Suicide and Life-Threatening Behavior最新文献

Improved Social Functioning Mediated the Effects of Adolescents' Sports Participation on Self-Harm and Psychological Wellbeing: A Prospective Cohort Study. 社会功能改善对青少年体育参与对自我伤害和心理健康的影响：一项前瞻性队列研究。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-10-01 DOI: 10.1111/sltb.70141

Mark Lawrence Wong

{"title":"Improved Social Functioning Mediated the Effects of Adolescents' Sports Participation on Self-Harm and Psychological Wellbeing: A Prospective Cohort Study.","authors":"Mark Lawrence Wong","doi":"10.1111/sltb.70141","DOIUrl":"10.1111/sltb.70141","url":null,"abstract":"Introduction: The prevalence of self-harm, regardless of the presence of suicidal intent or not, has been increasing, and effective and accessible intervention strategies are needed. This study investigated whether sports participation in adolescence serves as a protective factor against the future development of self-harm or poor psychological wellbeing, as well as the relevant psychosocial mechanisms.Methods: A secondary data analysis was conducted using a nationally representative cohort in the United Kingdom, in which participants (n = 7361, 55.4% female) completed measures of sports participation (age 17), the number of close friends (age 19), life satisfaction (age 20), and self-harm and poor psychological wellbeing (age 25).Results: More frequent sports participation was prospectively associated with a lower risk of self-harm and better psychological wellbeing. Path analyses supported a significant serial mediation model whereby the effects of sports participation on self-harm and psychological wellbeing are mediated by an increased number of close friends and higher levels of life satisfaction.Conclusion: These findings indicate that sports participation has potential value in optimizing mental health, particularly in reducing the likelihood of self-harm and improving psychological wellbeing. In addition, improved social relationships and life satisfaction mediated the impact of sports participation on self-harm and psychological wellbeing. Overall, the findings lay a solid foundation for further testing the benefit of encouraging sports participation among adolescents to optimize interpersonal functioning and mental health outcomes.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 5","pages":"e70141"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116095","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

Correction to "Examining BRITEpath, a Digital Intervention for Reducing Adolescent Suicide Risk in Primary Care: A Randomized-Controlled Trial". 更正“检查BRITEpath，一种降低初级保健青少年自杀风险的数字干预：一项随机对照试验”。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-10-01 DOI: 10.1111/sltb.70140

引用次数: 0

Violent and Nonviolent Suicidal Ideation: Predictors of Suicide Crisis Syndrome Severity in a Longitudinal Study. 暴力和非暴力自杀意念：一项纵向研究中自杀危机综合症严重程度的预测因子。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-10-01 DOI: 10.1111/sltb.70142

Yukti Bhatt, Victoria Witerska, Lisa J Cohen, Erin Wheeler, Sarah Bloch-Elkouby, Benjamin N Johnson, Yael Apter Levy, Ortal Shimon Raz, Igor Galynker

{"title":"Violent and Nonviolent Suicidal Ideation: Predictors of Suicide Crisis Syndrome Severity in a Longitudinal Study.","authors":"Yukti Bhatt, Victoria Witerska, Lisa J Cohen, Erin Wheeler, Sarah Bloch-Elkouby, Benjamin N Johnson, Yael Apter Levy, Ortal Shimon Raz, Igor Galynker","doi":"10.1111/sltb.70142","DOIUrl":"https://doi.org/10.1111/sltb.70142","url":null,"abstract":"Background: Suicide Crisis Syndrome (SCS), an acute cognitive-affective state, has been shown to predict near-term suicidal behaviors, highlighting the need to understand factors associated with its severity. This study examined the relationship between SCS severity and different types of suicidal ideation (violent, nonviolent, and passive).Methods: 622 adult psychiatric inpatients were assessed at intake, discharge, and one-month post-discharge follow-up. Suicidal ideation types (SI) were collected using the Columbia-Suicide Severity Rating Scale and classified as violent, non-violent, or passive. One-way ANOVA, repeated measures ANCOVA, and binary logistic regressions examined SCS differences and temporal patterns across ideation types.Results: SCS severity significantly differed by ideation type. Individuals with violent SI had higher SCS severity than those with passive SI. In the exploratory analysis (N = 56), violent SI showed a steady decline, whereas nonviolent SI increased at one-month follow-up. Greater SCS severity at discharge also predicted nonviolent ideation at one-month follow-up.Conclusions: SI content may provide different information across stages of an acute suicidal crisis. Violent SI may be relevant to concurrent crisis severity, whereas nonviolent SI may warrant attention during the post-discharge period. Assessing SCS severity alongside SI content may provide a more nuanced understanding of acute risk.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 5","pages":"e70142"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196970","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

Feasibility, Acceptability, and Preliminary Outcomes of a Group-Based Brief Cognitive-Behavioral Therapy Protocol for Suicide Prevention in a Brazilian Public Mental Health Service: A Mixed-Methods Pilot Study. 可行性、可接受性和巴西公共精神卫生服务中基于群体的简短认知行为治疗方案预防自杀的初步结果：一项混合方法的试点研究。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-10-01 DOI: 10.1111/sltb.70143

Letícia Lopes de Figueiredo, Loren Beiram, Jônatas Magalhães Santos, Mariana Filippini Cacciacarro, Letícia Almeida Silveira Camolesi, Justin C Baker, Eurípedes Constantino Miguel, Craig J Bryan, Rodolfo Furlan Damiano

{"title":"Feasibility, Acceptability, and Preliminary Outcomes of a Group-Based Brief Cognitive-Behavioral Therapy Protocol for Suicide Prevention in a Brazilian Public Mental Health Service: A Mixed-Methods Pilot Study.","authors":"Letícia Lopes de Figueiredo, Loren Beiram, Jônatas Magalhães Santos, Mariana Filippini Cacciacarro, Letícia Almeida Silveira Camolesi, Justin C Baker, Eurípedes Constantino Miguel, Craig J Bryan, Rodolfo Furlan Damiano","doi":"10.1111/sltb.70143","DOIUrl":"10.1111/sltb.70143","url":null,"abstract":"Introduction: We evaluated the feasibility, acceptability, and preliminary outcomes of group-adapted brief cognitive-behavioral therapy for suicide prevention (BCBT) in a Brazilian public psychiatric outpatient service.Methods: This single-arm, nonrandomized, mixed-methods pilot enrolled 27 adults across two cohorts receiving 16 weekly group sessions. Feasibility and acceptability were assessed, and suicidal ideation was monitored weekly using the Beck Scale for Suicide Ideation (BSI).Results: Enrollment targets were met; 70.4% had ≥ 4 recorded sessions, and no intervention-related adverse events were recorded. All six questionnaire respondents rated recommendation at 8-10. Four provided qualitative responses, highlighting shared suffering recognition and an interpretive theme of hope instillation. The linear BSI slope was nonsignificant (B = -0.29, p = 0.129); multiple imputation yielded B = -0.36 (p = 0.018). An exploratory quadratic model indicated greater decline later in treatment (p = 0.008). Among 18 participants with ≥ 4 recorded sessions and baseline BSI, scores decreased by 8.2 points from baseline to the last observation (d = -0.67; p = 0.011).Conclusions: Group-adapted BCBT showed preliminary feasibility and acceptability, with uncontrolled signals of reduced suicidal ideation. Controlled evaluation is needed to establish efficacy.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 5","pages":"e70143"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184890","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

Investigating Predictors of Differential Trajectories of Suicidal Desire Across an Intensive Longitudinal Design. 在密集的纵向设计中调查自杀欲望的不同轨迹的预测因子。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70127

Megan L Rogers, Morgan Robison, Justin H Tran, Dea Mitaj

{"title":"Investigating Predictors of Differential Trajectories of Suicidal Desire Across an Intensive Longitudinal Design.","authors":"Megan L Rogers, Morgan Robison, Justin H Tran, Dea Mitaj","doi":"10.1111/sltb.70127","DOIUrl":"10.1111/sltb.70127","url":null,"abstract":"Objective: To understand the evolution of suicide risk, repeated assessments of suicide-related symptoms are necessary. Though previous studies have examined sample-level effects, there is a dearth of research examining possible differential risk trajectories, including vulnerable subgroups, and how subgroup differences may produce distinct pathways of suicide risk.Methods: Community-based adults (n = 237) with severe suicidal ideation completed six daily prompts across a 14-day period. Growth mixture models identified subgroups (i.e., classes) of trajectories of SI. One-way ANOVAs examined differential predictors of these classes' average intensity, variability, stability, and baseline levels of suicide risk factors.Results: A three-class linear trajectory was best-fitting. The largest class (Class 3, n = 146) exhibited decreases in suicidal desire; the second class (Class 2, n = 54) displayed increasing suicidal desire; and the smallest group (Class 1, n = 37) maintained moderate, stable levels of suicidal desire. Class 2 generally exhibited higher mean intensity/baseline levels, lower mean variability, and mixed stability of suicide risk factors.Conclusions: Although our study design does not imply causality, a subset of participants may be emotionally reactive to repeated assessments. Future research should ethically investigate and address why some individuals may experience heightened suicide risk during repeated assessments and analytically accommodate class-specific trajectories of suicidality.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70127"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425128","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

Examining the Longitudinal Effects of Therapeutic Alliance Based on Session Rating Scale Scores on Suicidal Desire in Homebound Older Adults. 基于会话评定量表的治疗联盟对居家老年人自杀欲望的纵向影响研究。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70126

Cheolwoo Park, Laura Shannonhouse, Alexander Kirpich, Matthew C Fullen, Erika L LeBlanc, Hailey Clark, Jared Rivera, Fang Xue

{"title":"Examining the Longitudinal Effects of Therapeutic Alliance Based on Session Rating Scale Scores on Suicidal Desire in Homebound Older Adults.","authors":"Cheolwoo Park, Laura Shannonhouse, Alexander Kirpich, Matthew C Fullen, Erika L LeBlanc, Hailey Clark, Jared Rivera, Fang Xue","doi":"10.1111/sltb.70126","DOIUrl":"10.1111/sltb.70126","url":null,"abstract":"Introduction: The Session Rating Scale (SRS) is widely used to assess therapeutic alliance in clinical settings, yet its application in paraprofessional-delivered interventions for older adults remains underexplored. This study examined whether therapeutic alliance predicted improvements in suicide desire among community-dwelling older adults participating in a warm-calling intervention.Methods: Binomial generalized linear mixed-effects models were used with dichotomized high-score responses for thwarted belongingness (TB) and perceived burdensomeness (PB) to evaluate the role of therapeutic alliance (SRS) over time. Participants were assigned to one of two 8-week conditions: (1) BE, emphasizing empathy and connection through befriending and reminiscence; or (2) BE + ASIST, which incorporated an aging-adapted LivingWorks Applied Suicide Intervention Skills Training (ASIST). Trained paraprofessionals delivered all sessions.Results: For PB, the odds of being classified as elevated decreased over time, and this decrease was statistically significant. For TB, a three-way interaction among condition, time, and SRS further showed that higher SRS scores predicted greater reductions in the odds of elevated TB within the BE + ASIST condition.Conclusion: Findings underscore the importance of therapeutic alliance in enhancing paraprofessional-led interventions for late-life suicide prevention.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70126"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550739","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

The Impact of Emotional Arousal on Physical Pain and Numbness in Individuals Who Engage in Non-Suicidal Self-Injury. 情绪唤醒对非自杀性自伤个体身体疼痛和麻木的影响。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70128

Michelle K Hiner, Teresa M Leyro, Evan M Kleiman, Amy Kranzler, Edward A Selby

{"title":"The Impact of Emotional Arousal on Physical Pain and Numbness in Individuals Who Engage in Non-Suicidal Self-Injury.","authors":"Michelle K Hiner, Teresa M Leyro, Evan M Kleiman, Amy Kranzler, Edward A Selby","doi":"10.1111/sltb.70128","DOIUrl":"10.1111/sltb.70128","url":null,"abstract":"Introduction: Non-suicidal self-injury (NSSI) is commonly understood as a behavior that serves to regulate affect, yet less is known about how specific emotional states relate to physical sensations during NSSI. This study examined whether high-arousal negative emotions (HANEs) and low-arousal negative emotions (LANEs) before NSSI were differentially associated with physical pain and numbness during NSSI episodes.Methods: Forty adolescents and emerging adults with recent NSSI completed a 14-day ecological momentary assessment protocol. Across 143 NSSI episodes, participants reported negative emotions immediately before NSSI and physical pain and numbness during NSSI. Linear mixed-effects models separated within-person emotion fluctuations from between-person differences.Results: At the between-person level, individuals who reported higher average HANEs before NSSI reported greater pain and lower numbness during NSSI, whereas individuals who reported higher average LANEs reported lower pain and greater numbness. At the within-person level, episodes preceded by higher-than-usual LANEs were associated with greater pain, but no within-person emotion predictors were significantly associated with numbness.Conclusion: Findings suggest that high- and low-arousal negative emotions may correspond to distinct somatic experiences during NSSI, highlighting the importance of assessing both emotional antecedents and physical sensations during self-injury.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70128"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413054","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

The Impact of Lethal Means Counseling on Openness to Out-of-Home Firearm Storage: Results From Project Safe Guard. 致命手段咨询对家庭外枪支储存开放性的影响：来自安全保卫项目的结果。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70135

Michael D Anestis, Jennifer Paruk, Allison E Bond, Nicholas Allan, Craig J Bryan, Daniel W Capron, AnnaBelle O Bryan, Daniel Semenza

{"title":"The Impact of Lethal Means Counseling on Openness to Out-of-Home Firearm Storage: Results From Project Safe Guard.","authors":"Michael D Anestis, Jennifer Paruk, Allison E Bond, Nicholas Allan, Craig J Bryan, Daniel W Capron, AnnaBelle O Bryan, Daniel Semenza","doi":"10.1111/sltb.70135","DOIUrl":"10.1111/sltb.70135","url":null,"abstract":"Introduction: Firearm access increases suicide risk and lethal means safety (LMS) counseling is widely promoted to reduce this risk by encouraging voluntary limitations on firearm access during crises. Although LMS has been shown to increase secure in-home firearm storage, less is known regarding its ability to promote temporary out-of-home storage-an approach that may more clearly prevent suicide. This study evaluated whether Project Safe Guard (PSG), a brief LMS intervention, increases willingness to store firearms outside the home during periods of heightened distress.Method: Participants were 232 Mississippi National Guard members with home firearm access enrolled in the original PSG randomized trial. Individuals received either a single session of PSG or a time-matched control condition. Willingness to store firearms outside the home during personal or household distress was assessed pre-intervention, post-intervention, and at 3 and 6-month follow-ups. Repeated-measures ANOVAs tested change over time and the impact of condition.Results: Participants receiving PSG showed significantly greater increases in willingness to store firearms outside the home when distressed, with effects more robust immediately post-treatment and in analyses focused on participants' own distress.Conclusion: PSG increases openness to temporary out-of-home storage and may represent a promising firearm suicide prevention strategy.Trial registration: ClinicalTrials.gov ID: NCT03375099.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70135"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13470657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725360","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

Predicting Next-Day Passive Suicidal Ideation in At-Risk Youth. 预测高危青少年第二天的被动自杀意念。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70124

Shane Kentopp, Luke Francisco, Megan Chen, Ambuj Tewari, Ewa Czyz

{"title":"Predicting Next-Day Passive Suicidal Ideation in At-Risk Youth.","authors":"Shane Kentopp, Luke Francisco, Megan Chen, Ambuj Tewari, Ewa Czyz","doi":"10.1111/sltb.70124","DOIUrl":"10.1111/sltb.70124","url":null,"abstract":"Introduction: Passive suicidal ideation (SI) is a well-established risk factor for suicidal behavior but has received less attention than active SI. Although recent work has leveraged intensive longitudinal data and machine learning (ML) to forecast short-term risk for active SI, passive SI remains understudied as a prediction target.Methods: Seventy-eight psychiatrically hospitalized youth (ages 13-17 years) completed baseline assessments and daily ratings of risk and protective factors for 28 days post-discharge. Multiple ML models were trained to predict the presence of next-day passive SI. Models with and without baseline variables were compared to assess the relative predictive value of time-varying versus baseline features.Results: ML models predicted next-day passive SI with high accuracy (AUC = 0.90). The strongest predictors were within-person 7-day moving averages of passive SI duration and frequency. Including baseline variables had negligible performance impact, even during initial days post-discharge.Conclusions: Short-term passive SI remains an underutilized but important target for suicide prevention. Forecasting next-day passive SI using ML is feasible and highly accurate. Within-person, time-varying features outperformed baseline factors, even in early days post-discharge. Additional research on SI facets, such as duration, is needed. Integrating passive SI into personalized intervention frameworks may enhance the precision of suicide prevention efforts.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70124"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370291","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

Daily Meaning in Life Buffers the Within-Person Relationships Between Perceived Burdensomeness and Thwarted Belongingness With Next-Day Suicidal Ideation: An Ecological Momentary Assessment Study. 生活中的日常意义缓冲了感知负担和受挫归属感与第二天自杀意念之间的人际关系：一项生态瞬间评估研究。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70136

David P Cenkner, Annie Duan, Adam G Horwitz, Kamalakannan So M Vijayakumar, Candice L Odgers, Helen J Burgess, Alyson K Zalta

{"title":"Daily Meaning in Life Buffers the Within-Person Relationships Between Perceived Burdensomeness and Thwarted Belongingness With Next-Day Suicidal Ideation: An Ecological Momentary Assessment Study.","authors":"David P Cenkner, Annie Duan, Adam G Horwitz, Kamalakannan So M Vijayakumar, Candice L Odgers, Helen J Burgess, Alyson K Zalta","doi":"10.1111/sltb.70136","DOIUrl":"10.1111/sltb.70136","url":null,"abstract":"Introduction: The interpersonal theory of suicide posits that perceived burdensomeness and thwarted belongingness drive suicidal desire. Ecological momentary assessment studies have provided empirical support for these relationships. Although meaning in life protects against suicidal ideation, no research has examined its daily predictive or moderating effects on interpersonal theory variables and suicidal ideation.Methods: Thirty-seven adults enrolled in a dialectical behavior therapy program were prompted to complete four assessments daily for 21 days, assessing suicidal ideation, perceived burdensomeness, and thwarted belongingness. Meaning in life was captured once daily. Multilevel models using frequentist and Bayesian frameworks tested within- and between-person associations on next-day suicidal ideation.Results: Meaning in life exhibited substantial daily variability. When participants reported greater daily meaning in life compared to their own average, there were weakened associations between perceived burdensomeness and thwarted belongingness with next-day suicidal ideation, covarying for same-day suicidal ideation.Conclusions: Results suggest daily meaning in life protects against next-day suicidal ideation by buffering interpersonal theory variables. Meaning-focused interventions targeting daily fluctuations in meaning in life may reduce acute suicide risk.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70136"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814241","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