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- W2076708768 abstract "Many significant differences exist between populations who attempt suicide and who succeed in killing themselves. Variations in intent account for these differences. This study describes a method of measuring intent to die in suicide attempts in which the intent is inferred from the degree of risk taken by the subject. Using a five-point ordinal scale of suicidal intent, a group of judges made independent judgments of suicidal intent in a series of 121 unselected, consecutive attempted suicides. The judgments showed a high degree of agreement. Comparisons were made between this group and a group of 114 completed suicides. Severity of intent increased with age. Women tended to make less serious attempts. Over one-third of those who completed suicide were psychotic whereas the most frequent diagnoses in those who attempted suicide were personality disturbances. Three subgroups are distinguished. Those who make suicide gestures are individuals who have no intent to die, who tend to manipulate others in their act and to enforce a close bond with the object of their action. The ambivalent group are vacillating and confused in intent, but in taking a risk of death they too may test the affection and care of others. The serious attempt group are similar to the completed suicide group in their depression, hopelessness, and lack of social interaction. The gesture group seek to compel help from others. The ambivalent group act out fantasies of a dangerous ordeal followed by rescue. The serious group leave little room for help, but a disguised plea for help can be heard in their frequent communications of their intent to die." @default.
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- W2076708768 date "1963-04-01" @default.
- W2076708768 modified "2023-09-23" @default.
- W2076708768 title "An evaluation of suicidal intent in suicide attempts" @default.
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- W2076708768 doi "https://doi.org/10.1016/s0010-440x(63)80093-0" @default.
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