Passive Suicidal Ideation

Abstract

Passive suicidal ideation is an important indicator of suicide risk because it is associated with significantly high levels of depression and suicidality, comparable to individuals experiencing active suicidal ideation. Passive suicidal ideation, or a passive desire to die, can be differentiated from active suicidal ideation (where individuals have a specific plan and intent to die). The present study examined passive suicidal ideation to determine how it relates to suicide risk and depression severity in 140 veterans from a psychiatric outpatient program at a local Veterans Affairs Medical Center. Participants were assessed for a depressive disorder using a structured clinical interview and completed self-report measures. Individuals with passive suicidal ideation scored similarly to active ideators and significantly higher than nonsuicidal ideators on measures of depression, suicidal behavior, and hopelessness. Asking about passive suicidal ideation in suicide risk assessment may allow clinicians to intervene earlier and decrease the likelihood of a suicide attempt.