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Veterans expecting a future suicide attempt showed increased preparation and risk for suicidal behavior. This expectation independently predicted outcomes, highlighting its importance in suicide prevention research.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Suicidology

Background:

  • Future expectations are key in suicide theories.
  • The clinical significance of expecting a future suicide attempt remains unclear.

Purpose of the Study:

  • Examine correlates of expecting a future suicide attempt.
  • Investigate the prospective significance of this expectation in high-risk veterans.

Main Methods:

  • A cohort of 126 high-risk veterans was followed for 365 days.
  • Cross-sectional analyses used Chi-square and Wilcoxon rank-sum tests.
  • Cox proportional hazards regression predicted suicidal behavior.

Main Results:

  • Veterans expecting suicide attempts reported more preparation, recent behavior, and perceived access to means.
  • No differences were found in hopelessness, future expectations, or coping.
  • Expecting a suicide attempt was linked to elevated risk of suicidal behavior.

Conclusions:

  • Risk factors distinguished veterans who did and did not expect suicide attempts.
  • Expectation of suicide attempt predicted behavior independently of other factors.
  • Understanding anticipation of suicidal behavior can aid suicide prevention.