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Exploring the Role of Self-Defective Beliefs in the Relation Between Sexual Orientation and Nonsuicidal Self-Injury in Young Women. 自我缺陷信念在青年女性性取向与非自杀性自伤关系中的作用探讨。
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":"<p><strong>Introduction: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The effects of LIP were in positive directions across clinical outcomes, warranting further research on its effectiveness in decreasing STBs.</p>","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
Cultural Consensus Modeling to identify culturally relevant reasons for and against suicide among Black adolescents. 文化共识建模,以确定黑人青少年自杀和反对自杀的文化相关原因。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2023-09-08 DOI: 10.1111/sltb.13000
Ryan M Hill, Danielle Busby, Jennifer L Brown, Eric Sumlin, Estefania Fernandez, Carla Sharp
{"title":"Cultural Consensus Modeling to identify culturally relevant reasons for and against suicide among Black adolescents.","authors":"Ryan M Hill, Danielle Busby, Jennifer L Brown, Eric Sumlin, Estefania Fernandez, Carla Sharp","doi":"10.1111/sltb.13000","DOIUrl":"10.1111/sltb.13000","url":null,"abstract":"<p><strong>Introduction: </strong>The development of evidence-based treatments relies on accurate theoretical frameworks sensitive to the lived realities of the populations from which they are derived. Yet, the perspectives of Black youth are vastly underrepresented in extant theories of suicidal behavior. Cultural Consensus Modeling provides an evidence-based approach for developing a culturally informed understanding of suicide risk among Black youth.</p><p><strong>Method: </strong>Participants were 50 Black adolescents (M<sub>age</sub> = 16.20 years; 76.0% male) who completed Phase 1 of a Cultural Consensus Modeling study. Participants freely listed reasons for suicide and reasons for living among similar peer Black youth. Responses were synthesized and coded for major themes.</p><p><strong>Results: </strong>The most common reasons for suicide were racism (40%), depression (32%), poverty (26%), and bullying (22%). The most common reasons for living were family (58%), having a purpose or goals (36%), friends (30%), and hope for a better future (26%).</p><p><strong>Conclusion: </strong>Responses highlighted issues of racism and social justice, depression, and poverty, as well as the protective role of relationships, living for the future, and contributing to Black empowerment. Future research should utilize Cultural Consensus Modeling to elevate the voices of Black youth, improving extant theories of suicide, and identifying unique mechanisms or opportunities for prevention.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13000"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10920392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10173392","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
Sexual and Gender Minority Stress in Nonsuicidal Self-Injury Engagement: A Meta-Analytic Review. 非自杀性自伤投入中的性和性别少数派压力:一项荟萃分析综述。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 DOI: 10.1111/sltb.13161
Michaela S Ahrenholtz, Julia Nicholas, Abbi Sacco, Konrad Bresin
{"title":"Sexual and Gender Minority Stress in Nonsuicidal Self-Injury Engagement: A Meta-Analytic Review.","authors":"Michaela S Ahrenholtz, Julia Nicholas, Abbi Sacco, Konrad Bresin","doi":"10.1111/sltb.13161","DOIUrl":"https://doi.org/10.1111/sltb.13161","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual and gender minority (SGM) individuals report a higher prevalence rate of nonsuicidal self-injury (NSSI) compared to their cisgender heterosexual peers. Minority stress theory posits that the unique stressors experienced by those with a minoritized sexual orientation and/or gender identity increase the risk of negative health outcomes. As such, SGM stress may be a significant risk factor for NSSI and may help explain the disparate prevalence rates in the community.</p><p><strong>Method: </strong>Thus, a meta-analysis was conducted to assess the relationship between SGM stress and NSSI (k = 42; N = 253,686).</p><p><strong>Results: </strong>Broadly, SGM stress was significantly positively related to NSSI engagement (r = 0.15). While this effect size is small in absolute size, it is comparable to other evidence-based risk factors for NSSI, such as impulsivity. Contrary to our hypothesis, the number of items used to assess NSSI engagement did not significantly moderate the relationship (b = -0.001). Exploratory analyses found no significant difference between proximal and distal SGM stressors (b = 0.07), sexual minority stress and gender minority stress (b = 0.03), nor assessment of lifetime compared to past year NSSI engagement (b = 0.08).</p><p><strong>Conclusion: </strong>Overall, the results of this meta-analysis support that SGM stress is a significant risk factor for NSSI and should be integrated into interventions for NSSI.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e13161"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392153","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
Computing 3-Step Theory of Suicide Factor Scores From Veterans Health Administration Clinical Progress Notes. 从退伍军人健康管理局临床进展记录中计算自杀因素得分的三步理论。
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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Limitations: </strong>Additional research is necessary to verify whether our conclusions hold in a cohort that is more reflective of the general VHA population.</p><p><strong>Conclusion: </strong>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.</p>","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
Contact resolution among Veterans Crisis Line phone and text contacts regarding Veterans Health Administration enrollees. 解决退伍军人危机热线中有关退伍军人健康管理局注册人员的电话和短信联系问题。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2024-09-30 DOI: 10.1111/sltb.13129
Yufei Li, Aaron Legler, Jolie Bourgeois, Matthew Podlogar, MaryGrace Lauver, Rachel Sayko Adams, Kiersten Strombotne, Melissa M Garrido
{"title":"Contact resolution among Veterans Crisis Line phone and text contacts regarding Veterans Health Administration enrollees.","authors":"Yufei Li, Aaron Legler, Jolie Bourgeois, Matthew Podlogar, MaryGrace Lauver, Rachel Sayko Adams, Kiersten Strombotne, Melissa M Garrido","doi":"10.1111/sltb.13129","DOIUrl":"10.1111/sltb.13129","url":null,"abstract":"<p><strong>Introduction: </strong>To expand access to suicide prevention and support services, the Veteran Crisis Line (VCL) added text capabilities in 2011. It is unknown whether the likelihood of a contact being terminated by the user varies by contact type. We aimed to assess whether contact resolution varies by contact type after accounting for Veterans' sociodemographic and clinical characteristics, contact risk, and reasons for contact.</p><p><strong>Method: </strong>A retrospective cohort study of VCL phone and text contacts regarding identified VHA enrollees between 2016 and 2021 was performed. To examine differences in contact resolution between contact types, inverse probability of treatment weights were used to balance characteristics of text and phone contacts.</p><p><strong>Results: </strong>Relative to phone contacts, text contacts were associated with 3.39 percentage point (PP) (95% CI, 3.27-3.50; p < 0.001) lower likelihood of receiving an emergency dispatch/welfare check, 2.65 PP (95% CI, 2.55-2.76; p < 0.001) lower likelihood of requiring arrangement for same-day care, and 9.47 (95% CI, 9.34-9.59; p < 0.001) PP higher likelihood of being terminated by the user.</p><p><strong>Conclusions: </strong>VCL text contact was associated with an increased likelihood of being terminated by the user. Further investigation is needed to understand the reasons for terminating contact for those who texted VCL.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13129"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356017","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
Body Regard as a Volitional Factor for Suicide Attempts: Implications for Ideation to Action Frameworks. 身体考虑是自杀企图的一个意志因素:对思想到行动框架的启示。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 DOI: 10.1111/sltb.70000
Kameron M Mendes, Jennifer J Muehlenkamp
{"title":"Body Regard as a Volitional Factor for Suicide Attempts: Implications for Ideation to Action Frameworks.","authors":"Kameron M Mendes, Jennifer J Muehlenkamp","doi":"10.1111/sltb.70000","DOIUrl":"10.1111/sltb.70000","url":null,"abstract":"<p><strong>Introduction: </strong>One's relationship with, attitudes toward, and subjective experiences of the body have been theorized to contribute to self-preservation and self-destruction. These components of body regard have demonstrated associations with suicidal thoughts and behaviors but remain understudied. This study examined whether body regard acts as a moderator of the relationship between suicide ideation and attempts as well as its effect on the relationships of other established suicide risk factors.</p><p><strong>Methods: </strong>A random sample survey of 2021 young adults was conducted assessing body regard, fearlessness about death, depression, anxiety, stress, lifetime NSSI, and past year suicide ideation and attempts.</p><p><strong>Results: </strong>A logistic regression analyses revealed that body regard was a significant predictor of past year suicide attempt, alongside NSSI, and suicide ideation. Follow-up moderation analyses found that body regard significantly moderated the effect of suicide ideation such that ideation was only significantly associated with suicide attempts when body regard was low. High body regard also weakened the effect of ideation on attempts across levels of NSSI.</p><p><strong>Conclusions: </strong>Body regard may operate as a volitional factor for suicide attempts while also buffering the moderating relationships of other risk factors. Etiological models, assessment, and treatments aimed at addressing suicide risk should include attention to one's body regard.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e70000"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11795711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190760","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
Temporal trends in suicide ideation and attempt among youth in juvenile detention, 2016-2021. 2016-2021 年青少年拘留所青少年自杀意念和自杀未遂的时间趋势。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2024-10-18 DOI: 10.1111/sltb.13133
Lin Liu, Melissa Padron, Dayu Sun, Jeremy W Pettit
{"title":"Temporal trends in suicide ideation and attempt among youth in juvenile detention, 2016-2021.","authors":"Lin Liu, Melissa Padron, Dayu Sun, Jeremy W Pettit","doi":"10.1111/sltb.13133","DOIUrl":"10.1111/sltb.13133","url":null,"abstract":"<p><strong>Introduction: </strong>Data from the general population of youth show increases in suicide ideation and attempt in recent years, with rates of increase differing across sex and racial/ethnic groups. This study assessed trends in suicide ideation and attempt from 2016 to 2021 in youth in juvenile detention, across sex, age, and racial/ethnic groups.</p><p><strong>Methods: </strong>We leveraged state-wide suicide screening data of all detained youth (n = 53,769) from 2016 to 2021. We analyzed data for periods defined by statistically significant changes in trends of lifetime suicide attempt, past 6-month suicide attempt, and current suicide ideation.</p><p><strong>Results: </strong>The prevalence of lifetime, but not past six-month, attempts increased, whereas the prevalence of current suicide ideation decreased annually from 2016 to 2021. Overall trends were qualified by distinct patterns among subgroups: rates of lifetime attempt increased among male, adolescent, and Black youth, while rates of current ideation decreased among male, adolescent, and White and Hispanic youth.</p><p><strong>Conclusion: </strong>These data document increasing rates of lifetime suicide attempts in detained youth from 2016 to 2021, especially among male and Black adolescents, concomitant with decreasing rates of current suicide ideation. Suicide prevention approaches for detained youth may need to prioritize variables besides or in addition to suicide ideation.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13133"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477023","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
Predictors and patterns of suicidal ideation disclosures among American adults. 美国成年人披露自杀意念的预测因素和模式。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2024-09-02 DOI: 10.1111/sltb.13126
Taylor R Rodriguez, Shelby L Bandel, Samantha E Daruwala, Michael D Anestis, Joye C Anestis
{"title":"Predictors and patterns of suicidal ideation disclosures among American adults.","authors":"Taylor R Rodriguez, Shelby L Bandel, Samantha E Daruwala, Michael D Anestis, Joye C Anestis","doi":"10.1111/sltb.13126","DOIUrl":"10.1111/sltb.13126","url":null,"abstract":"<p><strong>Introduction: </strong>When experiencing suicidal thoughts, many individuals do not tell others, making it difficult to ensure suicide prevention resources reach those who need it.</p><p><strong>Methods: </strong>The current study utilizes a large sample of US adults who have experienced suicidal ideation in their lifetime (n = 1074) to examine predictors of disclosures. We also explore who participants disclose to and how helpful these disclosures are rated.</p><p><strong>Results: </strong>A majority (n = 812, 75.6%) reported disclosing. Black and Hispanic participants were less likely to disclose than White participants. Those who were never married were more likely to disclose, as were those who have attempted suicide. Mental healthcare utilization and favorable attitudes toward mental healthcare were also positive predictors of disclosure. More participants reported disclosing to a personal connection (n = 532, 65.5%) than a mental health professional (n = 282, 34.8%). On average, most sources were rated as neither helpful nor harmful.</p><p><strong>Conclusion: </strong>The study highlights those who may be at a higher risk of experiencing suicidal thoughts but going unidentified. To increase helpfulness of disclosures, suicide prevention programming should emphasize training for laypersons and professionals on how to effectively respond when someone reveals that they are thinking of suicide.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13126"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113117","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 of self-harm and suicide on reaching the age at which a parent died by suicide or other causes: A Danish, population-based self-controlled case series study. 父母死于自杀或其他原因的年龄段的自残和自杀风险:一项基于丹麦人口的自我对照病例系列研究。
IF 2.7 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2024-11-19 DOI: 10.1111/sltb.13135
Yanakan Logeswaran, Keltie McDonald, Julie Cerel, Gemma Lewis, Annette Erlangsen, Alexandra Pitman
{"title":"Risk of self-harm and suicide on reaching the age at which a parent died by suicide or other causes: A Danish, population-based self-controlled case series study.","authors":"Yanakan Logeswaran, Keltie McDonald, Julie Cerel, Gemma Lewis, Annette Erlangsen, Alexandra Pitman","doi":"10.1111/sltb.13135","DOIUrl":"10.1111/sltb.13135","url":null,"abstract":"<p><strong>Introduction: </strong>Risk factors for suicide after parental suicide may include points in the lifecourse when reminders of the deceased trigger grief resurgence. We hypothesized that risk of suicide attempt and suicide is elevated among suicide-bereaved offspring on reaching the age at which a parent died by suicide.</p><p><strong>Methods: </strong>We conducted a self-controlled case series (SCCS) study using national register data on all individuals bereaved by parental suicide living in Denmark from 1980 to 2016. We compared relative incidence of our combined outcome (any secondary-care episode of self-harm or suicide) during the exposure period (2 years centred on the birthday representing age correspondence) and the 15-year unexposed periods either side. We repeated these models for offspring bereaved by parental non-suicide death as an indirect comparison.</p><p><strong>Results: </strong>Risk of self-harm or suicide was elevated on reaching the age at parental suicide (n = 188; IRR<sub>adj</sub>: 2.02, 95% CI: 1.21-3.38) relative to flanking periods, but not at parental non-suicide death (n = 734; IRR<sub>adj</sub>: 0.76; 95% CI: 0.39-1.50).</p><p><strong>Conclusions: </strong>Reaching the age at which a parent died by suicide appears to represent a vulnerable period for suicidality, countering public perceptions that time heals linearly. This indicates a need for support in the lead up to age correspondence.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13135"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11716354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669565","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
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