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Cited by 194Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseOpioid Use Disorder Treatment

Psychological processes and repeat suicidal behavior: a four-year prospective study

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O'Connor, Rory C., Smyth, Roger, Ferguson, Eamonn, Ryan, Caoimhe, Williams, J. Mark G.·2013·Journal of Consulting and Clinical Psychology
DOI 10.1037/a0033751PMC PMC3933214
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Abstract

OBJECTIVE: Although suicidal behavior is a major public health concern, understanding of individually sensitive suicide risk mechanisms is limited. In this study, the authors investigated, for the first time, the utility of defeat and entrapment in predicting repeat suicidal behavior in a sample of suicide attempters. METHOD: Seventy patients hospitalized after a suicide attempt completed a range of clinical and psychological measures (depression, hopelessness, suicidal ideation, defeat, and entrapment) while in hospital. Four years later, a nationally linked database was used to determine who had been hospitalized again after a suicide attempt. RESULTS: Over 4 years, 24.6% of linked participants were readmitted to hospital after a suicidal attempt. In univariate logistic regression analyses, defeat and entrapment as well as depression, hopelessness, past suicide attempts, and suicidal ideation all predicted suicidal behavior over this interval. However, in the multivariate analysis, entrapment and past frequency of suicide attempts were the only significant predictors of suicidal behavior. CONCLUSIONS: This longitudinal study supports the utility of a new theoretical model in the prediction of suicidal behavior. Individually sensitive suicide risk processes like entrapment could usefully be targeted in treatment interventions to reduce the risk of repeat suicidal behavior in those who have been previously hospitalized after a suicide attempt.

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  • In one study, entrapment and past suicide attempts were the only multivariate predictors of readmission to hospital for self-harm at 4-year follow-up, even when controlling for depressive symptoms and hopelessness.

    “finding in one study that entrapment and past suicide attempts were the only multivariate predictors of readmission to hospital for self-harm at 4-year follow-up, even when controlling for depressive symptoms and hopelessness [67]”

    From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [67]

    The Results, ‘Individual and Multivariate Predictors of Suicide Attempts Between Time 1 and Time 2’ (page not provided), identify entrapment and frequency of previous suicide attempts as the only predictors in the final model, which included depression and hopelessness. But the modeled outcome was a repeat suicide attempt, not every hospital readmission for self-harm: the Results, ‘Repeat Suicide Attempt During Follow-Up’ (page not provided), report 20 such readmissions, of which 15 were classified as suicide attempts. (LLM, conf=0.87)

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  • There has been support for the main facets of the IMV model.

    “There has been support for the main facets of the IMV model (e.g., Dhingra et al., 2016; O'Connor et al., 2013; Wetherall et al., 2018)”

    From From ideation to action: Differentiating between those who think about suicide and those who attempt suicide in a national study of young adults (2018) · cites this paper as O'Connor et al., 2013

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Research works printed but not linked: 1

  1. Williams J. M. G. (1997). The cry of pain. London, United Kingdom: Penguin

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Authors
O'Connor, R. C., Smyth, R., Ferguson, E., Ryan, C., & Williams, J. M. G.
Affiliations
  • Edinburgh Royal Infirmary (GB)
  • University of Nottingham (GB)
  • University of St Andrews (GB)
  • University of Oxford (GB)
ORCID
Venue
Journal of Consulting and Clinical Psychology
Publisher
American Psychological Association (APA)
Published
2013-12
Volume
81
Issue
6
Pages
1137-1143
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
DOI
10.1037/a0033751
PMC
PMC3933214
OpenAlex
W1978628774
Cited by
194
References
52
Citations by year
2026: 8 · 2025: 16 · 2024: 14 · 2023: 14 · 2022: 14 · 2021: 14 · 2020: 21 · 2019: 16 · 2018: 19 · 2017: 12 · 2016: 21 · 2015: 15 · 2014: 8 · 2013: 2
FWCI
17.04
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline (Glasgow Caledonian University) (acceptedVersion)
  • Discovery Research Portal (University of Dundee) (submittedVersion)
  • ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Funders
  • Chief Scientist Office (CZH/4/449)
  • Wellcome Trust (GRO67797)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
suicide attempts, entrapment, defeat, suicide risk prediction, hospital readmission, depression, hopelessness, suicidal ideation, suicide prevention
MeSH terms
Adolescent, Adult, Aged, Culture, Depressive Disorder, Female, Follow-Up Studies, Humans, Internal-External Control, Longitudinal Studies, Male, Middle Aged, Models, Psychological, Motivation, Patient Readmission, Prospective Studies, Recurrence, Risk Factors, Scotland, Suicide, Attempted, Young Adult, Suicidal Ideation, Hope

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