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Reasons to Live During a Suicidal Crisis: A Case Series With Suicidal Inpatients

Besch, Vincent; Greiner, Christian; Le Henaff, Catherine; Von Rohr-De Pree, Cecilia; Ambrosetti, Julia; Magnin, Charline; Poulet, Emmanuel; ... Prada, Paco; + view all (2024) Reasons to Live During a Suicidal Crisis: A Case Series With Suicidal Inpatients. Psicothema , 36 (4) pp. 319-330. 10.7334/psicothema2023.311. Green open access

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Abstract

Background: Following experts’ recommendations for a phenomenological approach to suicidal behavior, this study opted to focus on the life-protecting beliefs and values expressed by people in acute suicidal crisis. Method: 61 adults hospitalized in psychiatric emergency for suicidal crises were assessed in terms of reasons for living (RFL) and suicidality. Multiple correspondence analysis was used to discern groups of patients based on their RFL profiles. Group differences on suicidality were further examined. Results: 4 groups of patients were observed, emerging from RFL differences in “Survival and Coping Beliefs”, “Fear of Social Disapproval”, “Responsibility to Family” and “Child- Related Concerns”. Profiles varied by gender but not age. We further observed that “Survival and Coping Beliefs” and “Moral Objections” are weakened during an acute suicidal crisis. Conclusions: These findings underline the clinical utility of evaluating RFL during a suicidal crisis, and that RFL may be useful to personalize case formulation during an emergency intervention. They could further increase therapeutic communication by connecting the individual to key psychological resources. Longitudinal studies are necessary to evaluate how the different groups identified in this study may yield specific post-emergency trajectories connected to specific clinical needs.

Type: Article
Title: Reasons to Live During a Suicidal Crisis: A Case Series With Suicidal Inpatients
Location: Spain
Open access status: An open access version is available from UCL Discovery
DOI: 10.7334/psicothema2023.311
Publisher version: https://doi.org/10.7334/psicothema2023.311
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Social Sciences, Psychology, Multidisciplinary, Psychology, Suicide, Suicidal behavior, Suicidal crisis, Reasons for living, Life-protective factor, LIVING INVENTORY, CLINICAL PREDICTORS, GENDER-DIFFERENCES, PROTECTIVE FACTORS, MAJOR DEPRESSION, PERSONALITY-DISORDER, BIPOLAR DISORDER, IDEATION, BEHAVIOR, RISK
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10203427
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