Suicide and Life-Threatening Behavior最新文献

{"title":"Written Exposure Therapy for Posttraumatic Stress Symptoms and Suicide Risk: A Randomized Controlled Trial With High-Risk Patients Admitted to a Military Inpatient Psychiatric Unit.","authors":"Jaclyn C Kearns, Casey L Straud, Ian H Stanley, Denise M Sloan, Brooke A Fina, Stacey Young-McCaughan, Hannah C Tyler, Alexander M Kaplan, Abby E Blankenship, Christian C Schrader, Vanessa R Green, Craig J Bryan, Alan L Peterson, Brian P Marx","doi":"10.1111/sltb.70008","DOIUrl":"10.1111/sltb.70008","url":null,"abstract":"<p><strong>Introduction: </strong>Active duty service members who are psychiatrically hospitalized for suicide are at the highest risk for suicide death following discharge. It is essential to test brief treatments that can be delivered during the short length of stay in inpatient psychiatry. Written Exposure Therapy, a brief treatment for posttraumatic stress disorder (PTSD), was augmented with Crisis Response Planning (WET + CRP) to address PTSD and suicidal ideation (SI).</p><p><strong>Methods: </strong>This randomized controlled trial evaluated the efficacy of the WET + CRP plus treatment as usual (n = 47; TAU) compared with TAU alone (n = 48) in reducing SI, PTSD symptoms, and rehospitalization among suicidal patients with at least moderate PTSD symptoms admitted to an inpatient psychiatric unit. PTSD symptoms and SI were assessed with clinician-administered interviews and self-report.</p><p><strong>Results: </strong>Participants were primarily male (61.1%) and active duty/reserve (93.7%). There were no significant group differences in clinician-assessed SI presence and PTSD symptom severity (the primary outcomes) or self-reported SI severity. WET + CRP demonstrated significant reductions in self-reported PTSD symptom severity compared with TAU; these reductions were the strongest during the month following discharge.</p><p><strong>Conclusions: </strong>Although the findings were not fully consistent with hypotheses, WET + CRP is feasible to deliver to suicidal, psychiatrically hospitalized service members and warrants additional study.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT04225130.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 2","pages":"e70008"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574230","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999253/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lived experiences of mothers: A longitudinal study of impacts and adjustment following adolescent psychiatric hospitalization for suicide attempts or other reasons.","authors":"David B Goldston, Stephanie S Daniel, John F Curry, Karen C Wells, Otima Doyle, Bridget E Weller, Alaattin Erkanli, Alfiee M Breland-Noble, Nicole C Heilbron, Adrienne B Inscoe","doi":"10.1111/sltb.13145","DOIUrl":"10.1111/sltb.13145","url":null,"abstract":"<p><strong>Introduction: </strong>Parents play crucial roles in monitoring and supporting youth who have been hospitalized after suicide attempts, but their adjustment in the period following hospitalization has been understudied. This study assessed the adjustment and impacts on mothers during the year following hospitalization.</p><p><strong>Method: </strong>Participants included 135 mothers of suicidal adolescents and 117 mothers of adolescents hospitalized for other reasons. The Structured Clinical Interview for DSM (SCID) and the Child and Adolescent Impact Assessment were used to assess psychiatric diagnoses of Major Depressive Disorder [MDD], Generalized Anxiety Disorder [GAD], and Post-Traumatic Stress Disorder [PTSD], and impacts on caregivers at one, three, six, and 12 months after hospitalization.</p><p><strong>Results: </strong>Higher rates of MDD, GAD, and PTSD, and greater impacts were evidenced closer in time to the hospitalization. There were few overall differences between mothers of youth with and without suicidal behavior. However, family history of suicidal behavior was related to higher rates of MDD and PTSD, and greater severity of youth suicidal thoughts and behavior over the follow-up was related to greater impact upon mothers of suicidal youth.</p><p><strong>Conclusions: </strong>This study highlights the mental health struggles of mothers of suicidal and other hospitalized youth and underscores the importance of support for caregivers.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13145"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773378","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":"Collaboration and consent in decisions to initiate emergency dispatches for suicide risk: A national qualitative study.","authors":"Lauren M Denneson, Kyla Tompkins, Maeve M Hindenburg, Alexandria Reguinga, Kipling M Bohnert, Dara A Ganoczy, Mark A Ilgen, Peter C Britton","doi":"10.1111/sltb.13142","DOIUrl":"10.1111/sltb.13142","url":null,"abstract":"<p><strong>Introduction: </strong>This study sought to better understand discussions of emergency dispatches (i.e., activation of local crisis services to conduct a welfare check) and the circumstances under which Veterans Crisis Line (VCL) callers and responders feel they are able contribute to (collaboration) and agree upon (consent) the decision to initiate an emergency dispatch.</p><p><strong>Methods: </strong>Semi-structured interviews gathered data on veterans' (n = 40) experiences receiving an emergency dispatch and VCL responders' (n = 35) perspectives on initiating dispatches. Data were analyzed using a thematic analysis approach.</p><p><strong>Results: </strong>Veterans calling the VCL were often seeking emotional support and were surprised to receive a suicide risk assessment and emergency dispatch. Responders reported they strive for collaboration and consent prior to sending a dispatch, but the crisis setting challenged this ideal. Overall, veterans and responders described similar features of the ideal, collaborative conversation about dispatches yet noted threats to achieving collaboration: complex standard operating procedures, responder training quality, and responder lack of comfort with de-escalation.</p><p><strong>Conclusions: </strong>Increasing veteran awareness of VCL services, altering the timing and type of suicide risk assessment, enhancing de-escalation skill, increasing consistency of VCL responder proficiencies, and revising guidelines for dispatch disclosure were identified as ways to improve collaboration and consent around emergency dispatches.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13142"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606653","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":"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}

{"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; η² = 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}

{"title":"Effects of the Canadian Suicide Prevention Service's Text Interventions on Texters' Emotions, Distress Relief, Perceived Abilities, and Practices Associated With Better Outcomes.","authors":"Louis-Philippe Côté, Brian L Mishara","doi":"10.1111/sltb.70007","DOIUrl":"10.1111/sltb.70007","url":null,"abstract":"<p><strong>Aims: </strong>To describe users of the Canada Suicide Prevention Service textline (now \"988\"), explore their perceived impact of the service and identify characteristics of interventions associated with a greater likelihood of positive effects of exchanges.</p><p><strong>Methods: </strong>Data from 146 transcripts were analyzed using quantitative content analysis, and data were associated with counselor assessments and pre- and post-intervention questionnaire responses. Suicide risk was assessed using the Suicidal Ideation Attributes Scale (SIDAS).</p><p><strong>Results: </strong>78.8% of texters exhibited \"severe\" suicidal ideation on SIDAS, with 26.7% reporting specific plans for suicide. Complete risk assessments were often not conducted, but counselors extensively explored texters' resources and discussed potential solutions. Positive emotional changes were associated with counselors' thorough exploration of resources. Only one technique, \"Reinforcing a strength or positive action of the texter,\" was significantly associated with positive outcomes.</p><p><strong>Limitations: </strong>Low response rates to post-intervention survey questions may affect the representativity of participants compared to all textline texters.</p><p><strong>Conclusion: </strong>A large proportion of texters reported they were less upset and were better able to cope with their problems after the text exchange. However, there is a need for more training and supervision to ensure that adequate suicide risk assessments are conducted, or the development of shorter assessment procedures.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 2","pages":"e70007"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587563","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 Construct Validity of Experimental Suicide Images Among Young Adults.","authors":"Lily W Martin, Gabrielle Craddock, Owen Hicks, Ibukunoluwa Grace Okusanya, Jeremy G Stewart","doi":"10.1111/sltb.70010","DOIUrl":"10.1111/sltb.70010","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to validate and provide detailed norms on suicide images commonly used in experimental suicide research, and to examine whether appraisals of suicide images varied based on image features and prior suicidal thoughts and behaviors (STBs).</p><p><strong>Method: </strong>Young adults (N = 264) rated the extent to which images depicted someone \"trying to kill themselves on purpose or who did kill themselves on purpose\" (i.e., suicide ratings). Suicide ratings were examined descriptively and with bivariate and multivariable statistics.</p><p><strong>Results: </strong>Suicide images demonstrated construct validity at image and aggregate levels. Further, suicide images looked more like suicide than pleasant, neutral, and interpersonal violence images, bs ≥ 5.653, ts ≥ 52.505, ps < 0.001. Among suicide images, suicide ratings were higher for images without compared to with gore, b = 0.269, t = 7.714, p < 0.001, and for images depicting high lethality methods (e.g., hanging, firearm) compared to the grand mean of all methods, bs ≥ 0.235, ts ≥ 3.316, ps < 0.001. Suicide ratings of suicide images were not associated with prior STBs.</p><p><strong>Conclusion: </strong>Using valid suicide images, like those tested in the current study, could improve behavioral methods designed to study processes related to STBs.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 2","pages":"e70010"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721734","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":"Detecting Simulated Underreporting on the Minnesota Multiphasic Personality Inventory-3 (MMPI-3) in Veterans With Past-Month Death/Suicide Ideation.","authors":"Lauren R Khazem, Megan A Keen, Taylor R Rodriguez, Paul B Ingram, Jarrod M Hay, Cameron M Long, Craig J Bryan, Joye C Anestis","doi":"10.1111/sltb.13170","DOIUrl":"10.1111/sltb.13170","url":null,"abstract":"<p><strong>Background: </strong>We continue to have limited success in identifying Veterans at high risk of suicide, due in part to reticence of disclosing suicidal ideation.</p><p><strong>Aims: </strong>This study used a simulated groups experimental design to evaluate the MMPI-3's ability to assess suicide risk underreporting in Veterans with past-month death/suicide ideation.</p><p><strong>Materials and methods: </strong>Thirty-nine Veterans (53.85% men) were randomized to standard and simulated underreporting groups and provided valid data on the MMPI-3 and collateral measures. We examined (1) whether simulated underreporting on the MMPI-3 (indexed by L and K scale scores) impacts SUI scale scores, (2) if these effects generalize to underreporting on extratest suicide and non-suicide measures, and (3) if MMPI-3 L and K scales incrementally predict and differentiate between Veterans with recent death/suicide ideation who were instructed to answer honestly and those instructed to underreport.</p><p><strong>Results: </strong>Groups scored significantly differently on K (g = 0.99: M_simulation = 57.83, M_standard = 43.72), but not L. Underreporting captured by K generalized to lower MMPI-3 SUI scale scores (g = 2.00; M_simulation = 46.33, M_standard = 66.81) and collateral measures of suicide risk (g = 0.69-0.79). K scores significantly predicted group membership and added incrementally to L.</p><p><strong>Discussion: </strong>The limitations and clinical implications of these findinga are discussed.</p><p><strong>Conclusion: </strong>MMPI-3 K, but not L, scale scores most reliably capture defensive reporting of suicidal ideation and intent and psychopatholpgy, more boradly. However a signifcant amount of underreporrting of suicidal ideation and intent may go undetected.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT04896151.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 2","pages":"e13170"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711525","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":"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}