Suicide and Life-Threatening Behavior最新文献_第3页

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

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

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

Divergent Effects of Heaven and Hell Beliefs on National Suicide Mortality. 天堂与地狱信仰对国家自杀死亡率的不同影响。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70119

Samudera F Jamaluddin, Riangga Novrianto

{"title":"Divergent Effects of Heaven and Hell Beliefs on National Suicide Mortality.","authors":"Samudera F Jamaluddin, Riangga Novrianto","doi":"10.1111/sltb.70119","DOIUrl":"10.1111/sltb.70119","url":null,"abstract":"Introduction: Belief in a caring God and in a punitive afterlife (Heaven and Hell) is observed across diverse cultural and religious contexts. Yet it remains unclear whether these beliefs are differently associated with suicide mortality.Methods: In the present study, we combined data from the World Values Survey (over 73,834 individuals in 57 countries) with age-standardized suicide mortality from the World Health Organization to evaluate whether national levels of belief in God, importance of God, belief in Heaven, belief in Hell, and religious attendance were associated with lower suicide mortality.Results: In separate analyses, each belief measure and attendance were associated with lower suicide mortality, even after controlling for the per capita availability of psychiatrists and psychologists. However, when economic factors (GDP per capita, income inequality, and unemployment) were included, only the reported importance of God and belief in Heaven remained statistically significant. In contrast, belief in God, belief in Hell, and religious attendance showed attenuated or nonsignificant associations.Conclusion: These findings suggest that both belief in Heaven and the perceived importance of God are associated with lower national suicide mortality, highlighting potentially relevant dimensions of religiosity that may inform culturally sensitive public-health strategies.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70119"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139238","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

Prevalence and Timing of Suicidal Ideation, Preparation, and Attempts Among Mass Shooting Survivors. 大规模枪击案幸存者中自杀意念、准备和尝试的流行程度和时间。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70120

Jaclyn Schildkraut, Allison E Bond, Michael D Anestis

{"title":"Prevalence and Timing of Suicidal Ideation, Preparation, and Attempts Among Mass Shooting Survivors.","authors":"Jaclyn Schildkraut, Allison E Bond, Michael D Anestis","doi":"10.1111/sltb.70120","DOIUrl":"https://doi.org/10.1111/sltb.70120","url":null,"abstract":"Objective: Exposure to mass public shootings is associated with adverse mental health outcomes, yet little is known about suicidal thoughts and behaviors among survivors. This study examines the prevalence and timing of suicidal ideation, preparation, and suicide attempts, as well as variation across subgroups.Methods: Data were drawn from a survey of 167 individuals directly and indirectly exposed to mass public shootings in the United States. Suicidal ideation, preparation, and suicide attempts were assessed using items from the Self-Injurious Thoughts and Behaviors Interview. Descriptive analyses examined prevalence, timing, and subgroup variation.Results: Half of respondents reported suicidal ideation (50.9%), while 16.8% reported preparation and 7.8% reported suicide attempts. The more common time frame for all three outcomes was more than 1 year prior, although some respondents reported recent experiences. Variation across exposure and victimization groups was observed descriptively, while differences by race/ethnicity were limited.Conclusions: Suicidal thoughts and behaviors are present among a substantial proportion of mass shooting survivors, with respondents reporting experiences across multiple timeframes. Findings highlight the importance of ongoing identification and intervention efforts.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70120"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266604","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

Risk Rulers for Rapid Screening and Detection of Suicide Risk in Acute Care. 急性护理中自杀风险快速筛查与检测的风险指标。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70112

Edwin D Boudreaux, Hyein S Lee, Celine Larkin, Rachel Davis-Martin, David G Beiser, Robert Gibbons

{"title":"Risk Rulers for Rapid Screening and Detection of Suicide Risk in Acute Care.","authors":"Edwin D Boudreaux, Hyein S Lee, Celine Larkin, Rachel Davis-Martin, David G Beiser, Robert Gibbons","doi":"10.1111/sltb.70112","DOIUrl":"10.1111/sltb.70112","url":null,"abstract":"Introduction: To develop fast, intuitive, and accurate suicide risk screening, this study aimed to optimize 0-to-10 point suicide risk rulers.Methods: 662 adult patients from two emergency departments (EDs) completed five risk rulers, two best-practice screeners, and the Columbia Suicide Severity Rating Scale (CSSRS). Using the CSSRS as the reference, we calculated optimized cutoffs, performance metrics, and AUROCs for differentiating between negligible vs. elevated risk and non-high vs. high risk. Performances of rulers and best-practice screeners were compared.Results: The rulers demonstrated acceptable performance when identifying elevated risk (AUROCs: 0.71-0.81) and stronger performance when identifying high risk (AUROCs: 0.91-0.95). The sadness ruler best predicted elevated risk (AUROC: 0.81 [95% CI: 0.76-0.86]; optimized score: 5 [3-7]; sensitivity: 0.71 [0.50-0.88]; specificity: 0.74 [0.61-0.89]). The suicidal ideation frequency ruler best predicted high risk (AUROC: 0.95 [0.85-1.00], optimized score: 2 [2-5]; sensitivity: 0.89 [0.60-1.00]; specificity: 0.95 [0.93-0.98]). The rulers outperformed a three-item primary screener, but not a longer 10-item primary and secondary screener, which best predicted both risk thresholds.Conclusions: Suicide risk rulers offer a fast, intuitive primary screening method for initial risk detection with acceptable operating characteristics. Our findings can inform the screening approach that best fits the needs of a given ED.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70112"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147982953","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

Evaluating the Clinical Utility of the Interpersonal Hopelessness Scale Among Adults With Past-Year Suicide Ideation. 评价人际绝望量表在过去一年有自杀意念的成年人中的临床应用。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70108

Michael LeDuc, Cole Marvin, Sean M Mitchell, Sarah L Brown, Emma H Moscardini, Raymond Tucker

{"title":"Evaluating the Clinical Utility of the Interpersonal Hopelessness Scale Among Adults With Past-Year Suicide Ideation.","authors":"Michael LeDuc, Cole Marvin, Sean M Mitchell, Sarah L Brown, Emma H Moscardini, Raymond Tucker","doi":"10.1111/sltb.70108","DOIUrl":"10.1111/sltb.70108","url":null,"abstract":"Introduction: The Interpersonal Hopelessness Scale (IHS) measures hopelessness about thwarted belongingness (TB) and perceived burdensomeness (PB) improving over time, which represent core components of the interpersonal theory of suicide. We aimed to evaluate IHS clinical utility by examining whether IHS total and subscale scores predicted both concurrent and short-term prospective suicidal desire.Methods: US adults with past-year suicide ideation completed online self-report assessments at two time points, 1 week apart (Wave 1 [W1], n = 595; Wave 2 [W2], n = 200).Results: IHS total, TB, and PB scores were each significantly associated with the presence of concurrent suicidal desire and adequately discriminated between those with and without suicidal desire. Prospectively, all W1 IHS scores predicted W2 suicidal desire; however, area under the curve statistic values were lower than in concurrent models. When including both IHS subscales as simultaneous predictors, only IHS-PB remained a significant predictor of prospective suicidal desire. We present clinical cutoff scores and estimated probabilities of suicidal desire to support IHS score interpretation in applied settings.Conclusion: These findings provide preliminary support for the IHS as a theory-informed and clinically meaningful tool for suicide risk assessment, with the potential to enhance case conceptualization and guide intervention planning.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70108"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13600477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976122","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

Emotional Responses to Social Media and Non-Suicidal Self-Injury Among Adolescents. 青少年对社交媒体的情绪反应与非自杀性自伤

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-06-01 DOI: 10.1111/sltb.70122

Athena B Thai, Melissa J Dreier, Jessica L Hamilton

{"title":"Emotional Responses to Social Media and Non-Suicidal Self-Injury Among Adolescents.","authors":"Athena B Thai, Melissa J Dreier, Jessica L Hamilton","doi":"10.1111/sltb.70122","DOIUrl":"10.1111/sltb.70122","url":null,"abstract":"Introduction: Adolescents engage in non-suicidal self-injury (NSSI) and social media more than any other age group. To understand the role of adolescents' subjective social media experiences in NSSI, this study examined the relationships between emotional responses to social media and NSSI urges and engagement.Methods: Data were collected from two studies, which included a cross-sectional study (N = 408) and an 8-week intensive-longitudinal study (N = 80) with ecological momentary assessment (3 surveys/day).Results: The cross-sectional study revealed that positive responses to social media were associated with the presence of NSSI urges across all time points and frequency of NSSI engagement in the past year and lifetime. Negative responses to social media were associated with the presence of NSSI urges and engagement across all time points and frequency of NSSI engagement in the past week, month, and year. The intensive-longitudinal study revealed that positive responses to social media were not associated with daily NSSI urge intensity or presence of engagement, although negative responses to social media were associated with both daily NSSI urge intensity and presence of engagement.Discussion: Interventions aiming to reduce adolescent NSSI may benefit from addressing ways to cope with negative social media experiences and promoting positive experiences.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70122"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319578","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

Examining BRITEpath, a Digital Intervention for Reducing Adolescent Suicide Risk in Primary Care: A Randomized-Controlled Trial. 检查BRITEpath，降低初级保健青少年自杀风险的数字干预：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.70114

Nermin Toukhy, Candice Biernesser, Jamie Zelazny, Brandie George-Milford, Casey Monteverde, Giovanna Porta, Kaleab Z Abebe, David Brent, Stephanie Stepp

{"title":"Examining BRITEpath, a Digital Intervention for Reducing Adolescent Suicide Risk in Primary Care: A Randomized-Controlled Trial.","authors":"Nermin Toukhy, Candice Biernesser, Jamie Zelazny, Brandie George-Milford, Casey Monteverde, Giovanna Porta, Kaleab Z Abebe, David Brent, Stephanie Stepp","doi":"10.1111/sltb.70114","DOIUrl":"10.1111/sltb.70114","url":null,"abstract":"Introduction: Previous research has identified a high need for suicide risk management in primary care settings among adolescents. This randomized controlled trial examined the efficacy and feasibility of BRITEpath, a smartphone-based application and clinician portal designed to help youth in reducing suicide risk.Methods: Participants (n = 101, ages 12-26, 85.1% female) that were either referred to or were receiving mental health services in primary care were randomly assigned (2:1 allocation) to BRITEpath + TAU (n = 68) or TAU alone (n = 33). Independent evaluators, blinded to treatment, assessed outcomes at baseline, Week 4, and Week 12. Primary outcomes included suicidal thoughts and behaviors, depression, mental health service use, and quality of life; secondary outcomes examined usability and satisfaction.Results: No significant differences were found between BRITEpath + TAU and TAU for primary outcomes overall. However, BRITEpath participants reported lower suicidal thoughts over time. History of inpatient and outpatient care moderated the effect of BRITEpath on depression. Participants reported high satisfaction and perceived usefulness of the app.Conclusions: BRITEpath shows promising effects on suicidal thoughts and depression, particularly among those with prior psychiatric care. Future research should explore strategies to enhance engagement, such as integration with ongoing care, which may strengthen the impact on clinical outcomes.Trial registration: ClinicalTrials.gov identifier: NCT04672798.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 3","pages":"e70114"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206486","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