TY - JOUR PY - 2021// TI - Painful and provocative events: determining which events are associated with increased odds of attempting suicide JO - Suicide and life-threatening behavior A1 - Bond, Allison E. A1 - Bandel, Shelby L. A1 - Daruwala, Samantha E. A1 - Anestis, Michael D. SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: The present study sought to determine which painful and provocative events differentiated those with suicidal ideation from those who attempted suicide. Additionally, it presents a novel way of utilizing the Painful and Provocative Scale (PPES) by looking at items dichotomously as experienced or not experienced, instead of the frequency at which they are experienced.

METHOD: Participants (N = 666) were recruited as part of a large online study seeking to understand suicide risk across multiple high-risk groups (i.e., veterinarians, military service members, transgender individuals, and gun owners) for suicide. Participants in the present study were predominately white, female, and heterosexual.

RESULTS: First, the PPES was examined as a dichotomous measure and results indicate that experiencing physical or sexual abuse, tying a noose, using intravenous drugs, or having injuries that required medical attention were associated with greater odds of attempting suicide; shooting a gun was associated with decreased odds. Next, the PPES was examined as a scale measure and findings indicate that increased exposure to rock climbing, experiencing physical or sexual abuse, or using intravenous drug were associated with increased odds of attempting suicide; while increased exposure to shooting a gun was associated with decreased odds.

CONCLUSIONS: The present study adds to the literature on the ideation-to-action framework and provides evidence considering the frequency of experiences using the Painful and Provocative Event Scale may not provide substantial information beyond dichotomous scoring.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12781 ID - ref1 ER -