Anticipated consequences as the primary causes of suicidal behavior: Evidence from a laboratory study

Due to the limitations of conducting experimental studies on suicide, little is known about its causes. Based on basic behavioral research, we hypothesized that the anticipated consequences of suicidal behavior (e.g., stress relief) are the primary causes of suicidal behavior, and experienced antecedents (e.g., stress) are secondary causes. We evaluated this general hypothesis by testing the causal effects of these two broad phenomena on virtual reality (VR) suicide in 497 participants across five groups. On their own, experienced antecedent manipulations (i.e., stress and rejection) did not significantly increase VR suicide rates relative to the control group. On its own, the anticipated consequence manipulation (i.e., instruction that engaging in VR suicide would allow one to avoid a future stressor) caused a large increase in the VR suicide rate. In the context of an experienced antecedent manipulation (i.e., stress), this anticipated consequence manipulation caused an even larger increase in the VR suicide rate. These findings suggest that the anticipated consequences of suicidal behavior (e.g., avoidance or escape from something unpleasant, attaining something pleasant) are the primary causes of suicidal behavior, and that experienced antecedents (e.g., stress) serve as secondary causes when they make an anticipated consequence of suicidal behavior seem more appealing.