Suicide attempters’ Reaction to survival as a risk factor for eventual suicide
Abstract
OBJECTIVE: The authors' goal was to evaluate whether suicide attempters' reaction to surviving their attempt predicted eventual suicide. METHOD: Three hundred ninety-three suicide attempters were categorized on the basis of their reaction to having survived their attempt (i.e., glad to be alive, ambivalent, wished they were dead) and were followed for 5 to 10 years to determine whether they completed suicide. RESULTS: A survival analysis found that subjects who said that they wished they had died after a suicide attempt were 2.5 times more likely to commit suicide eventually than those who were glad they survived and those who were ambivalent about the attempt. CONCLUSIONS: Suicide attempters' reaction to surviving is an important clinical variable that is easily assessed in evaluations that occur following a suicide attempt.
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In the aftermath of a suicide attempt, 36% to 43% of suicide attempters report that they feel ambivalent about having survived, while 35% are glad to have survived and 14% to 22% regret having survived.
“In the aftermath of a suicide attempt, 36% to 43% of suicide attempters report that they feel ambivalent about having survived, while 35% are glad to have survived and 14% to 22% regret having survived (17, 74);”
From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [17]
Suicidal individuals report an internal struggle between a wish to die and a wish to live before, during and after suicidal behaviour.
“Suicidal individuals report an internal struggle between a wish to die and a wish to live before, during and after suicidal behaviour (e.g., 17–19).”
From Ambivalence model of suicidality [ABS-model]: an orientation model for the treatment of suicidal individuals (2024) · cites this paper as [17]
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References 5 · Cited by 55
- Authors
- Henriques, G., Wenzel, A., Brown, G. K., & Beck, A. T.
- Affiliations
- James Madison University (US)
- University of Pennsylvania (US)
- Venue
- American Journal of Psychiatry
- Published
- 2005-11-01
- Volume
- 162
- Issue
- 11
- Pages
- 2180-2182
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2132295999
- Cited by
- 55
- References
- 5
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 5 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 2
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH47383, R01MH060915)
- 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
- suicide attempters, suicidal ideation, long-term follow-up, suicide prevention
- MeSH terms
- Adult, Attitude, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Psychometrics, Recurrence, Risk Factors, Suicide, Suicide, Attempted, Survival Rate, Survival Analysis, Intention
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