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SUMMARY:Understanding the transition from suicidal thoughts to suicidal at
 tempts - Rory O’Connor (University of Glasgow)
DTSTART:20191101T123000Z
DTEND:20191101T133000Z
UID:TALK134056@talks.cam.ac.uk
CONTACT:Rory O’Connor
DESCRIPTION:*%{color:blue}For our November C2:AD talk\, we are delighted t
 o be hosting:%*\n\nRory O’Connor (University of Glasgow)\n\n*Understandi
 ng the transition from suicidal thoughts to suicidal attempts*\n\n*Backgro
 und:* Suicide and self-harm are major public health concerns with complex 
 aetiologies which encompass a multifaceted array of risk and protective fa
 ctors.  There is growing recognition that we need to move beyond psychiatr
 ic categories to further our understanding of the pathways to both. Althou
 gh there have been many advances in our understanding of suicide risk\, ou
 r ability to predict suicidal behaviour remains no better than chance. New
  approaches to predicting suicidal behaviour focus on distinguishing betwe
 en those who think about suicide and those who attempt suicide.\n\n*Method
 s:* Although a comprehensive understanding of these determinants of suicid
 ality requires an appreciation of biological\, psychological and social pe
 rspectives\, the focus in this presentation is primarily on the psychologi
 cal determinants of self-harm and suicide. The Integrated Motivational–V
 olitional (IMV) Model of Suicidal Behaviour (O’Connor\, 2011\; O’Conno
 r & Kirtley\, 2018) provides a framework in which to understand suicide an
 d self-harm.  This tripartite model maps the relationship between backgrou
 nd factors and trigger events\, and the development of suicidal ideation/i
 ntent through to suicidal behaviour. \nFindings: We propose that defeat an
 d entrapment drive the emergence of suicidal ideation and that a group of 
 factors\, entitled volitional moderators\, govern the transition from suic
 idal ideation to suicidal behaviour.  According to the IMV model\, volitio
 nal moderators include access to the means of suicide\, exposure to suicid
 al behaviour\, capability for suicide (fearlessness about death and increa
 sed physical pain tolerance)\, planning\, impulsivity\, mental imagery and
  past suicidal behaviour.  I will present a selection of empirical studies
  derived from the IMV model to illustrate how psychological factors increa
 se suicide risk and what can be done to ameliorate such risk. \n\n*Discuss
 ion:*  The IMV model identifies 8 key pillars that govern the transition f
 rom suicidal thoughts to suicide attempts.  Clinical interventions need to
  target the volitional phase factors to reduce the likelihood that suicida
 l thoughts are acted upon. The implications for the prevention of self-har
 m and suicide will also be discussed. \n 
LOCATION:Herchel Smith Building on the Forvie site at Addenbrooke's Hospit
 al in Cambridge 
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