%0 Journal Article
%T Pre-suicidal attempt: An intermediate type within ideation-to-action framework.
%A Hou X
%A Yang Y
%A Su Z
%A Zhao D
%A Yang L
%J J Psychiatr Res
%V 178
%N 0
%D 2024 Oct 8
%M 39141993
%F 5.25
%R 10.1016/j.jpsychires.2024.08.011
%X <B>BACKGROUND: </B>Understanding the mechanisms of suicidal behavior is a prerequisite for suicide prevention and intervention. The current study aims to propose and verify the utility of pre-suicidal attempt as an intermediate type in the transition from suicidal ideation to suicidal attempt within the ideation-to-action framework.<BR><B>METHODS: </B>A sample of 1084 college students completed a measurement package consisting of suicide history, suicide risk factors, and demographic information. Stratified stepwise multiple regression models and mediated moderation models were used to examine the relationship among the variables.<BR><B>RESULTS: </B>Pre-suicidal attempts rather than suicidal ideation are predictive of suicide attempts. Age, depression, thwarted belongingness, fearlessness about death, perceived burdensomeness and suicidal ideation were predictors of pre-suicidal attempts. Supporting the interpersonal theory of suicide, pre-suicidal attempts mediated the relationship between suicidal ideation and suicidal attempts and were positively moderated by pain tolerance and fearlessness about death. The pre-suicidal attempters scored higher on fearlessness about death and suicide risk than the ideators, while pre-suicidal attempters scored significantly lower on suicide risk than suicide attempters.<BR><B>CONCLUSIONS: </B>As an independent intermediate type within the ideation-to-action framework, pre-suicidal attempts contribute to deepen the understanding of the intermediate transition from suicidal ideation to suicidal attempts.