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Suicidal ambivalence: A scoping review.

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Suicidal ambivalence, the internal suicide debate, is common in individuals contemplating suicide. Research shows gaps in understanding its development and treatment, despite its relevance.

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health Research

Background:

  • Suicidal ambivalence is a key characteristic of individuals with suicidal ideation.
  • A lack of uniform definition and assessment hinders research on suicidal ambivalence.
  • This review addresses the need for a comprehensive understanding of suicidal ambivalence.

Purpose of the Study:

  • To explore the extent, range, and nature of research on suicidal ambivalence.
  • To summarize current research findings on suicidal ambivalence.
  • To identify knowledge gaps regarding suicidal ambivalence.

Main Methods:

  • A systematic literature search was conducted across four major databases: PubMed, Psychinfo, Web of Science, and Google Scholar.
  • Search terms included 'ambivalence', 'internal suicide debate', 'reasons for living', and 'reasons for dying'.
  • A total of 28 articles published between 1977 and 2023 were included.

Main Results:

  • The current body of research lacks clear definitions, conceptualization, and operationalization of suicidal ambivalence.
  • Suicidal ambivalence is a prevalent experience for individuals contemplating suicide, present before, during, and after attempts.
  • Suicidal ambivalence correlates with various indicators of mental health and suicidal behaviors.

Conclusions:

  • Suicidal ambivalence is a significant factor in suicidal behavior.
  • Substantial knowledge gaps exist concerning the development, impact, and therapeutic interventions for suicidal ambivalence.
  • Further research is needed to address these gaps and improve clinical understanding and treatment.