2. Examine the presence of intense affective states prior to completion of suicide Why might this be important?  Identify to prevent  Clients who withhold intentions

3. Reports from mental health practitioners of one client who completed suicide (n=36) Reports from practitioners of one client who has no history of suicidal ideation or attempts (n=26)

4. Those who died of suicide…  More likely to have comorbid Axis 1  More likely to have comorbid Axis 2  Reported on average 4.8 intense affective state as compared to 1.4  At least one intense affective state  91.7% having ≥3  58% having ≥ 5

5. 9 intense affective states were explored  Desperation  Hopelessness  Feelings of abandonment  Self-hatred  Rage  Anxiety  Loneliness  Guilt  Humiliation

6. In those who committed suicide 7 of 9 were significantly more frequent  Desperation (83.3%)  Hopelessness (66.7%)  Feelings of abandonment (55.5%)  Self-hatred (44.4%)  Rage (58.3%)  Anxiety (58.3%)  Loneliness (38.9%) Most often Co-occurring with Desperation…  Hopelessness (70%)  Rage (63%)  Anxiety(63%)  Feelings of abandonment (56%)

7. The interaction between the IV and the predicted moderator must be significant when predicting the outcome variable. HopelessnessSuicide Desperation

8. 1.The IV must be associated with the predicted mediator 2.The predicted mediator must be associated with the DV 3.When statistically controlled for; association between the IV and DV should be non-significant or significantly reduced. DesperationSuicideHopelessness