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'Flash-forwards' and suicidal ideation: A prospective investigation of mental imagery, entrapment and defeat in a cohort from the Hong Kong Mental Morbidity Survey
Kowloon Hosp, Dept Psychiat, 147A Argyle St, Hong Kong, Hong Kong, Peoples R China.
MRC Cognit & Brain Sci Unit, Cambridge, England.ORCID iD: 0000-0001-5701-9659
Univ Oxford, Oxford Ctr Cognit Therapy, Oxford OX1 2JD, England.
Univ Oxford, Oxford Ctr Cognit Therapy, Oxford OX1 2JD, England.
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2016 (English)In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 246, p. 453-460Article in journal (Refereed) Published
Abstract [en]

'Flash-forwards' - mental images of suicide - have been reported in selected Caucasian samples. Perceptions of defeat and entrapment are considered to be associated with suicidal ideation. We aimed to investigate (1) the presence of suicidal flash-forwards in people with recent suicidal ideation versus those without such ideation in an Asian sample, and (2) associations between suicidal flash-forwards, and perceptions of entrapment accounting for suicidal ideation. Eighty two suicidal and 80 non-suicidal participants from the Hong Kong Mental Morbidity Survey completed questionnaires including suicidal ideation, presence of suicidal flash-forward images, defeat and entrapment, at baseline and seven weeks later. Suicidal 'flash-forwards' were present only in suicidal cases. People with recent suicidal ideation and suicidal flash-forwards had more severe suicidal ideation than those without flash-forwards. Compared to those without suicidal ideation, people with recent suicidal ideation reported higher entrapment and defeat levels. Resolution of suicidal ideation over time was associated with fewer suicidal flash-forwards and reduced entrapment perceptions. At baseline and seven weeks, suicidal ideation was predicted by an interaction between suicidal flash-forwards presence and perceptions of entrapment. Mental imagery of suicide appears to be associated with suicidal ideation, and may represent a novel target in suicidal risk assessment and prevention.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2016. Vol. 246, p. 453-460
Keywords [en]
Suicidal ideation, Imagery, Suicide, Risk factors, Cognition
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-405161DOI: 10.1016/j.psychres.2016.10.018ISI: 000390968300072PubMedID: 27792974OAI: oai:DiVA.org:uu-405161DiVA, id: diva2:1396900
Available from: 2020-02-26 Created: 2020-02-26 Last updated: 2020-02-27Bibliographically approved

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