Suicide and Life-Threatening Behavior最新文献

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Self-Awareness as a Measure of Exteroception and Its Relationship to Suicide and Military Performance. 外感受的自我意识及其与自杀和军事表现的关系。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-08-01 DOI: 10.1111/sltb.70032
Rylee Lusich, April Smith, Nathan T Keans, Michelle Ganulin, Jefferey M Osgood, Bradley Fawver, Michael N Dretsch, Benjamin Trachik
{"title":"Self-Awareness as a Measure of Exteroception and Its Relationship to Suicide and Military Performance.","authors":"Rylee Lusich, April Smith, Nathan T Keans, Michelle Ganulin, Jefferey M Osgood, Bradley Fawver, Michael N Dretsch, Benjamin Trachik","doi":"10.1111/sltb.70032","DOIUrl":"https://doi.org/10.1111/sltb.70032","url":null,"abstract":"<p><strong>Background: </strong>As the Army continues to modernize in the domains of technology, strategy, and training, there remains a need for research that intersects across research fields to promote the identification of transdiagnostic mechanisms that impact both psychological health and performance by designing more efficient and effective interventions. Bodily awareness (i.e., interoception and exteroception) has significant implications in military contexts, whereby both psychological health (e.g., suicide) and physical performance are key components to training, readiness, and wellbeing. However, although promising research exists focused on the etiological impacts of interoception on suicide, no work has directly examined exteroception-awareness of the body with respect to space and movement-within a military sample.</p><p><strong>Objective/purpose: </strong>The current study aimed to address this gap by examining the impact of bodily awareness on measures of suicide and military performance.</p><p><strong>Methods: </strong>A total of 1462 ADSM completed surveys assessing exteroception, suicidal ideation, readiness, and specific job related performance indicators.</p><p><strong>Results: </strong>Awareness of one's body in space (i.e., exteroception) was associated with suicidal ideation, over and above thwarted belongingness and perceived burdensomeness. Notably, exteroception was significantly associated with all measures of military performance.</p><p><strong>Conclusion: </strong>The results of this study suggest that improving exteroception may be an appropriate transdiagnostic target for interventions designed to improve mental health while simultaneously optimizing performance among ADSM.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70032"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745392","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
Characteristics Differentiating Preadolescents With Suicidal Ideation From Those Who Display Suicidal Behaviors. 区分有自杀意念和有自杀行为的前青少年的特征。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-08-01 DOI: 10.1111/sltb.70040
Laura Hennefield, Meghan Rose Donohue, Caroline P Hoyniak, Diana J Whalen, Renee J Thompson, Rebecca Tillman, Joan L Luby, Deanna M Barch
{"title":"Characteristics Differentiating Preadolescents With Suicidal Ideation From Those Who Display Suicidal Behaviors.","authors":"Laura Hennefield, Meghan Rose Donohue, Caroline P Hoyniak, Diana J Whalen, Renee J Thompson, Rebecca Tillman, Joan L Luby, Deanna M Barch","doi":"10.1111/sltb.70040","DOIUrl":"10.1111/sltb.70040","url":null,"abstract":"<p><strong>Background: </strong>Increases in suicide attempts in preadolescents represent a serious public health concern. This study aimed to identify prospective and concurrent risk factors that differentiate children with suicidal ideation (SI) from those with a suicide attempt (SA) across childhood.</p><p><strong>Method: </strong>195 participants comprised of 8-12-year-olds from the Pediatric Suicidality Study, which followed a sample of preschoolers enriched for depression into preadolescence. Clinical diagnostic interviews and surveys to assess children's thoughts, behaviors, and experiences were administered to caregivers (preschool, preadolescence) and children (preadolescence).</p><p><strong>Results: </strong>Three groups were created based on preadolescents' lifetime history of SI/SA: Suicide Attempt (SA; n = 25), Suicide Ideation without Attempt (SI-only; n = 102), and No SI/SA (n = 68). Compared to preadolescents with SI-only, preadolescents with SA exhibited increased depression (OR = 1.52), anxiety (OR = 1.32), maladaptive guilt (OR = 3.31), catastrophizing (OR = 1.24), stressful (OR = 1.20) and traumatic events (OR = 1.82) by preadolescence. Preadolescents with SA also exhibited increased anxiety (OR = 1.07) and maladaptive guilt during preschool (OR = 4.10). Family SA and social relationships did not differentiate groups.</p><p><strong>Conclusions: </strong>Findings demonstrate unique and separable risk factors for SI and SA in children under age 13 with clinical implications for assessing suicide risk. Alongside depression and anxiety, assessments of maladaptive guilt may be important to identify at-risk children for increased monitoring and intervention.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70040"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838046","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
Firearm Storage and the Perceived Risks and Value of Firearms: Differences Among Firearm Owners and Nonfirearm Owners With and Without a History of Suicidal Ideation. 枪支储存和感知枪支的风险和价值:有和没有自杀意念史的枪支拥有者和非枪支拥有者之间的差异。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70026
Michael D Anestis, Allison E Bond
{"title":"Firearm Storage and the Perceived Risks and Value of Firearms: Differences Among Firearm Owners and Nonfirearm Owners With and Without a History of Suicidal Ideation.","authors":"Michael D Anestis, Allison E Bond","doi":"10.1111/sltb.70026","DOIUrl":"10.1111/sltb.70026","url":null,"abstract":"<p><strong>Objective: </strong>To identify firearm behaviors and perceptions that differentiate firearm owners with a history of suicidal thoughts from other firearm owners and from nonfirearm owners with a history of suicidal thoughts.</p><p><strong>Methods: </strong>A nationally representative sample (n = 8009) of adults residing in the United States completed a self-report survey May 15-May 28, 2024.</p><p><strong>Results: </strong>Firearm owners with a history of suicidal thoughts were 45% likelier to store firearms loaded and unlocked and reported a stronger belief that home firearm access increases suicide risk. Some subgroups of firearm owners more heavily represented among those with a history of suicidal thoughts (e.g., women) were more likely to store firearms loaded and unlocked if they endorsed a history of suicidal thoughts.</p><p><strong>Conclusions: </strong>Firearm owners with a history of suicidal thoughts are more likely to recognize the link between firearm access and suicide risk, but nonetheless are more likely to store firearms unsecured. Identification of firearm owners with suicidal ideation remains difficult, but findings point toward subgroups and beliefs to target with messages aimed at promoting secure firearm storage.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70026"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12108224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152214","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
Brain Activation During Suicide-Specific Cognition in Trauma-Exposed Veterans. 创伤暴露退伍军人自杀特异性认知过程中的脑激活。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70018
A Jagger-Rickels, J Kearns, T Evans, D Rothlein, C J Bryan, W P Milberg, C B Fortier, J DeGutis, M Esterman
{"title":"Brain Activation During Suicide-Specific Cognition in Trauma-Exposed Veterans.","authors":"A Jagger-Rickels, J Kearns, T Evans, D Rothlein, C J Bryan, W P Milberg, C B Fortier, J DeGutis, M Esterman","doi":"10.1111/sltb.70018","DOIUrl":"10.1111/sltb.70018","url":null,"abstract":"<p><strong>Introduction: </strong>The suicide Implicit Association Test (S-IAT) captures the strength of the implicit identification between self and death and is one of the few suicide-specific behavioral tasks that uniquely predicts future suicide risk. Thus, identifying brain regions associated with the S-IAT provides insights into the neural mechanisms underlying suicidality.</p><p><strong>Methods: </strong>This study measured brain activation during the S-IAT with concurrent fMRI in a post-9/11 trauma-exposed veteran sample. In total, 37 post-9/11 veterans at low risk for suicide participated in this study as part of an ongoing longitudinal study.</p><p><strong>Results: </strong>Behaviorally, participants were slower to categorize words during incongruent (death-me) contexts relative to congruent (life-me) contexts (p < 0.001). Whole-brain voxelwise fMRI contrasts revealed a brain network that was significantly more active during incongruent trials than congruent trials that included the bilateral occipital, posterior parietal, and cerebellum (corrected p < 0.05). This increased brain activation corresponded with task performance, suggesting that more brain resources are needed to complete death-me identifications.</p><p><strong>Conclusions: </strong>These results suggest that death-me implicit identifications involve resolving conflict between self and death representations in the brain and mark an important step towards characterizing neural mechanisms contributing to suicidality.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70018"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121151","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
Unraveling the Bidirectional Associations of Psychotic-Like Experiences With Depressive Symptoms and Suicidal Ideation Among Adolescents. 揭示青少年抑郁症状和自杀意念的精神病样经历的双向关联。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70031
Dongfang Wang, Brendan Ross, Meng Sun, Huolian Li, Xiangting Zhang, Xuan Wang, Yang Qiu, Zijuan Ma, Fang Fan
{"title":"Unraveling the Bidirectional Associations of Psychotic-Like Experiences With Depressive Symptoms and Suicidal Ideation Among Adolescents.","authors":"Dongfang Wang, Brendan Ross, Meng Sun, Huolian Li, Xiangting Zhang, Xuan Wang, Yang Qiu, Zijuan Ma, Fang Fan","doi":"10.1111/sltb.70031","DOIUrl":"https://doi.org/10.1111/sltb.70031","url":null,"abstract":"<p><strong>Background: </strong>Previous literature suggests that adolescent psychotic-like experiences (PLEs) are associated with depressive symptoms and suicidal ideation. This study aimed to explore these prospective relationships between PLEs, depressive symptoms, and suicidal ideation among adolescents.</p><p><strong>Methods: </strong>A large-scale web-based survey was conducted using repeated measures at three time points: from 21 April to 12 May 2021 (T1), from 17 to 26 December 2021 (T2), and from 17 May to 6 June 2022 (T3). A total of 17,722 adolescents were assessed at both T1 and T2, and 15,694 adolescents also provided complete responses at both T1 and T3. Self-reported scales were used to assess PLEs and depressive symptoms, and suicidal ideation was assessed.</p><p><strong>Results: </strong>PLEs at baseline were significantly associated with increased odds of depressive symptoms and suicidal ideation at both follow-up intervals after adjusting for covariates (all p < 0.001). Moreover, baseline depressive symptoms and suicidal ideation were significantly associated with increased likelihoods of subsequent PLEs (all p < 0.001).</p><p><strong>Conclusions: </strong>This study underscores bidirectional prospective associations between PLEs, depressive symptoms, and suicidal ideation among adolescents, and its findings underscore the critical educational and clinical importance of screening for PLEs while treating depressive symptoms and suicidal ideation.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70031"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498322","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
Temporal Trends in Correlates for Suicidal Thoughts and Behaviors Among Black High School Students in the United States, 1991-2021. 1991-2021年美国黑人高中学生自杀念头和行为相关因素的时间趋势
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70028
Xueqing Zhou, Xiafei Wang, Wenna Xi
{"title":"Temporal Trends in Correlates for Suicidal Thoughts and Behaviors Among Black High School Students in the United States, 1991-2021.","authors":"Xueqing Zhou, Xiafei Wang, Wenna Xi","doi":"10.1111/sltb.70028","DOIUrl":"10.1111/sltb.70028","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide among Black youth has become a public health concern. To better understand the rapid increase in Black youth suicide, we aimed to determine whether there had been changes in the risk correlates and their impacts on suicidality among Black youth over the past three decades.</p><p><strong>Methods: </strong>We analyzed four suicide-related outcomes-ideation, planning, attempts, and attempt-related injuries-using Black youth's responses from the 1991-2021 Youth Risk Behavior Survey (survey-adjusted n = 31667.12). Potential correlates considered were demographics, sexuality, injury, violence, bullying, diet, physical activity, mental health, substance use, school connectedness, and exposure to community violence. Correlate-by-year interactions were included to allow for time-varying effects of factors. Missing data were imputed five times, and logistic LASSO regressions were used to select important factors.</p><p><strong>Results: </strong>Rates of suicidal ideation decreased from 22% (1991) to 12% (2005), then increased to 22% (2021). Suicide planning and attempts had similar trends, whereas rates of injuries remained stable (ranging from 2% to 4%). Correlates identified for all four outcomes were similar and consistent over time, including violent behaviors, substance use, body image concerns, and sex. All correlates' effects remained unchanged over time.</p><p><strong>Conclusion: </strong>Although trends of suicidality in Black youth changed over time, correlates associated with them remained stable.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70028"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12108227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152229","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
Longitudinal Tests of Conformity to Masculine Norms as a Risk Factor Within the Interpersonal Theory of Suicide. 人际自杀理论中男性规范服从风险因素的纵向检验。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70019
Elena Gagliano, William Grunewald, April R Smith
{"title":"Longitudinal Tests of Conformity to Masculine Norms as a Risk Factor Within the Interpersonal Theory of Suicide.","authors":"Elena Gagliano, William Grunewald, April R Smith","doi":"10.1111/sltb.70019","DOIUrl":"10.1111/sltb.70019","url":null,"abstract":"<p><strong>Introduction: </strong>Conformity to the masculine norms of self-reliance and emotional control is linked to suicidal ideation. Risk factors for suicidal ideation, such as perceived burdensomeness and thwarted belongingness, may explain the relationship between conformity to the masculine norms of self-reliance/emotional control and suicidal ideation. The current study expanded on past cross-sectional research by testing if perceived burdensomeness and/or thwarted belongingness mediated longitudinal relationships between conformity to self-reliance/emotional control and suicidal ideation.</p><p><strong>Methods: </strong>Two hundred and sixty-nine US men completed self-report measures at three timepoints spaced 1 month apart. An adapted version of a longitudinal autoregressive three-wave mediation model was used to test study hypotheses.</p><p><strong>Results: </strong>Conformity to self-reliance longitudinally predicted perceived burdensomeness, which in turn longitudinally predicted suicidal ideation. Thwarted belongingness had nonsignificant longitudinal relationships with conformity to masculine norms or suicidal ideation.</p><p><strong>Conclusion: </strong>Results suggest that perceived burdensomeness links relationships between self-reliance and suicidal ideation. Clinicians working with male-identified clients may consider assessing and targeting extreme self-reliance or perceived burdensomeness by helping clients to flexibly negotiate certain standards of masculinity.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70019"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121153","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
THRIVE: Feasibility, Acceptability, and Social Validity of a Brief Recovery-Focused Intervention in Crisis Stabilization Centers. 茁壮成长:在危机稳定中心进行短暂的以恢复为中心的干预的可行性、可接受性和社会有效性。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70021
Jennifer D Lockman, Anthony R Pisani, Breanna P Angerer, Adam C Graham, Jacob Henry, Fallan Lloyd
{"title":"THRIVE: Feasibility, Acceptability, and Social Validity of a Brief Recovery-Focused Intervention in Crisis Stabilization Centers.","authors":"Jennifer D Lockman, Anthony R Pisani, Breanna P Angerer, Adam C Graham, Jacob Henry, Fallan Lloyd","doi":"10.1111/sltb.70021","DOIUrl":"10.1111/sltb.70021","url":null,"abstract":"<p><strong>Background: </strong>Crisis Stabilization Centers (CSCs) are a critical component of the crisis response system and the 988 Lifeline expansion that may promote ED diversion. To maximize CSC care quality and effectiveness, brief psychotherapy interventions that focus on recovery, match CSC workflows, and have the potency to reduce suicide attempts and deaths are needed but do not exist. The purpose of this study was to establish the feasibility, acceptability, appropriateness, and social validity of a novel, ultra-brief, 60-min psychotherapy intervention-Toward Hope, Recovery, Interpersonal Connection, Values, and Engagement for Crisis (THRIVE-C).</p><p><strong>Methods: </strong>We recruited CSC stakeholders (n = 15) and CSC study therapists (n = 5) to complete surveys, followed by a pilot study of THRIVE-C with CSC guests (n = 54).</p><p><strong>Results: </strong>CSC stakeholders, study therapists, and guests found THRIVE feasible, acceptable, appropriate, and socially valid. CSC guests experienced THRIVE-C as satisfactory, established a positive therapeutic alliance (bond), and 91% of guests endorsed behavioral intentions to attend outpatient psychotherapy appointments after discharge. Further, 94% of guests completed all phases of THRIVE, demonstrating clinical readiness to work on suicide recovery beyond physical safety or stabilization from suicide alone.</p><p><strong>Conclusion: </strong>Preliminary findings suggest that further development and testing of THRIVE are needed.</p><p><strong>Trial registration: </strong>This study was registered with ClinicalTrials.gov (Identifier NCT05558891).</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70021"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121187","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
Self-Injurious Thoughts and Behaviors From Pregnancy to Postpartum: Risk Factors and Clinical Implications. 从怀孕到产后的自伤思想和行为:危险因素和临床意义。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70030
Nicolette C Molina, Parisa R Kaliush, Simone Mendes, Ashley E Pappal, Kira R Wright, Anna M Zhou, Kevin M King, Elisabeth Conradt, Sheila E Crowell
{"title":"Self-Injurious Thoughts and Behaviors From Pregnancy to Postpartum: Risk Factors and Clinical Implications.","authors":"Nicolette C Molina, Parisa R Kaliush, Simone Mendes, Ashley E Pappal, Kira R Wright, Anna M Zhou, Kevin M King, Elisabeth Conradt, Sheila E Crowell","doi":"10.1111/sltb.70030","DOIUrl":"10.1111/sltb.70030","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is a leading cause of mortality among perinatal populations. Despite increasing rates, research on this topic remains limited. This paper examined (1) change in self-injurious thoughts and behaviors (SITBs) from pregnancy to postpartum, (2) associations between risk factors and SITBs, and (3) whether risk factors moderated change in SITBs.</p><p><strong>Methods: </strong>Participants (N = 223) reported on SITBs, emotion dysregulation, and partner stress at the third trimester and 7 months postpartum, and childhood trauma at the third trimester. We tested study aims with generalized linear models.</p><p><strong>Result: </strong>While self-injurious thoughts did not change from pregnancy to postpartum, the odds of self-injurious behaviors were 3.56 times higher postpartum (OR = 3.56, p = 0.011), even while accounting for risk factors. Higher concurrent emotion dysregulation was associated with self-injurious thoughts during pregnancy and postpartum (OR = 1.04, p < 0.001; OR = 1.05, p < 0.001) and with behaviors postpartum (OR = 1.05, p = 0.002). Childhood trauma was associated with self-injurious thoughts during pregnancy (OR = 2.54, p = 0.004) and postpartum (OR = 2.05, p = 0.028) and with behaviors postpartum (OR = 3.25, p = 0.009). Partner relationship conflict was not associated with self-injurious thoughts or behaviors at either time point. Higher rates of prenatal risk factors increased the odds of SITBs in the postpartum period.</p><p><strong>Conclusion: </strong>Findings support interventions addressing childhood trauma and emotion dysregulation for prevention of SITBs before postpartum, when risk is higher.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70030"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286718","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 Family Check-Up and Youth Suicide: Assessing Indirect Effects of Improving Self-Regulation and Reducing Depression in Promoting Long-Term Resilience. 家庭检查与青少年自杀:评估改善自我调节和减少抑郁对促进长期心理弹性的间接影响。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI: 10.1111/sltb.70029
Samuel Seidman, Sarah Danzo, Arin Connell, Elizabeth Stormshak
{"title":"The Family Check-Up and Youth Suicide: Assessing Indirect Effects of Improving Self-Regulation and Reducing Depression in Promoting Long-Term Resilience.","authors":"Samuel Seidman, Sarah Danzo, Arin Connell, Elizabeth Stormshak","doi":"10.1111/sltb.70029","DOIUrl":"10.1111/sltb.70029","url":null,"abstract":"<p><strong>Objective: </strong>The Family Check-Up (FCU) is a family-focused prevention program originally developed to reduce externalizing behaviors, which has demonstrated improvements in internalizing behaviors and suicide. The present study attempted a conceptual replication of previous results from a separate trial of the FCU, initiated in early childhood, that found that the FCU predicts reductions in suicide risk via improvements in youth self-regulation.</p><p><strong>Methods: </strong>The current study examined whether the FCU would predict reductions in youth suicidality via improvements in self-regulatory ability, in an independent trial of the FCU, initiated in early adolescence. The sample included 782 families, youth were 50.7% female, and 11 years old at baseline.</p><p><strong>Results: </strong>Findings from previous trials were partially replicated, suggesting that improvements in self-regulatory skills in early adolescence support long-term reductions in suicide risk into early adulthood. However, the indirect effect of the FCU on suicide-related outcomes was only observed at the level of statistical trend in the current trial. Findings are discussed in the context of broader suicide treatments for youth involving family members and targeting important mechanisms of risk.</p><p><strong>Trial registration: </strong>NCT01490307.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70029"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227065","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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