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Comfort from suicidal cognition in recurrently depressed patients
Catherine Crane1, Thorsten Barnhofer1, Danielle S Duggan1
1Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK.
Background:
Previous research has suggested that some individuals may obtain comfort from their suicidal cognitions.
Method:
This study explored clinical variables associated with comfort from suicidal cognition using a newly developed 5 item measure in 217 patients with a history of recurrent depression and suicidality, of whom 98 were followed up to at least one relapse to depression and reported data on suicidal ideation during the follow-up phase.
Results:
Results indicated that a minority of patients, around 15%, reported experiencing comfort from suicidal cognitions and that comfort was associated with several markers of a more severe clinical profile including both worst ever prior suicidal ideation and worst suicidal ideation over a 12 month follow-up period.
Limitations:
Few patients self-harmed during the follow-up period preventing an examination of associations between comfort and repetition of self-harm.
Conclusions:
These results, although preliminary, suggest that future theoretical and clinical research would benefit from further consideration of the concept of comfort from suicidal thinking.
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