TY - JOUR PY - 2024// TI - Torn between living or dying-analyses of influencing factors on suicide ambivalence and its longitudinally impact on suicidal ideation and behavior in a high-risk sample JO - Suicide and life-threatening behavior A1 - Höller, Inken A1 - Forkmann, Thomas A1 - Glaesmer, Heide A1 - Teismann, Tobias A1 - Spangenberg, Lena A1 - Schreiber, Dajana A1 - Hallensleben, Nina A1 - Kraiss, Jannis SP - ePub EP - ePub VL - ePub IS - ePub N2 - INTRODUCTION: Findings on the role of suicide ambivalence, an individual's wish to live (WL), and wish to die (WD) in the development of suicidality have been heterogenous. The main goal of this study was to examine associations of these constructs within the past week with sociodemographic factors and to longitudinally investigate their predictive power for suicidal ideation (SI) and suicide attempts (SA).

METHODS: N = 308 patients (54% female; M = 36.92 years, SD = 14.30), admitted to a psychiatric ward due to suicidality, were assessed for all constructs after admission, after six, nine, and 12 months. Data were analyzed with univariate fixed-effect models and lagged mixed-effect regression models.

RESULTS: Decreased, WL increased post-baseline. Gender showed no significant link to ambivalence, WD, and WL. Ambivalence and WD correlated negatively with age and positively with depressiveness. More participants in a relationship showed a WL compared with single/divorced/widowed participants. More single participants or those in a relationship showed ambivalence than divorced/widowed participants. More single participants showed a WD than participants in a relationship/divorced/widowed. Longitudinally, ambivalence and WD predicted SI and SA.

CONCLUSION: The findings underscore the importance of taking suicide ambivalence and WD into account in risk assessment and treatment.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.13091 ID - ref1 ER -