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Worst-point suicidal plans: a dimension of suicidality predictive of past suicide attempts and eventual death by suicide |
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| Authors: | Joiner Thomas E Steer Robert A Brown Gregory Beck Aaron T Pettit Jeremy W Rudd M David |
| Affiliation: | a Department of Psychology, Florida State University, Tallahassee, FL 32306-1270, USA b Department of Psychiatry, University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, 42 East Laurel Road, SCC 1600, Stratford, NJ 08084-1391, USA c Department of Psychiatry, University of Pennsylvania School of Medicine, Room 754 Science Center, 3600 Market Street, Philadelphia, PA 19104-2648, USA d Baylor University, P.O. Box 97334, Waco, TX 76798-7334, USA |
| Abstract: | 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. |
| Keywords: | Completed and attempted suicide Suicidal plans Suicidal desire Worst-point assessment strategy |
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