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Cited by 51Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseDeath Anxiety and Social Exclusion

Overarousal interacts with a sense of fearlessness about death to predict suicide risk in a sample of clinical outpatients

Ribeiro, Jessica D., Silva, Caroline, Joiner, Thomas E.·2014·Psychiatry Research
DOI 10.1016/j.psychres.2014.03.036
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Abstract

Converging evidence suggests that acute states of overarousal are common prior to suicidal behavior. Yet, there has been very little theory-driven research of these phenomena. We consider two competing theoretical perspectives. The first is consistent with the interpersonal theory of suicide, which suggests that the prospect of engaging in lethal suicidal behavior should elicit some degree of arousal; however, the effect of arousal will be particularly relevant when considered in the context of an individual׳s capability for suicide. The second perspective draws from escape-based models, which would suggest that arousal alone should result in increased suicide risk, given the distress associated with high arousal states. Results indicated that the interaction of overarousal and capability for suicide was associated with suicidal symptoms. As overarousal increased, suicidal symptoms increased among high capability individuals and decreased among low capability individuals. These effects were observed beyond the effects of depression, anxiety, age, gender, and marital status. There was no significant main effect of overarousal. Results support a perspective in line with the interpersonal theory, suggesting that overarousal states may be particularly dangerous for individuals who have developed the capability for suicide.

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Crossref · 10.1016/j.psychres.2014.03.036

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  • Only two English-language versions of the ACSS have been psychometrically evaluated and published in the peer-reviewed literature: a 5-item ACSS and a 7-item ACSS-FAD.

    “Only two English-language versions of the ACSS have been subject to psychometric evaluation and published in the peer-reviewed literature: a 5-item ACSS (Bender et al., 2007; Van Orden et al., 2008) and a 7-item measure of fearlessness about death, specifically (ACSS-FAD; Ribeiro et al., 2014).”

    From The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. (2017) · cites this paper as Ribeiro et al., 2014

  • Only two versions of the ACSS have been validated and published, but at least five versions (4-, 5-, 7-, 13-, and 20-item) were used to measure capability for suicide.

    “only two versions of the ACSS have been validated and published (Ribeiro et al., 2014; Van Orden, Witte, Gordon, Bender, & Joiner, 2008); however, at least five versions of the ACSS were used to measure capability for suicide (4-, 5-, 7-, 13-, and 20-item versions).”

    From The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. (2017) · cites this paper as Ribeiro et al., 2014

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Authors
Ribeiro, J. D., Silva, C., & Joiner, T. E.
Affiliations
Florida State University (US)
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2014-08
Volume
218
Issue
1-2
Pages
106-112
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2014.03.036
OpenAlex
W2056214273
Cited by
51
References
11
Citations by year
2026: 3 · 2025: 2 · 2024: 2 · 2023: 4 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 10 · 2015: 10 · 2014: 1
FWCI
9.83
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
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 › Social Psychology › Death Anxiety and Social Exclusion
Keywords
suicide risk, fearlessness about death, interpersonal theory of suicide, suicidal symptoms, depression, anxiety
MeSH terms
Adolescent, Adult, Arousal, Mental Disorders, Death, Fear, Female, Humans, Male, Outpatients, Risk Factors, Suicide, Suicide, Attempted, Young Adult, Suicidal Ideation

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