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Suicide without explicit precursors: a state of secret despair?
Author(s) -
Canter David,
Giles Susan,
Nicol Catherine
Publication year - 2004
Publication title -
journal of investigative psychology and offender profiling
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.479
H-Index - 22
eISSN - 1544-4767
pISSN - 1544-4759
DOI - 10.1002/jip.4
Subject(s) - commit , suicide prevention , psychology , psychiatry , poison control , human factors and ergonomics , injury prevention , suicide rates , multidimensional scaling , medical emergency , clinical psychology , medicine , computer science , database , machine learning
Abstract Although it is usually assumed that all those who commit suicide give some prior indication of their intention to take their own life, there is growing evidence that a small but significant proportion of suicides occur without any clear, explicit indicators. It is proposed that these suicides share similar pathways to other suicides but that the despair involved is not expressed so clearly, often being kept secret. In order to identify such suicides and potential suicides it is helpful to have an indicator of the dominant sub‐sets of constituents that are precursors to suicide. A 14‐item Suicide Precursors Scale (SPS) was therefore developed. This was applied to 128 cases of suicide that occurred between January 1997 and December 2000 in Stockport (South Manchester, UK). A very high alpha coefficient of 0.98 supported the reliability and homogeneity of the SPS. A Multi‐Dimensional Scaling (MDS) analysis of the SPS revealed three prototypical sub‐sets of expressions of suicidal actions—illness, life circumstances, and depressive history. These are offered as coherent themes in the life of potential suicides, which may be of assistance both in determining whether an equivocal death is suicide or not, and in alerting caring agencies to the potential for suicide even when the despair is kept secret. Copyright © 2004 John Wiley & Sons, Ltd.