title: How do clinicians and suicide attempters understand suicide attempt impulsivity? A qualitative study.
abstract: Inconsistencies in the definition of impulsive suicide attempts hamper research integration. To expand the currently limited data on how this construct is used in clinical practice, researchers interviewed eight suicide attempters to create timelines of their suicide process, then had seven experienced clinicians review these timelines. Thematic analysis of the patient and clinician data revealed three themes: "thinking out," build-up, and unclear intentionality. The results imply that assessing build-up of agitation and exhaustion symptoms can contribute to understanding acuteness of suicide risk. In addition, uncertainty about one's intentions during the attempt should not be equated to low intent to die.
authors.affiliation: a Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention , Griffith University , Brisbane , Australia.
authors.forename: Jurgita
authors.initials: J
authors.lastname: Rimkeviciene
authors.affiliation: a Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention , Griffith University , Brisbane , Australia.
authors.forename: John
authors.initials: J
authors.lastname: O'Gorman
authors.affiliation: a Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention , Griffith University , Brisbane , Australia.
authors.forename: Diego
authors.initials: D
authors.lastname: De Leo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007175:Impulsive Behavior / Q000502:physiology*; D033182:Intention; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012307:Risk Factors; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult