A substantial proportion of suicide attempts seem to be realized in a sudden manner. However, it is unclear how suicide attempters showing a rapid transition from the decision to die to acting differ from suicide attempters showing a slower transition regarding their suicidal history. The main aim of this study was to determine the proportion of suicide attempters, who reported a rapid transition (≤5, ≤10, ≤180 min) between their decision to die and their actual attempt. Furthermore, attempter groups (≤ vs. >5, ≤ vs. >10 and ≤ vs. >180 min) were compared regarding suicidal history (ideation, plans, and number of lifetime as well as 12 month suicide attempts) as well as depression, hopelessness and trait impulsivity. In total, 118 inpatients (62.7% female; age: M = 38.71, SD = 14.71) hospitalized due to a recent suicide attempt were assessed using structured clinical interview measures assessing suicidal history and self-report instruments. Thirty-six percent reported a time period of ≤5 min, 44% a time period of ≤10 min and 73% a time period of ≤180 min between their decision to die and their attempt. Participants with a rapid transition (≤5, ≤10, ≤180 min) did not differ from participants with a slower transition (>5, >10, >180 min) regarding suicidal history, depression, hopelessness and trait impulsivity. Taken together, a rapid transition seems common, but nevertheless, rapidly realized suicide attempts cannot necessarily be characterized as impulsive.

中文翻译：

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从决定到行动：自杀史和从决定死亡到实际自杀未遂之间的时间

很大一部分自杀企图似乎是突然实现的。然而，目前尚不清楚自杀未遂者表现出从决定​​死亡到行动的快速转变与自杀未遂者在其自杀历史方面表现出较慢转变的不同之处。本研究的主要目的是确定自杀未遂者的比例，他们报告在他们的死亡决定和实际尝试之间快速过渡（≤5、≤10、≤180 分钟）。此外，对尝试者组（≤ vs. >5、≤ vs. >10 和≤ vs. >180 min）进行了自杀史（想法、计划和生命周期以及 12 个月的自杀企图）以及抑郁症的比较，绝望和特质冲动。总共有 118 名住院患者（62.7% 为女性；年龄：M  = 38.71，SD = 14.71) 因近期自杀未遂而住院的患者使用结构化临床访谈措施评估自杀史和自我报告工具进行评估。36% 的人报告了≤ 5 分钟的时间段，44% 的时间段≤ 10 分钟的时间段和 73% 的时间段≤ 180 分钟的时间段，从他们决定死亡到尝试死亡。在自杀史、抑郁、绝望和特质冲动方面，快速过渡（≤5、≤10、≤180 分钟）的参与者与过渡较慢（>5、>10、>180 分钟）的参与者没有差异。总而言之，快速过渡似乎很普遍，但尽管如此，迅速实现的自杀未遂不一定被定性为冲动。