Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness
Abstract
A 9-point clinical rating scale was used to assess the severity of hopelessness in 141 patients hospitalized with suicidal ideation. The patients were followed from 5 to 10 years, and 10 (7.1%) eventually committed suicide. The mean hopelessness rating for the patients committing suicide was significantly higher than that for the patients not committing suicide. A cutoff score of 6 or above successfully predicted 9 (90.0%) of those committing suicide. The results supported previous findings in which self-reported hopelessness on the Beck Hopelessness Scale was reported to predict suicide in both psychiatric outpatients and inpatients.
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“Hopelessness, a key example of a suicide cognition, involves the belief that the future is bleak and unlikely to improve, and this trait-like belief is a significant factor in suicidal thinking (Beck et al., 1989).”
Fox, J. R. E., Gray, N. S., & Lewis, H. (2004) · Journal of Forensic Psychiatry and Psychology · doi:10.1080/1478994042000226741 · Cited by 46 · see citing works
Pistorello, J., Jobes, D. A., Gallop, R., Compton, S. N., Locey, N. S., Au, J. S., Noose, S. K., Walloch, J. C., Johnson, J., Young, M., et al. (2021) · Archives of Suicide Research · doi:10.1080/13811118.2020.1749742 · Cited by 46 · see citing works
Bongiovi-Garcia, M. E., Merville, J., Almeida, M. G., Burke, A., Ellis, S., Stanley, B. H., Posner, K., Mann, J. J., & Oquendo, M. A. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.07.026 · Cited by 44 · see citing works
“Few studies have assessed the utility and accuracy of suicide related rating scales in psychiatric in and outpatients (Beck et al., 1988; Beck et al., 1989; Beck et al., 1979; Brown et al., 2000; Holden and DeLisle 2005; Pinninti et al., 2002; Steer et al., 1993; Steer et al., 1993), and there is sparse literature com…”
BackgroundGender Differences in Suicidal Intent and Choice of Method Among Suicide Attempters
Nordentoft, M., & Branner, J. (2008) · Crisis · doi:10.1027/0227-5910.29.4.209 · Cited by 46 · see citing works
Hom, M. A., Chu, C., Schneider, M. E., Lim, I. C., Hirsch, J. K., Gutierrez, P. M., & Joiner, T. E. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.11.032 · Cited by 44 · see citing works
- Authors
- Beck, A. T., Brown, G., & Steer, R. A.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1989
- Volume
- 57
- Issue
- 2
- Pages
- 309-310
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2020204240
- Cited by
- 448
- References
- 0
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 7 · 2023: 10 · 2022: 12 · 2021: 12 · 2020: 20 · 2019: 5 · 2018: 13 · 2017: 60 · 2016: 16 · 2015: 13 · 2014: 23 · 2013: 19 · 2012: 16
- FWCI
- 8.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (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 › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- suicide risk prediction, hopelessness, suicidal ideation, psychiatric inpatients, Beck Hopelessness Scale, clinical rating scales, suicide risk assessment, long-term follow-up, cut-off values
- MeSH terms
- Adult, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Motivation, Psychiatric Department, Hospital, Psychological Tests, Psychometrics, Risk Factors, Suicide
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