Classification of suicidal behaviors: I. Quantifying intent and medical lethality

Aaron Tim Beck; Roy W. Beck; Mária Kovács

doi:10.1176/ajp.132.3.285

Cited by 460Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseOpioid Use Disorder Treatment

Classification of suicidal behaviors: I. Quantifying intent and medical lethality

Aaron Tim Beck, Roy W. Beck, Mária Kovács·1975·American Journal of Psychiatry

DOI 10.1176/ajp.132.3.285

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Abstract

Previous studies of attempted suicide have cast doubt on the value of assessing psychological intent. By identifying a moderating variable, namely, the attempter's preconceptions about the lethality of his act, the authors were able to solve the puzzle of the low correlations between intent and lethality. Suicidal intent correlates highly with medical lethality when the attempter has sufficient knowledge to assess properly the probable outcome of his attempt. The authors conclude that suicidal intent and medical lethality are useful dimensions in classifying suicidal behavior.

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Intent to die appears to confer heightened risk for suicide.
“Because intent to die appears to confer heightened risk for suicide (14, 15, 39), it was hypothesized a priori that presence of ideation with at least some intent (the two most severe levels of ideation on the C-SSRS) would confer greater risk than presence of ideation without intent.”
From The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults (2011) · cites this paper as [15]

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“Because intent to die appears to confer heightened risk for suicide (14, 15, 39), it was hypothesized a priori that presence of ideation with at least some intent (the two most severe levels of ideation on the C-SSRS) would confer greater risk than presence of ideation without intent.”
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Authors: Beck, A. T., Beck, R. W., & Kovács, M.
Affiliations: University of Pennsylvania (US)
ORCID: Aaron Tim Beck
Roy W. Beck
Mária Kovács
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 1975-03-01
Volume: 132
Issue: 3
Pages: 285-287
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/ajp.132.3.285
OpenAlex: W1686196825
Cited by: 460
References: 0
Citations by year: 2026: 5 · 2025: 10 · 2024: 8 · 2023: 11 · 2022: 13 · 2021: 18 · 2020: 16 · 2019: 16 · 2018: 19 · 2017: 11 · 2016: 19 · 2015: 10 · 2014: 24 · 2013: 19 · 2012: 20
FWCI: 4.08
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
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 behavior, suicide attempts, suicidal intent, moderators
MeSH terms: Attitude to Death, Awareness, Cognition, Humans, Imitative Behavior, Motivation, Psychological Tests, Risk, Suicide

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Classification of suicidal behaviors: I. Quantifying intent and medical lethality

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