title: A Mixed Methods Approach to Identify Cognitive Warning Signs for Suicide Attempts.
abstract: This study used a mixed methods approach to examine pathways to suicidal behavior by identifying cognitive warning signs that occurred within 1 day of a suicide attempt. Transcripts of cognitive therapy sessions from 35 patients who attempted suicide were analyzed using a modified grounded theory approach. Cognitive themes emerging from these transcripts included: state hopelessness, focus on escape, suicide as a solution, fixation on suicide, and aloneness. Differences in demographic and baseline diagnostic and symptom data were explored in relation to each cognitive theme. We propose a potential conceptual model of cognitive warning signs for suicide attempts that requires further testing.
authors.forename: Abby
authors.initials: A
authors.lastname: Adler
authors.forename: Ashley
authors.initials: A
authors.lastname: Bush
authors.forename: Frances K
authors.initials: FK
authors.lastname: Barg
authors.forename: Guy
authors.initials: G
authors.lastname: Weissinger
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Beck
authors.forename: Gregory K
authors.initials: GK
authors.lastname: Brown
mesh_terms: D000328:Adult; D003071:Cognition; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D066296:Grounded Theory; D006801:Humans; D008132:Loneliness / Q000523:psychology*; D008297:Male; D019964:Mood Disorders / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D000067657:Pessimism / Q000523:psychology*; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D063189:Symptom Assessment / Q000379:methods; D016896:Treatment Outcome
keywords: cognitions; mixed methods; suicide attempts; warning signs