Suicide and Life-Threatening Behavior最新文献

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Internalized Racism Is Associated With Active Suicidal Desire Through Self-Dehumanization and Perceived Burdensomeness. 内化种族主义通过自我非人化和感知负担与主动自杀欲望相关。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70098
Jaime R G Quiles, Morgan Robison, Andrew Kurtz, Bryce K Clausen, Norman B Schmidt
{"title":"Internalized Racism Is Associated With Active Suicidal Desire Through Self-Dehumanization and Perceived Burdensomeness.","authors":"Jaime R G Quiles, Morgan Robison, Andrew Kurtz, Bryce K Clausen, Norman B Schmidt","doi":"10.1111/sltb.70098","DOIUrl":"https://doi.org/10.1111/sltb.70098","url":null,"abstract":"<p><strong>Introduction: </strong>Internalized racism has previously been associated with suicidal risk, but existing work has yet to identify mechanisms underlying this relationship. Conceptual overlap between the group devaluation component of internalized racism and self-dehumanization, the belief that one is less than human, offers an explanation for how identity (e.g., of race/ethnicity and species) may increase risk for suicide. This study examined the associations between internalized racism, self-dehumanization, interpersonal needs, and suicidal desire in a sample of racial/ethnic minorities.</p><p><strong>Methods: </strong>Analyses assessed whether internalized racism-based group devaluation significantly correlated with interpersonal needs beyond self-dehumanization. Suicide risk was then modeled as a latent variable (i.e., interpersonal needs and suicidal desire) observing the relationship of internalized racism on suicide risk through interpersonal needs and self-dehumanization.</p><p><strong>Results: </strong>Results demonstrated that internalized racism was associated with perceived burdensomeness, but not thwarted belongingness, through self-dehumanization. These findings extended to suicide risk, with internalized racism being associated with active suicidal desire through perceived burdensomeness and self-dehumanization.</p><p><strong>Conclusion: </strong>Findings demonstrate how devaluing one's racial/ethnic group leads to further self-devaluations, elevating risk for suicidal desire. Future studies should seek to replicate these findings longitudinally and experimentally with broader populations to assess how other forms of self-hatred may increase suicide risk.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70098"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692937","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
Expecting a Future Suicide Attempt Predicts Suicidal Behavior Among High-Risk Veterans. 预测未来的自杀企图可以预测高风险退伍军人的自杀行为。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70100
Sofie Glatt, Ashley L Greene, Marianne Goodman
{"title":"Expecting a Future Suicide Attempt Predicts Suicidal Behavior Among High-Risk Veterans.","authors":"Sofie Glatt, Ashley L Greene, Marianne Goodman","doi":"10.1111/sltb.70100","DOIUrl":"https://doi.org/10.1111/sltb.70100","url":null,"abstract":"<p><strong>Objective: </strong>Expectations about the future are central to theories of suicide. However, the clinical relevance of an individual's direct expectation of a future suicide attempt is not well understood. This study examined the correlates and prospective significance of expecting a future suicide attempt in a high-risk cohort.</p><p><strong>Method: </strong>Veterans at high risk of suicide (N = 126) were tracked for 365 days during a randomized clinical trial. Chi-square tests and Wilcoxon rank-sum tests were used for cross-sectional comparisons and Cox proportional hazards regression was used for prospective prediction of suicidal behavior.</p><p><strong>Results: </strong>Veterans who expected a future suicide attempt had higher rates of preparation for suicide, recent suicidal behavior, and perceived access to a method and opportunity for suicide than those who did not expect one. Groups did not differ in hopelessness, positive and negative expectations toward the future, and perceived suicide-related coping. Veterans who expected a suicide attempt had elevated risk of suicidal behavior.</p><p><strong>Conclusion: </strong>Risk factors differentiated Veterans who did and did not expect a future suicide attempt, yet this expectation predicted suicidal behavior independent of these factors. Research on how individuals anticipate their own suicidal behavior may clarify the transition from suicidal thoughts to behavior and facilitate suicide prevention.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70100"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784701","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
Beliefs About Suicidal Ideation and Behaviors Among Veterans Thinking About Suicide: A Qualitative Exploration Utilizing the Theory of Planned Behavior. 退伍军人自杀意念与行为信念:利用计划行为理论的定性探索
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70094
Taylor R Rodriguez, Caitlin E Titus, Tracy Stecker
{"title":"Beliefs About Suicidal Ideation and Behaviors Among Veterans Thinking About Suicide: A Qualitative Exploration Utilizing the Theory of Planned Behavior.","authors":"Taylor R Rodriguez, Caitlin E Titus, Tracy Stecker","doi":"10.1111/sltb.70094","DOIUrl":"https://doi.org/10.1111/sltb.70094","url":null,"abstract":"<p><strong>Introduction: </strong>Despite advancements in treatment and research, suicide rates have remained persistently high for decades. Veterans are particularly vulnerable, with significantly higher suicide rates than non-Veterans. An important aspect to understanding drivers of this high suicide rate is examining the underlying beliefs that may contribute to or inhibit such behaviors.</p><p><strong>Methods: </strong>Using the Theory of Planned Behavior, 10 elicitation interviews were completed with Veterans experiencing recent and lifetime suicidal thoughts and behaviors (STB). The transcripts were thematically analyzed using a priori concepts and coded after obtaining consensus among coders.</p><p><strong>Results: </strong>Veterans' most endorsed advantage to STB was stopping suffering and ending pain; the most endorsed disadvantage was hurting oneself. For normative beliefs, Veterans endorsed that no one would approve of STB and that society or everyone would disapprove of STB. Veterans endorsed that substances were the main facilitator of STB, and fear of hurting others and family was a primary barrier or inhibitor to STB.</p><p><strong>Conclusion: </strong>These results highlight the complexity of STB as well as targeted interventions that aim to understand the function and meaning of STB from a Veteran's individual experience.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70094"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610183","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
Suicidal Behavior Patterns and Correlates in High-Risk Adults After Emergency Department Discharge: A One-Year Prospective Study. 急诊科出院后高危成人自杀行为模式及其相关因素:一项为期一年的前瞻性研究
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70093
Ana Rabasco, Julia Browne, Zachary Kunicki, Madeline B Benz, Sarah A Arias, Lauren M Weinstock, Ivan Miller, Edwin Boudreaux, Carlos A Camargo, Brandon A Gaudiano
{"title":"Suicidal Behavior Patterns and Correlates in High-Risk Adults After Emergency Department Discharge: A One-Year Prospective Study.","authors":"Ana Rabasco, Julia Browne, Zachary Kunicki, Madeline B Benz, Sarah A Arias, Lauren M Weinstock, Ivan Miller, Edwin Boudreaux, Carlos A Camargo, Brandon A Gaudiano","doi":"10.1111/sltb.70093","DOIUrl":"10.1111/sltb.70093","url":null,"abstract":"<p><strong>Introduction: </strong>The time following emergency department (ED) discharge is a high-risk period for suicidal behavior. This study examined correlates of suicidal behavior patterns over one-year follow-up among adults presenting to the ED with active suicidal thoughts and behaviors.</p><p><strong>Methods: </strong>Participants were n = 863 adults presenting to the ED with active suicidal thoughts and behaviors followed for one year post-discharge. Participants were categorized into four suicidal behavior groups: none (no suicidal behavior at baseline or follow-up), worsening (no suicidal behavior at baseline but at follow-up), improving (suicidal behavior at baseline but not follow-up), or persistent (suicidal behavior at both timepoints). We used binary logistic regression models to compare persistent versus improving and worsening versus none groups to examine factors that distinguished groups with the same baseline but different follow-up suicidal behavior.</p><p><strong>Results: </strong>The most common suicidal behavior patterns were none (52.7%, n = 455) or improving (24.7%, n = 213). Risky alcohol use and previous psychiatric inpatient hospitalization distinguished participants in the worsening group from the none group. None of the factors distinguished the improving from the persistent group.</p><p><strong>Conclusions: </strong>Individuals with active suicidal ideation, alcohol use, and past psychiatric inpatient hospitalization may require additional support following ED discharge to prevent future suicide attempts.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70093"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581916","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
Is Religious Coping a Protective Factor, and for Whom? A Moderation and Subgroup Analysis on Loneliness and Suicide Attempts Among LGBTQ+ Adults Raised as Latter-Day Saints. 宗教应对是一种保护因素吗?对谁有利?后期圣徒教育下LGBTQ+成人孤独感与自杀倾向的调节与亚组分析。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70088
Seungju Kim, G Tyler Lefevor, Carson K Miller, Peter J Jankowski
{"title":"Is Religious Coping a Protective Factor, and for Whom? A Moderation and Subgroup Analysis on Loneliness and Suicide Attempts Among LGBTQ+ Adults Raised as Latter-Day Saints.","authors":"Seungju Kim, G Tyler Lefevor, Carson K Miller, Peter J Jankowski","doi":"10.1111/sltb.70088","DOIUrl":"10.1111/sltb.70088","url":null,"abstract":"<p><strong>Introduction: </strong>LGBTQ+ adults face elevated rates of loneliness and suicide attempts, yet little research has examined whether religious coping-a protective factor for people generally-effectively mitigates these risks for LGBTQ+ adults raised in theologically conservative, cis/heteronormative religious traditions.</p><p><strong>Method: </strong>This longitudinal study examined whether religious coping moderates the relationship between loneliness and suicide attempts among 369 LGBTQ+ adults who at some point in their lives were part of the Church of Jesus Christ of Latter-day Saints, a notably cis/heteronormative tradition, across levels of immoral views of same-sex sexuality and demographic subgroups.</p><p><strong>Results: </strong>Contrary to expectations, religious coping generally exacerbated rather than buffered the loneliness-suicide relationship, with greater religious coping strengthening the loneliness-suicide relationship among White and transgender/gender-diverse adults. Religious coping buffered the impact of loneliness on suicide attempts only for adults of Color and non-religious adults.</p><p><strong>Conclusion: </strong>These findings challenge assumptions about the universal benefits of religious coping for LGBTQ+ adults raised LDS, suggesting that suicide prevention research should assess individuals' views of the morality of same-sex sexuality rather than promoting religious coping universally, as this may inadvertently increase risk for certain LGBTQ+ adults in similarly theologically conservative religious contexts.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70088"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582620","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
Sleep Problems Alter Proximal Risk of Negative Self-Perceptions on Suicide Risk. 睡眠问题改变对自杀风险负性自我认知的近端风险。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70092
Jennifer J Muehlenkamp, Connor M O'Brien, Ross Jacobucci, Brooke A Ammerman
{"title":"Sleep Problems Alter Proximal Risk of Negative Self-Perceptions on Suicide Risk.","authors":"Jennifer J Muehlenkamp, Connor M O'Brien, Ross Jacobucci, Brooke A Ammerman","doi":"10.1111/sltb.70092","DOIUrl":"10.1111/sltb.70092","url":null,"abstract":"<p><strong>Introduction: </strong>Perceiving oneself as a burden and self-hate are core drivers of suicidal thoughts and behaviors. Sleep problems also contribute to elevated risk for suicide. These factors are often studied in isolation and the impact of sleep problems on the risk conferred by negative self-perceptions to suicide is unclear. The current study evaluated how sleep problems interact with state- and trait-level self-hate and perceived burdensomeness in predicting suicide intent.</p><p><strong>Methods: </strong>Data came from 25 adult outpatients with recent suicide ideation who completed a 21-day EMA protocol including three daily prompts assessing prior night hours slept, sleep problems, burdensomeness, self-hate, and suicide urges (n observations = 1092). Bayesian multilevel cumulative ordinal models with random intercepts were run.</p><p><strong>Results: </strong>All variables except sleep hours had significant within-person effects on suicide urges. There were significant negative interactions between within-person burdensomeness and between-person sleep problems, as well as a within-person self-hate and between-person sleep problems. Among those with more sleep problems, the association between burdensomeness or self-hate and suicide urges was less positive, suggesting sleep problems may override the risk-related effects of negative self-perceptions.</p><p><strong>Conclusion: </strong>These findings underscore the complexity of suicide risk and suggest that interventions focusing on improving sleep may reduce near-term risk for suicide.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70092"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582696","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
Interpersonal Needs and the Relation Between Eating Disorder Symptoms and Suicidal Ideation Among Transgender and Gender Expansive Adults. 跨性别及性别膨胀成人人际需要及进食障碍症状与自杀意念的关系
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70099
Marley G Billman Miller, Devon Peterkin, Dominic M Denning, Lauren N Forrest, April R Smith, Tiffany A Brown
{"title":"Interpersonal Needs and the Relation Between Eating Disorder Symptoms and Suicidal Ideation Among Transgender and Gender Expansive Adults.","authors":"Marley G Billman Miller, Devon Peterkin, Dominic M Denning, Lauren N Forrest, April R Smith, Tiffany A Brown","doi":"10.1111/sltb.70099","DOIUrl":"https://doi.org/10.1111/sltb.70099","url":null,"abstract":"<p><strong>Background: </strong>Transgender and gender expansive (TGE) individuals report elevated rates of eating disorder (ED) symptoms and suicidal ideation (SI). ED symptoms may contribute to SI via impairments in interpersonal functioning, particularly thwarted belongingness (TB) and perceived burdensomeness (PB). Social exclusion (SE) may also account for this relation, though no U.S. studies have tested this. This study explored relations between ED symptoms and SI through TB, PB, and SE in a U.S. TGE sample.</p><p><strong>Method: </strong>Participants (n = 301, 43% gender expansive, M<sub>age</sub> = 29 years) recruited nationally through Prolific Academic completed measures at three timepoints: baseline, six-weeks, and twelve-weeks. Exploratory factor analysis evaluated the factor structure of the Interpersonal Needs Questionnaire (INQ). Two mediation path models tested if ED symptoms were associated with current and lifetime SI through interpersonal needs.</p><p><strong>Results: </strong>A three-factor structure emerged (PB, TB, and SE), replicating prior work identifying the relevance of the SE factor in TGE samples. Cross-sectionally, body dissatisfaction and restriction were indirectly associated with lifetime SI through SE. These relations did not extend longitudinally.</p><p><strong>Conclusion: </strong>Findings support a third factor within the INQ when working with U.S. TGE populations. Further research is warranted to examine SE as a mechanism linking ED symptoms and suicidality among TGE populations.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70099"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784696","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
Examining Suicidal Ideation and Capability Across the Menstrual Cycle. 在月经周期中检查自杀意念和能力。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70084
Keyne C Law, Katherine L O'Connell, Jordan C Barone, Tory A Eisenlohr-Moul
{"title":"Examining Suicidal Ideation and Capability Across the Menstrual Cycle.","authors":"Keyne C Law, Katherine L O'Connell, Jordan C Barone, Tory A Eisenlohr-Moul","doi":"10.1111/sltb.70084","DOIUrl":"https://doi.org/10.1111/sltb.70084","url":null,"abstract":"<p><strong>Introduction: </strong>Suicidal thoughts and behaviors have been linked to menarche and the perimenstrual phase of the menstrual cycle. This study examines whether acute changes in fearlessness about death (FAD) occur across the menstrual cycle. It also explores relationships between FAD and other known correlates of suicidal behaviors across the cycle.</p><p><strong>Method: </strong>The sample included 46 participants in good health, with natural menstrual cycles, past-month suicidal ideation, and ongoing outpatient mental health. Participants were excluded for exogenous hormone or cycle-altering medication use, nicotine use; recent pregnancy/postpartum, PMDD, chronic medical illness; recent mania, psychosis, substance misuse, or acute suicide risk requiring hospitalization. Menstrual cycle phases were determined using self-reported menses onset and ovulation dates. Participants provided daily ratings of FAD, passive and active suicidal ideation across 2 months.</p><p><strong>Results: </strong>FAD was stable and showed no significant variation by cycle day or phase. However, it was significantly associated with daily feelings of depression, anger, irritability, and passive suicidal ideation.</p><p><strong>Conclusions: </strong>These findings suggest that fluctuations in affective states and suicidal ideation, not ovarian hormones, influence FAD. However, strict eligibility criteria, specifically the requirement for participants to endorse past-month suicidal ideation, may have limited our ability to observe fluctuations in FAD.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT03498313.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70084"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582658","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
Interpersonal Capitalization and Unmet Interpersonal Needs Among Adolescents at Varying Risk for Suicidal Ideation: A Daily Diary Study. 不同自杀意念风险青少年的人际资本化与未满足的人际需求:一项每日日记研究。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70096
Ignacio Perezmontemayor Cruz, Sasha MacNeil, Johanne Renaud, Jean-Philippe Gouin
{"title":"Interpersonal Capitalization and Unmet Interpersonal Needs Among Adolescents at Varying Risk for Suicidal Ideation: A Daily Diary Study.","authors":"Ignacio Perezmontemayor Cruz, Sasha MacNeil, Johanne Renaud, Jean-Philippe Gouin","doi":"10.1111/sltb.70096","DOIUrl":"10.1111/sltb.70096","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescents at risk for suicidal ideation tend to report more unmet interpersonal needs, namely perceived burdensomeness and thwarted belongingness. Interpersonal capitalization-an interpersonal process involving disclosing a positive personal event to others and evaluating others' responsiveness to such disclosure-can promote positive affect and social connectedness. This study examined whether daily capitalization attempts and perceived active-constructive responses to the capitalization attempts were associated with fluctuations in positive affect and unmet interpersonal needs among adolescents at varying risk of suicidal ideation.</p><p><strong>Methods: </strong>Adolescents (M<sub>age</sub> = 15.55; range = 12-18) with and without major depression, at respectively higher risk (n = 23) and lower risk (n = 32) for suicidal ideation, completed 10 consecutive daily diaries reporting on interpersonal capitalization, positive affect, perceived burdensomeness, and loneliness (as a proxy for thwarted belongingness).</p><p><strong>Results: </strong>Within-person hierarchical linear modeling analyses showed that daily capitalization attempts and perceived active-constructive responses were associated with higher same-day positive affect in both groups. In the higher-risk group, daily capitalization attempts were associated with lower same-day perceived burdensomeness (b = -0.102, p < 0.05) and perceived active-constructive responses were related to lower daily loneliness (b = -0.279, p < 0.001).</p><p><strong>Conclusion: </strong>Daily interpersonal capitalization processes may represent a protective interpersonal pathway linked to reduced suicidal ideation over time, particularly among higher-risk adolescents.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70096"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610164","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
Impact of a Clinician and Lived Experience Peer Worker Co-Led Aftercare Program on Suicide Risk Factors. 临床医生和生活经验同伴共同领导的护理项目对自杀风险因素的影响。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70090
Vida Bliokas, Laura Whiting, Sarah Liddle, Rebecca Sng, Atanas Janackovski
{"title":"Impact of a Clinician and Lived Experience Peer Worker Co-Led Aftercare Program on Suicide Risk Factors.","authors":"Vida Bliokas, Laura Whiting, Sarah Liddle, Rebecca Sng, Atanas Janackovski","doi":"10.1111/sltb.70090","DOIUrl":"10.1111/sltb.70090","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals who attempt suicide are at a greater risk of future suicide. Aftercare programs that provide assertive follow-up for individuals following a suicide attempt or at high risk for suicide are becoming increasingly recognized as a critical component of suicide prevention. Research evaluating aftercare programs that utilize the lived experience peer workforce is lacking. This study assessed change in factors associated with suicide risk in a clinician and peer worker co-led community-based aftercare program for people who had attended a hospital emergency department following a suicide attempt or for high risk of suicide.</p><p><strong>Methods: </strong>One-hundred and sixty-seven program participants (58.1% females, M<sub>age</sub> = 34.07) completed measures of hopelessness, thwarted belongingness, perceived burdensomeness, depression, anxiety, stress, psychological distress, and self-reported suicide risk, at baseline and at week-4.</p><p><strong>Results: </strong>Significant reductions were observed in hopelessness, thwarted belongingness, perceived burdensomeness, depression, anxiety, stress, and psychological distress (all p < 0.001). Self-reported suicide risk did not significantly change.</p><p><strong>Conclusion: </strong>The findings provide preliminary support for the effectiveness of an aftercare program incorporating the lived experience peer workforce in mitigating factors associated with suicide risk. Future research utilizing larger samples, control groups and broader outcome measures is needed to confirm these results.</p><p><strong>Trials registration: </strong>The study is part of a larger trial registered by the Australian New Zealand Clinical Trials Registry, number ACTRN12618001701213.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70090"},"PeriodicalIF":2.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515493","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
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