title: Desperation and other affective states in suicidal patients.
abstract: Data collected from 26 therapists who were treating patients when they died by suicide were used to identify intense affective states in such patients preceding the suicide. Eleven therapists provided comparable data on 26 patients they had treated who were seriously depressed but not suicidal. Although the two groups had similar numbers diagnosed with MDD, the suicide patients showed a significantly higher total number of intense affects in addition to depression. The acute affective state most associated with a suicide crisis was desperation. Hopelessness, rage, abandonment, self-hatred, and anxiety were also significantly more frequently evidenced in the suicide patients.
authors.affiliation: American Foundation for Suicide Prevention, New York, NY 10028, USA. hhendin@afsp.org
authors.forename: Herbert
authors.initials: H
authors.lastname: Hendin
authors.forename: John T
authors.initials: JT
authors.lastname: Maltsberger
authors.forename: Ann Pollinger
authors.initials: AP
authors.lastname: Haas
authors.forename: Katalin
authors.initials: K
authors.lastname: Szanto
authors.forename: Heather
authors.initials: H
authors.lastname: Rabinowicz
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012720:Severity of Illness Index; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data