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Investigating Pain-Related Avoidance Behavior using a Robotic Arm-Reaching Paradigm

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Fearlessness about death does not differ by suicide attempt method.

Brian W Bauer¹, Anna R Gai², Mary E Duffy²

¹Department of Psychology, University of Southern Mississippi, Hattiesburg, MS, USA.

Journal of Psychiatric Research

|March 2, 2020

Summary

This summary is machine-generated.

Fearlessness about death does not vary by suicide attempt method. This finding suggests clinicians should focus on practical capability factors, like access and comfort with the method, when assessing suicide risk.

Keywords:

Capability for suicide Equivalence testing Fearlessness about death Suicide attempt

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Area of Science:

Psychology
Psychiatry
Public Health

Background:

Modern suicide theories, like the Interpersonal Theory of Suicide, differentiate between suicide attempters and those with suicidal ideation.
Fearlessness about death is a key factor studied in suicide research.
The lethality of suicide methods raises questions about whether different levels of fearlessness are required for specific methods.

Purpose of the Study:

To investigate the association between various suicide attempt methods and levels of fearlessness about death.
To determine if specific suicide methods require different levels of fearlessness about death.

Main Methods:

A large sample of 620 suicide attempt survivors from military, veteran, and civilian populations was analyzed.
Suicide attempt status was confirmed by independent raters and participant self-report of intent to die.

Main Results:

Fearlessness about death did not significantly differ across various suicide attempt methods.
Nearly all methods were found to be statistically equivalent regarding fearlessness about death.
Methods with higher lethality or requiring more anguish, like firearms or hanging, showed no difference in associated fearlessness.

Conclusions:

The study indicates that fearlessness about death is not a differentiating factor for suicide method choice.
Clinical focus should shift towards practical capability aspects, such as means safety, access, and comfort with the method, for patients at high suicide risk.