ArticleGeneral hospital psychiatry
Qualitative analysis of hospital patient narratives of warning signs on the day of their suicide attempt.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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Who cites it
6 citing papers in PubMed.
- The meaning of being suicidal - a reflective lifeworld research.International journal of qualitative studies on health and well-being · 2026Article
- The lived experience of persons who attempt suicide: a bottom-up review co-designed, co-produced and co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Sex Differences in Behavioral and Psychopathological Trajectories From Late Childhood to Early Adolescence: Implications for Suicidality Risk.Depression and anxiety · 2025Article
- Suicide warning signs of self-identification in patients with mood disorders: a qualitative analysis based on safety planning.Frontiers in public health · 2024Article
- On that day: Warnings of acute risk in narratives (WARN) of suicide attempts in adults.General hospital psychiatryArticle
- Body Mapping as a Tool to Capture Children's Expressions of Their Suicide Ideation or Attempts.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveResearch on warning signs, defined as acute risk factors for suicide or suicide attempt, has been slow due to the difficulty of examining the hours and minutes preceding suicidal behavior. This study sought to identify new warning signs and to re-examine warning signs that have been proposed.
methodNarrative stories of adult patients with substance use problems hospitalized following a suicide attempt were transcribed. The narrative segments describing the 24-h period prior to suicide attempt were examined with directed qualitative content analysis using codes based on prior literature and new codes developed inductively.
resultsThe sample (N = 35) was mean age = 40, 51% female, and 49% White non-Hispanic. Analysis of the transcripts of the 24-h periods (M word count = 637) yielded a broad range of cognitive (e.g., cognitive disturbance such as rumination), behavioral (e.g., alcohol use), emotional (e.g., dramatic mood changes), and social (e.g., social withdrawal) warning signs, along with a small number of cognitions and behaviors that appeared to mark a dangerous shift to acute preparation and intent for attempt, for example 'self-persuasion to attempt suicide.'
conclusionWe posit that a broad range of cognitive, behavioral, emotional, and social warning signs increase acute risk for suicidal behavior by creating the conditions for a shift to acute preparation and intent, a highly potent category of warning signs.
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Registered trials
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