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":"https://doi.org/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":"","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":"","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}
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}
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}
Shawn P Gilroy, Raymond P Tucker, Ryan M Hill, Michael D Anestis, Craig J Bryan, Brian W Bauer
{"title":"Conditions that increase the perceived likelihood of temporary restriction of firearm access: An investigation in male firearm owners.","authors":"Shawn P Gilroy, Raymond P Tucker, Ryan M Hill, Michael D Anestis, Craig J Bryan, Brian W Bauer","doi":"10.1111/sltb.13149","DOIUrl":"10.1111/sltb.13149","url":null,"abstract":"<p><strong>Introduction: </strong>This study evaluated hypothetical participation in temporary voluntary removal of firearms from the home to reduce future suicide risk in 408 adult male firearm owners.</p><p><strong>Methods: </strong>A delay discounting approach was applied to evaluate the degree to which these choices were influenced by two dimensions of reinforcer efficacy-delay and magnitude. The decision-making task sampled choice behavior across various durations of temporary voluntary removal of firearms (Delay) and differences in stated potential risk of suicide (Magnitude) as a result of that choice.</p><p><strong>Results: </strong>Results of mixed-effects modeling indicated that the subjective value of immediate access to a firearm was differentially sensitive to both delay and magnitude. Additionally, the scaling of these effects was linked to various other indicators of firearm-specific safety (e.g., use of trigger locks) and suicidality risk (e.g., intolerance of uncertainty).</p><p><strong>Conclusions: </strong>These results provide additional support for behavioral models of decision-making (i.e., delay discounting) when evaluating how specific environmental arrangements and framing may support (or potentially discourage) engagement in means safety activities, inclusive of temporary firearms access restriction. These findings suggest that further analysis of the ecological underpinnings of these choices may help to guide more targeted efforts to engage with firearm owners in safety planning when there are concerns about the potential for suicide.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13149"},"PeriodicalIF":2.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773372","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}
Michael D Anestis, Craig J Bryan, AnnaBelle O Bryan, Daniel W Capron
{"title":"Threat perceptions, defensive behaviors, and the perceived suicide prevention value of specific firearm storage practices.","authors":"Michael D Anestis, Craig J Bryan, AnnaBelle O Bryan, Daniel W Capron","doi":"10.1111/sltb.13123","DOIUrl":"10.1111/sltb.13123","url":null,"abstract":"<p><strong>Introduction: </strong>Secure firearm storage has been proposed as a suicide prevention method within the military; however, secure storage practices are uncommon. Service members may perceive limited value in secure storage as a suicide prevention tool and threat-related factors may influence such perceptions.</p><p><strong>Method: </strong>A nationally representative sample of firearm-owning military service members (n = 719) was recruited between December 3, 2021 and January 4, 2022 to complete a self-report survey by Ipsos using their KnowledgePanel calibration approach to optimize representativeness.</p><p><strong>Results: </strong>Threat sensitivity was associated with less perceived suicide prevention value across all within-home storage practices as well as out-of-home storage. Defensive firearm ownership was associated with less perceived out-of-home storage value. Contrary to expectations, PTSD symptoms were associated with greater perceived suicide prevention value across all storage practices and intolerance of uncertainty was associated with greater perceived out-of-home storage value.</p><p><strong>Discussion: </strong>Perceptions of, sensitivity to, and reactions to threat represent a complicated confluence of factors that may influence firearm views and behaviors in disparate ways. Viewing the world as dangerous and other people as a threat may limit perceived suicide prevention value for secure storage and increase the drive for firearm access.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13123"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074180","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}