The Suicidal Narrative and Its Relationship to the Suicide Crisis Syndrome and Recent Suicidal Behavior

Suicide and Life-Threatening Behavior - Tập 49 Số 2 - Trang 413-422 - 2019
Lisa J. Cohen1, Bernard S. Gorman2, Jessica Briggs3, Min Eun Jeon1, Tal Ginsburg1, Igor Galynker1
1Department of Psychiatry Mount Sinai Beth Israel New York NY USA
2Department of Psychology, Adelphi University, Garden City, NY, USA
3Touro College of Osteopathic Medicine, New York, NY, USA

Tóm tắt

In this study, we introduce the construct of the suicidal narrative, a hypothetical personal narrative linked to imminent suicide, and explore its relationship to near‐term suicidal risk and the suicide crisis syndrome (SCS). Psychiatric outpatients (N = 289) were administered the Columbia Suicide‐Severity Rating Scale (C‐SSRS), Suicide Crisis Inventory (SCI), and Suicide Narrative Inventory (SNI), a novel instrument combining the documented risk factors of Thwarted Belongingness, Perceived Burdensomeness, Humiliation, Social Defeat, Goal Disengagement, and Goal Reengagement. Dimensional measures of past month, lifetime, and past suicidal phenomena, incorporating ideation and behavior, were calculated from the C‐SSRS. Structural equation modeling was used to explore the interaction among variables. Factor analysis of the SNI yielded two orthogonal factors, termed Interpersonal and Goal Orientation. The former factor was comprised of Perceived Burdensomeness, Social Defeat, Humiliation, and Thwarted Belongingness, the latter of Goal Disengagement and Goal Reengagement. The Interpersonal factor correlated with both SCS severity and suicidal phenomena in each time frame and the Goal Orientation factor with no other variable. As hypothesized, the proposed model was significant for the past month only. Our findings support the construct of the suicidal narrative and its function as a near‐term suicidal risk factor.

Từ khóa


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Thông tin xuất bản

Suicide and Life-Threatening Behavior

Tập 49 Số 2

413-422

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