Suicide and Life-Threatening Behavior最新文献_第5页

Sleep Problems Alter Proximal Risk of Negative Self-Perceptions on Suicide Risk. 睡眠问题改变对自杀风险负性自我认知的近端风险。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70092

Jennifer J Muehlenkamp, Connor M O'Brien, Ross Jacobucci, Brooke A Ammerman

{"title":"Sleep Problems Alter Proximal Risk of Negative Self-Perceptions on Suicide Risk.","authors":"Jennifer J Muehlenkamp, Connor M O'Brien, Ross Jacobucci, Brooke A Ammerman","doi":"10.1111/sltb.70092","DOIUrl":"10.1111/sltb.70092","url":null,"abstract":"Introduction: Perceiving oneself as a burden and self-hate are core drivers of suicidal thoughts and behaviors. Sleep problems also contribute to elevated risk for suicide. These factors are often studied in isolation and the impact of sleep problems on the risk conferred by negative self-perceptions to suicide is unclear. The current study evaluated how sleep problems interact with state- and trait-level self-hate and perceived burdensomeness in predicting suicide intent.Methods: Data came from 25 adult outpatients with recent suicide ideation who completed a 21-day EMA protocol including three daily prompts assessing prior night hours slept, sleep problems, burdensomeness, self-hate, and suicide urges (n observations = 1092). Bayesian multilevel cumulative ordinal models with random intercepts were run.Results: All variables except sleep hours had significant within-person effects on suicide urges. There were significant negative interactions between within-person burdensomeness and between-person sleep problems, as well as a within-person self-hate and between-person sleep problems. Among those with more sleep problems, the association between burdensomeness or self-hate and suicide urges was less positive, suggesting sleep problems may override the risk-related effects of negative self-perceptions.Conclusion: These findings underscore the complexity of suicide risk and suggest that interventions focusing on improving sleep may reduce near-term risk for suicide.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70092"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582696","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

Suicidal Behavior Patterns and Correlates in High-Risk Adults After Emergency Department Discharge: A One-Year Prospective Study. 急诊科出院后高危成人自杀行为模式及其相关因素：一项为期一年的前瞻性研究

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70093

Ana Rabasco, Julia Browne, Zachary Kunicki, Madeline B Benz, Sarah A Arias, Lauren M Weinstock, Ivan Miller, Edwin Boudreaux, Carlos A Camargo, Brandon A Gaudiano

{"title":"Suicidal Behavior Patterns and Correlates in High-Risk Adults After Emergency Department Discharge: A One-Year Prospective Study.","authors":"Ana Rabasco, Julia Browne, Zachary Kunicki, Madeline B Benz, Sarah A Arias, Lauren M Weinstock, Ivan Miller, Edwin Boudreaux, Carlos A Camargo, Brandon A Gaudiano","doi":"10.1111/sltb.70093","DOIUrl":"10.1111/sltb.70093","url":null,"abstract":"Introduction: The time following emergency department (ED) discharge is a high-risk period for suicidal behavior. This study examined correlates of suicidal behavior patterns over one-year follow-up among adults presenting to the ED with active suicidal thoughts and behaviors.Methods: Participants were n = 863 adults presenting to the ED with active suicidal thoughts and behaviors followed for one year post-discharge. Participants were categorized into four suicidal behavior groups: none (no suicidal behavior at baseline or follow-up), worsening (no suicidal behavior at baseline but at follow-up), improving (suicidal behavior at baseline but not follow-up), or persistent (suicidal behavior at both timepoints). We used binary logistic regression models to compare persistent versus improving and worsening versus none groups to examine factors that distinguished groups with the same baseline but different follow-up suicidal behavior.Results: The most common suicidal behavior patterns were none (52.7%, n = 455) or improving (24.7%, n = 213). Risky alcohol use and previous psychiatric inpatient hospitalization distinguished participants in the worsening group from the none group. None of the factors distinguished the improving from the persistent group.Conclusions: Individuals with active suicidal ideation, alcohol use, and past psychiatric inpatient hospitalization may require additional support following ED discharge to prevent future suicide attempts.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70093"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581916","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

Interpersonal Needs and the Relation Between Eating Disorder Symptoms and Suicidal Ideation Among Transgender and Gender Expansive Adults. 跨性别及性别膨胀成人人际需要及进食障碍症状与自杀意念的关系

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70099

Marley G Billman Miller, Devon Peterkin, Dominic M Denning, Lauren N Forrest, April R Smith, Tiffany A Brown

{"title":"Interpersonal Needs and the Relation Between Eating Disorder Symptoms and Suicidal Ideation Among Transgender and Gender Expansive Adults.","authors":"Marley G Billman Miller, Devon Peterkin, Dominic M Denning, Lauren N Forrest, April R Smith, Tiffany A Brown","doi":"10.1111/sltb.70099","DOIUrl":"10.1111/sltb.70099","url":null,"abstract":"Background: Transgender and gender expansive (TGE) individuals report elevated rates of eating disorder (ED) symptoms and suicidal ideation (SI). ED symptoms may contribute to SI via impairments in interpersonal functioning, particularly thwarted belongingness (TB) and perceived burdensomeness (PB). Social exclusion (SE) may also account for this relation, though no U.S. studies have tested this. This study explored relations between ED symptoms and SI through TB, PB, and SE in a U.S. TGE sample.Method: Participants (n = 301, 43% gender expansive, Mage = 29 years) recruited nationally through Prolific Academic completed measures at three timepoints: baseline, six-weeks, and twelve-weeks. Exploratory factor analysis evaluated the factor structure of the Interpersonal Needs Questionnaire (INQ). Two mediation path models tested if ED symptoms were associated with current and lifetime SI through interpersonal needs.Results: A three-factor structure emerged (PB, TB, and SE), replicating prior work identifying the relevance of the SE factor in TGE samples. Cross-sectionally, body dissatisfaction and restriction were indirectly associated with lifetime SI through SE. These relations did not extend longitudinally.Conclusion: Findings support a third factor within the INQ when working with U.S. TGE populations. Further research is warranted to examine SE as a mechanism linking ED symptoms and suicidality among TGE populations.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70099"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784696","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

Examining Suicidal Ideation and Capability Across the Menstrual Cycle. 在月经周期中检查自杀意念和能力。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70084

Keyne C Law, Katherine L O'Connell, Jordan C Barone, Tory A Eisenlohr-Moul

{"title":"Examining Suicidal Ideation and Capability Across the Menstrual Cycle.","authors":"Keyne C Law, Katherine L O'Connell, Jordan C Barone, Tory A Eisenlohr-Moul","doi":"10.1111/sltb.70084","DOIUrl":"10.1111/sltb.70084","url":null,"abstract":"Introduction: Suicidal thoughts and behaviors have been linked to menarche and the perimenstrual phase of the menstrual cycle. This study examines whether acute changes in fearlessness about death (FAD) occur across the menstrual cycle. It also explores relationships between FAD and other known correlates of suicidal behaviors across the cycle.Method: The sample included 46 participants in good health, with natural menstrual cycles, past-month suicidal ideation, and ongoing outpatient mental health. Participants were excluded for exogenous hormone or cycle-altering medication use, nicotine use; recent pregnancy/postpartum, PMDD, chronic medical illness; recent mania, psychosis, substance misuse, or acute suicide risk requiring hospitalization. Menstrual cycle phases were determined using self-reported menses onset and ovulation dates. Participants provided daily ratings of FAD, passive and active suicidal ideation across 2 months.Results: FAD was stable and showed no significant variation by cycle day or phase. However, it was significantly associated with daily feelings of depression, anger, irritability, and passive suicidal ideation.Conclusions: These findings suggest that fluctuations in affective states and suicidal ideation, not ovarian hormones, influence FAD. However, strict eligibility criteria, specifically the requirement for participants to endorse past-month suicidal ideation, may have limited our ability to observe fluctuations in FAD.Trial registration: ClinicalTrials.gov identifier: NCT03498313.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70084"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582658","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

Interpersonal Capitalization and Unmet Interpersonal Needs Among Adolescents at Varying Risk for Suicidal Ideation: A Daily Diary Study. 不同自杀意念风险青少年的人际资本化与未满足的人际需求：一项每日日记研究。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70096

Ignacio Perezmontemayor Cruz, Sasha MacNeil, Johanne Renaud, Jean-Philippe Gouin

{"title":"Interpersonal Capitalization and Unmet Interpersonal Needs Among Adolescents at Varying Risk for Suicidal Ideation: A Daily Diary Study.","authors":"Ignacio Perezmontemayor Cruz, Sasha MacNeil, Johanne Renaud, Jean-Philippe Gouin","doi":"10.1111/sltb.70096","DOIUrl":"10.1111/sltb.70096","url":null,"abstract":"Introduction: Adolescents at risk for suicidal ideation tend to report more unmet interpersonal needs, namely perceived burdensomeness and thwarted belongingness. Interpersonal capitalization-an interpersonal process involving disclosing a positive personal event to others and evaluating others' responsiveness to such disclosure-can promote positive affect and social connectedness. This study examined whether daily capitalization attempts and perceived active-constructive responses to the capitalization attempts were associated with fluctuations in positive affect and unmet interpersonal needs among adolescents at varying risk of suicidal ideation.Methods: Adolescents (Mage = 15.55; range = 12-18) with and without major depression, at respectively higher risk (n = 23) and lower risk (n = 32) for suicidal ideation, completed 10 consecutive daily diaries reporting on interpersonal capitalization, positive affect, perceived burdensomeness, and loneliness (as a proxy for thwarted belongingness).Results: Within-person hierarchical linear modeling analyses showed that daily capitalization attempts and perceived active-constructive responses were associated with higher same-day positive affect in both groups. In the higher-risk group, daily capitalization attempts were associated with lower same-day perceived burdensomeness (b = -0.102, p < 0.05) and perceived active-constructive responses were related to lower daily loneliness (b = -0.279, p < 0.001).Conclusion: Daily interpersonal capitalization processes may represent a protective interpersonal pathway linked to reduced suicidal ideation over time, particularly among higher-risk adolescents.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70096"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610164","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

Impact of a Clinician and Lived Experience Peer Worker Co-Led Aftercare Program on Suicide Risk Factors. 临床医生和生活经验同伴共同领导的护理项目对自杀风险因素的影响。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70090

Vida Bliokas, Laura Whiting, Sarah Liddle, Rebecca Sng, Atanas Janackovski

{"title":"Impact of a Clinician and Lived Experience Peer Worker Co-Led Aftercare Program on Suicide Risk Factors.","authors":"Vida Bliokas, Laura Whiting, Sarah Liddle, Rebecca Sng, Atanas Janackovski","doi":"10.1111/sltb.70090","DOIUrl":"10.1111/sltb.70090","url":null,"abstract":"Introduction: Individuals who attempt suicide are at a greater risk of future suicide. Aftercare programs that provide assertive follow-up for individuals following a suicide attempt or at high risk for suicide are becoming increasingly recognized as a critical component of suicide prevention. Research evaluating aftercare programs that utilize the lived experience peer workforce is lacking. This study assessed change in factors associated with suicide risk in a clinician and peer worker co-led community-based aftercare program for people who had attended a hospital emergency department following a suicide attempt or for high risk of suicide.Methods: One-hundred and sixty-seven program participants (58.1% females, Mage = 34.07) completed measures of hopelessness, thwarted belongingness, perceived burdensomeness, depression, anxiety, stress, psychological distress, and self-reported suicide risk, at baseline and at week-4.Results: Significant reductions were observed in hopelessness, thwarted belongingness, perceived burdensomeness, depression, anxiety, stress, and psychological distress (all p < 0.001). Self-reported suicide risk did not significantly change.Conclusion: The findings provide preliminary support for the effectiveness of an aftercare program incorporating the lived experience peer workforce in mitigating factors associated with suicide risk. Future research utilizing larger samples, control groups and broader outcome measures is needed to confirm these results.Trials registration: The study is part of a larger trial registered by the Australian New Zealand Clinical Trials Registry, number ACTRN12618001701213.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70090"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515493","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

Demographic and Clinical Shifts Among Firearm Suicide Decedents After the 2020 Purchasing Surge. 2020年购买激增后枪支自杀者的人口统计学和临床变化。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70095

Allison E Bond, Taylor R Rodriguez, Michael D Anestis

引用次数: 0

Comparing Objective Measures of Sleep Disturbance and Sleep Related Impairments as Proximal Risk Indicators of Suicidal Intent and Non-Suicidal Self-Injury. 比较客观测量的睡眠障碍和睡眠相关障碍作为自杀意图和非自杀自残的近端风险指标。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70091

Nicolas Oakey-Frost, Emma H Moscardini, Megan L Rogers, Jennifer J Muehlenkamp

{"title":"Comparing Objective Measures of Sleep Disturbance and Sleep Related Impairments as Proximal Risk Indicators of Suicidal Intent and Non-Suicidal Self-Injury.","authors":"Nicolas Oakey-Frost, Emma H Moscardini, Megan L Rogers, Jennifer J Muehlenkamp","doi":"10.1111/sltb.70091","DOIUrl":"10.1111/sltb.70091","url":null,"abstract":"Background: Non-suicidal self-injury (NSSI) and suicidal ideation (SI) are prevalent public health concerns among college students. Poor sleep quality and its consequences are a risk factor for NSSI and SI in this population. Unfortunately, limited research measures the impact of sleep related impairment (SRI) on NSSI/SI, little research compares the relative criterion validity of objective versus SRI measurement for NSSI/SI, and there is limited research measuring NSSI behaviors as a primary outcome.Methods: This study examined the relationship between passively captured Consensus Sleep Diary indices (i.e., actigraphy), SRI, SI, and frequency of NSSI in a sample of N = 132 college-students reporting past-month NSSI/SI. Participants wore actigraphy wristbands during the 28-day daily ambulatory phase and completed self-report assessments each day (k = 3726 observations).Results: Multilevel mixed effects models failed to find significant relationships between actigraphy-derived sleep quality indices, same-day SI and NSSI frequency, and next-day SI and NSSI frequency. Significant relationships between SRI, same-day SI, and same-day NSSI frequency emerged.Discussion: Results suggest worsening SRI may be an important signal of worsening SI and NSSI frequency. Implications for assessment and monitoring of SRI for college students at risk for NSSI and suicide are discussed.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70091"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582680","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

A Randomized Controlled Pilot Trial of Health Coaching to Improve Functioning and Reduce Suicidal Ideation Among Veterans Reintegrating Into Civilian Life. 健康辅导改善退伍军人重返平民生活功能及减少自杀意念的随机对照试验

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70097

Lauren M Denneson, Jason E Goldstick, Kelly M Kemp, Bryce O'Shea, Jason I Chen, Paul N Pfeiffer, Kathleen F Carlson, Peter C Britton

{"title":"A Randomized Controlled Pilot Trial of Health Coaching to Improve Functioning and Reduce Suicidal Ideation Among Veterans Reintegrating Into Civilian Life.","authors":"Lauren M Denneson, Jason E Goldstick, Kelly M Kemp, Bryce O'Shea, Jason I Chen, Paul N Pfeiffer, Kathleen F Carlson, Peter C Britton","doi":"10.1111/sltb.70097","DOIUrl":"10.1111/sltb.70097","url":null,"abstract":"Introduction: The year following military service separation is a high-risk period for suicide among reintegrating veterans, those transitioning from military service member to veteran. This randomized controlled pilot trial examined the feasibility and acceptability of health coaching, a non-clinical health behavior change modality, among reintegrating veterans and evaluated change in measures of identity coherence, reintegration functioning, and suicidal ideation.Methods: Reintegrating veterans (n = 95) were randomized to receive either enhanced current reintegration services (eCRS) only or health coaching plus eCRS. Participants completed assessments at baseline, month 2, month 4, and month 9. Health coaching participants completed up to 12 health coaching sessions within 4 months of randomization.Results: Feasibility was strong, indicated by a 23% enrollment rate, participant session completion (mean = 8), and intervention fidelity ratings ≥ 88%. Participants reported high acceptability; 95% indicated that health coaching met their approval. Significant treatment effects were observed for reintegrating functioning, with moderate-to-large effect sizes (d = 0.58 among the health coaching group and d = -0.11 among eCRS). Promising effects were observed for identity coherence measures and suicidal ideation prevalence.Conclusions: Additional research is warranted to test the efficacy of health coaching on these outcomes in a fully powered randomized controlled trial and to evaluate implementation procedures.Trial registration: ClinicalTrials.gov identifier: NCT05199467.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70097"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724291","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

Are Positive Mental Health and Social Support Protective Factors in the Development of Suicidal Ideation in Chronic Pain? A Longitudinal Study. 积极的心理健康和社会支持保护因素在慢性疼痛患者自杀意念发展中的作用吗？一项纵向研究。

IF 2.5 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2026-04-01 DOI: 10.1111/sltb.70083

Jan-Luca Tegethoff, Beatrice Korwisi, Julia Kähler, Antonia Barke, Thomas Forkmann, Inken Höller

{"title":"Are Positive Mental Health and Social Support Protective Factors in the Development of Suicidal Ideation in Chronic Pain? A Longitudinal Study.","authors":"Jan-Luca Tegethoff, Beatrice Korwisi, Julia Kähler, Antonia Barke, Thomas Forkmann, Inken Höller","doi":"10.1111/sltb.70083","DOIUrl":"10.1111/sltb.70083","url":null,"abstract":"Background: The \"integrated motivational-volitional (IMV) model of suicidal behavior\" links the development of suicidal ideation (SI) to feelings of defeat and entrapment. Positive mental health and social support appear to be protective in this process. Both were tested as moderating factors between entrapment and SI in the at-risk group of persons living with chronic pain (PLCP).Methods: N = 285 PLCP participated in an online survey, n = 161 again at a 4-week follow-up. Generalized linear models tested whether positive mental health and social support moderated associations between both internal and external entrapment and SI, cross-sectionally. Further, both entrapment facets, positive mental health, social support and their interactions were tested as predictors of change for SI, longitudinally.Results: Cross-sectionally, only positive mental health moderated the relationship between both entrapment facets and SI. Longitudinally, none of the factors or their interaction were able to predict change in SI over 4 weeks.Conclusion: This study confirmed entrapment as a proximal risk factor for SI in PLCP. It further supports positive mental health buffering the impact of entrapment on SI. However, these factors could not predict change in SI over 4 weeks. This study underlines a need for (micro)longitudinal studies on this topic.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 2","pages":"e70083"},"PeriodicalIF":2.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12957734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348639","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