Suicide and Life-Threatening Behavior最新文献

{"title":"Daily Meaning in Life Buffers the Within-Person Relationships Between Perceived Burdensomeness and Thwarted Belongingness With Next-Day Suicidal Ideation: An Ecological Momentary Assessment Study.","authors":"David P Cenkner, Annie Duan, Adam G Horwitz, Kamalakannan So M Vijayakumar, Candice L Odgers, Helen J Burgess, Alyson K Zalta","doi":"10.1111/sltb.70136","DOIUrl":"10.1111/sltb.70136","url":null,"abstract":"<p><strong>Introduction: </strong>The interpersonal theory of suicide posits that perceived burdensomeness and thwarted belongingness drive suicidal desire. Ecological momentary assessment studies have provided empirical support for these relationships. Although meaning in life protects against suicidal ideation, no research has examined its daily predictive or moderating effects on interpersonal theory variables and suicidal ideation.</p><p><strong>Methods: </strong>Thirty-seven adults enrolled in a dialectical behavior therapy program were prompted to complete four assessments daily for 21 days, assessing suicidal ideation, perceived burdensomeness, and thwarted belongingness. Meaning in life was captured once daily. Multilevel models using frequentist and Bayesian frameworks tested within- and between-person associations on next-day suicidal ideation.</p><p><strong>Results: </strong>Meaning in life exhibited substantial daily variability. When participants reported greater daily meaning in life compared to their own average, there were weakened associations between perceived burdensomeness and thwarted belongingness with next-day suicidal ideation, covarying for same-day suicidal ideation.</p><p><strong>Conclusions: </strong>Results suggest daily meaning in life protects against next-day suicidal ideation by buffering interpersonal theory variables. Meaning-focused interventions targeting daily fluctuations in meaning in life may reduce acute suicide risk.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70136"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814241","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":"A Randomized Controlled Trial With an Internal Pilot of a Co-Designed App Targeting Upstream Suicide-Related Risk and Protective Factors Among International Students.","authors":"Samuel McKay, Christina Ng, Jennifer Nicholas, Vivienne Browne, Gina Chinnery, Isabella Choi, Bailey Nation-Ingle, Kristal Allison, Ella Perlow, Michelle Lamblin, Elise Carrotte, Ellie Brown, Gregory Armstrong, Jocelyn I Meza, Madhavan Mani, Jo Robinson","doi":"10.1111/sltb.70125","DOIUrl":"10.1111/sltb.70125","url":null,"abstract":"<p><strong>Background: </strong>International students frequently report suicidal thoughts, yet often do not access support. Bud is a co-designed, self-guided mobile app developed as an upstream suicide-prevention intervention targeting transdiagnostic mechanisms related to suicide risk.</p><p><strong>Aim: </strong>To evaluate the effectiveness, acceptability, engagement, and safety of Bud compared with an active and structured psychoeducational comparator.</p><p><strong>Materials and methods: </strong>A two-arm, parallel-group randomized controlled trial was conducted with international students in Australia. Participants were randomized 1:1 to Bud (n = 156) or psychoeducational fact sheets (n = 156), completing assessments at baseline, 2 weeks and 4 weeks. The primary outcome was psychological distress (K10). Secondary outcomes included help-seeking intentions, interpersonal risk processes, emotion regulation, suicidal ideation, and mental health literacy. Analyses used intention-to-treat mixed-effects models.</p><p><strong>Results: </strong>Contrary to the hypotheses, psychological distress decreased from baseline to 4 weeks (Bud: -2.23; Comparator: -2.15), with no group × time interaction (F(2,342.45) = 0.43, p = 0.652); emotion regulation and suicidal ideation showed similar patterns across groups, and other secondary outcomes remained stable across groups. As expected, Bud was rated as enjoyable, worthwhile, and usable. Engagement was moderate (median 10 activities), and no iatrogenic effects occurred.</p><p><strong>Conclusion: </strong>Bud was feasible, acceptable, and safe but did not outperform an active psychoeducational comparator over 4 weeks.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: ACTRN12625000584437.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70125"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370310","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":"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":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>Both PA types showed frequency-dependent, nonlinear associations inconsistent with single-threshold framing. Findings are associational and hypothesis-generating, requiring prospective confirmation.</p>","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}

{"title":"Factors Associated With Job Precariousness and Material Deprivation, and Their Association With Mental Health During the COVID-19 Pandemic.","authors":"Sheila Lopez-Romeo, Pere Castellvi, Isabel Feria-Raposo, Andrea Miranda-Mendizabal, Silvia Recoder, Marc Casajuana-Closas, Susana Subira-Alvarez, Carlos G Forero","doi":"10.1111/sltb.70132","DOIUrl":"10.1111/sltb.70132","url":null,"abstract":"<p><strong>Introduction: </strong>COVID-19 severely disrupted labor markets and living conditions, intensifying job precariousness and material deprivation. We examined whether pre-pandemic mental health conditions predicted socio-economic adversity during the first pandemic year and whether resilience buffered changes in mental health.</p><p><strong>Methods: </strong>We analyzed a nationally representative longitudinal cohort of Spanish adults assessed in two assessments: November 2019 (T0, pre-pandemic) and November-December 2020 (T1). Major depressive episode (MDE), generalized anxiety disorder (GAD), and suicidal thoughts and behaviors (STB) were assessed at T0; job precariousness and material deprivation were measured at T1. Weighted multivariable regression models tested (i) associations between T0 mental health and T1 socio-economic adversity and (ii) associations between T1 adversity and changes in mental health symptoms, including resilience interactions.</p><p><strong>Results: </strong>Pre-pandemic GAD and STB were associated with higher odds of job precariousness during the pandemic, whereas MDE was not significant after adjustment. Job precariousness was associated with small reductions in depressive, anxiety, and STB symptoms, while material deprivation was associated with increased depressive symptoms; higher resilience attenuated the deprivation-depression association.</p><p><strong>Conclusions: </strong>Pre-existing anxiety and suicide-related symptoms may identify individuals more likely to report job precariousness during socio-economic shocks. Preventing material deprivation and strengthening resilience may help reduce downstream depressive burden during crises.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70132"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608370","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":"Factors Associated With Prioritizing Quick Firearm Access Over Suicide Prevention Among US Adults.","authors":"Michael D Anestis, Allison E Bond","doi":"10.1111/sltb.70131","DOIUrl":"10.1111/sltb.70131","url":null,"abstract":"<p><strong>Objective: </strong>To examine characteristics associated with US adults favoring storing firearms unlocked to ensure quick access in an emergency, even if doing so increases the risk for suicide.</p><p><strong>Method: </strong>A total of 2963 adults with home firearm access were drawn from a nationally representative sample of US adults (n = 7521). Participants were members of a probability-based panel and completed a self-report survey between June 24 and July 10, 2025.</p><p><strong>Results: </strong>Being female (OR = 0.82; 95% CI = 0.69-0.99), children in the home (OR = 0.41; 95% CI = 0.33-0.50), trust in the government for protection (OR = 0.89; 95% CI = 0.82-0.97), and beliefs that home firearm access increases suicide risk (OR = 0.66; 95% CI = 0.59-0.75) were associated with lower odds of endorsing firearms should be stored unlocked. Loaded and unlocked storage (OR = 5.90; 95% CI = 4.88-7.15), frequent firearm carrying (OR = 1.08; 95% CI = 1.01-1.15), and belief that firearms are essential for protection (OR = 1.40; 95% CI = 1.27-1.54) were associated with greater odds of endorsing firearms should be stored unlocked.</p><p><strong>Conclusions: </strong>The results could mean those who feel responsible for protecting loved ones and believe firearms are essential for that task are more likely to endorse favoring unlocked firearm storage, even if they believe this will increase suicide risk.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 4","pages":"e70131"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13416218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608387","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":"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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}

{"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":"<p><strong>Objectives: </strong>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).</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Intro: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Discussion: </strong>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.</p><p><strong>Conclusion: </strong>Future research is needed to examine the relationship between anger and NSSI utilizing longitudinal designs.</p>","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}

{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"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":"<p><strong>Introduction: </strong>This study advances a frustration-suicidality thesis, conceptualizing suicidality as an anomic adaptation to frustrations experienced by Indigenous adolescents.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}