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Cited by 231Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health via Writing

A systematic review of the relationship between rumination and suicidality

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Morrison, Rebecca, O'Connor, Rory C.·2008·Suicide and Life-Threatening Behavior
DOI 10.1521/suli.2008.38.5.523
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Abstract

Rumination has been persistently implicated in the etiology of hopelessness and depression, which are proximal predictors of suicidality. As a result, researchers have started to examine the role of rumination in suicidality. This systematic review provides a concise synopsis of the current progress in examining the relationship between rumination and suicidality, and highlights areas for future research. A search of the international literature was conducted using the three main psychological and medical databases. Eleven studies were identified providing evidence, with one exception, of a relationship between rumination and suicidality. This review also highlights the considerable dearth of studies on this area of concern, specifically of case-control and prospective, clinical studies, in the worldwide literature.

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  • Brooding rumination is more strongly associated with suicide risk than reflection.

    “As brooding rumination [44] is more strongly associated with suicide risk than reflection [42,43]”

    From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [42]

    The Longitudinal/Prospective Studies section reports that brooding, but not reflection, predicted later suicidal ideation in one study. The Conclusions also report a study in which both predicted ideation, while the Case-Control Studies section found no difference in brooding between groups with different suicide histories. The review therefore supports a stronger association in some studies, but not an unqualified comparison across suicide risk generally; page numbers are unavailable in our copy. (LLM, conf=0.82)

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  • Social problem-solving, autobiographical memory biases, and rumination are threat to self-moderators.

    “Given their established relationships with suicidal ideation and behaviour, social problem-solving [37–39], autobiographical memory biases [39–41] and rumination [42,43] are included here as TSMs”

    From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [42]

  • A transdiagnostic study based on whole brain ALFF also clustered MDD patients into two subtypes with distinct activity patterns similar to our results.

    “A transdiagnostic study, based on the whole brain amplitude of low-frequency fluctuations (ALFF), also clustered MDD patients into two subtypes with distinct activity patterns similar to our results [55].”

    From Mapping neurophysiological subtypes of major depressive disorder using normative models of the functional connectome (2023) · cites this paper as [55]

  • Rigidity, inflexibility, and rumination impair problem solving with respect to common stressors.

    “Rigidity, inflexibility, and rumination impair problemsolving with respect to common stressors, including trying to find solutions to financial problems, unemployment, criminal justice involvement, interpersonal conflicts, and family strife.35”

    From Suicide (2020) · cites this paper as [35]

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Research works printed but not linked: 3

  1. First, M.B., Spitzer, R.L., Gibbon, M. & Williams, J.B.W. (1997). Structured clinical interview for DSM-IV Axis 1 Disorders -Non-patient edition (version 2.0). New York: New York State Psychiatric Institute, Biomedics Research Department.
  2. Clinical Psychopathology, nomenclature and classification. New York: Plenum Press.
  3. MacCoon, D.G., Abramson, L.Y., Mezulis, A.H., Hankin, B. & Alloy, L.B. (2005). The Attentional Mediated Hopelessness (AMH) Theory: The role of attention in connecting cognitive vulnerability to rumination in depression. Manuscript under review.

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Authors
Morrison, R., & O'Connor, R. C.
Affiliations
University of Stirling (GB)
ORCID
Morrison, Rebecca
Venue
Suicide and Life-Threatening Behavior
Publisher
Wiley
Published
2008-10
Volume
38
Issue
5
Pages
523-538
ISSN
  • 0363-0234 (ISSN-L)
  • 1943-278X
DOI
10.1521/suli.2008.38.5.523
OpenAlex
W2057688174
Cited by
231
References
66
Citations by year
2026: 5 · 2025: 9 · 2024: 18 · 2023: 17 · 2022: 17 · 2021: 17 · 2020: 17 · 2019: 10 · 2018: 13 · 2017: 16 · 2016: 21 · 2015: 10 · 2014: 13 · 2013: 14 · 2012: 12
FWCI
1.27
Type
journal article
Language
en
Open access
Licence
Locations
  • Suicide and Life-Threatening Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
  • ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
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 › Social Psychology › Mental Health via Writing
Keywords
rumination, suicidality, hopelessness, depression, suicide risk, causes of suicide
MeSH terms
Depressive Disorder, Major, Major Depressive Disorder, Humans, Mental Recall, Research Design, Suicide, Attempted

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