Interaction of affective and cognitive impairments in the suicidal state: a brief elaboration

Author(s): Holden, R. R.

Journal/Book: Acta Psychiatr Scand. 1998; 97: 35 Norre Sogade, PO Box 2148, DK-1016 Copenhagen, Denmark. Munksgaard Int Publ Ltd. 149-152.

Abstract: This report examines the comorbidity among three key symptoms associated with suicidal intent, namely hopelessness, depression and unusual thinking. A total of 97 out-patients with suicidal thoughts were assessed using the Beck Hopelessness Scale, the anxious depression and unusual thinking factor scales of the Derogatis Symptom Checklist-90, and the Beck Scale for Suicide Ideation. It was found that, in considering the interaction between key presenting symptoms, the combination of hopelessness and unusual thinking (which consisted of symptoms such as 'trouble concentrating' and 'mind going blank') was the strongest predictor of the seriousness of current suicidal inclinations.

Note: Article Holden RR, Queens Univ, Dept Psychol, Kingston, ON K7L 3N6, CANADA

Keyword(s): suicidality; hopelessness; unusual thinking; symptom interactions; HOPELESSNESS; IDEATION; INTENT; DEPRESSION; BEHAVIOR; COMORBIDITY; PARASUICIDE; DISORDER; VALIDITY; SCALE

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