Jd. Mendonca et Rr. Holden, INTERACTION OF AFFECTIVE AND COGNITIVE IMPAIRMENTS IN THE SUICIDAL STATE - A BRIEF ELABORATION, Acta psychiatrica Scandinavica, 97(2), 1998, pp. 149-152
This report examines the comorbidity among three key symptoms associat
ed with suicidal intent, namely hopelessness, depression and unusual t
hinking. A total of 97 out-patients with suicidal thoughts were assess
ed using the Beck Hopelessness Scale, the anxious depression and unusu
al thinking factor scales of the Derogatis Symptom Checklist-90, and t
he Beck Scale for Suicide Ideation. It was found that, in considering
the interaction between key presenting symptoms, the combination of ho
pelessness and unusual thinking (which consisted of symptoms such as '
trouble concentrating' and 'mind going blank') was the strongest predi
ctor of the seriousness of current suicidal inclinations.