The hypothesis of a continuum in suicidality: a discussion on its validity and practical implications
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The idea of a progression in suicide phenomena, from death wishes to suicide attempts and completed suicides, is quite old and widely present in literature. This model of interpreting suicidality has great relevance in preventative approaches, since it gives the opportunity of intercepting suicidal trajectories at several different stages. However, this may not be the case for many situations, and the hypothesis of a continuum can be true only in a limited number of cases, probably embedded with a specific psychopathological scenario ( e.g. depression) and with a frequency that should not permit generalisations. This paper reviews the available evidence about the existence and validity of this construct, and discusses its practical implications.
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The single PHQ-9 item has shown good specificity and reasonable sensitivity for screening suicidal ideation compared to a structured clinical interview.
“We believe this was defensible, however, because when this item has been used to screen for suicidal ideation it has shown good specificity and reasonable sensitivity when compared to a structured clinical interview [41].”
From Masculinity and suicidal thinking (2017) · cites this paper as [41]
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- Authors
- Sveticic, J., & Leo, D. D.
- Affiliations
- Griffith University (AU)
- ORCID
- Leo, Diego De
- Venue
- Mental Illness
- Publisher
- Wiley
- Published
- 2012-07-26
- Volume
- 4
- Issue
- 2
- Pages
- 73-78
- ISSN
- 2036-7457 (ISSN-L)
- 2036-7465
- PMC
- PMC4253372
- OpenAlex
- W2148424413
- Cited by
- 198
- References
- 58
- Citations by year
- 2026: 14 · 2025: 24 · 2024: 26 · 2023: 19 · 2022: 20 · 2021: 31 · 2020: 15 · 2019: 9 · 2018: 13 · 2017: 5 · 2016: 10 · 2015: 5 · 2014: 3 · 2013: 4
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Mental Illness (publishedVersion, cc-by)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Griffith Research Online (submittedVersion, cc-by-nc)
- 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
- suicidality, continuum hypothesis, suicide prevention, suicide attempts, suicide mortality, death wish, depression, psychopathology
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