Suicide and Life-Threatening Behavior最新文献

Real-Time Prediction of Active and Passive Suicidal Ideation and the Moderating Role of Suicide Attempts. 主动和被动自杀意念的实时预测及自杀企图的调节作用。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70045

Fengzhou Yu, Shang Zhang, Bin Yu, Lili Wang, Li Yang

{"title":"Real-Time Prediction of Active and Passive Suicidal Ideation and the Moderating Role of Suicide Attempts.","authors":"Fengzhou Yu, Shang Zhang, Bin Yu, Lili Wang, Li Yang","doi":"10.1111/sltb.70045","DOIUrl":"https://doi.org/10.1111/sltb.70045","url":null,"abstract":"Introduction: Active suicidal ideation and passive suicidal ideation are distinct but related constructs, each carrying significant clinical implications. However, their real-time predictors remain underexplored in intensive longitudinal studies. This ecological momentary assessment (EMA) study investigated the associations of thwarted belongingness (TB), perceived burdensomeness (PB), and hopelessness with changes in both types of ideation at 2-4 h intervals, and whether a history of suicide attempts moderates these relationships.Methods: Thirty-one college students (23 females; mean age = 19.83 ± 1.86 years) with current suicidal ideation participated, 17 of whom (54.84%) had a history of suicide attempts. Participants completed EMA assessments five times daily for one week. Data were analyzed using mixed linear models.Results: TB (β = 0.05, p = 0.007) and hopelessness (β = 0.09, p = 0.006) predicted next-moment active ideation, but these associations became insignificant after all covariates were considered. PB was a robust predictor (β = 0.04, p = 0.032) of subsequent passive ideation, even after accounting for TB, hopelessness, and prior ideation. Notably, hopelessness predicted subsequent active ideation (β = 0.12, p = 0.034) only in participants with a history of suicide attempts.Conclusion: These findings underscore the distinct predictive roles of PB, TB, and hopelessness, highlighting the importance of considering suicide attempt history in risk assessment for suicidal ideation.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70045"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-Sectional Psychometric Comparison of the Fearlessness About Suicide and Fearlessness About Death Scales. 自杀恐惧量表与死亡恐惧量表的横断面心理测量比较。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70056

Kefan Cathy Wu, Lauren M Harris, Rachel Torres, April R Smith

{"title":"Cross-Sectional Psychometric Comparison of the Fearlessness About Suicide and Fearlessness About Death Scales.","authors":"Kefan Cathy Wu, Lauren M Harris, Rachel Torres, April R Smith","doi":"10.1111/sltb.70056","DOIUrl":"https://doi.org/10.1111/sltb.70056","url":null,"abstract":"Introduction: The fearlessness about suicide scale (FSS) was developed in response to evidence suggesting fearlessness about suicide is more relevant to the capability for suicide than fearlessness about death. To extend its psychometric validation, this study provides a cross-sectional comparison of the FSS and the acquired capability for suicide-fearlessness about death (FAD) scale.Methods: Pearson correlations and regression analyses examined associations between both scales with suicidal ideation (SI), pain tolerance, non-suicidal self-injury (NSSI), and eating disorder symptoms in 1233 undergraduates.Results: In the full sample, the FSS was positively associated with SI, general pain tolerance, NSSI, restriction, purging, and muscle building, but negatively with NSSI pain tolerance. The FAD was positively associated with SI, general pain tolerance, anti-suicide and sensation-seeking NSSI functions, and muscle building, but negatively with NSSI, binge eating, and eating disorder cognitive symptoms. Differential patterns of associations emerged across individuals with and without recent SI.Conclusions: The FSS appears more strongly associated with painful and frightening experiences hypothesized to contribute to the capability for suicide, whereas the FAD is associated with traits and behaviors associated with unintentional bodily harm. Longitudinal research is needed to examine the FSS's predictive ability for future self-injurious thoughts and behaviors.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70056"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Subtypes of Eating Disorder Symptoms, Thwarted Belongingness, Perceived Burdensomeness, Capability for Suicide, and Their Associations With Suicide Ideation and Suicide Attempts. 饮食失调症状亚型、受挫的归属感、感知负担、自杀能力及其与自杀意念和自杀企图的关系

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70054

Reza N Sahlan, Zoe Bridges-Curry, Shruti S Kinkel-Ram, Caroline Christian, April R Smith

{"title":"Subtypes of Eating Disorder Symptoms, Thwarted Belongingness, Perceived Burdensomeness, Capability for Suicide, and Their Associations With Suicide Ideation and Suicide Attempts.","authors":"Reza N Sahlan, Zoe Bridges-Curry, Shruti S Kinkel-Ram, Caroline Christian, April R Smith","doi":"10.1111/sltb.70054","DOIUrl":"https://doi.org/10.1111/sltb.70054","url":null,"abstract":"Objective: Suicidal ideation and attempts as well as eating disorders (EDs) are common among Iranian individuals. Additionally, ED symptoms are associated with suicidality. According to the interpersonal-psychological theory of suicide (IPTS), factors such as thwarted belongingness, perceived burdensomeness, and capability for suicide must combine for suicidality to occur. The tenets of IPTS have been supported among individuals with ED symptoms from Western countries. However, no study has yet explored how ED symptoms might co-occur with IPTS factors and potentially relate to suicidal ideation and attempts using latent profile analysis (LPA).Methods: Participants (N = 773) were Iranian community members who completed a battery of scales assessing ED symptoms, suicide-related risk factors, as well as suicidal ideation and suicide attempts.Results: The LPA revealed that a six-class solution best fit the data. The classes with the highest levels of IPTS and binge/purge related symptoms also had the highest odds of suicide attempts.Conclusions: Our findings suggest that the measurement of thwarted belongingness, perceived burdensomeness, and capability for suicide is particularly important for individuals with binge/purge type eating disorder symptoms. Overall, IPTS factors should be incorporated into assessments of clients presenting with ED symptoms and suicidality.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70054"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Affirmative Body Positivity and Positive Intimacy as a Buffer of Suicide Ideation Associated With Gendered Racism Among Asian American Men. 亚裔美国男性性别种族歧视自杀意念的缓冲：正面身体积极度与正面亲密度

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70052

Brian TaeHyuk Keum, Cathy Zhu, Hyeouk Chris Hahm

{"title":"Affirmative Body Positivity and Positive Intimacy as a Buffer of Suicide Ideation Associated With Gendered Racism Among Asian American Men.","authors":"Brian TaeHyuk Keum, Cathy Zhu, Hyeouk Chris Hahm","doi":"10.1111/sltb.70052","DOIUrl":"10.1111/sltb.70052","url":null,"abstract":"Introduction: Gendered racism, which emasculates and denigrates the masculinity self-concept and the desirability of Asian American men, has been associated with greater endorsement of suicide ideation. However, no research has examined culturally informed gendered racial factors that could moderate the risk of suicide ideation associated with gendered racism. Based on the potential of affirming gendered racial experiences that can validate and empower Asian American men to resist internalizing the harms of gendered racism, we examined whether affirmative body positive and positive intimacy experiences could moderate the link between gendered racism and suicide ideation.Methods: We conducted latent moderated structural equation modeling to analyze online convenience data from 876 Asian American men (Mage = 30.78; SD = 9.43).Results: Gendered racism was significantly associated with suicide ideation. Affirmative body positive experience was a buffer at low to mean levels of gendered racism but was an exacerbator at mean to high levels of gendered racism. Affirmative positive intimacy experiences were a buffer at low and mean levels of gendered racism but not at high levels of gendered racism.Conclusion: Implications include translating these findings into a more nuanced affirmative support system and gendered racial socialization strategies to help Asian American men engage in healthier and flourishing outcomes.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70052"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Outcomes of Telehealth-Based Cognitive Behavioral Therapy for Suicide Prevention in the US Department of Veterans Affairs. 美国退伍军人事务部基于远程医疗的认知行为治疗预防自杀的临床结果。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70044

Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy

{"title":"Clinical Outcomes of Telehealth-Based Cognitive Behavioral Therapy for Suicide Prevention in the US Department of Veterans Affairs.","authors":"Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy","doi":"10.1111/sltb.70044","DOIUrl":"https://doi.org/10.1111/sltb.70044","url":null,"abstract":"Introduction: US Veterans are at higher risk for suicide compared to the general population. Access to evidence-based practices for suicide prevention (EBP-SPs) is limited; however, emerging research supports the delivery of EBP-SPs through telehealth. The Veterans Health Administration's (VHA) Suicide Prevention (SP) 2.0 Clinical Telehealth Program aims to increase nationwide access to EBP-SPs for Veterans with recent suicidal self-directed violence (SSDV). This paper describes initial outcomes of SP 2.0's Cognitive Behavioral Therapy for SP (CBT-SP).Methods: From April 2021 to September 2023, SP 2.0 provided EBP-SPs to Veterans via telehealth. Veterans were eligible if they were enrolled in VHA care and engaged in SSDV (suicide attempts and/or preparatory behavior) in the past 12 months. CBT-SP was provided via VHA's telehealth platform, accessible to all 139 VA Health Care Systems in the US. Outcomes were captured via electronic health records and analyzed using logistic regression and generalized linear models. Significance was set at p < 0.003.Results: Veterans (N = 2712) received an average of 8.54 CBT-SP sessions. Models demonstrated improvements in suicide-related coping, depression, suicidal thought intensity, hopelessness, urge and intent to kill self, and self-efficacy.Conclusion: Providing CBT-SP via telehealth is feasible and Veterans demonstrated several improvements. Implications and future research directions are discussed.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70044"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations of Suicide Stigma Internalization With Risk Factors of Suicidal Thoughts and Behaviors Among Chinese College Students: A Multi-Wave Longitudinal Study. 中国大学生自杀污名内化与自杀念头和行为危险因素的关系：一项多波纵向研究

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70053

Shunyan Lyu, Sabrina Yanan Jiang, Yu Li

{"title":"Associations of Suicide Stigma Internalization With Risk Factors of Suicidal Thoughts and Behaviors Among Chinese College Students: A Multi-Wave Longitudinal Study.","authors":"Shunyan Lyu, Sabrina Yanan Jiang, Yu Li","doi":"10.1111/sltb.70053","DOIUrl":"https://doi.org/10.1111/sltb.70053","url":null,"abstract":"Introduction: Suicide stigma is a multifaceted social issue with far-reaching consequences for mental health. While previous research has linked it to suicidal thoughts and behaviors (STBs), the roles of perceived and internalized forms of suicide stigma in influencing STBs remain unclear.Method: This study investigated the potential causal relationships between perceived and internalized suicide stigma, hopelessness, unbearable pain, and thwarted connectedness in relation to STBs among 546 Chinese college students (mean age = 20.92 years). Three-wave longitudinal data with a time gap of roughly 3 months were analyzed by using structural equation modeling.Results: The results showed that the second-wave internalized stigma mediated the relationship between baseline perceived stigma and the third-wave unbearable pain, hopelessness, and thwarted connectedness, which are considered risk factors of STBs. Furthermore, the coexistence of unbearable pain and hopelessness, and the coexistence of unbearable pain and connectedness mediated the influences of perceived and internalized suicide stigma on STBs.Conclusion: These findings demonstrated that the temporal evolution of perceived and internalized suicide stigma contributes to risk factors predicting STBs.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70053"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the Lethality of Suicide Attempts: Adding Chance of Rescue to Medical Severity. 评估自杀企图的致命性：在医疗严重程度上增加获救的机会。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70058

Tormod Stangeland, Ketil Hanssen-Bauer, Linn-Ingunn Lynum, Karen Margrethe Walaas Nedberge, Johan Siqveland

{"title":"Assessing the Lethality of Suicide Attempts: Adding Chance of Rescue to Medical Severity.","authors":"Tormod Stangeland, Ketil Hanssen-Bauer, Linn-Ingunn Lynum, Karen Margrethe Walaas Nedberge, Johan Siqveland","doi":"10.1111/sltb.70058","DOIUrl":"https://doi.org/10.1111/sltb.70058","url":null,"abstract":"Introduction: Emphasis on medical severity when assessing the lethality of suicide attempts may overlook important contextual factors. We examined if distinguishing between medical severity and chance of rescue improves evaluation and understanding of suicidal mental states.Methods: Seventy adolescent inpatients with a recent suicide attempt were interviewed with the Suicide Intent Scale, and clinicians rated the Risk-Rescue Rating Scale, which provides separate ratings for medical severity (Risk) and chance of rescue (Rescue). They also completed the Interpersonal Needs Questionnaire and Fearlessness about Death scale.Results: The lethality components Risk and Rescue were uncorrelated (r = -0.02). However, Rescue was significantly negatively correlated with suicidal intent (r = -0.46), fearlessness about death (r = -0.29), and unmet interpersonal needs (r = -0.28), while Risk was only correlated with suicidal intent (r = 0.29). In a hierarchical regression model, Rescue was the strongest predictor of suicidal intent.Conclusion: Rescue factors, more than medical severity factors, were consistently related to our measures of suicidal mental state. Including the rescue component in lethality assessments may improve both the accuracy of clinical evaluations and our understanding of adolescents' mental state during suicidal crisis.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70058"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rates and Reasons for Concealing Suicidal Ideation From Clinicians: A Cross-National Examination. 临床医生隐瞒自杀意念的比率和原因：一项跨国调查。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-08-01 DOI: 10.1111/sltb.70039

Devon Peterkin, Megan L Rogers, Olivia C Lawrence, Jenelle Richards, Sifan Zheng, Claudia I Astudillo-García, Yael Apter Levy, Shira Barzilay, Yarden Blum, Ksenia Chistopolskaya, Elif Çinka, Manuela Dudeck, M Ishrat Husain, Alberto Jiménez, Fatma Kantas Yilmaz, Oskar Kuśmirek, Ming-Been Lee, Vikas Menon, Jefté Peper-Nascimento, Veronika Sadovnichaya, Judith Streb, Samira S Valvassori, Chia-Yi Wu, Sungeun You, Igor Galynker

{"title":"Rates and Reasons for Concealing Suicidal Ideation From Clinicians: A Cross-National Examination.","authors":"Devon Peterkin, Megan L Rogers, Olivia C Lawrence, Jenelle Richards, Sifan Zheng, Claudia I Astudillo-García, Yael Apter Levy, Shira Barzilay, Yarden Blum, Ksenia Chistopolskaya, Elif Çinka, Manuela Dudeck, M Ishrat Husain, Alberto Jiménez, Fatma Kantas Yilmaz, Oskar Kuśmirek, Ming-Been Lee, Vikas Menon, Jefté Peper-Nascimento, Veronika Sadovnichaya, Judith Streb, Samira S Valvassori, Chia-Yi Wu, Sungeun You, Igor Galynker","doi":"10.1111/sltb.70039","DOIUrl":"10.1111/sltb.70039","url":null,"abstract":"Introduction: Nondisclosure of suicidal ideation (SI) presents a challenge to assessing suicide risk, as assessments often rely on self-reported SI. Cross-national comparisons of rates of, and reasons for, SI nondisclosure remain understudied. The present study examined whether rates of SI nondisclosure from clinicians differed, and if there were differences in rates of reasons for SI nondisclosure, across 12 countries.Method: A subset of adult participants (n = 6770) who reported a lifetime history of SI from 12 countries responded to the question: \"Have you ever denied or concealed thinking about suicide from a doctor or clinician?\" Those who selected \"Yes\" provided reason(s) for SI nondisclosure. Responses were coded according to inductively and deductively derived reasons for SI nondisclosure.Results: Rates of nondisclosure among participants who reported lifetime SI ranged from 7.2% (Taiwan) to 48.2% (United States). Among those participants, rates of reasons for SI nondisclosure ranged from 2.0% (participant was unsure/did not know why they concealed SI) to 35.6% (negative internal experiences).Conclusions: Findings provide insight into the frequency of and reasons for SI nondisclosure from clinicians at a country-specific level. Results could serve as a rationale for clinicians to incorporate indirect suicide risk factors into risk assessments.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70039"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reduced Trust in Bodily Sensations Predicts Suicidal Ideation in Hospitalized Patients With Major Depression: An Observational Study. 一项观察性研究：对身体感觉信任度降低可预测重度抑郁症住院患者的自杀意念。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-08-01 DOI: 10.1111/sltb.70041

Michael Eggart, Juan Valdés-Stauber, Bruno Müller-Oerlinghausen

{"title":"Reduced Trust in Bodily Sensations Predicts Suicidal Ideation in Hospitalized Patients With Major Depression: An Observational Study.","authors":"Michael Eggart, Juan Valdés-Stauber, Bruno Müller-Oerlinghausen","doi":"10.1111/sltb.70041","DOIUrl":"https://doi.org/10.1111/sltb.70041","url":null,"abstract":"Background: Major depressive disorder (MDD) is associated with maladaptive self-reported interoception, that is, abnormal bodily self-experience. Although diminished body trust predicts suicidal ideation, interoceptive measures have not been considered in depressed inpatients, whose suicide risk regularly peaks post-discharge. This study aims to explore interoceptive characteristics at admission that help identify inpatients at risk for suicidal ideation at discharge.Methods: The observational study included 87 depressed inpatients providing self-ratings at both hospital admission (T0) and discharge (T1) on the BDI-II and MAIA-2. The statistical analysis included hierarchical logistic regression models and used ROC curve analysis to establish optimal cutpoints.Results: Suicidal ideation was found in 17.24% of patients at discharge, who reported lower baseline MAIA-2 Trusting scores than non-ideators (p = 0.01). Diminished Trusting (OR = 0.19), somatic comorbidity (OR = 16.77), and baseline suicidal ideation (OR = 24.01) significantly predicted suicidal ideation (T1). For Trusting, we estimated an optimal classification of subsequent suicidal ideation for the cutpoint ≤ 2.33 (AUC = 0.70 [95% CI 0.57, 0.83], sensitivity = 0.87, specificity = 0.44, positive predictive value = 0.25, negative predictive value = 0.94).Conclusions: Diminished body trust is a significant predictor for post-treatment suicidal ideation in depressed inpatients. This finding emphasizes the importance of incorporating body-centered approaches into multimodal treatment strategies, especially in inpatients under risk to prevent suicidal incidents.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70041"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empirical and Theoretical Overlap and Distinctiveness of Perceived Burdensomeness and Suicidal Ideation. 感知负担与自杀意念的经验与理论重叠与独特性。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-08-01 DOI: 10.1111/sltb.70037

Madison G Risner, Hannah D Johnson, William D Murley, Kendal F Parkhurst, Olivia D Teasdale, Justin H Tran, Megan L Rogers

{"title":"Empirical and Theoretical Overlap and Distinctiveness of Perceived Burdensomeness and Suicidal Ideation.","authors":"Madison G Risner, Hannah D Johnson, William D Murley, Kendal F Parkhurst, Olivia D Teasdale, Justin H Tran, Megan L Rogers","doi":"10.1111/sltb.70037","DOIUrl":"https://doi.org/10.1111/sltb.70037","url":null,"abstract":"Background: Although perceived burdensomeness and suicidal ideation are intended to be distinct constructs, they are often overlapping in both research and clinical settings. Such overlap provides room for error during assessment and analysis, with uncertainty in the degree to which PB and SI represent unique constructs. The present study evaluated what is represented in a SI variable with PB covaried out, and vice versa.Methods: 312 students with lifetime suicidal ideation (Mage = 19.10, 79.8% cisgender women, 75.6% White) completed self-report measures. We computed two variables-PB with SI covaried out and SI with PB covaried out-and examined relationships between these residuals and other suicide-related risk factors.Results: When SI was covaried out of PB, the PB residual remained significantly associated with nearly all risk factors. However, when PB was covaried out of SI, more than half of these suicide risk factors were no longer significantly associated with the SI residual.Conclusions: Our findings could hold relevance for advancing both clinical and research efforts, as most risk factors were uniquely associated with PB, as opposed to SI. Specifically, PB may act as a mediator between a plethora of suicide risk factors and SI, while also holding relevancy in other domains.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70037"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0