Evidence map›Paper›PMID 30012735›Full record

ReviewPhilosophical transactions of the Royal Society of London. Series B, Biological sciences2018

The integrated motivational-volitional model of suicidal behaviour.

Rory C O'Connor, Olivia J Kirtley

2 registry-linked trialsAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 598 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
598citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05613972 narecruitingnot on this mapstarted 2025, after this paper: background citation

Using Integrated Suicide and Trauma Therapy to Reduce Suicide Risk Among Adults With a History of Childhood Trauma

TypeinterventionalSponsorUnity Health TorontoRan2025 to 2027Enrolled20ConditionsSuicide, Trauma, Major Depressive DisorderArmsIntegrated Suicide and Trauma Therapy
NCT07284238 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Process of Configuring the Suicidal Ideation Framework: A Grounded Theory Study in Catalonia, Spain

Typeobservational_patient_registrySponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant PauRan2026 to 2027Enrolled45ConditionsSuicide, Suicide Attempt, Suicide Ideation, Suicide RiskArmsIn-Depth Qualitative Interview, Discussion Group
3 · Its place in the literature

Who cites it

598 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Trial
  8. The meaning of being suicidal - a reflective lifeworld research.International journal of qualitative studies on health and well-being · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. When Losses Matter More: A Dynamic Reference-Dependent Evaluation of Suicide Risk.Risk analysis : an official publication of the Society for Risk Analysis · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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  20. Observational

538 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Rory C O'ConnorSuicidal Behaviour Research Laboratory, Institute of Health & Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow G12 0XH, UK rory.oconnor@glasgow.ac.uk.ORCID 0000-0002-3650-4994
Olivia J KirtleyCenter for Contextual Psychiatry, Department of Neuroscience, KU Leuven, 3000 Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Suicide is a major public health concern accounting for 800 000 deaths globally each year. Although there have been many advances in understanding suicide risk in recent decades, our ability to predict suicide is no better now than it was 50 years ago. There are many potential explanations for this lack of progress, but the absence, until recently, of comprehensive theoretical models that predict the emergence of suicidal ideation distinct from the transition between suicidal ideation and suicide attempts/suicide is key to this lack of progress. The current article presents the integrated motivational-volitional (IMV) model of suicidal behaviour, one such theoretical model. We propose that defeat and entrapment drive the emergence of suicidal ideation and that a group of factors, entitled volitional moderators (VMs), govern the transition from suicidal ideation to suicidal behaviour. According to the IMV model, VMs include access to the means of suicide, exposure to suicidal behaviour, capability for suicide (fearlessness about death and increased physical pain tolerance), planning, impulsivity, mental imagery and past suicidal behaviour. In this article, we describe the theoretical origins of the IMV model, the key premises underpinning the model, empirical tests of the model and future research directions.This article is part of the theme issue 'Evolutionary thanatology: impacts of the dead on the living in humans and other animals'.

Indexed as

MotivationVolitionHumansModels, PsychologicalSuicideThanatologyevolutionarypsychologyrisk factorssuicidetheory

Identifiers

PMID30012735
PMCPMC6053985

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.