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

Understanding Compliance Rates in Suicide Research During the Post-Discharge Period.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 DOI: 10.1111/sltb.13167

Heather T Schatten, Gemma T Wallace, Sara K Kimble, Melanie L Bozzay

{"title":"Understanding Compliance Rates in Suicide Research During the Post-Discharge Period.","authors":"Heather T Schatten, Gemma T Wallace, Sara K Kimble, Melanie L Bozzay","doi":"10.1111/sltb.13167","DOIUrl":"10.1111/sltb.13167","url":null,"abstract":"Introduction: The period following discharge from psychiatric hospitalization is one of particularly elevated suicide risk. It is essential to better understand risk factors for suicide during this period; however, retention and compliance in longitudinal research can be a challenge with high-risk populations.Methods: We examined compliance rates in the six-month period following psychiatric hospital discharge among 174 adults (149 psychiatric patients and 25 healthy controls) across three data collection methods: ecological momentary assessment (EMA), weekly clinical assessment phone calls, and clinical follow-up assessments at two- and six-months post-discharge. We examined whether clinical and demographic characteristics influenced compliance rates.Results: Results suggested low rates of EMA compliance, but strong rates of completion of weekly phone calls and follow-up assessments. Compared to psychiatric patients, healthy controls completed more EMA and weekly phone calls, but not follow-up assessments. Participants who met current diagnostic criteria for a major depressive episode and who scored above the clinical threshold for borderline personality disorder symptoms had lower EMA compliance rates.Conclusions: These findings have important implications for strategies to improve patient engagement in research during this high-risk period.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e13167"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034656","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

Sertraline medications plus dialectical behavior therapy for depressed adolescents with nonsuicidal self-injury behaviors. 舍曲林药物加辩证行为疗法治疗有非自杀性自伤行为的抑郁青少年。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2024-10-14 DOI: 10.1111/sltb.13132

Chaoqun Liu, Xinwu Ye, Minshan Chen

{"title":"Sertraline medications plus dialectical behavior therapy for depressed adolescents with nonsuicidal self-injury behaviors.","authors":"Chaoqun Liu, Xinwu Ye, Minshan Chen","doi":"10.1111/sltb.13132","DOIUrl":"10.1111/sltb.13132","url":null,"abstract":"Objective: The study aims to investigate the efficacy of sertraline medication plus dialectical behavior therapy (DBT) in reducing nonsuicidal self-injury (NSSI) behavior and depression among adolescents.Methods: Participants were 100 adolescents with depression and NSSI behaviors, 50 of whom received sertraline medication plus DBT and 50 of whom received sertraline medication plus cognitive behavioral therapy (CBT) for 12 weeks.Results: During 6 months post intervention, 26 (57.8%) participants did not report having engaged in any form of NSSI in the sertraline + DBT group and 15 (32.6%) in the sertraline + CBT group, showing significant difference. The sertraline + DBT group and the sertraline + CBT group exhibited significant difference regarding the proportions of cutting skin and biting self. The scores of anxiety, depression, aggression against self in four modified overt aggression scale categories, and Personal and Social Performance were notably lower in the sertraline + DBT group than those in the sertraline + CBT group at 6 months post intervention.Conclusion: Sertraline medication plus DBT could decrease NSSI episodes and improve symptoms of anxiety and depression for adolescents, and these changes were comparable to those of CBT. More importantly, DBT was demonstrated better clinical improvements at 6-month follow-up.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13132"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11716346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477020","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

Understanding the influence of suicide bereavement on the cognitive availability of suicide: Qualitative interview study of UK adults. 了解自杀丧亲对自杀认知可用性的影响：对英国成年人的定性访谈研究。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2024-11-04 DOI: 10.1111/sltb.13134

Poppy Jones, Katie E Quayle, Sunjeev K Kamboj, Martina Di Simplicio, Alexandra Pitman

{"title":"Understanding the influence of suicide bereavement on the cognitive availability of suicide: Qualitative interview study of UK adults.","authors":"Poppy Jones, Katie E Quayle, Sunjeev K Kamboj, Martina Di Simplicio, Alexandra Pitman","doi":"10.1111/sltb.13134","DOIUrl":"10.1111/sltb.13134","url":null,"abstract":"Background: People bereaved by suicide are at increased risk of suicide. Potential explanations include changes in the cognitive availability of suicide after suicide bereavement, but this has been under-investigated. This study aimed to investigate how suicide bereavement influences thoughts about suicide, including methods considered.Method: We interviewed 20 UK-based adultswho reported having been preoccupied by the suicide of a close contact, analyzing qualitative data using reflexive thematic analysis.Results: We identified four main themes: divergent changes in views about suicide as an option; impact of the method used on consideration of own potential method of suicide (including an aversion to the same method); experience of suicidal ideation as a means of understanding the deceased's state of mind; and thoughts related to reunion with the deceased.Conclusions: Our findings suggest that the trauma of exposure to a close contact's suicide can modify the cognitive availability of suicide in divergent ways, including suicide being perceived as a more or less acceptable option, and a tension between the two. These insights assist clinicians in sensitive exploration of suicide bereavement and in risk mitigation. They suggest revisions to existing models of cognitive availability and the potential for psychological interventions that modify the cognitive availability of suicide.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13134"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11716337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569921","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

Participation in a daily diary study about suicide ideation yields no iatrogenic effects: A mixed method analysis. 参与有关自杀意念的每日日记研究不会产生先天性影响：混合方法分析

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2024-08-22 DOI: 10.1111/sltb.13125

H A Love, P Morgan, P N Smith

{"title":"Participation in a daily diary study about suicide ideation yields no iatrogenic effects: A mixed method analysis.","authors":"H A Love, P Morgan, P N Smith","doi":"10.1111/sltb.13125","DOIUrl":"10.1111/sltb.13125","url":null,"abstract":"Introduction: Despite evidence that participation in suicide research is not associated with worsening ideation, behaviors, or intent, the rise of intensive longitudinal methods to assess ideation and behaviors necessitates further investigation for potential iatrogenic effects. The present study assessed rates of change in suicide ideation (SI) in a 10-day daily diary study.Methods: Seventy-two adult participants with ongoing SI participated in 10 daily diary surveys and three follow-up assessments. One open-ended item was included to address participant experiences in the study.Results: A multilevel piecewise growth model revealed steady declines in SI for participants over the 10 days. However, rates of SI increased during the follow-up assessments, indicating that participation in the daily surveys was associated with general reductions in SI. Further, qualitative analyses of experiences in the study revealed the following themes: Useful (n = 34), Heightened Awareness (n = 21), Functional (n = 6), Not Useful (n = 6), and Beneficence (n = 4).Conclusion: This study demonstrated that participation in suicide research, including intensive longitudinal methods such as daily diary studies, did not have iatrogenic effects on participants with SI. Qualitative results demonstrated the numerous benefits participants derived while taking part in this study.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13125"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019062","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

"I'd Rather Be Alone." Examining the Interactive Effects of Social Proximity and Social Preference on Suicidal Thinking. "我宁愿一个人呆着研究社会亲近感和社会偏好对自杀想法的交互影响。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 DOI: 10.1111/sltb.70006

Sarah L Brown, Lori N Scott

{"title":"\"I'd Rather Be Alone.\" Examining the Interactive Effects of Social Proximity and Social Preference on Suicidal Thinking.","authors":"Sarah L Brown, Lori N Scott","doi":"10.1111/sltb.70006","DOIUrl":"10.1111/sltb.70006","url":null,"abstract":"Introduction: Emerging and young adulthood is associated with heightened risk for suicide, with interpersonal factors potentially exerting disproportionate effects during this critical life stage. Research examining the interplay of subjective and objective interpersonal factors for suicide ideation (SI) in daily life is limited.Methods: Dynamic structural equation models were used to analyze ecological momentary assessment data (21 days; 7 semi-random daily surveys) in a sample of at-risk young adults (N = 140) to test within-person main and interactive effects of objective social proximity (alone vs. not alone) and subjective social preference (desire to be alone or with others) on SI severity concurrently and prospectively over 2-h intervals in daily life.Results: Preferring to be alone (while alone or with others) was associated with intraindividual near-term increases in SI severity, whereas preferring to be with others (while alone or with others) was associated with near-term decreases in SI severity.Conclusions: Being with others can be either a risk or protective factor for near-term SI severity depending on whether the present company is desired. Considering multiple interpersonal factors combined may be necessary to understand and treat SI as these factors may either buffer or confer greater near-term risk depending on other factors.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e70006"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426223","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 role of thwarted belongingness and perceived burdensomeness in passive suicide ideation among Latinx and Black youth. 受挫的归属感和感知负担在拉丁裔和黑人青年被动自杀意念中的作用。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2023-09-18 DOI: 10.1111/sltb.13003

Carolina Vélez-Grau, Melissa McTernan, Laura Mufson, Michael A Lindsey

{"title":"The role of thwarted belongingness and perceived burdensomeness in passive suicide ideation among Latinx and Black youth.","authors":"Carolina Vélez-Grau, Melissa McTernan, Laura Mufson, Michael A Lindsey","doi":"10.1111/sltb.13003","DOIUrl":"10.1111/sltb.13003","url":null,"abstract":"Introduction: The interpersonal theory of suicide (IPTS) is used to evaluate suicide risk. Yet, it has not been sufficiently tested with ethnoracially minoritized youth. This study aimed to test whether thwarted belongingness (TB) and perceived burdensomeness (PB) were associated with passive suicide ideation (SI) among Latinx and Black youth.Methods: Data were obtained from a cross-sectional study. Some youth participants were recruited from an ongoing NIMH study of depressed Black youth in schools (N = 20). The rest were participants in a supplemental study of non-depressed Latinx and Black youth in community agencies (N = 61). Multivariate logistic regression analyses were conducted to examine the relationships between passive SI and the IPTS constructs.Results: Most participants identified as male (63.5%) and Latinx (59.5%), mean age 15.23 (SD = 1.4). Only TB remained significant when adjusting for age and gender, even after adding a measure of depression symptoms as a covariate. Notably, the interaction term (TBXPB) was not significantly associated with increased odds of passive SI in this sample.Conclusion: These findings confirm the importance of examining the IPTS constructs and their relationship to passive SI in diverse populations. The relationship between TB and SI in Latinx and Black youth suggests it may be an important target for suicide prevention.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13003"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10635664","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

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2023-11-30 DOI: 10.1111/sltb.13026

Ki Eun Shin, Angela Page Spears, Renjie Zhang, Christine B Cha

{"title":"Suicide-related disclosure patterns among culturally minoritized youth: Examining differences across race, ethnicity, gender identity, and sexual orientation.","authors":"Ki Eun Shin, Angela Page Spears, Renjie Zhang, Christine B Cha","doi":"10.1111/sltb.13026","DOIUrl":"10.1111/sltb.13026","url":null,"abstract":"Objective: Sharing one's suicidal thoughts and behaviors, or suicide-related disclosure, allows adolescents to recruit help from others. Despite elevated risk among culturally minoritized youth, their suicide-related disclosure remains understudied.Methods: 191 adolescents (M = 15.98, SD = 1.04, range = 13-17), including minoritized youth (38% racially, 19% ethnically, 40% gender, and 77% sexually), were recruited via social media ads and completed an anonymous online survey on suicide-related disclosure to informal support sources (e.g., family, friends). Disclosure rates, targets, and reasons for disclosure and nondisclosure were compared based on race, ethnicity, gender identity, and sexual orientation.Results: Racially minoritized adolescents less often disclosed suicidal ideation and more strongly endorsed fear of negative reactions and resistance to intervention as reasons for nondisclosure, and reciprocity as reasons for disclosure, than White adolescents. Cisgender adolescents less often disclosed suicidal ideation and more strongly endorsed dismissal of suicide risk as reasons for nondisclosure than gender minoritized adolescents. Non-Hispanic adolescents more strongly endorsed help-seeking as reasons for disclosure than Hispanic adolescents. While adolescents overall disclosed most often to friends, heterosexual adolescents disclosed more to family than sexually minoritized adolescents.Conclusion: Racial and gender disparities in suicide-related disclosure may occur for distinct reasons among adolescents. Uncovering patterns of disclosure may facilitate detection of suicide risk among minoritized youth.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13026"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463279","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

Exploring the Role of Self-Defective Beliefs in the Relation Between Sexual Orientation and Nonsuicidal Self-Injury in Young Women.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 DOI: 10.1111/sltb.13158

Connor O'Brien, Elinor E Waite, Dominic M Denning, Lauren A Haliczer, Katherine L Dixon-Gordon

{"title":"Exploring the Role of Self-Defective Beliefs in the Relation Between Sexual Orientation and Nonsuicidal Self-Injury in Young Women.","authors":"Connor O'Brien, Elinor E Waite, Dominic M Denning, Lauren A Haliczer, Katherine L Dixon-Gordon","doi":"10.1111/sltb.13158","DOIUrl":"https://doi.org/10.1111/sltb.13158","url":null,"abstract":"Introduction: People who identify as sexual minorities (SM) report higher rates of nonsuicidal self-injury (NSSI) than heterosexual individuals. One explanatory factor that may be important in this relation is self-defective beliefs. The present study examined the role of self-defective beliefs in the link between sexual orientation and NSSI.Method: Participants were college-aged women (n = 145) with (n = 84) and without (n = 61) recent, recurrent NSSI, completed measures of NSSI and self-defective beliefs. Participants were recruited from a large college and surrounding area in the northeastern U.S.Results: suggest that SM participants were more likely to report a history of NSSI, frequent and versatile NSSI, and greater self-defective beliefs compared to heterosexual participants, but not more likely to report medically severe NSSI. Results from cross-sectional mediation analyses revealed that self-defective beliefs mediated the relation between SM identity and lifetime NSSI history and partially mediated the relations for NSSI medical severity and versatility, but not NSSI frequency.Conclusions: Taken together, our findings suggest that self-defective beliefs are a salient cognitive concern associated with indicators of NSSI severity in college-aged SM women. Additional research is needed to determine whether these findings replicate in SM men, transgender, and gender diverse populations.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e13158"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383539","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

Life is precious: A quasi-experimental study of a community-based program to prevent suicide among Latina adolescents in New York City. 生命诚可贵：对纽约市拉丁裔青少年自杀预防社区计划的准实验研究。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2023-12-05 DOI: 10.1111/sltb.13027

Daniela Tuda, Ana Stefancic, Peter Lam, Dolly John, Shima Sadaghiyani, Tse-Hwei Choo, Hanga Galfalvy, Beatriz Coronel, Rosa Gil, Roberto Lewis-Fernández

{"title":"Life is precious: A quasi-experimental study of a community-based program to prevent suicide among Latina adolescents in New York City.","authors":"Daniela Tuda, Ana Stefancic, Peter Lam, Dolly John, Shima Sadaghiyani, Tse-Hwei Choo, Hanga Galfalvy, Beatriz Coronel, Rosa Gil, Roberto Lewis-Fernández","doi":"10.1111/sltb.13027","DOIUrl":"10.1111/sltb.13027","url":null,"abstract":"Introduction: Rising rates of suicidal thoughts and behaviors (STBs) among U.S. Latina adolescents urgently need attention. Life is Precious (LIP) is a culturally responsive, community-based, afterschool-model program offering wellness-support services to supplement outpatient mental health treatment for Latina adolescents experiencing STB's. This 12-month quasi-experimental pilot study explored LIP's impact on clinical outcomes.Methods: Latina adolescents newly enrolled in LIP and receiving outpatient treatment (n = 31) and those newly starting outpatient treatment only (n = 12; Usual Care) were assessed for Suicidal Ideation (Suicidal Ideation Questionnaire; SIQ) and depressive symptoms (Patient Health Questionnaire-9). We estimated differences in mean scores using longitudinal linear mixed models and adjusted risk ratios (ARRs) of SIQ-25%, SIQ-50%, and PHQ-9-5-point improvements using exact logistic models.Results: The direction of the estimated impact of LIP was positive [differences (95% CIs): -15.5 (-34.16, 3.15) for SIQ; -1.16 (-4.39, 2.07) for PHQ-9], with small-to-moderate nonsignificant effect sizes (0.19-0.34). LIP participants saw two to three times higher prevalence than controls of SIQ-25%, SIQ-50%, and PHQ-9-5-point improvements; ARRs (95% CIs) were 1.91 (0.61, 3.45), 3.04 (0.43, 11.33), and 1.97 (0.44, 5.07), respectively. Suicidal behaviors also decreased in LIP.Conclusion: The effects of LIP were in positive directions across clinical outcomes, warranting further research on its effectiveness in decreasing STBs.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13027"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488655","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

Computing 3-Step Theory of Suicide Factor Scores From Veterans Health Administration Clinical Progress Notes.

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 DOI: 10.1111/sltb.70004

Esther L Meerwijk, Asqar S Shotqara, Andrea K Finlay, Ruth M Reeves, Suzanne R Tamang, Mark A Ilgen, Alex H S Harris

{"title":"Computing 3-Step Theory of Suicide Factor Scores From Veterans Health Administration Clinical Progress Notes.","authors":"Esther L Meerwijk, Asqar S Shotqara, Andrea K Finlay, Ruth M Reeves, Suzanne R Tamang, Mark A Ilgen, Alex H S Harris","doi":"10.1111/sltb.70004","DOIUrl":"10.1111/sltb.70004","url":null,"abstract":"Background: Literature on how to translate information extracted from clinical progress notes into numeric scores for 3-step theory of suicide (3ST) factors is nonexistent. We determined which scoring option would best discriminate between patients who will attempt or die by suicide and patients with neither suicidal ideation nor attempts, and we tested hypotheses related to the 3ST.Methods: We used terminology-driven natural language processing (NLP) to extract information from Veterans Health Administration (VHA) clinical progress notes. Counts of those extractions served as input to evaluate candidate scoring options for each 3ST factor (psychological pain, hopelessness, connectedness, capability for suicide). Logistic regression models adjusted for common demographic characteristics were used to test the 3ST hypotheses.Results: Optimal contrasts between groups were obtained with P - A for psychological pain, hopelessness, and capability for suicide, and <math> <semantics><mrow><mi>A</mi> <mo>/</mo> <mfenced><mrow><mi>P</mi> <mo>+</mo> <mn>1</mn></mrow> </mfenced> </mrow> <annotation>$$ A/left(P+1right) $$</annotation></semantics> </math> for connectedness, where P and A, respectively, indicate the patient-level number of extractions indicating presence and absence of the factor.Limitations: Additional research is necessary to verify whether our conclusions hold in a cohort that is more reflective of the general VHA population.Conclusion: Terminology-driven 3ST factor scores discriminate patients who attempt or die by suicide from patients without suicidal ideation or attempts. Our results corroborate the validity of the 3ST for VHA patients.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e70004"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034655","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