Abstract
A clinical differentiation model of suicidal behaviors may improve clinical practice. It may be helpful to determine which type of treatment is most appropriate for subtypes of suicidal behaviors and may improve adherence to suicide prevention guidelines. Also, differentiation of suicidal behaviors may create clarity about the role of healthcare providers, patients, and social networks in the prevention of completed suicide. From clinical experience, we developed a new model to differentiate subtypes of suicidal behaviors, the hypothetic four-type model of entrapment (H4ME), distinguishing the origin of entrapment that may result in a suicidal state. The subtypes are (1) perceptual disintegration (PD), (2) primary depressive cognition (PDC), (3) psychosocial turmoil (PT), and (4) inadequate communication/coping (IC) (emphasizing emotional pain). The SUICIDI-questionnaire was designed to identify subtypes of entrapment. In this chapter, we briefly describe previous models of subtypes of suicide, the background of the H4ME development, and a study design to examine the proposed models’ validity.
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de Winter, R.F.P., Meijer, C., Kool, N., de Groot, M.H. (2022). Differentiation of Suicidal Behavior in Clinical Practice. In: Pompili, M. (eds) Suicide Risk Assessment and Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-42003-1_17
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