Kimberly H McManama O'Brien, Christina M Sellers, Anthony Spirito, Shirley Yen, Jordan M Braciszewski
{"title":"An integrated alcohol and suicide intervention for adolescents in inpatient psychiatric treatment.","authors":"Kimberly H McManama O'Brien, Christina M Sellers, Anthony Spirito, Shirley Yen, Jordan M Braciszewski","doi":"10.1111/sltb.13143","DOIUrl":"10.1111/sltb.13143","url":null,"abstract":"<p><strong>Background: </strong>Despite the bidirectional relationship between alcohol use and STB, the two issues are often treated separately in adolescent inpatient psychiatric hospitals, highlighting the need for brief interventions that address both alcohol use and STB in an integrated fashion.</p><p><strong>Aims: </strong>This study tested the feasibility, acceptability, and preliminary effectiveness of a brief integrated Alcohol and Suicide Intervention for Suicidal Teens (iASIST) with a post-discharge mHealth booster for adolescents in inpatient psychiatric treatment.</p><p><strong>Methods: </strong>We conducted an RCT of iASIST relative to an attention-matched comparison condition with adolescents hospitalized following STB (N = 40).</p><p><strong>Results: </strong>iASIST demonstrated feasibility and acceptability and mixed models indicated that both groups had significant decreases in substance use over the 3-month follow-up, but post-intervention group differences were not significant. In terms of cannabis use, however, iASIST participants significantly improved over time. Intervention group participants showed a significant decrease in suicide plans from baseline to follow-up, which was not the case for control group participants.</p><p><strong>Discussion: </strong>Study findings suggest a larger RCT is warranted to test the effectiveness of the iASIST intervention.</p><p><strong>Conclusion: </strong>iASIST shows promise in its ability to target the public health problems of alcohol use and STB in an integrated fashion with a high-risk adolescent population receiving acute psychiatric care.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13143"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606650","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}
Molly Goodrich, Tate F Halverson, Natalie A Aho, Tapan A Patel, Adam J Mann, Patrick S Calhoun, Jean C Beckham, Nathan A Kimbrel
{"title":"A Descriptive Study of Nonsuicidal Self-Injury Characteristics Among Veterans Meeting Diagnostic Criteria for Nonsuicidal Self-Injury Disorder.","authors":"Molly Goodrich, Tate F Halverson, Natalie A Aho, Tapan A Patel, Adam J Mann, Patrick S Calhoun, Jean C Beckham, Nathan A Kimbrel","doi":"10.1111/sltb.70013","DOIUrl":"https://doi.org/10.1111/sltb.70013","url":null,"abstract":"<p><strong>Introduction: </strong>Although nonsuicidal self-injury (NSSI) is more common among military veterans than adult civilians, little is known about NSSI disorder among veterans.</p><p><strong>Method: </strong>The present study explored NSSI characteristics among veterans meeting criteria for current NSSI disorder (N = 41) and the relationship between NSSI methods and functions.</p><p><strong>Results: </strong>Participants reported a pattern of past-year NSSI engagement characterized by frequent and severe NSSI, a short interval between NSSI urges and behavior, and moderate or greater subjective distress and interference in family relationships, social relationships, and work/school. Psychiatric comorbidities were common, and nearly half of participants reported a suicide attempt history. Participants used an average of four NSSI methods, the most common being wall-punching (85.4%), and endorsed an average of eight distinct functions of NSSI, predominantly for intrapersonal reasons. Regardless of the specific method used, the most common reason that veterans with NSSI disorder engaged in NSSI was to help themselves cope with negative emotions.</p><p><strong>Conclusions: </strong>Findings suggest certain NSSI characteristics are similar among veterans and civilians with current NSSI disorder (e.g., NSSI functions) and differ between them (e.g., NSSI methods). Further research is necessary in order to replicate and expand upon these findings with nationally representative samples and better understand NSSI functions among veterans.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 2","pages":"e70013"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754964","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}
Jannah R Moussaoui, April R Smith, Elizabeth A Velkoff
{"title":"Latent subtypes of self-injurious urges among adults engaging in disordered eating and non-suicidal self-injury.","authors":"Jannah R Moussaoui, April R Smith, Elizabeth A Velkoff","doi":"10.1111/sltb.13150","DOIUrl":"10.1111/sltb.13150","url":null,"abstract":"<p><strong>Background: </strong>Self-injurious urges are arguably the clearest antecedents of engaging in self-injurious behaviors (SIBs; e.g., binge eating, self-induced vomiting, cutting, burning). However, self-injurious urges demonstrate great heterogeneity, and it is unknown which are most closely linked to SIBs. This study aims to identify latent profiles of self-injurious urges and subsequently examine associations between profiles and engagement in SIBs.</p><p><strong>Method: </strong>Adults (N = 124) who reported engaging in at least three SIBs in the past month completed six surveys a day assessing self-injurious urges for 14 days (6600 responses). Latent profiles were constructed using within-person intensity, variability, peak, duration, relative frequency, and overall stability of self-injurious urges over the EMA period.</p><p><strong>Results: </strong>Five distinct profiles were identified: \"sustained,\" \"muted,\" \"sudden-onset,\" \"volatile,\" and \"virtually absent.\" SIB frequency differed across profiles, H(4) = 41.11, p < 0.001; η<sup>2</sup> = 0.31, 95% CI [0.19, 0.48], and Dunn's post-hocs indicated those in the \"volatile\" profile engaged in more SIBs than other profiles.</p><p><strong>Conclusion: </strong>Findings support the presence of meaningful profiles of self-injurious urges and suggest these profiles differ in levels of SIB engagement. Future work should prospectively examine associations between profile membership and engagement in SIBs and identify treatment targets to intervene on SIBs.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13150"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802667","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}
Lily A Brown, Kevin G Lynch, Philip Gehrman, Lindiwe Mayinja, Danielle Farabaugh, Keith Bredemeier
{"title":"Suicidal Ideation, Cognitive Control, and Sleep in Veterans in a Residential Treatment Facility: A Pilot Study.","authors":"Lily A Brown, Kevin G Lynch, Philip Gehrman, Lindiwe Mayinja, Danielle Farabaugh, Keith Bredemeier","doi":"10.1111/sltb.70011","DOIUrl":"10.1111/sltb.70011","url":null,"abstract":"<p><strong>Introduction: </strong>Sleep disorder symptoms are associated with suicidal ideation, and wakefulness in the middle of the night is associated with an increased risk for suicide, potentially due to deficits in cognitive control. Little is known about daily-level associations among sleep and suicide or about the role of cognitive control in these associations.</p><p><strong>Methods: </strong>Veterans (n = 32) with past-month suicidal ideation in a residential treatment unit were assessed for 28 days using the suicide visual analogue scale (S-VAS) to assess suicidal urges, a daily sleep diary, and self-reported cognitive control.</p><p><strong>Results: </strong>Wakefulness in the middle of the night (1-4 a.m.) was associated with the most severe suicidal ideation. Nocturnal wakefulness and sleep quality were each associated with next-day suicidal ideation intensity. Self-reported cognitive control deficits were associated with more intense suicidal ideation. The association between nocturnal wakefulness and suicidal ideation was partially accounted for by self-reported impulsive behavior (7% of variance).</p><p><strong>Conclusions: </strong>Veterans reported the highest suicidal ideation in the middle of the night. These findings suggest the importance of assessing sleep, suicidal ideation, and cognitive control among veterans and the need to consider nocturnal wakefulness as an indicator of heightened risk for suicide among veterans.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 2","pages":"e70011"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754986","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}
Yael Holoshitz, Haitisha Mehta, Liat Itzhaky, Ariana Cid, Ravi DeSilva, Sarah Gilbert, Cassie Kaufmann, Christa D Labouliere, Beth Brodsky, Barbara Stanley
{"title":"Suicide prevention inpatient group treatment-A treatment development and feasibility study.","authors":"Yael Holoshitz, Haitisha Mehta, Liat Itzhaky, Ariana Cid, Ravi DeSilva, Sarah Gilbert, Cassie Kaufmann, Christa D Labouliere, Beth Brodsky, Barbara Stanley","doi":"10.1111/sltb.13154","DOIUrl":"10.1111/sltb.13154","url":null,"abstract":"<p><strong>Background: </strong>One mainstay of psychiatric treatment for suicidal crises is inpatient psychiatric hospitalization. Despite the need to secure immediate safety and stabilization, inpatient treatment for acutely suicidal patients remains diagnosis-specific, which may fail to directly target and adequately manage suicidal behavior as a symptom and reason for admission or treatment. The post-discharge period is a high-risk period for repeat suicide attempts or death by suicide, but overburdened workforce and high patient turnover make it difficult to provide suicide-specific treatment.</p><p><strong>Methods: </strong>In response to this need, we developed the Suicide Prevention Inpatient Group Treatment (SPIGT), a four-module, group-based intervention, which provides evidence-supported concrete tools and psychoeducation to directly address suicidality. To assess feasibility and acceptability of implementation, the SPIGT was piloted on an inpatient psychiatric unit starting in 2016. Group participants were given optional, anonymous surveys after each module. Unit clinicians also completed optional, anonymous surveys to assess their attitudes towards the intervention.</p><p><strong>Results: </strong>Results indicate that participants responded very favorably to each module, and that unit clinicians felt that the implementation of this intervention was feasible and acceptable.</p><p><strong>Conclusion: </strong>The SPIGT shows promise as a scalable suicide-specific, brief intervention, which addresses an unmet and critical need in suicide prevention.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13154"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855982","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}
{"title":"Emotional variability and late adolescent suicidal ideation: Buffering role of parent-youth connectedness.","authors":"Shou-Chun Chiang, Shi-Jane Ting, Sung Yu-Hsien","doi":"10.1111/sltb.13146","DOIUrl":"10.1111/sltb.13146","url":null,"abstract":"<p><strong>Introduction: </strong>Emotional variability has been identified as a risk factor for adolescent psychopathology. This study explored the cross-sectional and prospective associations between emotional variability and suicidal ideation and examined the moderating role of parent-adolescent connectedness.</p><p><strong>Methods: </strong>Participants included 108 Taiwanese late adolescents (Mage = 18.53, SDage = 0.39; 64% female) who completed ecological momentary assessment (EMA) over 14 days, and baseline and follow-up assessments over 6 months.</p><p><strong>Results: </strong>Results indicated that while negative emotional (NE) and positive emotional (PE) variability were not associated with suicidal ideation at baseline, both predicted increased suicidal ideation 6 months later. Furthermore, parent-adolescent connectedness moderated the relationship between NE variability and suicidal ideation, with high connectedness mitigating the adverse effects of NE variability.</p><p><strong>Conclusions: </strong>These findings suggest that emotional variability is a key predictor for the development of suicidal ideation and highlight the protective role of parent-adolescent connectedness. Interventions promoting family connectedness may be effective in reducing suicidal risk among emotionally variable youth.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13146"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787373","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}
{"title":"Intolerance of Uncertainty Predicts Suicidal Ideation Among Adolescents Through Maladaptive Cognitive Emotion Regulation Strategies and Psychache.","authors":"Jinglei Wu, Chuhan Wang, Yue Zheng, Xin Han, Jiaqi Guo, Yimeng Cui, Jing Hu, Min-Pei Lin, Jianing You","doi":"10.1111/sltb.70001","DOIUrl":"https://doi.org/10.1111/sltb.70001","url":null,"abstract":"<p><strong>Introduction: </strong>As an important transdiagnostic factor, intolerance of uncertainty (IU) can predict suicidal ideation (SI). But little is known about the underlying mechanisms. The present study examined the chain mediating roles of three maladaptive cognitive emotion regulation (CER) strategies and psychache in the relation between IU and SI, as well as gender differences.</p><p><strong>Methods: </strong>A number of 1532 Chinese adolescents (43.1% males; baseline mean age = 15.00 years, SD = 1.57) completed self-report questionnaires on IU, self-blame, rumination, catastrophizing, psychache and SI for two waves, 6 months apart.</p><p><strong>Results: </strong>The results indicated that IU predicted SI through psychache and the serial mediation of the three maladaptive CER strategies and psychache, but IU did not predict SI through the three maladaptive CER strategies. The relation between IU and catastrophizing, the relation between catastrophizing and psychache, and the relation between psychache and SI were stronger among females than males.</p><p><strong>Conclusion: </strong>The results advance our understanding of how IU predicts SI, highlighting the importance of psychache in the development of SI.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 2","pages":"e70001"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765374","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}
Giana I Teresi, John Merranko, Giovanna Porta, Kelsey Bero, Kimberly D Poling, David A Brent, Tina R Goldstein
{"title":"Worsening sleep predicts next-week suicidal ideation in a high-risk adolescent outpatient treatment sample.","authors":"Giana I Teresi, John Merranko, Giovanna Porta, Kelsey Bero, Kimberly D Poling, David A Brent, Tina R Goldstein","doi":"10.1111/sltb.13141","DOIUrl":"10.1111/sltb.13141","url":null,"abstract":"<p><strong>Introduction: </strong>Suicidal thoughts and behaviors often onset during adolescence, constituting a major public health concern. Despite rising rates in youth, psychotherapeutic and pharmacological treatment outcomes remain meager, indicating a need to identify modifiable risk factors. Experts suggest sleep may serve as a promising clinical indicator of risk and treatment progress, yet few studies have examined acute temporal associations between sleep and suicidal ideation.</p><p><strong>Methods: </strong>Participants were depressed and suicidal adolescents (age 13-19, n = 311) attending an intensive outpatient program (IOP). Patients completed weekly self-report assessments of sleep, depression, and suicidal ideation throughout IOP, with an average of 5 assessments over 30 days.</p><p><strong>Results: </strong>Greater overall sleep difficulties, as well as within-person increases in sleep difficulties, were predictive of greater depression severity and suicidal ideation at subsequent assessments, above and beyond previous levels of symptoms. The reverse associations were not found. Inclusion of within-person changes in sleep difficulties significantly improved model fit compared to inclusion of overall sleep difficulties alone.</p><p><strong>Discussion: </strong>This study provides additional evidence for a prospective relationship between worsening sleep difficulties and suicidal ideation in an IOP youth sample. Worsening sleep may be an important clinical indicator of subsequent depression and suicide risk among adolescents in treatment.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13141"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584310","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}
Enoch Kordjo Azasu, Emmanuel Nii-Boye Quarshie, Erick Messias, Sean Joe
{"title":"The Applicability of the Interpersonal Psychological Theory of Suicide Behavior Among Junior High School Students in the Greater Accra Region of Ghana.","authors":"Enoch Kordjo Azasu, Emmanuel Nii-Boye Quarshie, Erick Messias, Sean Joe","doi":"10.1111/sltb.13159","DOIUrl":"10.1111/sltb.13159","url":null,"abstract":"<p><strong>Background: </strong>The interpersonal-psychological theory of suicidal behavior (IPTSB) is widely applied to explain non-fatal suicide behaviors, but yet to be tested empirically with a Ghanaian sample.</p><p><strong>Aims: </strong>Using a total of 800 junior high school students (JHS) in the Greater Accra Region of Ghana, this study tests the utility of the IPTSB with the aim of having a better understanding of how suicide behavior is occurring among this young generation of Ghanaians.</p><p><strong>Materials and methods: </strong>The study used the WHO-CIDI's self-reported measures on suicide behavior and the Interpersonal needs questionnaire, which measures the elements of the IPTSB. Structural equation modeling was performed using Mplus to test the overall fit of the model as well as associations among the predictor variables and outcome variables.</p><p><strong>Results: </strong>The study found the IPTSB was significant for explaining 12-month and lifetime suicide behaviors in the sample. Also, 12-month suicide attempt was significantly associated with increased 12-month suicide ideation, increased acquired capability and increased perceived burdensomeness. In addition, 12-month suicide ideation was significantly associated with increased thwarted belongingness and increased perceived burdensomeness.</p><p><strong>Discussion and conclusion: </strong>This study provides new information for clinicians and policy makers working to reduce suicide behavior among Ghanaian adolescents.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13159"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855369","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}
Evan A Albury, Jessica L Gerner, David A Jobes, Raymond P Tucker
{"title":"Examining whether method of suicide exposure and closeness to decedent relate to firearm storage practices.","authors":"Evan A Albury, Jessica L Gerner, David A Jobes, Raymond P Tucker","doi":"10.1111/sltb.13147","DOIUrl":"10.1111/sltb.13147","url":null,"abstract":"<p><strong>Introduction: </strong>One factor that can influence whether someone will engage in secure firearm storage is having a suicide exposure (SE). Daruwala et al. (2018) examined this and found that individuals with an SE, without considering perceived closeness, did not significantly differ from those who did not have an SE in their firearm storage practices. Thus, the present study aimed to replicate and extend the research of Daruwala et al. (2018) by examining if the method of suicide (by firearm or other means) and closeness of suicide decedent relate to secure firearm storage practices.</p><p><strong>Methods: </strong>308 male firearm owners completed self-report measures assessing SE, perceived closeness to decedent, and current firearm storage practices. Chi square and logistic regression analyses were conducted.</p><p><strong>Results: </strong>Suicide loss exposure, regardless of method used in suicide, did not relate to firearm storage practices in this sample. We also found that there was no association between perceived closeness to the decedent who died by suicide by firearm and secure storage, without considering age.</p><p><strong>Conclusions: </strong>Results underscore the difficulty in helping male firearm owners develop personally salient reasons to increase safety with firearms. Implications for clinical care, firearm safety, and public health initiatives are explored.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13147"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649248","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}