Suicide and Life-Threatening Behavior最新文献_第2页

Differential Moderation by Aerobic and Muscle-Strengthening Physical Activity of the Violence Victimization-Suicidal Ideation Association in Korean Adolescents. 有氧运动和肌肉强化运动对韩国青少年暴力受害-自杀意念关联的差异调节。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70134

Youngjun Lee

{"title":"Differential Moderation by Aerobic and Muscle-Strengthening Physical Activity of the Violence Victimization-Suicidal Ideation Association in Korean Adolescents.","authors":"Youngjun Lee","doi":"10.1111/sltb.70134","DOIUrl":"10.1111/sltb.70134","url":null,"abstract":"Purpose: Violence victimization is a known risk factor for adolescent suicidal ideation, yet moderating factors remain poorly understood. This study examined whether aerobic and muscle-strengthening physical activity (PA) differentially moderated the violence victimization-suicidal ideation association.Methods: Four waves of the Korea Youth Risk Behavior Survey (KYRBS 2021-2024; n = 214,218) were analyzed using complex sample logistic regression. Aerobic PA (0-7 days/week) and muscle-strengthening PA (0-5+ days/week) were modeled continuously, with linear and quadratic terms to test interactions with violence victimization, adjusting for psychosocial and sociodemographic covariates. Sex- and SES-stratified analyses and formal three-way interaction tests were conducted.Results: Overall, 13.3% reported suicidal ideation, versus 38.9% among violence-victimized adolescents (OR = 3.43). Aerobic PA showed a non-monotonic interaction with violence: odds of suicidal ideation were elevated at 1-3 days/week (ORs 1.4-1.8) but attenuated at ≥ 4 days/week, a pattern nominally strongest among males. Muscle-strengthening PA showed elevated odds at higher frequencies (≥ 3 days/week; ORs 1.4-1.9) rather than low frequencies, though this association was not statistically significant in continuous models.Discussion: Both PA types showed frequency-dependent, nonlinear associations inconsistent with single-threshold framing. Findings are associational and hypothesis-generating, requiring prospective confirmation.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70134"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13478539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762747","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

Collectivism and Suicide Risk: Reinterpreting Interpersonal Theory Constructs in Southern Belize. 集体主义与自杀风险：重新诠释南伯利兹的人际关系理论建构。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70130

Jaclyn Kirsch, Regina Praetorius, Megan Fabbri, Olusola Oladeji

{"title":"Collectivism and Suicide Risk: Reinterpreting Interpersonal Theory Constructs in Southern Belize.","authors":"Jaclyn Kirsch, Regina Praetorius, Megan Fabbri, Olusola Oladeji","doi":"10.1111/sltb.70130","DOIUrl":"10.1111/sltb.70130","url":null,"abstract":"Background: Over 70% of global suicides occur in low- and middle-income countries (LMICs), yet cultural mechanisms of suicide risk remain underexplored. Collectivism is often assumed protective, but emerging evidence from vertically collectivist settings suggests a more complex relationship.Methods: Qualitative interviews were conducted with 29 community stakeholders across health, education, religious, and social service sectors in Toledo District, southern Belize. Data were analyzed using reflexive thematic analysis with deductive alignment to the Interpersonal Theory of Suicide (IPTS) and inductive attention to collectivist cultural dynamics.Results: Findings mapped onto all three IPTS constructs. Acquired capability emerged through repeated lifespan exposure to violence, including corporal punishment, intimate partner violence, alcohol-related harm, and community violence. Thwarted belongingness was shaped by stigma, ethnic exclusion, family conflict, and Toledo's structural marginalization as a \"forgotten district.\" Perceived burdensomeness reflected poverty, unemployment, aging-related dependence, and limited access to care. Across constructs, vertical collectivist norms governing privacy, reputation, and emotional restraint appeared to shape how distress was expressed and managed.Conclusions: These findings extend IPTS by demonstrating how collectivist norms and structural scarcity intersect to shape suicide risk in an LMIC context, underscoring the need for culturally grounded, structurally informed prevention approaches.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70130"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13371153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449587","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

An Examination of the Relationship Between Primal World Beliefs and Suicidal Thoughts and Behaviors in Three Samples of U.S. Adults. 三个美国成人样本中原始世界信念与自杀想法和行为之间关系的研究。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70121

Abby Adler Mandel, Anna Maclellan, Max Stivers, Evan Albury, Frances Grace Hart, Sarah Hunt, Raymond P Tucker

{"title":"An Examination of the Relationship Between Primal World Beliefs and Suicidal Thoughts and Behaviors in Three Samples of U.S. Adults.","authors":"Abby Adler Mandel, Anna Maclellan, Max Stivers, Evan Albury, Frances Grace Hart, Sarah Hunt, Raymond P Tucker","doi":"10.1111/sltb.70121","DOIUrl":"10.1111/sltb.70121","url":null,"abstract":"Objectives: Primal world beliefs (primals) are fundamental assumptions about the world that may serve as suicide risk factors. This study examined relationships between primals and suicidal thoughts and behaviors in three samples of adults with recent suicidal ideation (SI).Method: Study 1 analyzed cross-sectional data (N = 304 undergraduates; N = 390 Prolific participants) involving measures of primals, SI, wish to live (WTL), wish to die (WTD), and coping self-efficacy. Study 2 included Prolific participants (N = 174) who completed measures of primals and SI at baseline and 1-month follow-up. Cross-lagged panel analyses examined temporal relationships between primals and SI.Results: Positive primals were associated with lower SI, greater WTL, lower WTD, and higher suicidal coping self-efficacy. Believing the world is meaningful, needs me, and good at baseline predicted lower SI at 1-month follow up, whereas SI at baseline did not predict primals at follow up. Primals were inconsistently related to past suicide attempts.Conclusion: Findings support a relationship between primals and SI both cross-sectionally and over time. Positive primals may play a protective role against SI over time and may serve as a promising treatment target for adapting existing interventions.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70121"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473224","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 Relationship Between Anger and Nonsuicidal Self-Injury: A Meta-Analysis. 愤怒与非自杀性自伤之间的关系：一项元分析。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-08-01 DOI: 10.1111/sltb.70123

Tate F Halverson, Tapan A Patel, Luke Nguyen, Rachel L Zelkowitz, Molly Goodrich, Nathan A Kimbrel, Samantha Kaplan, Kirsten H Dillon

{"title":"The Relationship Between Anger and Nonsuicidal Self-Injury: A Meta-Analysis.","authors":"Tate F Halverson, Tapan A Patel, Luke Nguyen, Rachel L Zelkowitz, Molly Goodrich, Nathan A Kimbrel, Samantha Kaplan, Kirsten H Dillon","doi":"10.1111/sltb.70123","DOIUrl":"10.1111/sltb.70123","url":null,"abstract":"Intro: Associations of negative affect and nonsuicidal self-injury (NSSI) are well-characterized. However, relationships between discrete negative emotions and NSSI are less well understood. An association between anger and NSSI is supported by contemporary models and growing evidence from studies across diverse populations.Methods: The goal of this meta-analysis was to systematically review the literature and to calculate the effect size of the relationship between NSSI and anger.Results: The relationship between NSSI and anger constructs was examined with data from 25 studies (total N = 9148). Results of the meta-analysis showed an overall moderate association between NSSI and anger (pooled Hedges' g = 0.55) based on 31 individual effect sizes. There were no significant differences in effect size estimates across anger constructs. There were no significant moderators of the relationship between NSSI and anger.Discussion: Findings highlight the important role of the discrete emotion of anger in NSSI among adults. Findings may inform clinical recommendations such as the assessment for potential NSSI when individuals present with anger. Additionally, anger is likely related to the functions of NSSI and may play a role in maintaining this behavior.Conclusion: Future research is needed to examine the relationship between anger and NSSI utilizing longitudinal designs.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70123"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437985","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

Psychometric Properties and Longitudinal Predictors of the Columbia Suicide Severity Rating Scale (C-SSRS) in a Brazilian Community Cohort: A 15-Year Follow-Up Study. 哥伦比亚自杀严重程度评定量表（C-SSRS）在巴西社区队列中的心理测量特性和纵向预测因素：一项15年随访研究。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70118

Rodolfo Furlan Damiano, Craig J Bryan, Pedro M Pan, Luis A Rohde, Euripedes Constantino Miguel, Giovanni Abrahão Salum, Maurício S Hoffmann

{"title":"Psychometric Properties and Longitudinal Predictors of the Columbia Suicide Severity Rating Scale (C-SSRS) in a Brazilian Community Cohort: A 15-Year Follow-Up Study.","authors":"Rodolfo Furlan Damiano, Craig J Bryan, Pedro M Pan, Luis A Rohde, Euripedes Constantino Miguel, Giovanni Abrahão Salum, Maurício S Hoffmann","doi":"10.1111/sltb.70118","DOIUrl":"10.1111/sltb.70118","url":null,"abstract":"Introduction: The Columbia Suicide Severity Rating Scale (C-SSRS) is widely used for assessing suicidal thoughts and behaviors, yet evidence on the validity of its scoring outputs in community-based samples from low- and middle-income countries remains scarce.Methods: Participants included 2076 young adults (mean age 23.45, 47% female) from the Brazilian High-Risk Cohort Study at 15-year follow-up. We evaluated C-SSRS Ideation Severity (0-5) and Intensity (0-25) scores using internal consistency, confirmatory factor analysis, item response theory, Guttman scalability, convergent/discriminant validity, known-groups comparisons, ROC analysis, and longitudinal associations with childhood risk factors via adjusted count regression.Results: 37% endorsed lifetime suicidal ideation; 16% reported attempts. Internal consistency was low for severity (KR-20 = 0.57) and intensity (ω = 0.67). A two-factor model improved fit over a unidimensional structure (CFI = 0.997 vs. 0.954). Guttman scalability was acceptable (CR = 0.940) but with violations at higher severity levels. C-SSRS severity discriminated attempt history (AUC = 0.93). Prior self-harm was the strongest longitudinal predictor (IRR = 2.06), with a dose-response across risk categories.Conclusion: C-SSRS scores show low internal consistency and multidimensional structure, yet strong clinical discrimination and robust 15-year longitudinal associations. Caution is warranted when using these scores as continuous indices.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70118"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158524","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

Suicidality of Indigenous Teenagers as an Anomic Adaptation to Frustration: An Empirical Test (Correlates of Indigenous Teenage Suicidality). 原住民青少年的自杀倾向是对挫折的失范适应：一项实证检验（原住民青少年自杀倾向的相关因素）。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70103

Liqun Cao, Steve Stack

{"title":"Suicidality of Indigenous Teenagers as an Anomic Adaptation to Frustration: An Empirical Test (Correlates of Indigenous Teenage Suicidality).","authors":"Liqun Cao, Steve Stack","doi":"10.1111/sltb.70103","DOIUrl":"10.1111/sltb.70103","url":null,"abstract":"Introduction: This study advances a frustration-suicidality thesis, conceptualizing suicidality as an anomic adaptation to frustrations experienced by Indigenous adolescents.Methods: Using a subsample from the Aboriginal People's Survey 2017 (released 2023), we examine suicidal ideation among Indigenous adolescents aged 15 to 18 years in Canada with weighted least squares regression. Frustration is operationalized through indicators of unfulfilled life conditions, including school dropouts, functional disability, residential instability, and unmet medical needs.Results: The regression model explains 32.2% of the variance in suicidality. Consistent with expectations, frustration, proxied by school dropouts, functional disability, residential instability, and unmet medical needs, is significantly associated with suicidal ideation. Self-rated mental health emerges as the strongest correlate. Food insecurity, smoking, and alcohol use are also linked to higher levels of suicidal ideation.Conclusion: This is the first systematic analysis of suicidality among teenage Indigenous Canadians. The findings highlight the central role of frustration in adolescent suicidality. Effective prevention strategies should address both mental health and physical disability, while also reducing structural barriers such as school dropout and unmet healthcare needs. Policy implications are considered in light of the study's data limitations.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70103"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266531","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

Echoes of Trauma: Multi-Timescale Pathways Linking Childhood Trauma to Adolescent Non-Suicidal Self-Injury via Social Exclusion. 创伤的回声：通过社会排斥将童年创伤与青少年非自杀性自伤联系起来的多时间尺度路径。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70110

Yueyue Meng, Ying Cao, Zhen He, Yanyun Yuan, Zhouqing Luo, Fang Xiang, Yiqiu Hu, Zihao Zeng

{"title":"Echoes of Trauma: Multi-Timescale Pathways Linking Childhood Trauma to Adolescent Non-Suicidal Self-Injury via Social Exclusion.","authors":"Yueyue Meng, Ying Cao, Zhen He, Yanyun Yuan, Zhouqing Luo, Fang Xiang, Yiqiu Hu, Zihao Zeng","doi":"10.1111/sltb.70110","DOIUrl":"10.1111/sltb.70110","url":null,"abstract":"Background: Non-suicidal self-injury (NSSI) is common during adolescence and is robustly associated with childhood trauma.Objectives: The present study examined how early trauma translates into long-term vulnerability and daily risk of NSSI.Methods: Using a multi-timescale integrative design, this study combined two-wave longitudinal survey data (N = 1328) with a 13-day daily diary study (N = 287) to examine long-term and daily processes linking childhood trauma, social exclusion, and adolescent NSSI.Results: Childhood trauma was directly associated with higher levels of NSSI and indirectly related to NSSI through both social ignoring and social rejection. These pathways were consistently supported across long-term and daily timescales. In addition, marked heterogeneity emerged in the rejection-NSSI association, with distinct risk patterns observed across levels of trauma exposure.Conclusion: Grounded in developmental psychopathology and interpersonal stress frameworks, this study integrates longitudinal and intensive daily data to show how distal childhood trauma contributes to adolescent NSSI through proximal social experiences. The findings provide empirically grounded guidance for refined risk identification and timing-sensitive intervention in adolescent populations.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70110"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148006971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility, Acceptability, and Impact of the Couples Crisis Response Plan (CCRP) to Reduce Post-Discharge Suicide Risk: A Randomized Controlled Trial. 夫妻危机应对计划（CCRP）降低出院后自杀风险的可行性、可接受性和影响：一项随机对照试验

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70107

Alexis M May, Craig J Bryan, Brian R W Baucom

{"title":"Feasibility, Acceptability, and Impact of the Couples Crisis Response Plan (CCRP) to Reduce Post-Discharge Suicide Risk: A Randomized Controlled Trial.","authors":"Alexis M May, Craig J Bryan, Brian R W Baucom","doi":"10.1111/sltb.70107","DOIUrl":"10.1111/sltb.70107","url":null,"abstract":"Introduction: Most suicide interventions focus on the individual and exclude a relationship partner. This is despite substantial evidence from other mental health conditions that including family members in care improves outcomes. The present study is a pilot randomized controlled trial of a partner-involved adaptation of CRP examining feasibility, acceptability, and impact.Methods: Ninety-one active-duty service members and their romantic partners were recruited from an inpatient psychiatric unit. Couples were randomized to: (1) the Couples Crisis Response Plan (CCRP) condition or (2) a couples psychoeducation (CPE) condition and completed 1, 3, and 6 month follow up assessments.Results: Feasibility analyses show that participants and their partners were recruited and retained. Acceptability analyses showed over 90% of patients and 70%-96% of partners were satisfied with the interventions. No differences emerged between the CCRP and the CPE in suicide ideation or suicidal behavior, but patients in CCRP reported significantly fewer negative communication patterns throughout follow up and fewer suicidal cognitions at 6 month follow-up compared to those in CPE.Conclusions: Partner-involved brief suicide prevention interventions are feasible and acceptable. The skills-based CCRP intervention may reduce destructive communication patterns and degrade suicidal cognitions more than a couples psychoeducation session.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70107"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13251350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212864","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

Honor Endorsement Strengthens Military Personnel's Help-Seeking Stigma Toward Mental Health. 荣誉背书强化军人寻求心理健康帮助的耻辱感

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70113

Jarrod E Bock, Jacques De Villiers, Katy Jones, Stephen Foster

{"title":"Honor Endorsement Strengthens Military Personnel's Help-Seeking Stigma Toward Mental Health.","authors":"Jarrod E Bock, Jacques De Villiers, Katy Jones, Stephen Foster","doi":"10.1111/sltb.70113","DOIUrl":"10.1111/sltb.70113","url":null,"abstract":"Introduction: Suicide among US military personnel (active-duty and veterans) is a public health crisis, with rates among personnel far exceeding that of the general population. However, military-related suicide rates are not evenly distributed across the United States, with research indicating that they are higher in more honor-oriented states. In addition to firearm accessibility being a significant suicide risk factor for both military personnel and individuals in honor cultures, both groups also stigmatize help-seeking for mental healthcare. We examined whether honor endorsement differentially affected military personnel and civilians help-seeking stigma, hypothesizing that self-stigma and perceived social stigma would be strongest among honor-oriented military personnel.Method: Participants were 236 civilians and 475 military personnel. We examined associations between their endorsement of honor norms and three forms of help-seeking stigma while controlling for relevant factors (e.g., gender, income, health insurance).Results: Both military personnel (v. civilians) and honor endorsement were associated with greater self-stigma and perceived social stigma, but not barriers to care. Most importantly, honor endorsement strengthened military personnel's self-stigma and perceived social stigma toward help-seeking.Conclusions: Findings add to literature on the honor-military association and suggest that the cultural ideology of honor might serve as a barrier to help-seeking for military personnel.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70113"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148006900","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

Suicide Risk Among Youth Who Choose "No Response" on Emergency Department Suicide Risk Screenings. 在急诊科自杀风险筛选中选择“不回应”的青少年的自杀风险

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70102

Stephanie D Boyd, Cheryl A King, David Brent, T Charles Casper, Jeffrey A Bridge, Michael Webb, Claire Hatkevich, Tricia Hengehold, Jacqueline Grupp-Phelan

{"title":"Suicide Risk Among Youth Who Choose \"No Response\" on Emergency Department Suicide Risk Screenings.","authors":"Stephanie D Boyd, Cheryl A King, David Brent, T Charles Casper, Jeffrey A Bridge, Michael Webb, Claire Hatkevich, Tricia Hengehold, Jacqueline Grupp-Phelan","doi":"10.1111/sltb.70102","DOIUrl":"10.1111/sltb.70102","url":null,"abstract":"Introduction: We compare suicidal behavior outcomes for adolescents who select \"no response\" on Ask Suicide-Screening Questions (ASQ) items in the emergency department (ED) with those of adolescents who screen negative or positive.Methods: The multisite Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) study prospectively enrolled adolescents at ED visits, randomizing a subset to follow-up of six-month duration. Participants and parents/guardians completed mental health surveys during the ED encounter and (if applicable) at 3- and 6-month. Risk group was assigned based on ED ASQ score (positive, negative, or nonresponse). Primary outcomes were suicidal ideation, suicide attempt, and mental health service use within 6 months.Results: There were 6411 participants assigned to an ASQ group; 2296 participated in follow-up. Nonresponse was associated with intermediate risk for suicidal ideation (nonresponse group adjusted odds ratio [OR] 2.14 [95% CI 1.33-3.41]; positive group 4.35 [2.93-6.51]), attempt (nonresponse group adjusted OR 2.82 [0.97-8.41]; positive group 5.35 [2.25-14.33]), and mental health care receipt (nonresponse group unadjusted OR 3.42 [1.56-7.59]; positive group 9.88 [5.60-17.79]).Conclusions: Youth choosing nonresponse on suicide screening questions may be at elevated risk for suicidal ideation and behavior; ED clinicians should not default to treating these youth as negative screens.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70102"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13251324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206518","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