Original ArticlesAre Suicide Attempters Wired Differently? A Comparison With Nonsuicidal Depressed Individuals Using Plan AnalysisBrüdern, Juliane MSc*; Berger, Thomas PhD*; Michel, Konrad PhD†; Maillart, Anja Gysin PhD†; Held, Isabelle Schmutz PhD*; Caspar, Franz PhD*Author Information *University of Bern; and †University Hospital of Psychiatry, Bern, Switzerland. Send reprint requests to Juliane Brüdern, MSc, Department of Clinical Psychology and Psychotherapy, University of Bern, Fabrikstrasse 8, 3012 Bern, Switzerland. E-mail: firstname.lastname@example.org. The Journal of Nervous and Mental Disease: July 2015 - Volume 203 - Issue 7 - p 514-521 doi: 10.1097/NMD.0000000000000321 Buy Metrics Abstract Limited research exists on internal risk processes in suicide attempters and factors that distinguish them from nonsuicidal depressive individuals. In this qualitative study, we investigated Plans, motives, and underlying self-regulatory processes of the two groups and conducted a comparative analysis. We analyzed narrative interviews of 17 suicide attempters and intake interviews of 17 nonsuicidal depressive patients using Plan Analysis. Then, we developed a prototypical Plan structure for both groups. Suicidal behavior serves various Plans found only in suicide attempters. Plans of this group are especially related to social perfectionism and withdrawal to protect their self-esteem. Depressive patients use several interpersonal control and coping strategies, which might help prevent suicidal behavior. The prototypical Plan structure of suicide attempters may be a valuable tool for clinicians to detect critical Plans and motives in their interaction with patients, which are related to suicide risk. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.