Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/9067

Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: The role of clinical and social cognitive variables in parasuicide
Authors: O'Connor, Rory
Armitage, Christopher J
Gray, Lorna
Contact Email: rory.oconnor@stir.ac.uk
Issue Date: Nov-2006
Publisher: Wiley-Blackwell
Citation: O'Connor R, Armitage CJ & Gray L (2006) The role of clinical and social cognitive variables in parasuicide, British Journal of Clinical Psychology, 45 (4), pp. 465-481.
Abstract: Objectives: The central aim of the present study was to investigate the extent to which social cognitive variables could mediate the effects of past self-harm behaviour and clinical variables on intentions to engage in deliberate self-harm (DSH) and suicidality in the next three months. In addition, we aimed to extend the application of the theory of planned behaviour (TPB) beyond distal health outcomes to a behaviour that is proximal and extreme. Design and method: A prospective study design was employed. Ninety parasuicide patients admitted via accident and emergency to a general hospital completed measures of hopelessness, depression, anxiety, past self-harm behaviour, standard TPB and group identity measures within days of an overdose. Three months later, participants were asked to complete a measure of suicidal thinking and behaviour. Results: There was clear evidence that the social cognitive variables were significant predictors of intention to engage in DSH and suicidality three months later. Depression was the only clinical variable which remained significant when all variables were entered into the final model to predict intentions. Attitudes, self-efficacy and intention mediated the clinical variables-suicidality relationship. Conclusions: The TPB is a useful framework for understanding suicidal behaviour. The results extend the application of the TPB beyond distal health outcomes to a behaviour that is both proximal and extreme. Future research should explore the implications for screening assessment and suicide prevention.
Type: Journal Article
URI: http://hdl.handle.net/1893/9067
DOI Link: http://dx.doi.org/10.1348/014466505X82315
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Psychology
University of Sheffield
Newcastle University

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