Cited by 6Suicide and Self-Harm StudiesMental Health Research TopicsMental Health via Writing

Dynamic association between suicidal ambivalence and suicide risk among individuals with a history of suicide attempts.

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Fartacek, Clemens, Fartacek, Reinhold, Schiepek, Günter K., Sturm, Josef, Aichhorn, Wolfgang, Plöderl, Martin·2024·Suicide and Life-Threatening Behavior

Abstract

OBJECTIVE: Suicide risk is highly fluctuating. There is a need for predictors of short-term change in suicide risk to optimize risk assessment and treatment, especially among individuals who already attempted suicide. METHODS: Based on 1776 daily assessments of 16 former psychiatric inpatients with a history of suicide attempts, we examined how suicidal ambivalence and, respectively, wish to die (WTD) and wish to live (WTL) predicted same-day and change in perceived suicide risk (i.e., next-day perceived suicide risk, controlled for same-day perceived suicide risk) in multilevel regression models. Additionally, based on the assumptions of nonlinear dynamics, we examined the associations between levels of fluctuations in the WTD/WTL and perceived suicide risk within the same time period. RESULTS: Suicidal ambivalence, WTD, and a WTL significantly correlated with same-day suicide risk. Suicidal ambivalence and WTD significantly predicted change in suicide risk. Fluctuations in WTD were significantly associated with concurrent suicide risk. CONCLUSION: The results suggest that suicidal ambivalence and WTD are drivers of suicide risk among individuals who already attempted suicide. The association between fluctuations in WTD and suicide risk was small and warrants further investigation on the practical utility as a warning sign.

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Crossref · 10.1111/sltb.13096

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Authors
Fartacek, C., Fartacek, R., Schiepek, G. K., Sturm, J., Aichhorn, W., & Plöderl, M.
Affiliations
  • Paracelsus Medical University (AT)
  • Universitätskliniken Salzburg (AT)
  • Medical Center Bad Vigaun Salzburg Austria
Corresponding author
Fartacek, Clemens
Venue
Suicide and Life-Threatening Behavior
Publisher
Wiley
Published
2024-06-04
Volume
54
Issue
5
Pages
860-868
ISSN
  • 0363-0234 (ISSN-L)
  • 1943-278X
OpenAlex
W4399322773
Cited by
6
References
32
Citations by year
2026: 3 · 2025: 2 · 2024: 1
FWCI
2.99
Type
journal article
Language
en
Open access
Locations
  • Suicide and Life-Threatening Behavior (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health via Writing
Keywords
suicide risk, suicide attempts, desire for death, nonlinear dynamics, daily assessment, psychiatric inpatients, warning signs
MeSH terms
Adult, Female, Humans, Male, Middle Aged, Risk Factors, Suicide, Suicide, Attempted, Risk Assessment, Suicidal Ideation

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