Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients
Abstract
A prospective study of 1,958 outpatients found that hopelessness, as measured by the Beck Hopelessness Scale, was significantly related to eventual suicide. A scale cutoff score of 9 or above identified 16 (94.2%) of the 17 patients who eventually committed suicide, thus replicating a previous study with hospitalized patients. The high-risk group identified by this cutoff score was 11 times more likely to commit suicide than the rest of the outpatients. The Beck Hopelessness Scale thus may be used as a sensitive indicator of suicide potential.
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The BHS has good psychometric properties and satisfactory ability in predicting subsequent suicide behavior, and general health and social functioning.
“Several international studies reported good psychometric properties of the BHS and suggested satisfactory ability in predicting subsequent suicide behavior, and general health and social functioning [30–34].”
From High depression symptomatology and mental pain characterize suicidal psychiatric patients (2022) · cites this paper as [31]
A BHS score of 9 or higher could detect patients at risk for suicide.
“A score of 9 or higher could detect patients at risk for suicide [31, 35].”
From High depression symptomatology and mental pain characterize suicidal psychiatric patients (2022) · cites this paper as [31]
Hopelessness and optimism are central therapeutic targets in this clinical cohort because of their independent links to suicidal thoughts and behaviors.
“central therapeutic targets in this clinical cohort because of their independent links to suicidal thoughts and behaviors [50,51]”
From Feasibility and utility of positive psychology exercises for suicidal inpatients (2014) · cites this paper as [50]
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- Authors
- Beck, A. T., Brown, G. P., Berchick, R. J., Stewart, B. L., & Steer, R. A.
- Affiliations
- University of Pennsylvania (US)
- Venue
- American Journal of Psychiatry
- Published
- 1990-02-01
- Volume
- 147
- Issue
- 2
- Pages
- 190-195
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2179463885
- Cited by
- 1,120
- References
- 25
- Citations by year
- 2026: 13 · 2025: 29 · 2024: 26 · 2023: 25 · 2022: 29 · 2021: 31 · 2020: 34 · 2019: 30 · 2018: 55 · 2017: 49 · 2016: 62 · 2015: 66 · 2014: 55 · 2013: 55 · 2012: 47
- FWCI
- 20.58
- 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 › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- hopelessness, suicide, Beck Hopelessness Scale, psychiatric outpatients, suicide risk prediction, suicide potential, replication, cut-off values, hospitalized patients
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Alcoholism, Ambulatory Care Facilities, Depressive Disorder, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Suicide
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