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Related Experiment Video

Updated: Jun 9, 2026

The Forced Swim Test as a Model of Depressive-like Behavior

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Examining suicide in 'pro-choice suicide' forums: A cyclical model.

Marc Palma¹, Laura E Jimenez-Arista¹

¹Counseling and Counseling Psychology, Arizona State University, Tempe, Arizona, USA.

The British Journal of Clinical Psychology

|June 8, 2026

Summary

This study introduces the Cyclical Model of Suicide (CMS), a new framework for understanding suicidal distress based on real-time online user accounts. It highlights cyclical patterns and the role of online forums in suicide prevention.

Keywords:

cyclical forum online pro‐choice suicide

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Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression

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Published on: May 19, 2015

Area of Science:

Psychology
Public Health
Online Behavior Analysis

Background:

Suicidal distress is often studied retrospectively, potentially introducing recall bias.
Online forums offer real-time, anonymous disclosures of suicidal experiences.

Purpose of the Study:

To examine real-time online accounts of suicidal distress.
To develop a process framework for understanding and preventing suicide.

Main Methods:

Qualitative content analysis of 526 posts from a large pro-choice suicide discussion forum.
Analysis focused on categorizing states, emotions, and motivations related to suicidal distress.

Main Results:

The Cyclical Model of Suicide (CMS) emerged, a non-linear, bidirectional framework.
CMS includes six states, a Reversal mechanism, and 'incident drivers' influencing state transitions and recurrence.

Conclusions:

The study proposes a process-oriented framework using in-the-moment accounts.
It highlights cyclical language, the 'Reversal' mechanism, and the role of online spaces for venting and support.