A taxonomy of factors related to suicidal behavior.
Abstract
This article presents a taxonomy of factors related to suicidal behavior. Drawing from a large pool of theoretical formulations, empirical data, and clinical research, it presents several categories of factors: pathological states, phenomenological states, self-destructive processes, personality traits, chronic stressors, acute stressors, facilitators of suicide, background factors, and symptomatic behaviors. The model yields three types of suicidal behavior: the depressed-perfectionistic type, the Impulsive type, and the dlsintegrative type. Each type consists of a different cluster of interactions among the various factors. The factors within each cluster reflect a unifying theme. Some of the possible interactive dynamics are demonstrated and supported by research. The taxonomy and implied model provide an interactive perspective of the causes of suicide, open up avenues for systematic research and evaluation of risk, and suggest several distinct dynamics of suicide that can serve as a basis of psychotherapy and intervention.
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Even healthy individuals with intact acute stress-response systems might conceive of suicidal behavior if faced with a stressor perceived as unusually intense, life-altering, or overwhelming.
“even healthy individuals with intact acute stress-response systems might conceive of suicidal behavior if faced with a stressor perceived to be unusually intense, life-altering, or overwhelming (see Orbach 1997 for a detailed discussion of people who attempted suicide and exhibited high levels of perfectionism but no other apparent psychopathology)”
From Adolescent Suicide as a Failure of Acute Stress-Response Systems. (2019) · cites this paper as Orbach 1997
Reciprocal transactions among social-environmental, cognitive, and biological systems may confer unique risk for interpersonally themed stress and impulsive suicidal urges that are more common in adolescents than in suicidal adults.
“we elucidated how reciprocal intra- and interpersonal transactions between social–environmental, cognitive, and biological systems may confer a unique risk for the types of interpersonally themed stress that most adolescents report as precipitants to suicidal behavior and the impulsive suicidal urges that are more common among adolescents than among suicidal adults (Orbach 1997)”
From Adolescent Suicide as a Failure of Acute Stress-Response Systems. (2019) · cites this paper as Orbach 1997
Cites
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Self-citationAssessing and Treating the Patient at Risk for Suicide
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Silverman, M. M., Berman, A. L., Sanddal, N. D., O'Carroll, P. W., & Joiner, T. E. (2007) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2007.37.3.248 · Cited by 593 · see citing works
Adolescent Suicide as a Failure of Acute Stress-Response Systems.
Miller, A. B., & Prinstein, M. J. (2019) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095625 · Cited by 235 · see citing works
- Authors
- Orbach, I.
- Affiliations
- Bar-Ilan University (IL)
- Corresponding author
- Orbach, Israel
- Venue
- Clinical Psychology: Science and Practice
- Published
- 1997
- Volume
- 4
- Issue
- 3
- Pages
- 208-224
- ISSN
- 0969-5893 (ISSN-L)
- 1468-2850
- OpenAlex
- W2015302019
- Cited by
- 69
- References
- 7
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2019: 1 · 2018: 2 · 2017: 1 · 2015: 3 · 2014: 4 · 2013: 1 · 2012: 5
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Science and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- suicidal behavior, depression, perfectionism, impulsivity, personality traits, chronic stressors, acute stressors, suicide risk assessment, suicide prevention
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