Noah S Triplett, Elizabeth H Connors, Jacob K Tebes, Derrick M Gordon
{"title":"Bridging Intervention and Implementation Research for More Personalized Behavioral Health.","authors":"Noah S Triplett, Elizabeth H Connors, Jacob K Tebes, Derrick M Gordon","doi":"10.1037/cps0000396","DOIUrl":"10.1037/cps0000396","url":null,"abstract":"<p><p>Despite advances in behavioral health research, the burden of behavioral health disorders continues to grow. One explanation for the persistent challenges to improved behavioral health outcomes is the misalignment between behavioral health research and the diverse and complex needs of individuals served in real-world settings. Reimagining how interventions are developed, tested, and implemented to be more personalized could result in better alignment with the unique biopsychosocial mechanisms, contextual circumstances, and treatment goals of individuals. We outline four shifts to advance more personalized behavioral health intervention design, research, and implementation, as follows: 1) Center the socioecological contexts of individual behavioral health mechanisms and needs; 2) Develop and test discrete, flexible intervention strategies; 3) Adapt implementation science to deliver personalized treatments; and 4) Embed participatory approaches throughout the translational research spectrum. We explore these shifts in detail and discuss their implications for behavioral health research. We also offer recommendations for researchers and note barriers to implement these shifts. By reimagining how we understand problems, personalize interventions, define success, and generate evidence, we can create a methodological bridge between basic mechanistic research and real-world public health impact.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149215144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sin U Lam, William T Hoyt, Caroline M Swords, Siyan Gao, Alaina Srivastav, Simon B Goldberg
{"title":"Do Mindful Partners Make a Difference? A Meta-Analytic Test of the Actor-Partner Interdependence Model in Romantic Couples.","authors":"Sin U Lam, William T Hoyt, Caroline M Swords, Siyan Gao, Alaina Srivastav, Simon B Goldberg","doi":"10.1037/cps0000382","DOIUrl":"10.1037/cps0000382","url":null,"abstract":"<p><strong>Objectives: </strong>Mindfulness is consistently linked with individual well-being and relationship functioning, yet it remains unclear systemically whether mindfulness reliably \"crosses over\" within romantic couples - such that one partner's mindfulness is associated with other partner's outcomes after accounting for dyadic interdependence. We conducted a model-testing meta-analysis (MTMA) based on the Actor-Partner Interdependence Model (APIM) to estimate actor (self-self), partner (self-partner), and interdependence (partner similarity) effects of mindfulness on couples' relationship outcomes.</p><p><strong>Methods: </strong>We searched six databases (PsycINFO, PubMed, CINAHL, Scopus, Web of Science, Cochrane Trials) for quantitative dyadic studies linking one partner's mindfulness to the other partner's outcomes across relational domains. Thirty-seven independent studies (12,396 couples) met inclusion criteria. We conducted a multivariate meta-analysis to estimate APIM-implied correlations (<i>r</i>*) and derived path coefficients, with 95% CIs from 1,000 bootstrap samples.</p><p><strong>Results: </strong>Cross-partner correlations were small but significant (<i>rs</i>* = .16 and .16 for male-to-female and female-to-male associations, respectively). However, corresponding APIM <i>partner effects</i> were close to zero and nonsignificant (<i>β</i>s = -.01), indicating no reliable crossover. <i>Actor effects</i> were significant (<i>β</i>s =.22 and .21 for male and female partners, respectively). <i>Interdependence effects</i> were also significant for partners' mindfulness (<i>r</i>* = .27) and outcomes (<i>r</i>* = .42), indicating meaningful within-couple covariation.</p><p><strong>Discussion: </strong>Findings suggest that mindfulness is reliably associated with individuals' own relationship functioning and shared dyadic processes, but not with a robust direct partner effect. These results indicated that partner associations may reflect shared couple-level influences rather than direct crossover, highlighting the implications of dyadic modeling and couple-level interventions.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship Between Trauma Exposure and Nonclinical Psychosis: A Systematic Review and Meta-Analysis.","authors":"Vanessa C Zarubin, Danielle Pratt, Vijay A Mittal","doi":"10.1037/cps0000377","DOIUrl":"10.1037/cps0000377","url":null,"abstract":"<p><strong>Background: </strong>Trauma exposure is linked to increased psychosis risk; however, critical questions remain about how trauma exposure relates to psychotic-like experiences (PLEs), including the overall effect and whether trauma type, number of exposures, and methodological/sample characteristics influence the relationship.</p><p><strong>Method: </strong>A meta-analysis (following PRISMA guidelines) on the relationship between childhood trauma and PLEs was conducted. Effect size by trauma type (emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, bullying, discrimination) and number, assessment methods for trauma and PLEs, and the sex and race/ethnicity compositions of the sample were recorded.</p><p><strong>Results: </strong>92 studies (104 samples; 171,828 individuals) were included. The mean effect size was <i>r</i>=.23 and there was some evidence of publication bias, <i>z</i>=2.039, <i>p</i>=.04. A fail-safe <i>n</i> calculation indicated that 7,881 analyses with null results would need to be added for the effect to be non-significant (<i>p</i>≥.05). Effect sizes by trauma type ranged from <i>r</i>=.16 (sexual abuse) to <i>r</i>=.26 (emotional abuse). Bullying had an effect size of <i>r</i>=.28 and discrimination had an effect size of <i>r</i>=.23. Notably, effect size increased as number of trauma exposures increased.</p><p><strong>Discussion: </strong>This meta-analysis highlights the importance of expanding the assessment of trauma, including information about chronicity and about exposures such as bullying and discrimination. Research examining the relationship of these more nuanced measures of trauma exposure and later psychosis risk is critical to inform public health and policy decisions.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Na Zhang, Qiyue Cai, Hui Qi Tong, Larissa G Duncan, Irwin Sandler, Robert W Roeser, Yuan Lin, Liliana J Lengua
{"title":"A Systematic Meta-Review of Mindfulness-Based and Mindfulness-Integrated Programs with Parents and Families: Evidence from Over 25 Years of Research.","authors":"Na Zhang, Qiyue Cai, Hui Qi Tong, Larissa G Duncan, Irwin Sandler, Robert W Roeser, Yuan Lin, Liliana J Lengua","doi":"10.1037/cps0000376","DOIUrl":"10.1037/cps0000376","url":null,"abstract":"<p><p>This meta-review provides a high-level perspective of the research evidence on mindfulness interventions for parents and families. It summarizes conceptual and methodological features, examines intervention approaches, intervention effects, and identifies moderators and mediators of these effects. <b>S</b>earches were conducted across eight databases to identify systematic reviews of mindfulness-based or mindfulness-integrated interventions with parents. Review overlap was quantified, and methodological quality was assessed. Quantitative information (e.g. sample sizes, study designs, effect sizes) and qualitative information (e.g., conceptualizations, intervention approach) were extracted. Primary studies were categorized based on intervention approach classifications. Eighteen systematic reviews, including ten meta-analyses, were identified, encompassing 119 unique primary studies. The collective evidence suggests that mindfulness-based programs are a promising approach for reducing parenting stress. In contrast, findings were inconclusive for parents' general stress, mental health, well-being, trait mindfulness, mindful parenting, parenting behaviors, and child mental health. Reviews showed acceptable methodological quality and moderate overlap in primary studies. Variations in study designs, samples, intervention approaches, dosage, and analytic methods contributed to inconclusive findings. The reviews of mindfulness-based and mindfulness-integrated programs revealed a mix of intervention approach categories and inconsistencies in conceptualizations and operationalizations. The evidence on moderators of intervention effects was inconclusive. Parenting stress appeared to be a mediator of the intervention's effects on youth outcomes. The literature offers encouraging results as well as limitations of the extant research. Future research should clarify conceptualizations of intervention approaches, investigate mediators and moderators, and improve rigor. Implications for clinicians using mindfulness with parents are also discussed.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eileen P Barden, Michelle Fernando, Steffany J Fredman, Johanna Thompson-Hollands
{"title":"A Systematic Review of Trauma Disclosure Behaviors to Informal Support Sources.","authors":"Eileen P Barden, Michelle Fernando, Steffany J Fredman, Johanna Thompson-Hollands","doi":"10.1037/cps0000374","DOIUrl":"10.1037/cps0000374","url":null,"abstract":"<p><strong>Objectives: </strong>The process of trauma disclosure can positively impact recovery trajectories and prevent or reduce posttraumatic stress disorder (PTSD) symptoms. Notably, trauma disclosure to informal sources of support (e.g., family, friends) occurs more often than to formal sources (e.g., police, therapist). However, there is a gap in understanding various critical aspects of trauma disclosure behaviors, particularly to informal sources. This review synthesizes the extant literature of trauma disclosure behaviors to informal sources, examining behavioral aspects including whom survivors choose to disclose to, details that are shared, timing and frequency of disclosures, and reasons that motivate survivors to disclose their trauma.</p><p><strong>Methods: </strong>We conducted a systematic review utilizing three databases (PsycINFO, PTSDPubs, PubMed). Eligible papers were required to assess trauma disclosure behavior among adult samples with lifetime trauma history, resulting in a total of 113 articles in the final review.</p><p><strong>Results: </strong>Rates of disclosure ranged from 25% to 97.6%. Diverse patterns of trauma disclosure emerged, with variations in the recipients of disclosures and the content shared. The time to first disclosure ranged widely, from the day the traumatic event occurred to nearly two decades afterwards. Motivations for disclosing trauma were also varied, encompassing both psychological needs and social factors.</p><p><strong>Discussion: </strong>The limitations of existing literature and methodological considerations are highlighted, particularly as the majority of studies utilized study-specific, non-validated methods for assessing disclosure. Additional research is needed to understand the nuanced aspects of trauma disclosure behaviors and their implications for treatment outcomes and cultivation of social support for survivors.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erin A Kaufman, Brianna Meddaoui, Sarah E Victor, Vanit Shah, Jin H Prunuske
{"title":"Distress Tolerance and Self-Injurious Thoughts and Behaviors: A systematic review and commentary on methodological challenges.","authors":"Erin A Kaufman, Brianna Meddaoui, Sarah E Victor, Vanit Shah, Jin H Prunuske","doi":"10.1037/cps0000378","DOIUrl":"10.1037/cps0000378","url":null,"abstract":"<p><p>Impaired distress tolerance (DT) is theorized to be an etiological and maintenance factor for self-injurious thoughts and behaviors (SITBs). However, the literature on DT and SITBs suffers from conflicting results and methodological challenges, and thus, is difficult to interpret.</p><p><strong>Objectives: </strong>We conducted a systematic review to synthesize available evidence on DT and the full range of SITBs.</p><p><strong>Methods: </strong>We included peer-reviewed, English-language manuscripts presenting empirical data on DT/intolerance in relation to SITB among humans. Studies were identified via a search covering results published through December 31, 2024 at Academic Search Premier, MEDLINE, PsychINFO, and PubMed (most recently executed June 20th, 2025). No formal risk of bias assessments were used. Results were synthesized by DT assessment type (self-report, behavioral, combined) and study approach (observational, longitudinal, intervention). Of the 1058 studies screened, 81 were eligible for inclusion with 30,052 participants. This review was neither funded nor preregistered.</p><p><strong>Results: </strong>Self-report measures appear to assess distress intolerance rather than high tolerance/endurance abilities. Findings generally indicate lower scores reflecting greater intolerance are associated with SITB across both suicide-related and non-suicidal self-injury outcomes; however, there are notable exceptions, and significant limitations associated with sample selection and research design that makes interpretation challenging.</p><p><strong>Discussion: </strong>The vast majority of results were obtained with a single self-report measure at one point in time. Laboratory paradigms reviewed seem to have poor ecological validity with limited relevance to the contexts in which SITBs emerge, and produced mixed associations with SITB. Within-person variability in DT has largely gone unexamined, and important mediators and moderators are underexplored. We discuss several areas for further research.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Logan T Smith, Rachel F L Walsh, Olivia C Bishop, Mackenzie A Maddox, Robin Nusslock, Greg Murray, Lauren B Alloy
{"title":"Reward Sensitivity's Associations with Morningness-Eveningness and Other Circadian-Coupled Behavioral Phenomena: A Systematic Review and Meta-Analysis of Cross-Sectional and Prospective Relationships.","authors":"Logan T Smith, Rachel F L Walsh, Olivia C Bishop, Mackenzie A Maddox, Robin Nusslock, Greg Murray, Lauren B Alloy","doi":"10.1037/cps0000349","DOIUrl":"10.1037/cps0000349","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis provides a quantitative synthesis of associations between reward sensitivity and morningness-eveningness and other circadian-coupled behaviors. The circadian system, which generates patterns of preferences and behaviors such as morningness-eveningness, social jetlag, and rest-activity rhythms, is linked to health outcomes. Reward sensitivity encompasses a trait-level tendency to be motivated by/respond to rewarding stimuli, which is a known risk factor for psychopathology. Theoretical and empirical support suggest these systems work together synergistically, and their interaction uniquely contributes to the onset/course of health conditions, including mood and substance use disorders, beyond the impact of each system independently. This review evaluates the strength of the association between circadian-coupled behavior and reward sensitivity.</p><p><strong>Methods: </strong>A systematic literature search (7/11/2025) was conducted in two databases (MEDLINE/PsycINFO), followed by a two-step screening process. Pooled effects and publication bias estimates were calculated.</p><p><strong>Results: </strong>Most included studies assessed the association between morningness-eveningness and reward sensitivity, which had a nonsignificant pooled effect. In clinical samples, eveningness displayed a moderate positive association with reward sensitivity (null in community samples). The association between morningness-eveningness and reward sensitivity differed by reward sensitivity measure. Social jetlag had a small negative pooled effect and social rhythm disruption had a moderate positive pooled effect.</p><p><strong>Discussion: </strong>Associations between morningness-eveningness and reward sensitivity (<i>k</i>=17) are minimal and heterogeneous, but meaningful effects appear in clinical samples. For social jetlag (<i>k</i>=3) and social rhythm disruption (<i>k</i>=3), the pattern of associations with reward sensitivity is variable. Future directions include prioritization of objective circadian measures, longitudinal designs, and multimodal measurement to clarify mechanisms.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael L Crowe, Jaclyn C Kearns, Leigha Rose, Brian P Marx
{"title":"Narcissistic traits predict suicide risk because personality traits predict suicide risk: A commentary on \"The relationship between narcissism and suicidality\".","authors":"Michael L Crowe, Jaclyn C Kearns, Leigha Rose, Brian P Marx","doi":"10.1037/cps0000309","DOIUrl":"10.1037/cps0000309","url":null,"abstract":"","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"33 1","pages":"23-26"},"PeriodicalIF":7.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel L Zelkowitz, Haijing Wu Hallenbeck, Emma K Knutson, Tate F Halverson, Molly Goodrich
{"title":"Scoping Review of Experience Sampling Methodology Investigations of Posttraumatic Stress Disorder Symptoms.","authors":"Rachel L Zelkowitz, Haijing Wu Hallenbeck, Emma K Knutson, Tate F Halverson, Molly Goodrich","doi":"10.1037/cps0000339","DOIUrl":"10.1037/cps0000339","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) is a serious mental health condition with profound impact at both the individual and population level. In recent years, there has been a surge of interest in studying PTSD using experience sampling methodologies (ESM), which allow for nuanced examination of how symptoms are experienced in or near real time, in the natural contexts of individuals' lives. We conducted a scoping review of studies of adults that employed ESM to assess PTSD symptoms. Our primary goals were to characterize the participants of such studies, key design features of ESM studies of PTSD, and analytical approaches employed for ESM data of PTSD symptoms. We also examined to what extent the current literature reflects best practices in reporting for ESM/ecological momentary assessment (EMA) studies. Our findings revealed an active and growing literature, with 136 published articles reflecting 89 unique samples identified. There were some commonalities across studies in population (e.g., US-based participants with unspecified trauma exposure), design (e.g., multiple assessments per day with Likert rating scales under an interval-contingent schedule), and analysis (e.g., representing symptoms as a composite in multilevel modeling). However, they varied in terms of design characteristics (e.g., study duration, number of assessments per day, other constructs assessed) and data analytic methods. Papers largely adhered to recent guidelines for reporting on ESM studies although opportunities for improvement were identified. Results support use of ESM to investigate the dynamics of PTSD symptoms. We discuss strengths and limitations of the existing literature and suggestions for future research.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"33 2","pages":"238-255"},"PeriodicalIF":7.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kirsten H Dillon, Tapan A Patel, Molly Goodrich, Sarah Siegel, Stefanie T LoSavio, David Miller, Gabriella Ponzini, Pallavi Aurora, Samantha Kaplan, Nathan A Kimbrel, Tate F Halverson
{"title":"Anger-Related Affect and Suicidal Thoughts and Behaviors: A Systematic Review and Meta-Analysis.","authors":"Kirsten H Dillon, Tapan A Patel, Molly Goodrich, Sarah Siegel, Stefanie T LoSavio, David Miller, Gabriella Ponzini, Pallavi Aurora, Samantha Kaplan, Nathan A Kimbrel, Tate F Halverson","doi":"10.1037/cps0000293","DOIUrl":"10.1037/cps0000293","url":null,"abstract":"<p><strong>Objective: </strong>Growing evidence indicates anger-related affect (i.e., anger, hostility, and irritability) is a transdiagnostic risk factor for suicide. The goal of this meta-analysis was to systematically review the literature and calculate the effect size of these relationships.</p><p><strong>Method: </strong>We examined the relationships between suicidal thoughts and behaviors and anger, irritability, and hostility with data from 107 published studies (total <i>N</i> = 141,434).</p><p><strong>Results: </strong>Our analyses uncovered a moderate-sized average correlation (<i>r</i> = .31) between anger-related affect and suicidal thoughts and behaviors. There were no significant differences between the effect size estimates of the three separate anger constructs. Studies assessing suicide attempts were associated with significantly lower effect sizes than studies assessing death by suicide or suicidal ideation. Studies that assessed suicidal thoughts and behaviors using a clinical interview were associated with lower effect size estimates than those assessing via self-report or chart review. Additionally, studies that assessed current suicidal thoughts and behaviors were associated with higher effect size estimates versus those that assessed lifetime occurrence. Studies that assessed suicide in an outpatient setting were associated with lower effect sizes than those in community, inpatient, or forensic settings. There were no other significant moderators (i.e., sociodemographic or study design variables) of the relationship between overall anger and suicide.</p><p><strong>Conclusions: </strong>Findings highlight the importance of anger as a potential risk factor for suicide. Future research is needed to examine these relationships longitudinally and to look at different facets of anger (e.g. experience vs. expression).</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"32 4","pages":"354-367"},"PeriodicalIF":7.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12697221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145755424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}