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AvPD; suicidal ideation vs. attempt

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AvPD; suicidal ideation vs. attempt

Postby Auxiliary11 » Wed Feb 17, 2016 11:36 pm

I was looking online for something on the risk of suicide in AvPD, and by the looks of it there's little to none.

I came across this: https://www.ncbi.nlm.nih.gov/pubmed/15387239 which states this:

"The results showed that dependent, but not avoidant or obsessive-compulsive, personality disorders, as well as the clusters A and B personality disorders, were significantly associated with suicide attempts.

And I took a snippet from a book online here: https://i.imgur.com/tJv2Z8b.png

So if I'm reading this right... People with OCPD and AvPD rarely attempt suicide? Or is it more like they don't have enough actual cases of Avoidants (specifically) who have attempted it, likely because they keep everything to themselves?

I've looked through old posts on this site along with other sites, and it's pretty clear that there is in fact a lot of suicidal ideation. If you look at the description of AvPD on the Imgur link, it doesn't exactly make living with this sound like a fun experience, and that's only part of the picture...

It's obviously a good thing that there's fewer attempts (if this is in fact the case) but there's also a lot of reason to actually feel suicidal, so it sounds more like there's something stopping suicidal avoidants from attempting it.

Is it the risk of failure that would lead them potentially being removed from their homes (their safe haven) and put onto suicide watch? Or the fear of what others would think of them if they 'succeeded'?

Don't want to sound all dark about this, I just don't see why AvPD is the odd one out when it comes to attempts when really you would think Avoidants would be among the most suicidal. This is a thread from a few years ago: avoidant-personality/topic81151.html
self dx. pdd-nos (level 1); covert narcissism w/ avoidant traits; social phobia; inertia.

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Re: AvPD; suicidal ideation vs. attempt

Postby TwilightVanguard » Thu Feb 18, 2016 1:36 am

Well, I can relate my experience. I don't know if I have a diagnosis but my psychiatrist did tell me that I have a lot of avoidant traits and I fit a lot of the criteria, especially what I call psychological self-harm, where a part of me constantly attacks me on every possible front for reasons that I think other avoidants would know.

First, I'd think that other PD's have a more impulsive aspect to them. From what I know, we're kind of the opposite (although I wish I could just do stuff and not overthink it). When you think about it, the prospect of suicide, how to get there and everything related to it would cause a lot of anxiety, which would trigger our fleeing response ; or maybe some might think that they don't deserve that kind of peace.

I'd also think that like you said, there might not be a lot of cases to study upon when it comes to avoidants and risks of suicide. It is already difficult to think about getting help, I can't imagine how it can be for an avoidant, especially since it's so difficult to manage.

So overall, I'd say that there's a lot more ideation than attempts in these cases. I can say that it is my case at least. I would never amass the amount of courage (or impulse) to attempt suicide and at the same time, suicidal ideation is a form of self-punishment that I seem to be really fond of. I don't have a hard time thinking that avoidants do that as well.

So the results of the research you found doesn't surprise me that much.
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Re: AvPD; suicidal ideation vs. attempt

Postby NoM8s » Thu Feb 18, 2016 11:22 pm

I once wrote about it in the composition part of an English exam. Another time when I was drunk I said to this guy that I used to know who is a sociopath that I wanted to kill myself and he replied with glee, "Let's do it man." I didn't and I knew that he wasn't going to do it but wanted to see me do it. So, I've certainly never been impulsive about it and I don't think about it actually and must only have said it to get a bit of attention or just express how much I hate my life. I don't like pain and am not into self harm. Just a bit of self abuse.
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Re: AvPD; suicidal ideation vs. attempt

Postby snookiebookie » Thu Feb 18, 2016 11:41 pm

It's difficult to say, as some of us aren't diagnosed and some of us have co-existing conditions. So how could you tell if am attempt was down to bring avoidant or down to another condition?

I do think the comment about self punishment is true which gives rise to greater incidence of ideation. But just because avoidants may use it in such a manner, to my mind doesn't mean they won't act on that impulse. I think if there are enough triggers then they are equally at risk.

I'm wondering if they assume we are cowards and are too scared to take an irreversible step. Or that we are so used to suffering that were never take such radical action.
No official DX but I still struggle with mental health issues constantly.
Symptoms of Social and Generalised Anxiety Disorder.
Strongly identify with Avoidant Personality Disorder.
Feel that I possibly have some kind of emotional trauma/Complex PTSD.
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