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Cited by 245Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health via Writing

Rumination, Suicidal Ideation, and Suicide Attempts: A Meta-Analytic Review

Rogers, Megan L., Joiner, Thomas E.·2017·Review of General Psychology
DOI 10.1037/gpr0000101
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Abstract

Rumination has been implicated as a risk factor for suicidal ideation and attempts, yet the literature to date has not been synthesized. We conducted a meta-analysis of the association between rumination and both suicidal ideation and attempts to consolidate the existing literature ( k = 29). Results indicated that the relationships between global rumination ( k = 13; Hedge's g = .74, p < .001, 95% CI [.45, 1.04]), brooding ( k = 12; Hedge's g = .63, p < .001, 95% CI [.35, .90]), and reflection ( k = 12; Hedge's g = .38, p = .002, 95% CI [.10, .65]) with suicidal ideation were significant. Associations between global rumination ( k = 3; Hedge's g = .26, p < .001, 95% CI [.08, .44]) and brooding ( k = 4; Hedge's g = .47, p = .004, 95% CI [.02, .91]) and suicide attempts were significant, but reflection ( k = 4; Hedge's g = .09, p = .646, 95% CI [−.54, .72]) was unrelated. However, given the limited studies included in suicide attempt analyses—and the exclusive use of cross-sectional designs and heterogeneity with regard to samples and measures—these parameters should be taken with caution. Generally, age, gender, race/ethnicity, and year of publication were not moderators, and there was little evidence for publication bias across effects, with the exception of the effect of global rumination on suicidal ideation. Several future research directions are discussed.

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Crossref · 10.1037/gpr0000101

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  • Brooding rumination is more strongly associated with suicide risk than reflection.

    “As brooding rumination [44] is more strongly associated with suicide risk than reflection [42,43]”

    From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [43]

  • Social problem-solving, autobiographical memory biases, and rumination are threat to self-moderators.

    “Given their established relationships with suicidal ideation and behaviour, social problem-solving [37–39], autobiographical memory biases [39–41] and rumination [42,43] are included here as TSMs”

    From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [43]

  • Suicide-specific rumination, defined as a fixation on one's suicide-related thoughts and plans, predicts attempts over and above other risk factors.

    “Indeed, suicide-specific rumination, defined as a fixation on one’s suicide-related thoughts and plans (Rogers and Joiner, 2017), predicts attempts over and above other risk factors (Rogers and Joiner, 2018).”

    From The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness (2021) · cites this paper as Rogers and Joiner, 2017

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Authors
Rogers, M. L., & Joiner, T. E.
Affiliations
Florida State University (US)
Corresponding author
Rogers, Megan L.
ORCID
Venue
Review of General Psychology
Publisher
SAGE Publications
Published
2017-06
Volume
21
Issue
2
Pages
132-142
ISSN
  • 1089-2680 (ISSN-L)
  • 1939-1552
DOI
10.1037/gpr0000101
OpenAlex
W2597065903
Cited by
245
References
72
Citations by year
2026: 19 · 2025: 35 · 2024: 36 · 2023: 31 · 2022: 33 · 2021: 34 · 2020: 19 · 2019: 16 · 2018: 15 · 2017: 6
FWCI
18.99
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
Review of General Psychology (publishedVersion)
Funders
Department of Defense (W81XWH-10-2–0181)
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
rumination, suicidal ideation, suicide attempts, brooding, reflection, suicide risk factors, publication bias, moderators

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