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Reasons for Living

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A Positive Psychological Approach to Suicide

Part of the book series: Advances in Mental Health and Addiction ((AMHA))

Abstract

Reasons for Living (RFL) are reasons that persons identify for staying alive when otherwise considering suicide, including elements of life such as beliefs and values, interpersonal relationships, and socio-cultural and religious/spiritual concerns. Hence, they are specifically linked to the concept of resilience to suicidality. Aims of this chapter are (1) to provide a broad overview of the link between RFL and suicidal thoughts and behaviors, focusing on the different scales developed for assessing RFL; and (2) to describe specific therapeutic strategies for suicide prevention connected to RFL enhancement.

A literature web search was performed to identify studies focusing on the link between RFL and suicidal thoughts and behaviors from 1983 until June 2017. Since our aim was not to perform a systematic review, the most representative studies have been included.

Eight scales have been described and compared: the Reasons for Living Inventory (RFLI), the Reasons for Living inventory for Adolescents (RFL-A), the College Student Reasons for Living Inventory (CS-RFLI), the Reasons for Living inventory for Young Adults (RFL-YA), the Reasons for Living for Older Adults scale (RFL-OA), the Chinese-language Motivations for Living Inventory (CMLI), the Protective Reasons against Suicide Inventory (PRSI), and the Reasons for Living versus Reasons for Dying Assessment developed in the context of the Collaborative Assessment and Management of Suicidality (CAMS). Most historical evidence was attributed to the most studied measure, the RFLI: overall, a high total score was found to be potentially protective against both suicidal ideation and suicide attempts in clinical and non-clinical samples. Promising treatments specifically focusing on RFL enhancement include Dialectical Behavior Therapy (DBT) and CAMS, as well as Mindfulness Based Cognitive Therapies (MBCT), Positive Psychology (PP), Acceptance and Commitment Therapy (ACT), and problem-solving therapies.

Further investigation of RFL differences among different cultures and ages is warranted and should also account for major social changes occurring since the development of the first instruments. Moreover, our suggestion is that a focus on RFL has the potential to be integrated into every therapeutic intervention aiming at suicide prevention.

Ada:

“What a death!

What a chance!

What a surprise!

My will has chosen life!

Still it has had me spooked and many others besides!”

(Campion, 1993)

Contributors: Raffaella Calati wrote the chapter. Emilie Olié and Déborah Ducasse contributed to the section “Preventive and therapeutic interventions.” Philippe Courtet supervised the writing.

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Notes

  1. 1.

    Wilfred R. Bion (1897–1979) was a British psychoanalyst. According to him, truth is essential for the existence and growth of the mind and for psychic health (Bion, 1984).

Abbreviations

ACT:

Acceptance and Commitment Therapy

CAMS:

Collaborative Assessment and Management of Suicidality

CB:

Coping beliefs

CC:

Child-related Concerns

CFC:

College and Future-Related Concerns

CMLI:

Chinese-language Motivations for Living Inventory

CS-RFLI:

College Student Reasons for Living Inventory

DBT:

Dialectical Behavior Therapy

EMIL:

Experienced Meaning in Life scale

FA:

Family Alliance

FD:

Fear of Death

FE:

Future Expectations

FMS:

Family Member Support

F/O:

Family/Others

FO:

Future Optimism

FR:

Family Relations

FrS:

Friend Support

FS:

Fear of Suicide

FSD:

Fear of Social Disapproval

HF:

Hope for the Future

LS:

Life Satisfaction

MBCT:

Mindfulness Based Cognitive Therapies

MIL:

Meaning in Life

MO:

Moral Objections

MRO:

Moral/Religious Objections

NIFM:

Negative Impact on Family Members

NSSI:

Non-Suicidal Self-Injury

PAS:

Peer-Acceptance and Support

PASTOR:

Positive Appraisal Style Theory of Resilience

PP:

Positive Psychology

PR:

Peer Relations

PRSI:

Protective Reasons against Suicide Inventory

PSE:

Positive Self-Evaluation

RB:

Religious Beliefs

RF:

Responsibility to Family

RFD:

Reasons for Dying

RFF:

Responsibility to Friends and Family

RFL:

Reasons for Living

RFL-A:

Reasons for Living Inventory for Adolescents

RFLI:

Reasons for Living Inventory

RFL-OA:

Reasons for Living for Older Adults scale

RFL-YA:

Reasons for Living Inventory for Young Adults

SA:

Suicide Attempt

SelfA:

Self-Acceptance

SD:

Suicide Death

SCB:

Survival and Coping Beliefs

SI:

Suicidal Ideation

SRC:

Suicide-Related Concerns

TMBI:

Teachable Moment Brief Intervention

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Acknowledgments

Raffaella Calati: Thanks to P.G.M., who has represented one of my reasons for living. Dr. Raffaella Calati received a grant from FondaMental Foundation, Créteil, France (2015–2016). Dr. Emilie Olié received research grants from AstraZeneca, Servier, Institut UPSA de la Douleur and fees for presentations at congresses from Janssen, Lundbeck, Otsuka, Servier. Prof. Philippe Courtet received research grants from Servier, and fees for presentations at congresses or participation in scientific boards from Janssen, Lundbeck, Otsuka, Servier.

Conflicts of interest: None.

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Calati, R., Olié, E., Ducasse, D., Courtet, P. (2018). Reasons for Living. In: Hirsch, J., Chang, E., Kelliher Rabon, J. (eds) A Positive Psychological Approach to Suicide . Advances in Mental Health and Addiction. Springer, Cham. https://doi.org/10.1007/978-3-030-03225-8_4

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