@article{ref1,
title="The path not taken: distinguishing individuals who die by suicide from those who die by natural causes despite a shared history of suicide attempt",
journal="Journal of clinical psychology (Hoboken)",
year="2021",
author="Beale, Eleanor E. and Overholser, James and Gomez, Stephanie and Brannam, Sidney and Stockmeier, Craig A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: This study aimed to identify variables that distinguish suicide risk among individuals with previous suicide attempts. <br><br>METHOD: Using psychological autopsy procedures, we evaluated 86 decedents who had at least one lifetime suicide attempt before eventual death by suicide (n = 65) or natural causes (n = 21). <br><br>RESULTS: The Suicide Death group was more likely to be male, to have alcohol in the toxicology report at time of death, and to have a depression diagnosis, while the Natural Cause Death group was more likely to have personality disorder traits, a polysubstance use disorder, higher reported health stress, and an antidepressant in the toxicology report at time of death. Hopelessness and ambivalence were found to distinguish between groups during the 6 months before death. <br><br>CONCLUSIONS: These findings suggest important differences between individuals with a shared history of a suicide attempt who die by suicide versus natural causes.<p /> <p>Language: en</p>",
language="en",
issn="0021-9762",
doi="10.1002/jclp.23231",
url="http://dx.doi.org/10.1002/jclp.23231"
}