LAUSR

Suicide is still a leading cause of death globally and in Hungary. However, we still know little about when and what factors affect the transition from suicide ideation to attempt. The vast majority of people who experience suicidal thoughts would never actually attempt suicide. The most oft-cited psychiatric and psychological risk factors are limited in explaining the transition from ideation to action. Fortunately, in recent years there have been developments in suicide theory that might affect our understanding and prevention of suicide behavior. In this conceptual review, the author describes a new paradigm in suicidology, the ideation-to-action framework. The premises of this novel paradigm are that the emergence of suicidal thoughts and the transition from thoughts to an attempt are two separate processes. Next, the author introduces those three theories of suicide behavior that are positioned within the ideation-to-action framework. These are the interpersonal theory of suicide, the integrated motivational-volitional model, and the three-step theory. Finally, the author discusses the possible implications of the new framework for research, theory, and practice. Orv Hetil. 2022; 163(28): 1095-1104.