 68 · see citing works
“Psychological theories and frameworks such as the interpersonal theory of suicide [27], the cognitive model of suicidal behavior [28], and the social-ecological model [29] provide a theoretical foundation for understanding the complex interplay between individual vulnerabilities and environmental…”
Backgroundvon Glischinski, M., Teismann, T., Prinz, S., Gebauer, J. E., & Hirschfeld, G. H. F. (2016) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2007 · Cited by 65 · see citing works
Barnes, S. M., Bahraini, N. H., Forster, J. E., Stearns‐Yoder, K. A., Hostetter, T. A., Smith, G., Nagamoto, H. T., & Nock, M. K. (2017) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12265 · Cited by 64 · see citing works
Meza, J. I., Owens, E. B., & Hinshaw, S. P. (2020) · Development and Psychopathology · doi:10.1017/s0954579420000553 · Cited by 60 · see citing works
“…interpersonal theory (Joiner, 2005), clinical-biological models (Mann et al., 2009; Mann, Waternaux, Haas, & Malone, 1999), cognitive theories (Wenzel & Beck, 2008), and diathesis-stress theory (van Heeringen, 2012; for reviews of theories, see Barzilay & Apter, 2014; and O’Connor & Nock,…”
Cramer, R. J., Rasmussen, S. A., & Tucker, R. P. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.112550 · Cited by 60 · see citing works
Use of the modified emotional Stroop task to detect suicidality in college population
Chung, Y., & Jeglic, E. L. (2016) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12174 · Cited by 57 · see citing works
“According to the cognitive model, individuals with suicide ideation show negative information processing bias that makes them prone to show attentional fixation on suicide-related cues (Wenzel & Beck, 2008).”
BackgroundMethodRogers, M. L., Gallyer, A. J., & Joiner, T. E. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.03.031 · Cited by 57 · see citing works
Does social media use confer suicide risk? A systematic review of the evidence
Macrynikola, N., Auad, E., Menjivar, J., & Miranda, R. (2021) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2021.100094 · Cited by 57 · see citing works
Czyz, E. K., Koo, H. J., Al‐Dajani, N., King, C. A., & Nahum-Shani, I. (2021) · Psychological Medicine · doi:10.1017/s0033291721005006 · Cited by 53 · see citing works
“…selected based on theoretical considerations and clinical relevance (Bandura, 1977; Klonsky & May, 2015; Rudd et al., 2006; Shneidman, 1993; Van Orden et al., 2010; Wenzel & Beck, 2008) and were assessed via electronic surveys each day over the course of 1 month after psychiatric hospitalization.”
BackgroundIntegrating a functional view on suicide risk into idiographic statistical models
Kaurin, A., Dombrovski, A. Y., Hallquist, M. N., & Wright, A. G. C. (2021) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.104012 · Cited by 53 · see citing works
Predictors of sleep quality in medical students during COVID-19 confinement
Saguem, B. N., Nakhli, J., Romdhane, I., & Nasr, S. B. (2022) · L'Encéphale · doi:10.1016/j.encep.2021.03.001 · Cited by 52 · see citing works
Real-Time Monitoring of Non-linear Suicidal Dynamics: Methodology and a Demonstrative Case Report
Fartacek, C., Schiepek, G. K., Kunrath, S., Fartacek, R. R., & Plöderl, M. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00130 · Cited by 50 · see citing works
“Moreover, the data may give insights into activities that may benefit patients’ emotional well-being and thus support an experience of self-efficacy and encourage self-management skills (Wichers et al., 2011) that might lead to a reduction in hopelessness (Wenzel and Beck, 2008).”
BackgroundPolanco-Roman, L., Gomez, J., Miranda, R., & Jeglic, E. L. (2016) · Cognitive Therapy and Research · doi:10.1007/s10608-016-9782-0 · Cited by 47 · see citing works
“…risk factor for suicidal behavior (Kessler et al. 2005; Nock et al. 2008), cognitive models of depression have expanded to elucidate risk for suicidal thoughts and behavior by suggesting that cognitive vulnerabilities interact with stressful events to yield a suicidal crisis (Wenzel and Beck 2008).”
BackgroundResultInfluentialTesting mood-activated psychological markers for suicidal ideation
Cha, C. B., O'Connor, R. C., Kirtley, O., Cleare, S., Wetherall, K., Eschle, S., Tezanos, K. M., & Nock, M. K. (2018) · Journal of Abnormal Psychology · doi:10.1037/abn0000358 · Cited by 47 · see citing works
“According to the Cognitive Model of Suicide (Wenzel & Beck, 2008), suicidal individuals have a particular difficulty inhibiting suicide-related thought content as a result of an activated suicide schema (i.e., trait hopelessness, unbearability).”
MethodRoeder, K. M., & Cole, D. A. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12508 · Cited by 47 · see citing works
“Drawing on this research,Wenzel and Beck (2008) refined Beck’s cognitive model, differentiating between cognitive processes (such as attentional biases toward suicide-relevant stimuli) and maladaptive cognitive content (such as hopelessness) in the etiology of suicide ideation.”
BackgroundMethodInfluentialSuicidality in Primary Care Patients With Somatoform Disorders
Wiborg, J. F., Gieseler, D., Fabisch, A. B., Voigt, K., Lautenbach, A., & Löwe, B. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000013 · Cited by 48 · see citing works
“Following the model of Wenzel and Beck (17), more extreme levels of these dysfunctional illness perceptions might facilitate suicidality in patients with somatoform disorders.”
BackgroundMethodResultInfluentialPathways to High-Lethality Suicide Attempts in Individuals with Borderline Personality Disorder
Chesin, M. S., Jeglic, E. L., & Stanley, B. (2010) · Archives of Suicide Research · doi:10.1080/13811118.2010.524054 · Cited by 44 · see citing works
“Demographic variables related to suicide, such as male gender and older age (Wenzel & Beck, 2008), were not investigated because these factors cannot be targeted in prevention efforts and the relationship between demographic variables and suicidal behavior of differing severities is better…”
BackgroundNeurocognition and Suicide Risk in Adults
Allen, J. D., Bozzay, M. L., & Edenbaum, E. R. (2019) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-019-00189-y · Cited by 45 · see citing works
Suicide in Transgender Veterans: Prevalence, Prevention, and Implications of Current Policy
Tucker, R. P. (2019) · Perspectives on Psychological Science · doi:10.1177/1745691618812680 · Cited by 44 · see citing works
Skala Suizidales Erleben und Verhalten (SSEV)
Teismann, T., Forkmann, T., Glaesmer, H., Juckel, G., & Cwik, J. C. (2021) · Diagnostica · doi:10.1026/0012-1924/a000269 · Cited by 45 · see citing works
Knorr, A. C., Ammerman, B. A., Hamilton, A. J., & McCloskey, M. S. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.01.067 · Cited by 43 · see citing works
Ranjbar, H. A., Parhoon, H., Mohammadkhani, S., Munawar, K., Moradi, A., & Jobson, L. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12735 · Cited by 43 · see citing works
Chung, Y., & Jeglic, E. L. (2017) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12287 · Cited by 42 · see citing works
Ruminative subtypes and impulsivity in risk for suicidal behavior
Valderrama, J., Miranda, R., & Jeglic, E. L. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.01.008 · Cited by 38 · see citing works
“Cognitive processes associated with suicide attempts (e.g., hopelessness), may lead to biased information processing that can trigger suicidal ideation and eventually a suicide attempt (Wenzel and Beck, 2008).”
Investigating the psychometric properties of the Suicide Stroop Task.
Wilson, K. M., Millner, A. J., Auerbach, R. P., Glenn, C. R., Kearns, J. C., Kirtley, O. J., Najmi, S., O’Connor, R. C., Stewart, J. G., & Christine, B. W. (2019) · Psychological Assessment · doi:10.1037/pas0000723 · Cited by 40 · see citing works
“As such processing biases may accelerate suicidal crises (Wenzel & Beck, 2008), the Suicide Stroop Task could be used as a unique source of data that cannot be assessed through subjective ratings, providing an important augmentation to suicide risk assessments and enhancing our understanding of…”
BackgroundSelf-harming behavior: Introduction to the special series on non-suicidal self-injury and suicide
Hooley, J. M. (2008) · Applied and Preventive Psychology · doi:10.1016/j.appsy.2008.08.001 · Cited by 40 · see citing works
Flores-Kanter, P. E., García-Batista, Z. E., Moretti, L. S., & Medrano, L. A. (2019) · The Spanish Journal of Psychology · doi:10.1017/sjp.2019.45 · Cited by 40 · see citing works
“…of the main predictors of suicide is suicidal ideation (SI; Beck, Rush, Shaw, & Emery, 2012; Ellis & Rutherford, 2008; Miller et al., 2018 Wenzel & Beck, 2008; Wenzel, Brown, & Beck, 2009), which is defined as any cognition reported by a person (e.g. thought, image, belief) which refers…”
BackgroundQuintana-Orts, C., Mérida-López, S., Rey, L., Neto, F., & Extremera, N. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9103116 · Cited by 37 · see citing works
Cha, C. B., Najmi, S., Amir, N., Matthews, J., Deming, C. A., Glenn, J. J., Calixte, R. M., Harris, J. A., & Nock, M. K. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1162241 · Cited by 38 · see citing works
“They also confirm earlier theories claiming that selective attention toward suicide— indicative of an underlying suicide schema—contributes to suicidal thoughts and behaviors (Wenzel & Beck, 2008).”
BackgroundResultDecision-making performance of depressed patients within 72 h following a suicide attempt
Hegedűs, K. M., Szkaliczki, A., Gál, B. I., Andó, B., Janka, Z., & Álmos, P. Z. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.04.082 · Cited by 38 · see citing works
Rogers, M. L., Law, K. C., Houtsma, C., Tucker, R. P., Anestis, M. D., & Joiner, T. E. (2021) · Assessment · doi:10.1177/10731911211033897 · Cited by 38 · see citing works
“…literature implicating the role of rumination and attentional fixations in suicidality more generally (Adler et al., 2015; Rogers & Joiner, 2017; Wenzel & Beck, 2008), the development of the SRS will allow for further exposition into the process of suicide-specific rumination and its influence…”
BackgroundReviewing Mindfulness-Based Interventions for Suicidal Behavior
Chesin, M., Interian, A., Kline, A., Benjamin-Phillips, C., Latorre, M., & Stanley, B. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1162244 · Cited by 37 · see citing works
“In alignment with such empirical findings, problem solving deficits are conceptualized as both a dispositional factor elevating long-term risk of suicidal behavior and an acute risk factor in the cognitive model of suicidal behavior (Wenzel & Beck, 2008).”
BackgroundTheory of mind and suicide ideation and attempt in adolescent inpatients
Hatkevich, C. E., Venta, A. C., & Sharp, C. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.05.051 · Cited by 37 · see citing works
“Consistent with proposed a-priori hypotheses and cognitive models of suicidal behavior (Wenzel and Beck, 2008), and NSSI-specific work (Laghi et al.”
Brausch, A. M., O’Connor, S. S., Powers, J. T., McClay, M. M., Gregory, J. A., & Jobes, D. A. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12587 · Cited by 37 · see citing works
Understanding the suicidal moment in adolescence
Miranda, R., & Shaffer, D. (2013) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12291 · Cited by 36 · see citing works
Hallard, R. I., Wells, A., Aadahl, V., Emsley, R., & Pratt, D. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.114083 · Cited by 36 · see citing works
Bailey, E., Rice, S., Robinson, J., Nedeljkovic, M., & Álvarez‐Jiménez, M. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.06.028 · Cited by 35 · see citing works
Wang, S., Jing, H., Chen, L., & Li, Y. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082646 · Cited by 35 · see citing works
“CMSB also argues that additional life stress is usually necessary for cognitive processes associated with psychiatric disturbance to activate suicide-relevant cognitive processes, which culminates in the suicidal act [48].”
BackgroundSuicide in African American Adolescents: Understanding Risk by Studying Resilience
Robinson, W. L., Whipple, C. R., Keenan, K., Flack, C. E., & Wingate, L. (2022) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-072220-021819 · Cited by 34 · see citing works
Pia, T., Galynker, I., Schuck, A., Sinclair, C., Ying, G., & Calati, R. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17041424 · Cited by 34 · see citing works
Howard, M. C., & Krannitz, M. A. (2017) · The Journal of Psychology · doi:10.1080/00223980.2017.1393378 · Cited by 34 · see citing works
“In addition to meaningfulness, possible mechanisms include hopelessness (Wenzel & Beck, 2008) and burnout (Maslach, 2003).”
BackgroundVieira, R., Faria, A. R., Ribeiro, D., Picó‐Pérez, M., & Bessa, J. M. (2023) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2023.110799 · Cited by 34 · see citing works
Wai, C. M., Talib, M. A., Yaacob, S. N., Awang, H., Tan, J., Hassan, S., & Ismail, Z. (2014) · Child and Adolescent Mental Health · doi:10.1111/camh.12075 · Cited by 32 · see citing works
Allan, N. P., Conner, K. R., Pigeon, W. R., Grös, D. F., Salami, T. K., & Stecker, T. A. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.03.009 · Cited by 32 · see citing works
“in activation of suicide-relevant maladaptive cognitive processes (Wenzel and Beck, 2008).”
O’Keefe, V. M., Tucker, R. P., Cole, A. B., Hollingsworth, D. W., & Wingate, L. R. (2018) · Transcultural Psychiatry · doi:10.1177/1363461518778937 · Cited by 32 · see citing works
“These two separate cognitive processes interact to culminate in a suicide attempt when it is perceived that distress associated with both cognitive processes is overwhelming (Wenzel & Beck, 2008; Wenzel, Brown, & Beck, 2009).”
BackgroundMethodInfluentialYao, Z.-Y., Wang, T., Yu, Y.-K., Li, R., Sang, X., Yi-na, F., Gong, X.-J., Sun, W., Liu, J. J. W., Wong, J. P., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.07.050 · Cited by 31 · see citing works
Posttraumatic Cognitions and Suicidal Ideation Among Veterans Receiving PTSD Treatment
Horwitz, A. G., Held, P., Klassen, B. J., Karnik, N. S., Pollack, M. H., & Zalta, A. K. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9925-6 · Cited by 30 · see citing works
Green, J. A., Berry, K., Danquah, A., & Pratt, D. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2445 · Cited by 30 · see citing works
Yin, Y., Tong, J., Huang, J., Tian, B., Chen, S., Cui, Y., An, H., Tan, S., Wang, Z., Yang, F., et al. (2020) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12689 · Cited by 30 · see citing works
Suicidal ideation and attentional biases in children: An eye-tracking study
Tsypes, A., Owens, M., & Gibb, B. E. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.07.012 · Cited by 29 · see citing works
“, attention biases) in contributing to risk for these problems (e.g., Beck, 2008; Disner et al., 2011; Wenzel and Beck, 2008; Williams et al., 1997).”
Future disposition and suicidal ideation: Mediation by depressive symptom clusters
Ballard, E. D., Patel, A. B., Ward, M., & Lamis, D. A. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.08.029 · Cited by 29 · see citing works
Cameron, S., Brown, V. J., Dritschel, B., Power, K., & Cook, M. (2017) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12123 · Cited by 30 · see citing works
“This is also consistent with the Cognitive Model of Suicide (Wenzel & Beck, 2008) which proposes that underlying dispositional vulnerabilities affect individual levels of distress tolerance (Anestis, Bagge, Tull, & Joiner, 2011).”
BackgroundMethodResultInfluentialRogers, M. L., & Joiner, T. E. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.04.023 · Cited by 28 · see citing works
Where is the social in the biopsychosocial model of suicide prevention?
Rodríguez-Otero, J. E., Mouriño, X. C., Meilán-Fernández, D., Pintos-Bailón, S., & Escribano, G. C. (2021) · International Journal of Social Psychiatry · doi:10.1177/00207640211027210 · Cited by 26 · see citing works
“Examples of them are the diathesis-stress-hopelessness model (Schotte & Clum, 1987), the Mann psychobiological model (Mann et al., 1999) and the cognitive model of suicidal behavior (Wenzel & Beck, 2008).”
BackgroundThe differential associations of positive and negative symptoms with suicidality
Grover, L. E., Jones, R., Bass, N. J., & McQuillin, A. (2022) · Schizophrenia Research · doi:10.1016/j.schres.2022.07.016 · Cited by 27 · see citing works
“The perceived reality generated by hallucinations and delusions may trigger a negative mood reaction, resulting in suicidal responses (Wenzel and Beck, 2008).”
BackgroundThe Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness
Macintyre, V. G., Mansell, W., Pratt, D., & Tai, S. J. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.588683 · Cited by 26 · see citing works
“Narrowing of Attention Theorists have postulated that some individuals experience a narrowing of attention (or “cognitive constriction”), only focusing on certain aspects of their experiences when they are feeling suicidal (Shneidman, 1964; Johnson et al., 2008; Wenzel and Beck, 2008; Williams et al., 2016).”
BackgroundMethodInfluentialWu, W., Zhang, Y., Goldsamt, L. A., Yan, F., Wang, H., & Li, X. (2018) · Journal of Interpersonal Violence · doi:10.1177/0886260518814264 · Cited by 26 · see citing works
“According the cognitive model of suicide behavior proposed by Wenzel and Beck (2008), IPV could be considered as a life stress and coping style as a cognitive process; thus, those who had a passive coping style were more likely to have dispositional vulnerability factors (long-standing…”
Method
- Authors
- Wenzel, A., & Beck, A. T.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Wenzel, Amy
- ORCID
- Beck, Aaron T.
- Venue
- Applied and Preventive Psychology
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 12
- Issue
- 4
- Pages
- 189-201
- ISSN
- 0962-1849 (ISSN-L)
- OpenAlex
- W2069437972
- Cited by
- 491
- References
- 145
- Citations by year
- 2026: 31 · 2025: 42 · 2024: 65 · 2023: 43 · 2022: 41 · 2021: 48 · 2020: 36 · 2019: 25 · 2018: 47 · 2017: 26 · 2016: 27 · 2015: 16 · 2014: 15 · 2013: 13 · 2012: 7
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied and Preventive Psychology (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- suicidal behavior, cognitive models, suicide risk factors, cognitive therapy, suicide prevention, suicide treatment
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