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Pre-suicidal attempt: An intermediate type within ideation-to-action framework.

Xiangqing Hou1, Ying Yang2, Zhengyuan Su1

  • 1School of Education, Tianjin University, Tianjin, China; Laboratory of Suicidal Behavior Research, Tianjin University, Tianjin, China; Institute of Applied Psychology, Tianjin University, China.

Journal of Psychiatric Research
|August 14, 2024
PubMed
Summary
This summary is machine-generated.

Pre-suicidal attempts, not just suicidal ideation, predict actual suicide attempts. This intermediate step is crucial for understanding the transition from suicidal thoughts to actions, aiding suicide prevention efforts.

Keywords:
Interpersonal theory of suicideMechanismPre-suicidal attemptSuicidal behaviorsType

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Area of Science:

  • Psychology
  • Psychiatry
  • Public Health

Background:

  • Understanding suicidal behavior is key for effective suicide prevention.
  • The ideation-to-action framework explains the transition from suicidal thoughts to actions.
  • A pre-suicidal attempt phase may represent a critical intermediate step.

Purpose of the Study:

  • To propose and validate the concept of pre-suicidal attempts as an intermediate stage.
  • To examine the role of pre-suicidal attempts in the transition from suicidal ideation to suicidal attempts.

Main Methods:

  • 1084 college students completed surveys on suicide history, risk factors, and demographics.
  • Stratified stepwise multiple regression and mediated moderation models were employed.
  • Statistical analyses examined relationships between suicidal ideation, pre-suicidal attempts, and suicide attempts.

Main Results:

  • Pre-suicidal attempts, rather than suicidal ideation alone, predict suicide attempts.
  • Age, depression, thwarted belongingness, fearlessness of death, perceived burdensomeness, and suicidal ideation predicted pre-suicidal attempts.
  • Pre-suicidal attempts mediated the link between suicidal ideation and attempts, moderated by pain tolerance and fearlessness of death.

Conclusions:

  • Pre-suicidal attempts represent a distinct intermediate type within the ideation-to-action framework.
  • Identifying pre-suicidal attempts enhances understanding of the pathway to suicide.
  • This finding offers new insights for suicide prevention and intervention strategies.