Using the integrated motivational-volitional (IMV) model of suicidal behaviour to differentiate those with and without suicidal intent in hospital treated self-harm

Cleare, Seonaid; Wetherall, Karen; Eschle, Sarah; Forrester, Rebecca; Drummond, Julie; O’Connor, Rory C.

doi:10.1016/j.ypmed.2021.106592

Cited by 10 publications

(6 citation statements)

References 47 publications

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“…Borrowing from the stress-diathesis view of suicide, the pre-motivational stage emphasizes the joint biosocial interplay of state variables (stressors) and trait variables (diatheses). Accordingly, the pre-motivational stage outlines potentially relevant internal (e.g., negative evaluations of self and situation) and external (e.g., stressful life events) contexts which represent possible vulnerability to several categories of "strains" (Zhang, 2019) Cleare et al, 2021;Forkmann & Teismann, 2017;Ordóñez-Carrasco et al, 2021;Teismann & Brailovskaia, 2020).…”

Section: Theoretical Foundation -The Imv Modelmentioning

confidence: 99%

Profiling the Digital Mosaic of Uncensored Suicidal Thought and Behavior: A Theory-Driven Network Analysis of Online Written Expression

Lekkas¹,

Oh²,

Matsumura³

et al. 2023

Preprint

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The highly stigmatizing and taboo nature of suicidal thought and behavior (STB) makes it especially prone to censorship across modern communication platforms, ultimately impacting breadth of phenomenological detection. Applying ideation-to-action models of suicide to uniquely naturalistic data sources may serve to deepen understanding of digital STB expression. STB written communication across N=839 posts on the pro-choice suicide forum, Sanctioned Suicide, was qualitatively coded through development of a 20-item inventory based on the Integrated Motivational-Volitional (IMV) model. Reliable items were modeled using network analysis techniques to highlight patterns in post content. Coping strain-related stressors and feelings of defeat/entrapment most frequently characterized posts. Recapitulating the IMV framework, network modeling implicated defeat/entrapment as the most central node among items. Further analysis of the estimated network structure highlighted three primary themes of STB expression: contexts of powerlessness, trauma-mediated alienation, and crowdsourced preparation. This research offered an analytical foray into the expression of unmitigated STB. Findings aligned with documented associations in the literature, establishing a baseline summary of STB content within a marginalized, at-risk community. Future work should focus on modeling detailed semantic and social engagement data within this extraordinary microcosm to further explore, describe, and develop digital profiles of STB risk.

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Section: Theoretical Foundation -The Imv Modelmentioning

confidence: 99%

Profiling the Digital Mosaic of Uncensored Suicidal Thought and Behavior: A Theory-Driven Network Analysis of Online Written Expression

Lekkas¹,

Oh²,

Matsumura³

et al. 2023

Preprint

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“…Measures of suicidality (Armitage et al, 2016 ) and hospital re‐admissions (O'Connor et al, 2017 ) are likely to constitute appropriate outcome measures for research with hospital patients because a key motive for self‐harm within this group is the wish to die (de Beurs et al, 2018 ). As a result, a preponderance of hospital patients present with suicidal intent (Cleare et al, 2021 ; de Beurs et al, 2018 ). It is reasonable, therefore, to expect reductions in suicidality and readmission to hospital to be observed following a self‐harm intervention.…”

Section: Introductionmentioning

confidence: 99%

Evidence that implementation intentions reduce self‐harm in the community

Paterson,

Elliott,

Nicholls

et al. 2023

British J Health Psychol

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ObjectivesImplementation intentions are ‘IF‐THEN’ plans that encourage goal‐intended behaviour. This study was designed to test whether an intervention encouraging the formation of implementation intentions can reduce self‐harm in the community.DesignA randomized controlled design was used.MethodsAt pre‐intervention, outcome variables (self‐harm in both specified and unspecified critical situations and suicidality) and potential moderators of implementation intentions (goal intention, mental imagery, and exposure to self‐harm) were measured using self‐report questionnaires. The participants (N = 469, aged 18–66 years, 86.4% female, 6.8% male and 6.7% other) were then randomized to either an experimental (implementation intention) or control task. At three‐months post‐intervention, self‐report questionnaires were used again to measure the outcome variables.ResultsThere were no overall differences between the conditions at post‐intervention. However, goal intention and mental imagery, but not exposure to self‐harm, moderated the effects of condition on self‐harm in specified critical situations. At high (mean + 1SD) levels of both goal intention and mental imagery, the experimental condition reported self‐harming less frequently in the situations specified in their implementation intentions.ConclusionsImplementation intentions therefore represent a useful intervention for reducing self‐harm in specified critical situations for people in the community who wish to avoid self‐harm and those who frequently experience self‐harm and suicide related mental imagery.

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“…Rates of completed suicide are dependent on coroner reports which have inherent flaws and are likely result in an underestimation [ 14 ]. Key theoretical models in this area acknowledge the importance of suicidal ideation and intentions, and self-harm in understanding suicide risk [ 15 , 16 ]. Moreover, suicide rates are likely to vary between countries, given the significant heterogeneity in both global urban and rural living standards [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of the Effects of Urban Living on Suicidality and Self-Harm in the UK and Ireland

et al. 2022

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We conducted a systematic review to answer the following: (a) Is there any evidence to support increased prevalence of suicidality and self-harm (i.e. self-harm or suicidality) in urban versus rural environments? (b) What aspects of the urban environment pose risk for suicidality and self-harm? Thirty-five studies met our criteria. Our findings reflect a mixed picture, but with a tendency for urban living to be associated with an increased risk of suicidality and self-harm over rural living, particularly for those living in deprived areas. Further research should focus on the clustering and additive effects of risk and protective factors for suicidality and self-harm in urban environments.

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Using the integrated motivational-volitional (IMV) model of suicidal behaviour to differentiate those with and without suicidal intent in hospital treated self-harm

Cited by 10 publications

References 47 publications

Profiling the Digital Mosaic of Uncensored Suicidal Thought and Behavior: A Theory-Driven Network Analysis of Online Written Expression

Profiling the Digital Mosaic of Uncensored Suicidal Thought and Behavior: A Theory-Driven Network Analysis of Online Written Expression

Evidence that implementation intentions reduce self‐harm in the community

A Systematic Review of the Effects of Urban Living on Suicidality and Self-Harm in the UK and Ireland

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