Exploring the ambivalence model of suicidality among Iranian patients: a qualitative study with suicide attempters - Summary - MDSpire

Exploring the ambivalence model of suicidality among Iranian patients: a qualitative study with suicide attempters

  • By

  • Kaveh Qaderi-Bagajan

  • Zahra Asgari

  • Matin Khanpayeh

  • Johanna Freund

  • Tobias Teismann

  • Lena Marie Hensel

  • July 15, 2026

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Objective:

To explore the experiences of Iranian suicide attempters through the Ambivalence Model of Suicidality (ABS) and assess its cultural validity.

Approach:
  • Methodology: Semi-structured interviews were conducted to examine emotional states, internal conflicts, external influences, and decision-making processes.
Key Findings:
  • Evidence for all three phases of the ABS was found in participants' narratives.
  • Ambivalence prior to the suicide attempt was reported in 13 interviews, often accompanied by exhaustion.
  • The transition phase frequently involved a sudden shift into acute suicidality, with some participants describing dissociation.
  • Ambivalence often persisted into the action phase.
Interpretation:

Findings support the applicability of the ABS in the Iranian context, highlighting ambivalence as a fluctuating yet persistent state throughout the suicidal process.

Limitations:
  • The study's sample size is small and may not represent the broader population of suicide attempters.
  • The qualitative nature of the study limits the generalizability of the findings.
Conclusion:

Incorporating the ABS into clinical practice might enhance therapeutic approaches, supporting suicide prevention efforts.

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