Skip to main content
Research Trends

Preliminary Results From an Examination of Episodic Planning in Suicidal Behavior

Published Online:https://doi.org/10.1027/0227-5910/a000250

Background: Prior research has reported that a substantial portion of suicidal behavior occurs impulsively. These studies, however, have been unable to assess for episodic planning. Aims: To provide preliminary support for the plausibility and utility of assessing episodic, nonlinear planning in suicidal behavior. Method: Fifty undergraduates with a prior history of suicidal behavior responded to a series of questions assessing level of attempt, method, and level of planning during their most recent self-reported suicide attempt. Results: Level of intent was positively associated with planning, and the modal individual whose most recent attempt involved clear intent to die endorsed planning for at least 1 year. Conclusion: These preliminary data support the plausibility and potential utility of assessing episodic planning and indicate that suicide attempts involving a clear intent to die typically require extensive levels of planning and rarely (if ever) emerge without forethought.

Reference

  • Anestis, M. D. , Fink, E. L. , Bender, T. W. , Selby, E. A. , Smith, A. R. , Witte, T. K. , Joiner, T. E. (2012). Re-considering the association between negative urgency and suicidality. Personality and Mental Health, 6, 138–146. First citation in articleCrossrefGoogle Scholar

  • Bagge, C. L. , Glenn, C. R. , Lee, H-J. (2013). Quantifying the impact of recent negative life events on suicide attempts. Journal of Abnormal Psychology, 122, 359–368. First citation in articleCrossref MedlineGoogle Scholar

  • Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97, 90–113. First citation in articleCrossref MedlineGoogle Scholar

  • Beck, A. T. (1990). Suicide Intent Scale (for attempters). In S. J. Blumenthal, D. J. Kupfer, (Eds.), Suicide over the life cycle: Risk factors, assessment, and treatment of suicidal patients (pp. 769–773). Washington, DC: American Psychiatric Press. First citation in articleGoogle Scholar

  • Beck, A. T. , Schuyler, D. , Herman, I. (1974). Development of suicidal intent scales. In: A. T. Beck, (Ed.), The prediction of suicide (pp. 45–56). Philadelphia, PA: Charles Press. First citation in articleGoogle Scholar

  • Bender, T. W. , Gordon, K. H. , Bresin, K. , & Joiner, T. E. Jr. (2011). Impulsivity and suicidality: The mediating role of painful and provocative experiences. Journal of Affective Disorders, 129, 301–307. First citation in articleCrossref MedlineGoogle Scholar

  • Borges, G. , Benjet, C. , Medina-Mora, M. E. , Orozco, R. , Familiar, I. , Nock, M. K. , Wang, P. S. (2010). Service use among Mexico City adolescents with suicidality. Journal of Affective Disorders, 120, 32–39. First citation in articleCrossref MedlineGoogle Scholar

  • Borges, G. , Benjet, C. , Medina-Mora, M. E. , Orozco, R. , Molnar, B. E. , Nock, M. K. (2008). Traumatic events and suicide-related outcomes among Mexico City adolescents. Journal of Child Psychology and Psychiatry, 49, 654–666. First citation in articleCrossref MedlineGoogle Scholar

  • Brown, L. K. , Overholser, J. , Spirito, A. , & Fritz, G. K. (1991). The correlates of planning in adolescent suicide attempts. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 95–99. First citation in articleCrossref MedlineGoogle Scholar

  • Conner, K. R. , Hesselbrock, V. M. , Schuckit, M. A. , Hirsch, J. K. , Knox, K. L. , Meldrum, S. , … Soyka, M. (2006). Precontemplated and impulsive suicide attempts among individuals with alcohol dependence. Journal of Studies on Alcohol and Drugs, 67, 95–101. First citation in articleCrossrefGoogle Scholar

  • Conwell, Y. , Duberstein, P. R. , Connor, K. , Eberly, S. , Cox, C. , Caine, E. D. (2002). Access to firearms and risk for suicide in middle-aged and older adults. American Journal of Geriatric Psychiatry, 10, 407–416. First citation in articleCrossref MedlineGoogle Scholar

  • Deisenhammer, E. A. , Ing, C. , Strauss, R. , Kemmler, G. , Hinterhuber, H. , Weiss, E. M. (2009). The duration of the suicidal process: How much time is left for intervention between consideration and accomplishment of a suicide attempt? Journal of Clinical Psychiatry, 70, 19–24. First citation in articleCrossref MedlineGoogle Scholar

  • Fazaa, N. , Page, S. (2011). Personality styles and impulsivity as determinants of suicidal subgroups. Archives of Suicide Research, 13, 31–45. First citation in articleCrossrefGoogle Scholar

  • Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press. First citation in articleGoogle Scholar

  • Joiner, T. E. , Rudd, M. D. , Rajab, M. H. (1997) The Modified Scale for Suicidal Ideation: Factors of suicidality and their relation to clinical and diagnostic variables. Journal of Abnormal Psychology, 106, 260–265. First citation in articleCrossref MedlineGoogle Scholar

  • Joiner, T. E. , Walker, R. L. , Rudd, M. D. , & Jobes, D. A. (1999). Scientizing and routinizing the assessment of suicidality in outpatient practice. Professional Psychology: Research and Practice, 30(5), 447–453. First citation in articleCrossrefGoogle Scholar

  • Linehan, M. M. , Comtois, K. (1996). Lifetime parasuicidal history. Unpublished manuscript, University of Washington, Seattle, WA. First citation in articleGoogle Scholar

  • Mann, J. J. , Waternaux, C. , Haas, G. L. , Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156, 181–189. First citation in articleMedlineGoogle Scholar

  • O’Conner, R. C. (2003). Suicidal behaviour as a cry of pain: Test of a psychological model. Archives of Suicide Research, 7, 297–308. First citation in articleCrossrefGoogle Scholar

  • O’Donnell, I. , Farmer, R. , Catalan, J. (1996). Explaining suicide: The views of survivors of serious suicide attempts. British Journal of Psychiatry, 168, 780–786. First citation in articleCrossref MedlineGoogle Scholar

  • Razin, A. M. , O’Dowd, M. A. , Nathan, A. , Rodriguez, I. , Goldfield, A. , Martin, C. , … Mosca, J. (1991). Suicidal behavior among inner-city Hispanic adolescent females. General Hospital Psychiatry, 13, 45–58. First citation in articleCrossref MedlineGoogle Scholar

  • Selby, E. A. , Anestis, M. D. , Joiner, T. E. (2007). Daydreaming about death: Violent daydreaming as a form of emotion dysregulation in suicidality. Behavior Modification, 31, 867–879. First citation in articleCrossref MedlineGoogle Scholar

  • Verkes, R. J. , Van der Mast, R. C. , Kerkhof, A. J. F. M. , Fekkes, D. , Hengeveld, M. W. , Tuyl, J. P. , Van Kempen, G. M. J. (1998). Platelet serotonin, monoamine oxidase activity, and (3H)paroxetine binding related to impulsive suicide attempts and borderline personality disorder. Biological Psychiatry, 43, 749–746. First citation in articleCrossrefGoogle Scholar

  • Weyrauch, K. F. , Roy-Byrne, P. , Katon, W. , Wilson, L. (2001). Stressful life events and impulsiveness in failed suicide. Suicide and Life-Threatening Behavior, 31, 311–319. First citation in articleCrossref MedlineGoogle Scholar

  • Williams, J. M. G. (2001). The cry of pain. London, UK: Penguin. First citation in articleGoogle Scholar

  • Witte, T. K. , Merrill, K. A. , Stellrecht, N. E. , Bernert, R. A. , Hollar, D. L. , Schatschneider, C. , Joiner, T. E. (2008). ”Impulsive” youth suicide attempters are not necessarily all that impulsive. Journal of Affective Disorders, 107, 107–116. First citation in articleCrossref MedlineGoogle Scholar

  • Wojnar, M. , Ilgen, M. A. , Czyz, E. , Strobbe, S. , Klimkiewicz, A. , Jakubczyk, A. , … Brower, K. J. (2009). Impulsive and non-impulsive suicide attempts in patients treated for alcohol dependence. Journal of Affective Disorders, 115, 131–139. First citation in articleCrossref MedlineGoogle Scholar

  • Wong, S. P. Y. , Phillips, M. R. (2009). Nonfatal suicidal behavior among Chinese women who have been physically abused by their male intimate partners. Suicide and Life-Threatening Behavior, 39, 648–658. First citation in articleCrossref MedlineGoogle Scholar