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Persistent suicidality: a concept analysis using Rodgers' evolutionary approach.

Fenny Merbis1, Mette Palm1,2, Els van Wijngaarden3

  • 1Department of Psychiatry, Amsterdam University Medical Centre, location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.

International Review of Psychiatry (Abingdon, England)
|June 10, 2026
PubMed
Summary
This summary is machine-generated.

Persistent suicidality (PS) is a chronic condition, not just an acute crisis. This study clarifies PS as a transdiagnostic, ego-syntonic phenomenon used for psychological regulation, needing tailored clinical care.

Keywords:
Chronic suicidalityConcept analysisPersistent suicidalityRodgers’ evolutionary concept analysis

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Neuroscience

Background:

  • Suicidality is typically viewed as an acute crisis.
  • Persistent suicidality (PS) is underdefined, lacking conceptual clarity and consistent operationalization in existing literature.

Purpose of the Study:

  • To clarify the concept of persistent suicidality (PS).
  • To establish conceptual groundwork for viewing PS as a transdiagnostic phenomenon.

Main Methods:

  • An evolutionary concept analysis of existing literature was performed.
  • A systematic search across six databases identified 45 sources (1974-2025).
  • Data were narratively synthesized using Rodgers' evolutionary framework.

Main Results:

  • Persistent suicidality (PS) is characterized as an ego-syntonic, fluctuating phenomenon.
  • A core attribute of PS is its function as a tool for psychological regulation.
  • PS manifests across various psychiatric diagnoses, not solely personality pathology.

Conclusions:

  • Persistent suicidality (PS) is a transdiagnostic phenomenon.
  • Clinical care protocols for acute suicidality may not adequately address the nature of PS.
  • A dimensional perspective is supported over rigid diagnostic categories for capturing PS.