Worst-point suicidal plans: a dimension of suicidality predictive of past suicide attempts and eventual death by suicide

Among 440 psychiatric outpatients with current suicidal ideation, we examined the empirical distinction between the “plans” vs. “desire” dimensions of suicidality, focusing for conceptual and empirical reasons on a worst-point assessment strategy. Factor analyses were consistent with the distinction...

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Bibliographic Details
Published in:Behaviour research and therapy 2003-12, Vol.41 (12), p.1469-1480
Main Authors: Joiner, Thomas E, Steer, Robert A, Brown, Gregory, Beck, Aaron T, Pettit, Jeremy W, Rudd, M.David
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Completed and attempted suicide
Factor Analysis, Statistical
Female
Humans
Male
Medical sciences
Middle Aged
Psychiatric Status Rating Scales
Psychiatry
Psychological aspects
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Risk Assessment
Suicidal desire
Suicidal plans
Suicide
Suicide - psychology
Suicide, Attempted - psychology
Suicides & suicide attempts
Techniques and methods
Worst-point assessment strategy
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Summary:Among 440 psychiatric outpatients with current suicidal ideation, we examined the empirical distinction between the “plans” vs. “desire” dimensions of suicidality, focusing for conceptual and empirical reasons on a worst-point assessment strategy. Factor analyses were consistent with the distinction, but more importantly, among the current ideators included in this study, the worst-point “plans” dimension was the only predictor significantly related to both of two important indices, history of past attempt and eventual suicide. These findings bear on the trajectory of suicidal behavior over time, as well as inform the clinical assessment of suicidal patients.
ISSN:0005-7967
1873-622X
DOI:10.1016/S0005-7967(03)00070-6