The critical distinction between suicidal ideation and suicide attempts

  • Type :#article
  • Date read: 2023-05-10
  • Bibtex: @klonsky2021
  • Bibliography: Klonsky, E. D., Dixon-Luinenburg, T., & May, A. M. (2021). The critical distinction between suicidal ideation and suicide attempts. World Psychiatry, 20(3), 439–441.

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My notes

  • They argue for the ideation-to-action framework
  • Suicidal ideation is only weakly correlated with suicide attempts, and we do not know which individuals will ideation will transition to suicidal behavior.
  • “Studies seeking to identify predictors of suicide attempts must in some way control for suicidal ideation; one option is to conduct analyses that test what predicts suicide attempts among those with ideation.”

any intervention for suicide risk should be clear about which aspects are meant to reduce suicidal ideation and which are meant to stop transition from ideation to attempts.

Suicide capability: “In short, because suicide involves the potential for pain, injury and death, and because people are biologically (and arguably evolutionarily) disposed to fear and avoid pain, injury and death, making a suicide attempt requires the capability to overcome these barriers.”

  • Practical suicide capability is knowledge of, access to, and expertise with lethal means


PDF: klonsky_2021_the_critical_distinction_between_suicidal_ideation_and_suicide_attempts.pdf