Suicide and Life-Threatening Behavior最新文献

{"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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Findings underscore the importance of therapeutic alliance in enhancing paraprofessional-led interventions for late-life suicide prevention.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>PSG increases openness to temporary out-of-home storage and may represent a promising firearm suicide prevention strategy.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov ID: NCT03375099.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"A Randomized Controlled Trial With an Internal Pilot of a Co-Designed App Targeting Upstream Suicide-Related Risk and Protective Factors Among International Students.","authors":"Samuel McKay, Christina Ng, Jennifer Nicholas, Vivienne Browne, Gina Chinnery, Isabella Choi, Bailey Nation-Ingle, Kristal Allison, Ella Perlow, Michelle Lamblin, Elise Carrotte, Ellie Brown, Gregory Armstrong, Jocelyn I Meza, Madhavan Mani, Jo Robinson","doi":"10.1111/sltb.70125","DOIUrl":"10.1111/sltb.70125","url":null,"abstract":"<p><strong>Background: </strong>International students frequently report suicidal thoughts, yet often do not access support. Bud is a co-designed, self-guided mobile app developed as an upstream suicide-prevention intervention targeting transdiagnostic mechanisms related to suicide risk.</p><p><strong>Aim: </strong>To evaluate the effectiveness, acceptability, engagement, and safety of Bud compared with an active and structured psychoeducational comparator.</p><p><strong>Materials and methods: </strong>A two-arm, parallel-group randomized controlled trial was conducted with international students in Australia. Participants were randomized 1:1 to Bud (n = 156) or psychoeducational fact sheets (n = 156), completing assessments at baseline, 2 weeks and 4 weeks. The primary outcome was psychological distress (K10). Secondary outcomes included help-seeking intentions, interpersonal risk processes, emotion regulation, suicidal ideation, and mental health literacy. Analyses used intention-to-treat mixed-effects models.</p><p><strong>Results: </strong>Contrary to the hypotheses, psychological distress decreased from baseline to 4 weeks (Bud: -2.23; Comparator: -2.15), with no group × time interaction (F(2,342.45) = 0.43, p = 0.652); emotion regulation and suicidal ideation showed similar patterns across groups, and other secondary outcomes remained stable across groups. As expected, Bud was rated as enjoyable, worthwhile, and usable. Engagement was moderate (median 10 activities), and no iatrogenic effects occurred.</p><p><strong>Conclusion: </strong>Bud was feasible, acceptable, and safe but did not outperform an active psychoeducational comparator over 4 weeks.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: ACTRN12625000584437.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70125"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370310","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}

{"title":"Examining the Role of Item Sequencing of the Interpersonal Needs Questionnaire-15.","authors":"Sarah Sparks, Julianne E Cary, Kirsten Christensen, Sean M Mitchell, Sarah L Brown, Sarah E Victor","doi":"10.1111/sltb.70133","DOIUrl":"10.1111/sltb.70133","url":null,"abstract":"<p><strong>Background: </strong>The Interpersonal Needs Questionnaire (INQ) is a 15-item self-report assessment of perceived burdensomeness (PB) and thwarted belongingness (TB), conceptualized as proximal risk factors for suicide ideation (SI). The INQ-15 has strong psychometric properties; however, PB has demonstrated more robust associations with SI than TB.</p><p><strong>Method: </strong>To assess the possible influence of INQ-15 item sequencing, confirmatory factor analyses (CFAs) were conducted to examine the two-factor structure of the INQ-15 (TB and PB) among participants (N = 600, 50.5% women, 66.8% White, M_age = 38.8 years) recruited via Amazon Mechanical Turk who were randomized into three item sequence conditions (standard-order, n = 192; reversed-order, n = 210; random-order, n = 198).</p><p><strong>Results: </strong>Across all conditions, TB items 9, 11, and 12 raised model-fit concerns. Model fit improved after correlating residuals and removing those items across conditions. The TB-PB correlations were weaker than those reported in prior literature, even after removing those items. The conditions and models did not differ in their associations with TB and PB, or with SI-related variables.</p><p><strong>Conclusions: </strong>Removing TB items 9, 11, and 12 could optimize the INQ-15 factor structure and improve its concurrent validity; however, replication in additional populations and with other sampling methods is necessary.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70133"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13478541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765566","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"title":"Factors Associated With Job Precariousness and Material Deprivation, and Their Association With Mental Health During the COVID-19 Pandemic.","authors":"Sheila Lopez-Romeo, Pere Castellvi, Isabel Feria-Raposo, Andrea Miranda-Mendizabal, Silvia Recoder, Marc Casajuana-Closas, Susana Subira-Alvarez, Carlos G Forero","doi":"10.1111/sltb.70132","DOIUrl":"10.1111/sltb.70132","url":null,"abstract":"<p><strong>Introduction: </strong>COVID-19 severely disrupted labor markets and living conditions, intensifying job precariousness and material deprivation. We examined whether pre-pandemic mental health conditions predicted socio-economic adversity during the first pandemic year and whether resilience buffered changes in mental health.</p><p><strong>Methods: </strong>We analyzed a nationally representative longitudinal cohort of Spanish adults assessed in two assessments: November 2019 (T0, pre-pandemic) and November-December 2020 (T1). Major depressive episode (MDE), generalized anxiety disorder (GAD), and suicidal thoughts and behaviors (STB) were assessed at T0; job precariousness and material deprivation were measured at T1. Weighted multivariable regression models tested (i) associations between T0 mental health and T1 socio-economic adversity and (ii) associations between T1 adversity and changes in mental health symptoms, including resilience interactions.</p><p><strong>Results: </strong>Pre-pandemic GAD and STB were associated with higher odds of job precariousness during the pandemic, whereas MDE was not significant after adjustment. Job precariousness was associated with small reductions in depressive, anxiety, and STB symptoms, while material deprivation was associated with increased depressive symptoms; higher resilience attenuated the deprivation-depression association.</p><p><strong>Conclusions: </strong>Pre-existing anxiety and suicide-related symptoms may identify individuals more likely to report job precariousness during socio-economic shocks. Preventing material deprivation and strengthening resilience may help reduce downstream depressive burden during crises.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70132"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608370","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}

{"title":"Factors Associated With Prioritizing Quick Firearm Access Over Suicide Prevention Among US Adults.","authors":"Michael D Anestis, Allison E Bond","doi":"10.1111/sltb.70131","DOIUrl":"10.1111/sltb.70131","url":null,"abstract":"<p><strong>Objective: </strong>To examine characteristics associated with US adults favoring storing firearms unlocked to ensure quick access in an emergency, even if doing so increases the risk for suicide.</p><p><strong>Method: </strong>A total of 2963 adults with home firearm access were drawn from a nationally representative sample of US adults (n = 7521). Participants were members of a probability-based panel and completed a self-report survey between June 24 and July 10, 2025.</p><p><strong>Results: </strong>Being female (OR = 0.82; 95% CI = 0.69-0.99), children in the home (OR = 0.41; 95% CI = 0.33-0.50), trust in the government for protection (OR = 0.89; 95% CI = 0.82-0.97), and beliefs that home firearm access increases suicide risk (OR = 0.66; 95% CI = 0.59-0.75) were associated with lower odds of endorsing firearms should be stored unlocked. Loaded and unlocked storage (OR = 5.90; 95% CI = 4.88-7.15), frequent firearm carrying (OR = 1.08; 95% CI = 1.01-1.15), and belief that firearms are essential for protection (OR = 1.40; 95% CI = 1.27-1.54) were associated with greater odds of endorsing firearms should be stored unlocked.</p><p><strong>Conclusions: </strong>The results could mean those who feel responsible for protecting loved ones and believe firearms are essential for that task are more likely to endorse favoring unlocked firearm storage, even if they believe this will increase suicide risk.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70131"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13416218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608387","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}