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Objective <p>The metacognitive model of suicidality proposes that positive metacognitions about suicide (PMS) activate a cognitive attentional syndrome (CAS), i.e., suicide-specific rumination, attentional fixation, and thought suppression, which in turn activates negative metacognitions about suicide (NMS) and an aggravation of suicidality. Preliminary evidence supports the model assumptions; however, a more comprehensive investigation is missing by now.</p> Methods <p>One hundred eighty-six participants (148 female [79.6%]; age <i>M</i> = 28.3 (SD = 9.8)) with lifetime suicidal ideation filled in self-report measures of suicide ideation/behavior, all CAS-components, and metacognitions about suicide.</p> Results <p>All elements of the CAS correlated significantly with each other and with concurrent suicidal ideation. PMS predicted suicide-specific rumination and attentional fixation. All CAS-components predicted NMS. Suicide-specific rumination, attentional fixation, and positive and negative metacognitions differentiated between lifetime suicide attempters and non-attempters.</p> Conclusion <p>Results are in line with the metacognitive model of suicidality and warrant further studies regarding the model assumptions.</p>

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Thinking About Suicidal Thinking: Suicide-Related Metacognitions’ Relation to Maladaptive Processing of Suicidal Thoughts

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月29日

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  • Thomas Forkmann,
  • Laura Fiorentino,
  • Sarah Sophie Müßeler,
  • Jil Schüler,
  • Tobias Heilmann-Stiegler,
  • Antonia Barke,
  • Tobias Teismann

摘要

Objective

The metacognitive model of suicidality proposes that positive metacognitions about suicide (PMS) activate a cognitive attentional syndrome (CAS), i.e., suicide-specific rumination, attentional fixation, and thought suppression, which in turn activates negative metacognitions about suicide (NMS) and an aggravation of suicidality. Preliminary evidence supports the model assumptions; however, a more comprehensive investigation is missing by now.

Methods

One hundred eighty-six participants (148 female [79.6%]; age M = 28.3 (SD = 9.8)) with lifetime suicidal ideation filled in self-report measures of suicide ideation/behavior, all CAS-components, and metacognitions about suicide.

Results

All elements of the CAS correlated significantly with each other and with concurrent suicidal ideation. PMS predicted suicide-specific rumination and attentional fixation. All CAS-components predicted NMS. Suicide-specific rumination, attentional fixation, and positive and negative metacognitions differentiated between lifetime suicide attempters and non-attempters.

Conclusion

Results are in line with the metacognitive model of suicidality and warrant further studies regarding the model assumptions.