BRIEF COMMUNICATION Parasuicide, depression and the anticipation of positive and negative future experiences
Abstract
BACKGROUND: Previous research has shown that parasuicides' view of the future is characterized by an absence of anticipation of positive experiences rather than the presence of anticipation of negative experiences. The present study aimed to replicate this finding and examine whether it would also be found in parasuicides who were not depressed. METHOD: Depressed parasuicides (N = 27), non-depressed parasuicides (N = 17) and matched controls (N = 34) were assessed on their anticipation of future positive and negative experiences using an adapted fluency paradigm, where they were given a set time to generate future positive and negative anticipated experiences. RESULTS: Consistent with previous findings, parasuicides showed an overall reduced anticipation of positive experiences and no overall increased anticipation of negative experiences. However, the parasuicides did show evidence of increased negative anticipation for the immediate future. The results for depressed and non-depressed parasuicides were essentially the same. CONCLUSION: Lack of positive anticipation in the absence of increased negative anticipation is a feature of parasuicide. Although this lack of positive anticipation can occur in depression, it appears to be an independent feature of parasuicide.
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Reasons for living, attainable positive future thinking, adaptive goal pursuit, belongingness or connectedness are motivational moderators that buffer against the emergence of suicidal ideation and intent.
“Reasons for living [46], attainable positive future thinking [47,48], adaptive goal pursuit [49], belongingness [12] or connectedness [50] are MMs as they are thought to buffer against the emergence of suicidal ideation and intent”
From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [47]
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“, who described how depressed participants exhibit a lack of positive anticipation of future experiences as a result of continuous frustrations caused by longstanding and unresolved problems.(19) For the researchers, being involved in this study also contributed to developing compassion and understanding for patients…”
BackgroundTantalizing Fantasies: Positive Imagery Induces Negative Mood in Individuals High in Fear of Failure
Langens, T. A. (2002) · Imagination Cognition and Personality · doi:10.2190/hgh6-3rm6-2vcg-ycqh · Cited by 10 · see citing works
An empirical investigation of suicide schemas in individuals with Posttraumatic Stress Disorder
Panagioti, M., Gooding, P. A., Pratt, D., & Tarrier, N. (2015) · Psychiatry Research · doi:10.1016/j.psychres.2015.02.019 · Cited by 10 · see citing works
The capacity to consent to treatment is altered in suicidal patients
Olié, E., Catanzaro, T., Malestroit, M., Guija, J. A., Giner, L., & Courtet, P. (2023) · Annals of General Psychiatry · doi:10.1186/s12991-023-00459-w · Cited by 9 · see citing works
“Indeed, suicide attempters display impaired decision-making abilities [15], lower problem-solving leading to feelings of entrapment [16, 17], and lack of future positive thinking [18].”
BackgroundDepression Accompanied by Hopelessness Is Associated with More Negative Future Thinking
Han, H., & Midorikawa, A. (2024) · Healthcare · doi:10.3390/healthcare12121208 · Cited by 9 · see citing works
Cha, C. B., Nam, R. J., Bell, K., Goger, P., Parvez, N., Pollak, O. H., Robinaugh, D. J., Sanghvi, D. E., & Schacter, D. L. (2024) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2024.2384038 · Cited by 10 · see citing works
“…pointing to future thinking deficits driven by poor positive future thinking (vs. greater negative future thinking) among suicidal individuals (MacLeod et al., 1993, 1997, 1998; O’Connor et al., 2007, 2008) and the theorized protective role of positive future thinking against the transition…”
The Measurement of Positive Attitudes: The Glass is Half Full
Fisher, L. B., & Overholser, J. C. (2013) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-013-0173-0 · Cited by 9 · see citing works
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Guidelines for managing self‐harm in a forensic setting
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Clinical and electrophysiological correlates of hopelessness in the context of suicide risk✰
Ballard, E. D., Nischal, R. P., Burton, C. R., GREENSTEIN, D. K., Anderson, G. E., Waldman, L. R., Zarate, C. A., & Gilbert, J. R. (2024) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2023.12.002 · Cited by 6 · see citing works
Pollak, O. H., Shin, K. E., Baroni, A., Gerson, R. S., Bell, K., Tezanos, K. M., Fernandes, S. N., Robinaugh, D. J., Schacter, D. L., Spirito, A., et al. (2023) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-023-02219-3 · Cited by 6 · see citing works
Future‐Oriented Group Training for suicidal individuals: A randomized controlled trial
Jaegere, E. D., Stas, P., van Heeringen, K., Dumon, E., van Landschoot, R., & Portzky, G. (2023) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12944 · Cited by 6 · see citing works
Suicidal Behavior: The Power of Prospection
MacLeod, A. K. (2016) · The Wiley Handbook of Positive Clinical Psychology · doi:10.1002/9781118468197.ch20 · Cited by 5 · see citing works
Self-citationKöse, G., Evans, J. J., & O’Connor, R. C. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1574315 · Cited by 5 · see citing works
“…for example, ‘I am worried about getting the results of a test next month’) is associated with suicide risk (i.e., suicidal thoughts and suicidal behaviours) independent of depression, verbal fluency or cognitive performance (MacLeod et al., 1997; O’Connor et al., 2000; Sargalska et al., 2011).”
- Authors
- MacLEOD, A. K., PANKHANIA, B., LEE, M., & MITCHELL, D.
- Affiliations
- Royal Holloway University of London (GB)
- ORCID
- MacLEOD, A. K.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 1997-07
- Volume
- 27
- Issue
- 4
- Pages
- 973-977
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W56376859
- Cited by
- 140
- References
- 4
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 7 · 2023: 9 · 2022: 5 · 2021: 2 · 2020: 1 · 2019: 5 · 2018: 8 · 2017: 2 · 2016: 9 · 2015: 7 · 2014: 6 · 2013: 11 · 2012: 1
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- 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 › Social Psychology › Mental Health via Writing
- Keywords
- parasuicide, depression, replication
- MeSH terms
- Adult, Analysis of Variance, Cross-Sectional Studies, Depression, Female, Forecasting, Humans, Male, Suicide, Attempted, Thinking, Case-Control Studies, Self-Injurious Behavior
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