Past literature indicates that one-third of individuals with a past suicide attempt had passive suicidal ideation
, but no active ideation or plan, suggesting the vulnerability of study participants for risk of suicide, the study says.
(16) Among 88 patients the researchers surveyed at several pain clinics, 24% reported active or passive suicidal ideation
. Similarly, a survey of 153 individuals with chronic noncancer pain found passive suicidal ideation
in 19%, active ideation in 13%, a plan for suicide in 5%, and a past suicide attempt in 5%.
The commonly held belief that passive suicidal ideation poses less risk for suicide than active suicidal ideation is steeped in the lore of psychiatric practice.
Although passive suicidal ideation may allow time for interventions, passive ideation can suddenly turn active.
When a patient reports passive suicidal ideation, active suicidal ideation invariably is present
Their data challenged the utility of distinguishing active and passive suicidal ideation. The authors also noted that the patient's ideation can change from passive to active during an episode of illness.
Assessing passive suicidal ideation may reveal few protective factors, which may increase the patient's suicide risk.
These can all lead a clinician to prematurely accept a patient's statement regarding passive suicidal ideation rather than conduct a thorough suicide risk assessment.
Passive suicidal ideation as a marker for suicidal behavior.
passive suicidal ideation a clinically valid distinction?
Passive suicidal ideation should not deter a clinician from performing a thorough suicide risk assessment