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Cited by 60Suicide and Self-Harm StudiesBehavioral Health and InterventionsHomicide, Infanticide, and Child Abuse

The role of clinical and social cognitive variables in parasuicide

Open access
O'Connor, Rory C., Armitage, Christopher J., Gray, Lorna·2006·British Journal of Clinical Psychology
DOI 10.1348/014466505x82315
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Abstract

Objectives The central aim of the present study was to investigate the extent to which social cognitive variables could mediate the effects of past self‐harm behaviour and clinical variables on intentions to engage in deliberate self‐harm (DSH) and suicidality in the next three months. In addition, we aimed to extend the application of the theory of planned behaviour (TPB) beyond distal health outcomes to a behaviour that is proximal and extreme. Design and method A prospective study design was employed. Ninety parasuicide patients admitted via accident and emergency to a general hospital completed measures of hopelessness, depression, anxiety, past self‐harm behaviour, standard TPB and group identity measures within days of an overdose. Three months later, participants were asked to complete a measure of suicidal thinking and behaviour. Results There was clear evidence that the social cognitive variables were significant predictors of intention to engage in DSH and suicidality three months later. Depression was the only clinical variable which remained significant when all variables were entered into the final model to predict intentions. Attitudes, self‐efficacy and intention mediated the clinical variables‐suicidality relationship. Conclusions The TPB is a useful framework for understanding suicidal behaviour. The results extend the application of the TPB beyond distal health outcomes to a behaviour that is both proximal and extreme. Future research should explore the implications for screening assessment and suicide prevention.

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  • Individuals with less negative attitudes towards suicide/death are more likely to consider suicide as an option when they are trapped.

    “the IMV model also hypothesizes that individuals with less negative attitudes towards suicide/death are also more likely to consider suicide as an option when they are trapped [16,54]”

    From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [54]

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Authors
O'Connor, R. C., Armitage, C. J., & Gray, L.
Affiliations
  • University of Sheffield (GB)
  • Newcastle University (GB)
ORCID
Armitage, Christopher J.
Venue
British Journal of Clinical Psychology
Publisher
Wiley
Published
2006-11
Volume
45
Issue
4
Pages
465-481
ISSN
  • 0144-6657 (ISSN-L)
  • 2044-8260
DOI
10.1348/014466505x82315
OpenAlex
W1998270235
Cited by
60
References
71
Citations by year
2025: 1 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 4 · 2018: 7 · 2017: 2 · 2016: 5 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 5
FWCI
3.69
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1514 d)
Locations
  • British Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Stirling Online Research Repository (University of Stirling) (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • Newcastle University ePrints (Newcastle Univesity)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
parasuicide, self-harm, theory of planned behavior, social cognitive variables, suicidal ideation, hopelessness, depression, anxiety, self-efficacy, attitudes, group identity, suicide prevention, drug overdose
MeSH terms
Adult, Anxiety Disorders, Attitude, Depression, Female, Follow-Up Studies, Humans, Male, Prospective Studies, Surveys and Questionnaires, Severity of Illness Index, Social Perception, Suicide, Attempted, Time Factors, Prevalence, Self Efficacy, Intention

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