Journal
ARCHIVES OF SUICIDE RESEARCH
Volume 20, Issue 4, Pages 528-538Publisher
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/13811118.2015.1136717
Keywords
cognitions; mixed methods; suicide attempts; warning signs
Categories
Funding
- National Institute of Mental Health [T32 MH083745, R01 MH60915, R01 MH67805, P20 MH71905]
- National Institute for Drug Abuse [R21 DA016794]
- Centers for Disease Control and Prevention [R37 CCR316866]
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This study used a mixed methods approach to examine pathways to suicidal behavior by identifying cognitive warning signs that occurred within 1 day of a suicide attempt. Transcripts of cognitive therapy sessions from 35 patients who attempted suicide were analyzed using a modified grounded theory approach. Cognitive themes emerging from these transcripts included: state hopelessness, focus on escape, suicide as a solution, fixation on suicide, and aloneness. Differences in demographic and baseline diagnostic and symptom data were explored in relation to each cognitive theme. We propose a potential conceptual model of cognitive warning signs for suicide attempts that requires further testing.
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