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Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation
Abstract
The authors intensively studied 207 patients hospitalized because of suicidal ideation, but not for recent suicide attempts, at the time of admission. During a follow-up period of 5-10 years, 14 patients committed suicide. Of all the data collected at the time of hospitalization, only the Hopelessness Scale and the pessimism item of the Beck Depression Inventory predicted the eventual suicides. A score of 10 or more on the Hopelessness Scale correctly identified 91% of the eventual suicides. Taken in conjunction with previous studies showing the relationship between hopelessness and suicidal intent, these findings indicate the importance of degree of hopelessness as an indicator of long-term suicidal risk in hospitalized depressed patients.
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“The opportunity to identify the presence of mental pain comorbid with depressive symptoms may help recognize poor future expectations, which is a well-known proxy for completed suicide [39].”
From High depression symptomatology and mental pain characterize suicidal psychiatric patients (2022) · cites this paper as [39]
In the citing paper
“We chose hopelessness and optimism as key outcome measures due to their established links to suicidality [10 -12]. Hopelessness has been associated with completed suicide, independent of severity of mood symptoms [46,47]”
From Feasibility and utility of positive psychology exercises for suicidal inpatients (2014) · cites this paper as [46]
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Montross, L. P., Kasckow, J., Golshan, S., Solorzano, E., Lehman, D., & Zisook, S. (2008) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0b013e31818ec823 · Cited by 61
The role of clinical and social cognitive variables in parasuicide
O'Connor, R. C., Armitage, C. J., & Gray, L. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466505x82315 · Cited by 60
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Suicide attempters’ Reaction to survival as a risk factor for eventual suicide
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High depression symptomatology and mental pain characterize suicidal psychiatric patients
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A therapeutic tool for boosting mood: the broad-minded affective coping procedure (BMAC).
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Metadata
- Authors
- Beck, A. T., Steer, R. A., Kovács, M., & Garrison, B.
- Venue
- American Journal of Psychiatry
- Published
- 1985-05-01
- Volume
- 142
- Issue
- 5
- Pages
- 559-563
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W1947374910
- Cited by
- 1,723
- References
- 18
- Citations by year
- 2026: 34 · 2025: 38 · 2024: 41 · 2023: 26 · 2022: 54 · 2021: 46 · 2020: 64 · 2019: 52 · 2018: 59 · 2017: 67 · 2016: 67 · 2015: 69 · 2014: 77 · 2013: 67 · 2012: 62
- FWCI
- 27.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-19989, MH-30847)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- hopelessness, suicide, suicidal ideation, suicide risk prediction, hopelessness scale, pessimism, Beck Depression Inventory, depression, hospitalized patients, long-term follow-up
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Aged, Behavior Therapy, Mental Disorders, Cognition, Depression, Female, Hospitalization, Humans, Male, Middle Aged, Personality Inventory, Prospective Studies, Psychiatric Status Rating Scales, Risk, Suicide, Suicide, Attempted
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