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International study of definitions of English-language terms for suicidal behaviours: a survey exploring preferred terminology

BMJ open, 2021-02, Vol.11 (2), p.e043409-e043409 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ;2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2021 ;ISSN: 2044-6055 ;EISSN: 2044-6055 ;DOI: 10.1136/bmjopen-2020-043409 ;PMID: 33563622

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  • Title:
    International study of definitions of English-language terms for suicidal behaviours: a survey exploring preferred terminology
  • Author: De Leo, Diego ; Goodfellow, Benjamin ; Silverman, Morton ; Berman, Alan ; Mann, John ; Arensman, Ella ; Hawton, Keith ; Phillips, M R ; Vijayakumar, Lakshmi ; Andriessen, Karl ; Chavez-Hernandez, Ana-Maria ; Heisel, Marnin ; Kolves, Kairi
  • Subjects: Associations ; English language ; Epidemiology ; Humans ; Language ; Language policy ; Mental Health ; Prevention ; Questionnaires ; Risk Factors ; Self destructive behavior ; Self-Injurious Behavior ; Suicidal Ideation ; Suicide, Attempted ; Suicides & suicide attempts ; Surveys and Questionnaires
  • Is Part Of: BMJ open, 2021-02, Vol.11 (2), p.e043409-e043409
  • Description: ObjectivesExplore international consensus on nomenclatures of suicidal behaviours and analyse differences in terminology between high-income countries (HICs) and low/middle-income countries (LMICs).DesignAn online survey of members of the International Organisation for Suicide Prevention (IASP) used multiple-choice questions and vignettes to assess the four dimensions of the definition of suicidal behaviour: outcome, intent, knowledge and agency.SettingInternational.ParticipantsRespondents included 126 individuals, 37 from 30 LMICs and 89 from 33 HICs. They included 40 IASP national representatives (65% response rate), IASP regular members (20% response rate) and six respondents from six additional countries identified by other organisations.Outcome measuresDefinitions of English-language terms for suicidal behaviours.ResultsThe recommended definition of ‘suicide’ describes a fatal act initiated and carried out by the actors themselves. The definition of ‘suicide attempt’ was restricted to non-fatal acts with intent to die, whereas definition of ‘self-harm’ more broadly referred to acts with varying motives, including the wish to die. Almost all respondents agreed about the definitions of ‘suicidal ideation’, ‘death wishes’ and ‘suicide plan’. ‘Aborted suicide attempt’ and ‘interrupted suicide attempt’ were not considered components of ‘preparatory suicidal behaviour’. There were several differences between representatives from HICs and LMICs.ConclusionThis international opinion survey provided the basis for developing a transcultural nomenclature of suicidal behaviour. Future developments of this nomenclature should be tested in larger samples of professionals, including LMICs may be a challenge.
  • Publisher: England: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 2044-6055
    EISSN: 2044-6055
    DOI: 10.1136/bmjopen-2020-043409
    PMID: 33563622
  • Source: ProQuest One Psychology
    BMJ Open Access Journals
    GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
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