Clinical Correlates of Planned and Unplanned Suicide Attempts
Open accessAbstract
Suicide attempters differ in the degree of planning for their suicide attempts. The purpose of this study was to identify differences between individuals who make planned (≥3 hours of planning) and unplanned (<3 hours of planning) suicide attempts. Depressed suicide attempters (n = 110) were compared based on degree of planning of their most recent suicide attempt on demographic and clinical variables. Participants who made planned suicide attempts were more likely to have family history of completed suicide, more severe and frequent suicidal ideation, greater trait impulsivity, and greater suicidal intent and more severe medical consequences for both their most recent and most serious suicide attempts. These results suggest clear clinical differences based on the degree of suicide attempt planning. Severe suicidal ideation, high suicide intent, family history of suicide completion, and high levels of motor impulsivity contribute to a phenotype that is at greater risk of planned, highly lethal suicide attempts.
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Most suicide attempts result from a decision to act made minutes earlier, even if the method was planned months or more ahead.
“Studies of survivors of suicide attempts indicate that most suicide attempts are the result of a decision to act that was made minutes earlier, even if the method was planned months or more ahead (243, 244).”
From A brain-centric model of suicidal behavior (2020) · cites this paper as [244]
The acute risk of acting on suicidal thoughts is brief, and the flexibility of a suicidal person in changing from one method to another is surprisingly limited.
“It takes advantage of two key observations. The acute risk of acting on suicidal thoughts is brief, and the flexibility of the suicidal person in changing from one method to another is surprisingly limited.”
From A brain-centric model of suicidal behavior (2020) · cites this paper as [244]
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- Authors
- Chaudhury, S. R., Singh, T., Burke, A., Stanley, B., Mann, J. J., Grunebaum, M., Sublette, M. E., & Oquendo, M. A.
- Affiliations
- New York State Psychiatric Institute (US)
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2016-11
- Volume
- 204
- Issue
- 11
- Pages
- 806-811
- ISSN
- 0022-3018 (ISSN-L)
- 1539-736X
- PMC
- PMC5075269
- OpenAlex
- W2336756903
- Cited by
- 48
- References
- 48
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 5 · 2023: 5 · 2022: 2 · 2021: 4 · 2020: 6 · 2019: 5 · 2018: 4 · 2017: 3
- FWCI
- 5.35
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (P50MH090964, R01MH048514)
- 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
- suicidal ideation, suicidal intent, impulsivity, depression
- MeSH terms
- Suicide Prevention, Adult, Major Depressive Disorder, Female, Humans, Impulsive Behavior, Male, Suicide, Suicide, Attempted, Young Adult, Suicidal Ideation
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