Understanding Suicidal Behavior Using a Comprehensive Approach

Abstract

A comprehensive understanding of how suicidal risk factors interact with one another to increase the frequency of suicide ideation and attempted suicide is critical for improving theoretical models of suicide and prevention efforts. The aim of the present study was to explore the prediction of suicide ideation formation and its transition to suicide attempt through the interactions of the constructs suggested by the IPTS, IMV and 3ST theories, as well as other clinical factors. The core constructs of several theoretical models were assessed using a battery of scales administered to 909 Iranian college students. The results supported Klonsky's 3ST and O’Connor's IMV models and, in addition, the relevance of non-suicidal self-injury, the acquired capacity for self-harm, sexual abuse, and exposure to family self-harm for the transition from suicide ideation to a suicide attempt. Depression and PTSD were background factors rather than risk factors for suicide ideation or suicide attempt. Limitations were that the information provided by students may have been biased due to the stigma surrounding suicide in Iranian culture, and the proportion of female students was high.

Suicide capability within the ideation-to-action framework: A systematic scoping review

“…Despite there being a Painful and Provocative Events Scale [ 60 ], most studies used measures that reflected the painful provocative event that was the focus of the study (e.g., trauma, NSSI, substance use). The Suicide Capacity Scale (SCS-3) [ 9 , 66 ], which measures suicide capability as a multifactor concept was seldom used (see [ 67 – 69 ]), as most studies focused on single aspects of suicide capability (e.g., painful and provocative events). Of the nine qualitative studies, two used life charting [ 48 , 51 ], two used thematic analysis [ 45 , 46 ] and the remaining five studies used different qualitative approaches reflecting the heterogeneity of qualitative methodologies [ 70 ].…”

Structural validity of the Persian version of the Suicide Capacity Scale among Iranian college students

“…Another point is that in the practical capacity of suicide, we are somehow dealing with planning for suicide. According to the research of Kiani et al (2021), mental planning of action can significantly affect suicide attempts (Chelmardi et al, 2021).…”