Desire for control and the integrated motivational-volitional model of suicidal behavior: results from a pilot investigation of adults in the United Kingdom

Neielle Saint-Cyr, Brendan Gallagher, Robert J Cramer, Susan Rasmussen

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Abstract

Background: Suicidal behavior remains a pressing problem in the United Kingdom. Continued theory development is a critical step toward designing effective prevention.
Aims: The present study tested a novel element to suicide theory, the Desire for Control, for its direct and moderating roles within the Integrated Motivational-Volitional (IMV) Model of Suicidal Behavior.
Method: An online-administered cross-sectional suicide risk survey study (n=116) was conducted among adults living in the United Kingdom.
Results: Mean suicidal ideation scores were in the non-clinical range. DOC Leadership and Destiny Control were associated with good mental health. DOC Decision Avoidance was associated with poor mental health. DOC Decision Avoidance also acted as a motivational moderator in which the entrapment-suicidal thinking link was worse among those high in decisional avoidance.
Conclusion: DOC represents a novel, valuable addition to suicide theory and may inform suicide-specific psychotherapeutic intervention. Additional research is needed to full understand the role of DOC and its factor structures in the IMV.
Original languageEnglish
Pages (from-to)435-442
Number of pages8
JournalInternational Journal of Social Psychiatry
Volume68
Issue number2
Early online date14 Mar 2021
DOIs
Publication statusPublished - 1 Mar 2022

Keywords

  • suicidal ideation
  • desire for control
  • integrated motivational-volitional model
  • entrapment
  • defeat

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