TY  - JOUR
PY  - 2013//
TI  - Psychological processes and repeat suicidal behavior: A four-year prospective study
JO  - Journal of consulting and clinical psychology
A1  - O'Connor, Rory C.
A1  - Smyth, Roger
A1  - Ferguson, Eamonn
A1  - Ryan, Caoimhe
A1  - Williams, J. Mark G.
SP  - 1137
EP  - 1143
VL  - 81
IS  - 6
N2  - Objective: Although suicidal behavior is a major public health concern, understanding of individually sensitive suicide risk mechanisms is limited. In this study, the authors investigated, for the first time, the utility of defeat and entrapment in predicting repeat suicidal behavior in a sample of suicide attempters. Method: Seventy patients hospitalized after a suicide attempt completed a range of clinical and psychological measures (depression, hopelessness, suicidal ideation, defeat, and entrapment) while in hospital. Four years later, a nationally linked database was used to determine who had been hospitalized again after a suicide attempt. Results: Over 4 years, 24.6% of linked participants were readmitted to hospital after a suicidal attempt. In univariate logistic regression analyses, defeat and entrapment as well as depression, hopelessness, past suicide attempts, and suicidal ideation all predicted suicidal behavior over this interval. However, in the multivariate analysis, entrapment and past frequency of suicide attempts were the only significant predictors of suicidal behavior. Conclusions: This longitudinal study supports the utility of a new theoretical model in the prediction of suicidal behavior. Individually sensitive suicide risk processes like entrapment could usefully be targeted in treatment interventions to reduce the risk of repeat suicidal behavior in those who have been previously hospitalized after a suicide attempt. (PsycINFO Database Record (c) 2013 APA, all rights reserved).<p />  <p>Language: en</p>
LA  - en
SN  - 0022-006X
UR  - http://dx.doi.org/10.1037/a0033751
ID  - ref1
ER  -