Relationship between self-disclosure and serious suicidal behavior

Comprehensive Psychiatry. 2001;42(1):70-75

 

Journal Homepage

Journal Title: Comprehensive Psychiatry

ISSN: 0010-440X (Print); 1532-8384 (Online)

Publisher: Elsevier

LCC Subject Category: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system: Psychiatry

Country of publisher: United States

Language of fulltext: English

Full-text formats available: PDF, HTML

 

AUTHORS

A. Apter (From the Department of Psychiatry, Geha Psychiatric Hospital, Petah Tiqwa; Sheba Medical Center, Tel Hashomer; Sacker Faculty of Medicine, Tel Aviv University, Tel Aviv; and Department of Psychology, Bar Ilan University, Ramat Gan, Israel.)
N. Horesh (From the Department of Psychiatry, Geha Psychiatric Hospital, Petah Tiqwa; Sheba Medical Center, Tel Hashomer; Sacker Faculty of Medicine, Tel Aviv University, Tel Aviv; and Department of Psychology, Bar Ilan University, Ramat Gan, Israel.)
D. Gothelf (From the Department of Psychiatry, Geha Psychiatric Hospital, Petah Tiqwa; Sheba Medical Center, Tel Hashomer; Sacker Faculty of Medicine, Tel Aviv University, Tel Aviv; and Department of Psychology, Bar Ilan University, Ramat Gan, Israel.)
H. Graffi (From the Department of Psychiatry, Geha Psychiatric Hospital, Petah Tiqwa; Sheba Medical Center, Tel Hashomer; Sacker Faculty of Medicine, Tel Aviv University, Tel Aviv; and Department of Psychology, Bar Ilan University, Ramat Gan, Israel.)
E. Lepkifker (From the Department of Psychiatry, Geha Psychiatric Hospital, Petah Tiqwa; Sheba Medical Center, Tel Hashomer; Sacker Faculty of Medicine, Tel Aviv University, Tel Aviv; and Department of Psychology, Bar Ilan University, Ramat Gan, Israel.)

EDITORIAL INFORMATION

Blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 28 weeks

 

Abstract | Full Text

The ability to predict which suicidal patient is at high risk for a serious attempt is an important clinical problem. On the basis of our clinical research, we hypothesized that self-disclosure may be an important personality variable differentiating suicide attempters and completers. We assessed 80 patients with depressive disorder, divided into four groups of 20 each: suicidal ideation only, nonserious suicide attempts, severe suicide attempts, and no suicidal behavior. Comparisons were also made with 20 healthy controls. All subjects completed Jourad's Self-Disclosure Questionnaire (JSDQ), as well as scales measuring depression/anxiety and hopelessness. The lack of willingness for self-disclosure significantly differentiated the serious attempters from the suicide ideators and mild attempters. The relationship of self-disclosure and more lethal suicide attempts did not appear to be mediated by depression, anxiety, or hopelessness. This preliminary study indicates that self-disclosure may be a promising field for assessment, therapy, and prevention in suicidal patients. Further studies are needed to investigate related variables, wider patients groups, and the use of different instruments.