The DOI matches its Crossref record; 50 of the 52 references it cites were found in a registry or an index.
Apples to oranges?: A direct comparison between suicide attempters and suicide completers
Open accessAbstract
Background Suicide attempters and completers may represent different but overlapping groups of distressed individuals. Although depression is related to an increased risk of suicide, the presence of depression may not discriminate suicide attempters from completers. The present study compared suicide attempters and suicide completers on symptoms of depression, the presence of suicide-related variables and stressful life events.Aims The present study sought to identify the key differences between 50 suicide attempters and 50 completers, all diagnosed with a Major Depressive Disorder at the time of their suicidal act.Methods Suicide attempters and family member informants of suicide completers participated in a thorough psychosocial evaluation. To maximize comparisons with completers, suicide attempters were subclassified based on the lethality of their attempt.Results Suicide attempters and completers were similar on most measures of depressive symptoms. However, suicide completers were significantly more likely to use alcohol or drugs prior to their suicidal act and they were more likely to leave a suicide note. Suicide completers were significantly more likely to have encountered significant job stress and financial problems.Conclusions The present findings have documented several similarities and differences between suicide attempters and suicide completers. Future research may help to clarify the key warning signs that reflect the risk of completed suicide in adults who have been diagnosed with a Major Depressive Disorder.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In contrast, financial- and employment-related stress may be most relevant for predicting suicide in middle adulthood (DeJong et al. 2010; Innamorati et al. 2008), while health-related events and difficulties may play a more central role in suicide for older adults, particularly through their effects on cognitive-affective states like perceived burdensomeness (e.g., Cukrowicz et al. 2011).”
From Life stress and suicide in adolescents (2019) · cites this paper as DeJong et al. 2010
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Tabachnick, B. G., & Fidell, L. S. (1983) · Cited by 79,882
Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997) · American Psychiatric Press eBooks · Cited by 3,101
Suicide as an outcome for mental disorders: A meta-analysis
Harris, E. C., & Barraclough, B. (1997) · British Journal of Psychiatry · doi:10.1192/bjp.170.3.205 · Cited by 2,589 · cited 1×
“N IH -PA Author M anuscript N IH -PA Author M anuscript Several psychiatric disorders are related to an increased risk of attempted suicide (Beautrais et al., 1996) and completed suicide (Harris & Barraclough, 1997; Cavanaugh, Carson, Sharpe, & Lawrie, 2003).”
BackgroundPsychological autopsy studies of suicide: a systematic review.
CAVANAGH, J. T. O., CARSON, A. J., SHARPE, M., & LAWRIE, S. M. (2003) · Psychological Medicine · doi:10.1017/s0033291702006943 · Cited by 2,207
Risk factors for suicide in psychiatric outpatients: A 20-year prospective study.
Brown, G. K., Beck, A. T., Steer, R. A., & Grisham, J. R. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.3.371 · Cited by 1,317 · cited 2×
“Most risk factors (e.g., age, race, gender) are stable qualities that are unlikely to change, and therefore have limited implications for intervention (Brown et al., 2000).”
BackgroundDiagnostic and Statistical Manual of Mental Disorders
Preedy, V., & Watson, R. (2010) · Springer eBooks · doi:10.1007/978-0-387-78665-0_5485 · Cited by 1,146
Time-related predictors of suicide in major affective disorder
FAWCETT, J. A., Scheftner, W. A., Fogg, L., Clark, D. C., Young, M. A., Hedeker, D., & Gibbons, R. D. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.9.1189 · Cited by 1,058 · cited 1×
“A previous suicide attempt is a strong predictor of future suicide attempts (Sokero et al., 2005) and eventual death by suicide (Coryell et al., 2002; Coryell & Young, 2005; Joiner et al., 2005; Fawcett et al., 1990).”
BackgroundAffective disorders and suicide risk: a reexamination
Bostwick, J. M., & Pankratz, V. S. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.12.1925 · Cited by 878
Clinical correlates of inpatient suicide
Busch, K. A., Fawcett, J., & Jacobs, D. G. (2003) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v64n0105 · Cited by 750
Cellular changes in the postmortem hippocampus in major depression
Stockmeier, C. A., Mahajan, G. J., Konick, L. C., Overholser, J. C., Jurjus, G. J., Meltzer, H. Y., Uylings, H. B. M., Friedman, L., & Rajkowska, G. (2004) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.08.022 · Cited by 732 · cited 1×
“Relatives of the deceased subjects were recruited through the coroner's office as part of a larger ongoing study on biological factors involved in depression and suicide (Stockmeier et al., 2004).”
BackgroundSelf-citationBeautrais, A. L., Joyce, P. R., Mulder, R. T., Fergusson, D. M., Deavoll, B. J., & Nightingale, S. (1996) · American Journal of Psychiatry · doi:10.1176/ajp.153.8.1009 · Cited by 654
Dumais, A., Lesage, A. D., Alda, M., Rouleau, G., Dumont, M., Chawky, N., Roy, M., Mann, J. J., Benkelfat, C., & Turecki, G. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.11.2116 · Cited by 583 · cited 1×
“…methodology, several similar studies have shown adequate agreement when comparing proxy-based data to data obtained via self-report or chart review (Dumais et al., 2005; Conner, Conwell & Duberstein, 2001; Conner, Duberstein & Conwell, 2001; DeJong & Overholser, 2009; Kelly & Mann, 1996; McGirr et…”
MethodA Current Perspective of Suicide and Attempted Suicide
Mann, J. J. (2002) · Annals of Internal Medicine · doi:10.7326/0003-4819-136-4-200202190-00010 · Cited by 568 · cited 1×
“Mood disorders are among the most common psychiatric diagnoses associated with attempted and completed suicide (Mann, 2002), and depression represents an important risk factor for suicide (Beautrais, 2001; Bostwick & Pankratz, 2000).”
BackgroundWarning signs for suicide: theory, research, and clinical applications
Rudd, M. D., Berman, A. L., Joiner, T. E., Nock, M. K., Silverman, M. M., Mandrusiak, M., Van Orden, K., & Witte, T. (2006) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2006.36.3.255 · Cited by 548
Suicides and serious suicide attempts: two populations or one?
Beautrais, A. L. (2001) · Psychological Medicine · doi:10.1017/s0033291701003889 · Cited by 430 · cited 2×
“Mood disorders are among the most common psychiatric diagnoses associated with attempted and completed suicide (Mann, 2002), and depression represents an important risk factor for suicide (Beautrais, 2001; Bostwick & Pankratz, 2000).”
BackgroundSuicide risk in mood disorders
Rihmer, Z. (2007) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3280106868 · Cited by 382 · cited 1×
“It is quite uncommon for patients to attempt suicide after they have recovered from their depressive episode (Rihmer, 2007).”
BackgroundJoiner, T. E., Conwell, Y., Fitzpatrick, K. K., Witte, T. K., Schmidt, N. B., Berlim, M. T., Fleck, M. P., & Rudd, M. D. (2005) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.114.2.291 · Cited by 354 · cited 1×
“A previous suicide attempt is a strong predictor of future suicide attempts (Sokero et al., 2005) and eventual death by suicide (Coryell et al., 2002; Coryell & Young, 2005; Joiner et al., 2005; Fawcett et al., 1990).”
Background(1998) · Journal of Affective Disorders · doi:10.1016/s0165-0327(98)00033-0 · Cited by 324 · cited 2×
“As recommended for psychological autopsy procedures (Ebert, 1987; Hawton et al., 1998), the final diagnostic evaluation included information from the coroner's report, laboratory findings of recent substance use, suicide notes, employment history, educational attainment, and family history of psychiatric disorders.”
Isometsä, E. T., HENRIKSSON, M. M., Aro, H. M., Heikkinen, M. E., Kuoppasalmi, K. I., & Lönnqvist, J. K. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.4.530 · Cited by 317 · cited 1×
“Many patients at high risk for suicide do not acknowledge suicidal ideation during their last assessment prior to suicide (Busch, Fawcett, & Jacobs, 2003) and many suicide completers never convey their despair to friends, family members, or health care providers (Isometsa et al., 1994).”
BackgroundRisk-Rescue Rating in Suicide Assessment
Weisman, A. D. (1972) · Archives of General Psychiatry · doi:10.1001/archpsyc.1972.01750240065010 · Cited by 315
A case control study of suicide and attempted suicide in older adults
Beautrais, A. L. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.1.1.22184 · Cited by 301 · cited 2×
“The higher rate of prior psychiatric hospitalization and previous suicide attempts in the suicide attempters than completers has been found in other research (Beautrais, 2002), and could reflect the long-standing clinical lore that completers do not unsuccessfully attempt suicide.”
BackgroundResultMościcki, E. K. (1995) · International Psychogeriatrics · doi:10.1017/s1041610295001931 · Cited by 298
Suicide attempts preceding completed suicide
Isometsä, E. T., & Lönnqvist, J. K. (1998) · British Journal of Psychiatry · doi:10.1192/bjp.173.6.531 · Cited by 296 · cited 1×
“When examined from the reverse angle, roughly one third of suicide completers had previously attempted suicide (Fushimi, Sugawara, & Saito, 2006; Isometsa & Lonnqvist, 1998; Sinclair et al., 2005).”
BackgroundKelly, T. M., & Mann, J. J. (1996) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1996.tb09869.x · Cited by 273 · cited 2×
“N IH -PA Author M anuscript N IH -PA Author M anuscript N IH -PA Author M anuscript agreement between diagnoses based on SCID interviews with family members and diagnoses derived from a review of the patient's medical records (Deep-Soboslay et al., 2005; Kelly & Mann, 1996).”
MethodClinical Predictors of Suicide in Primary Major Depressive Disorder
Coryell, W. H., & Young, E. A. (2005) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v66n0401 · Cited by 271 · cited 1×
“A previous suicide attempt is a strong predictor of future suicide attempts (Sokero et al., 2005) and eventual death by suicide (Coryell et al., 2002; Coryell & Young, 2005; Joiner et al., 2005; Fawcett et al., 1990).”
BackgroundFurther Suicidal Behavior Among Medically Serious Suicide Attempters
Beautrais, A. L. (2004) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.34.1.1.27772 · Cited by 226 · cited 1×
“Adults who make a medically serious suicide attempt are likely to suffer from a major depressive disorder (Beautrais, 2002), and display an elevated risk for subsequent attempts and eventual death by suicide (Beautrais, 2004).”
BackgroundSokero, T. P., Melartin, T. K., Rytsälä, H. J., Leskelä, U. S., Lestelä-Mielonen, P. S., & Isometsä, E. T. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.186.4.314 · Cited by 185 · cited 2×
“A previous suicide attempt is a strong predictor of future suicide attempts (Sokero et al., 2005) and eventual death by suicide (Coryell et al.”
BackgroundMcGirr, A., Renaud, J., Séguin, M., Alda, M., Benkelfat, C., LESAGE, A. D., & Turecki, G. (2006) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.06.016 · Cited by 173 · cited 5×
“Despite these differences in methodology, several similar studies have shown adequate agreement when comparing proxy-based data to data obtained via self-report or chart review (Dumais et al., 2005; Conner, Conwell & Duberstein, 2001; Conner, Duberstein & Conwell, 2001; DeJong & Overholser, 2009; Kelly & Mann, 1996; M…”
MethodResultInfluentialStandardized Evaluation in Clinical Practice
PRIDMORE, S. A. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.7.1319-a · Cited by 166
Zhang, J., Conwell, Y., Wieczorek, W. F., Jiang, C. Q., Jia, S., & Zhou, L. (2003) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000081613.03157.d9 · Cited by 121 · cited 2×
“…have shown adequate agreement when comparing proxy-based data to data obtained via self-report or chart review (Dumais et al., 2005; Conner, Conwell & Duberstein, 2001; Conner, Duberstein & Conwell, 2001; DeJong & Overholser, 2009; Kelly & Mann, 1996; McGirr et al., 2007; Zhang et al., 2003).”
MethodHeikkinen, M. E., Isometsä, E. T., MARTTUNEN, M. J., Aro, H. M., & Lönnqvist, J. K. (1995) · The British Journal of Psychiatry · doi:10.1192/bjp.167.6.747 · Cited by 117
Conner, K. R., Conwell, Y., & Duberstein, P. R. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.00091.x · Cited by 115
Conner, K. R., Duberstein, P. R., & Conwell, Y. (2001) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2001.00405.x · Cited by 97
Alcohol Consumption and Nearly Lethal Suicide Attempts
Powell, K. E., Kresnow, M., Mercy, J. A., Potter, L. B., Swann, A. C., Frankowski, R. F., Lee, R. K., & Bayer, T. L. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.1.5.30.24208 · Cited by 94 · cited 1×
“Alcohol consumption increases the risk of suicidal behavior (Powell et al., 2001).”
BackgroundReliability of psychiatric diagnosis in postmortem research
Deep‐Soboslay, A., Akil, M., Martin, C. E., Bigelow, L. B., Herman, M. M., Hyde, T. M., & Kleinman, J. E. (2004) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.10.016 · Cited by 75 · cited 1×
“N IH -PA Author M anuscript N IH -PA Author M anuscript N IH -PA Author M anuscript agreement between diagnoses based on SCID interviews with family members and diagnoses derived from a review of the patient's medical records (Deep-Soboslay et al., 2005; Kelly & Mann, 1996).”
MethodStandardized Evaluation in Clinical Practice
First, M. B. (2003) · Medical Entomology and Zoology · Cited by 74
Comparison of completed and attempted suicide in Akita, Japan
Fushimi, M., Sugawara, J., & Saito, S. (2006) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2006.01504.x · Cited by 74
Guide to conducting a psychological autopsy.
Ebert, B. W. (1987) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.18.1.52 · Cited by 70 · cited 4×
“In accordance with psychological autopsy guidelines (Ebert, 1987), final diagnoses were reached through a consensus meeting with a board certified psychiatrist, a licensed clinical psychologist, and the clinical social worker who conducted the interviews met and reviewed all available information, including the SCID i…”
MethodInfluentialRoe, D. (2003) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200301000-00008 · Cited by 68
Suicide in depressive disorders: A retrospective case-control study of 127 suicides
Sinclair, J., Harriss, L., Baldwin, D. S., & King, E. A. (2005) · Journal of Affective Disorders · doi:10.1016/j.jad.2005.03.001 · Cited by 62 · cited 1×
“When examined from the reverse angle, roughly one third of suicide completers had previously attempted suicide (Fushimi, Sugawara, & Saito, 2006; Isometsa & Lonnqvist, 1998; Sinclair et al., 2005).”
BackgroundMartin, G. E. (2007) · IEEE Design & Test of Computers · doi:10.1109/mdt.2007.70 · Cited by 56
Holikatti, P., & Grover, S. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.196.5.415 · Cited by 51
LETTER TO THE EDITOR: Warning Signs for Suicide?
Rudd, M. D. (2003) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.33.1.99.22790 · Cited by 51 · cited 1×
“Suicide assessment often focuses on risk factors and warning signs (Rudd, 2003; Rudd et al., 2006).”
BackgroundMichel, K. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.150.1.78 · Cited by 51
Post-Stratification and Calibration—A Synthesis
Zhang, L. (2000) · The American Statistician · doi:10.1080/00031305.2000.10474542 · Cited by 33
The prospectively observed course of illness among depressed patients who commit suicide
Coryell, W. H., Haley, J. T., Endicott, J., Solomon, D., Leon, A. C., Keller, M. B., Turvey, C., Maser, J. D., & Mueller, T. (2002) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2002.1o127.x · Cited by 32
DeJong, T. M., & Overholser, J. C. (2009) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2009.39.1.38 · Cited by 25 · cited 3×
“…have shown adequate agreement when comparing proxy-based data to data obtained via self-report or chart review (Dumais et al., 2005; Conner, Conwell & Duberstein, 2001; Conner, Duberstein & Conwell, 2001; DeJong & Overholser, 2009; Kelly & Mann, 1996; McGirr et al., 2007; Zhang et al., 2003).”
BackgroundMethodResultInfluentialSelf-citationComparison of suicide notes and parasuicide notes
Leenaars, A. A., Lester, D., Wenckstern, S., McMullin, C., Rudzinski, D., & Brevard, A. (1992) · Death Studies · doi:10.1080/07481189208252581 · Cited by 21 · cited 1×
“Similar to previous research (Fushimi et al., 2006; Leenaars et al., 1992), adults who died by suicide were significantly more likely than attempters to have written a suicide note at the time of their suicidal crisis.”
ResultPost-Stratification and Calibration-A Synthesis
Zhang, L. (2000) · The American Statistician · doi:10.2307/2685587 · Cited by 11
Research works printed but not linked: 1
- Hawton, 1998, The psychological autopsy approach to studying suicide: a review of methodological issues, J. Affect. Disord., 50, 269
Cited by
Sorted by citations
Suicide, Suicide Attempts, and Suicidal Ideation
Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093204 · Cited by 1,675
Life 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
The Hopelessness Theory of Depression: A Quarter-Century in Review
Liu, R. T., Kleiman, E. M., Nestor, B. A., & Cheek, S. M. (2015) · Clinical Psychology Science and Practice · doi:10.1111/cpsp.12125 · Cited by 269
Gender differences in suicide methods
Callanan, V. J., & Davis, M. S. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0393-5 · Cited by 258
Acute Air Pollution Exposure and Risk of Suicide Completion
Bakian, A. V., Huber, R. S., Coon, H. H., Gray, D., Wilson, P., McMahon, W. M., & Renshaw, P. F. (2015) · American Journal of Epidemiology · doi:10.1093/aje/kwu341 · Cited by 253
Metadata
- Authors
- DeJong, T. M., Overholser, J. C., & Stockmeier, C. A.
- Affiliations
- Case Western Reserve University (US)
- University of Mississippi Medical Center (US)
- Corresponding author
- Overholser, James C.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2010-07
- Volume
- 124
- Issue
- 1-2
- Pages
- 90-97
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC2875283
- OpenAlex
- W2089168194
- Cited by
- 198
- References
- 52
- Citations by year
- 2026: 4 · 2025: 15 · 2024: 15 · 2023: 8 · 2022: 11 · 2021: 16 · 2020: 10 · 2019: 14 · 2018: 16 · 2017: 6 · 2016: 12 · 2015: 18 · 2014: 22 · 2013: 13 · 2012: 10
- FWCI
- 6.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p20rr017701-10)
- National Institute of Mental Health (R01MH067996, MH67996)
- National Center for Research Resources (P20-RR-017701)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- suicide attempters, suicide completers, major depressive disorder, depression, suicide risk, life events, occupational stress, financial problems, alcohol and drug use, suicide notes
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Cause of Death, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Life Change Events, Male, Middle Aged, Retrospective Studies, Risk, Suicide, Suicide, Attempted, Writing, Substance-Related Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review