Innovations In Clinical Neuroscience

SEP-OCT 2014

A peer-reviewed, evidence-based journal for clinicians in the field of neuroscience

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[ V O L U M E 1 1 , N U M B E R 9 – 1 0 , S E P T E M B E R – O C T O B E R 2 0 1 4 ] Innovations in CLINICAL NEUROSCIENCE 185 passive suicidal ideation that was at least the most severe on any given day. For 23 of these 24 days, the highest score on the C–SSRS was related to the thought "I wish I could go to sleep and not wake up." Although four of the five types of passive suicidal ideation were low during this timeframe, the highest C–SSRS score was associated with the question that endorsed the "wish to go to sleep and not wake up" for a prolonged period of time, rather than wishing to go to sleep and never waking up. Discussion. If the desire to "go to sleep and not wake up" for a prolonged period of time is not considered to be suicidal ideation (since there was no desire to die or thought of dying associated with this thought), then the S-STS captured the most severe passive suicidal ideation phenomena, while the C– SSRS captured less severe passive suicidal ideation phenomena and also captured the above non-suicidal ideation some of the time. In other words, we posit that the C–SSRS wording "wish to go to sleep and not wake up" could also capture a non- suicidal need to go to sleep for a prolonged period of time because of a sense of profound exhaustion, rather than a suicidal desire to die while sleeping. The former is a false positive while the latter is not. Result 7. Figure 9 has the same data as in Figure 8 with the addition of the severity of the impulsive suicidality. On five of the six days of impulsive suicidality, the highest score for the passive ideation FIGURE 2a. Month 1: all passive suicidal phenomena and impulsive suicidality FIGURE 2b. Month 2: all passive suicidal phenomena and impulsive suicidality FIGURE 2c. Month 3: all passive suicidal phenomena and impulsive suicidality

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