Desire for control and the integrated motivational-volitional model of suicidal behavior: Results from a pilot investigation of adults in the United Kingdom

Int J Soc Psychiatry. 2022 Mar;68(2):435-442. doi: 10.1177/00207640211003606. Epub 2021 Mar 14.

Abstract

Background: Suicidal behavior remains a pressing problem in the United Kingdom. Continued theory development is a critical step toward designing effective prevention.

Aims: The present study tested a novel element to suicide theory, the Desire for Control, for its direct and moderating roles within the Integrated Motivational-Volitional (IMV) Model of Suicidal Behavior.

Method: An online-administered cross-sectional suicide risk survey study (n = 116) was conducted among adults living in the United Kingdom.

Results: Mean suicidal ideation scores were in the non-clinical range. DOC Leadership and Destiny Control were associated with good mental health. DOC Decision Avoidance was associated with poor mental health. DOC Decision Avoidance also acted as a motivational moderator in which the entrapment-suicidal thinking link was worse among those high in decisional avoidance.

Conclusion: DOC represents a novel, valuable addition to suicide theory and may inform suicide-specific psychotherapeutic intervention. Additional research is needed to full understand the role of DOC and its factor structures in the IMV.

Keywords: Suicidal ideation; defeat; desire for control; entrapment; integrated motivational-volitional model.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Humans
  • Motivation*
  • Pilot Projects
  • Risk Factors
  • Suicidal Ideation*
  • United Kingdom