The contemplation of suicide: Its relationship to irrational beliefs in a client sample and the implications for long range suicide prevention

Abstract

This study investigated differences in irrational belief systems between clients in psychotherapy who reported they were contemplating suicide and those who reported they were not. The sample included over 95% of all persons aged 16 and over seen for psychotherapy over a six-year period (90 males and 117 females). Those contemplating suicide (N=85) were significantly more irrational on a number of basic dimensions. The general composite picture was that of an individual who sees him/herself as a helpless victim of past and present circumstances who must, nevertheless, perform well, be approved of, and never have anything go wrong; any kind of failure would be awful for it would prove one to be a worthless person. Findings are consistent with other cognitive-behavioral research on suicide. Other approaches to the explanation of suicide are reviewed and criticized, especially those that in Rational-Emotive Therapy terms have made an “A-C error.”