Suicide and Life-Threatening Behavior最新文献

{"title":"Development of a peer-delivered lethal means counseling intervention for firearm owning veterans: Peer engagement and exploration of responsibility and safety (PEERS).","authors":"Claire Houtsma, Melinda Hohman, Michael D Anestis, Craig J Bryan, Gala True","doi":"10.1111/sltb.13138","DOIUrl":"10.1111/sltb.13138","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to adapt and expand an evidence-based lethal means counseling intervention for peer-delivery among firearm owning Veterans. We further sought to assess Veteran interventionists' fidelity to motivational interviewing (MI) in the context of the adapted intervention.</p><p><strong>Methods: </strong>An iterative expert panel comprised of experts in suicide prevention, lethal means counseling, MI, and Veteran peer engagement (N = 9) informed intervention adaptation. Experts rated the appropriateness of the adapted intervention, named Peer Engagement and Exploration of Responsibility and Safety (PEERS), and associated interventionist training plan across six criteria. Veteran interventionists (N = 3) were trained to deliver PEERS and their fidelity to MI in the context of PEERS was evaluated.</p><p><strong>Results: </strong>Expert panelists' average rating was 7.6 (out of 9). Ratings across all criteria (e.g., quality of the training plan; perceived ability of interventionists to engage in the intervention) were high. Interventionists' composite MI fidelity scores suggested most were client-centered, but not MI-competent in their delivery.</p><p><strong>Conclusion: </strong>Findings suggest that PEERS is an appropriate lethal means counseling intervention for firearm owning Veterans that can be somewhat feasibly delivered by Veteran interventionists. This intervention could help expand the reach and effectiveness of lethal means counseling.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13138"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidal Ideation, Planning, and Attempts Changes Among Diverse Canadian Public Safety Personnel After the Emotional Resilience Skills Training.","authors":"Jolan Nisbet, Kirby Q Maguire, Taylor A Teckchandani, Robyn E Shields, Katie L Andrews, Tracie O Afifi, Alain Brunet, Terence M Keane, Gregory P Krätzig, Renée S MacPhee, Ronald R Martin, Michelle C E McCarron, J Patrick Neary, Shannon Sauer-Zavala, R Nicholas Carleton","doi":"10.1111/sltb.13168","DOIUrl":"https://doi.org/10.1111/sltb.13168","url":null,"abstract":"<p><strong>Background: </strong>Public safety personnel (PSP) experience occupational stressors and potentially psychologically traumatic events, which increase the odds of screening positive for mental health disorders, and the risk of suicide. This study estimates suicidal ideation, planning, and attempts among Canadian PSP, and assesses associations with Emotional Resilience Skills Training (ERST).</p><p><strong>Method: </strong>The current study uses a longitudinal prospective sequential experimental cohort design that engages participants for approximately 16 months. Participants (n = 186, 60.5% men) were administered the structured Mini-International Neuropsychiatric Interview at three time points relative to the ERST: pre-training, post-training, and 1-year follow-up.</p><p><strong>Results: </strong>At pre-training, PSP reported past-month suicidal ideation (n = 24; 12.9%), planning (n = 7; 3.8%), and no attempts. At post-training, PSP reported past-month suicidal ideation (n = 12; 10.1%), suicidal planning (n < 5), and no attempts (n = 0). At the 1-year follow-up, PSP reported past-month suicidal ideation (n = 7; 12.5%), and no planning (n = 0) or attempts (n = 0).</p><p><strong>Conclusions: </strong>The results indicate suicide-related challenges for PSP, particularly PSP who self-identify as women and females. The results suggest sector-specific differences in suicide attempts, indicating unique sector-specific challenges among PSP. The results evidenced reductions in suicidal ideation and planning directly after ERST; however, attrition impacted analyses at 1-year follow-up. Additional sector-specific mixed-methods research would help inform suicide mitigation strategies.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, NCT05530642. Hypotheses Registration: aspredicted.org, #90136. Registered 7 March 2022-Prospectively registered.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e13168"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial characteristics of suicide deaths by regional types in Korea: An analysis based on population inflow and outflow.","authors":"Deuk-Kweon You","doi":"10.1111/sltb.13139","DOIUrl":"10.1111/sltb.13139","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to investigate the psychosocial characteristics of suicide deaths in Korea according to population inflow and outflow, and to identify high-risk suicide groups by regional type in order to establish tailored suicide prevention plans for each region.</p><p><strong>Methods: </strong>The analysis included 4193 suicide deaths from four regional types in Korea. The data source was a comprehensive survey of suicide deaths through police investigation records from the Korean government. The analysis involved collecting demographic variables, suicide-related variables, and stress variables at the time of death for suicide deaths in each region and conducting cross-analysis and multinomial logistic regression analysis.</p><p><strong>Results: </strong>Across all regions, factors such as male gender, unemployment, hanging in one's own home, and mental health problems were prevalent. However, in population-inflow urban areas, early-middle age and economic problems were higher, in population-outflow urban areas, late-middle age and economic problems were more prominent. Additionally, in both inflow and outflow rural areas, there was a relatively higher proportion of old age and physical health problems.</p><p><strong>Conclusions: </strong>This study is significant for confirming common and specific factors influencing suicide in each region, and for proposing considerations when formulating tailored suicide prevention plans for local communities.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13139"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11687409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building stronger bonds: The impact of family support and communication on suicidal behaviors among Black men who have sex with men.","authors":"Donte T Boyd, Camille R Quinn, Kristian V Jones, Bernadine Waller, Evelyn Joy Coker, Erinn B Duprey, Catherine Cerulli, Henrika McCoy","doi":"10.1111/sltb.13072","DOIUrl":"10.1111/sltb.13072","url":null,"abstract":"<p><strong>Introduction: </strong>It has been well documented that men who identify with a sexual orientation other than heterosexual are at a greater risk for suicide-related outcomes. What is less known are the protective factors that can reduce such negative outcomes and contribute to their resilience.</p><p><strong>Methods: </strong>This study used data collected between December 1, 2021, and January 2022 to understand how family factors contribute to or prevent depression symptoms and suicide outcomes among young Black men who have sex with men (BMSM) ages 18 to 29 (N = 400). A path analysis was conducted to explore the direct and indirect effects of suicide attempts.</p><p><strong>Results: </strong>Surprisingly, there were nuanced findings that showed having a family member or friend die by suicide was indirectly associated with suicide planning and suicide attempts. It was also unexpectedly noted that there was a positive relationship between higher rates of depressive symptoms and higher levels of support from family members.</p><p><strong>Conclusions: </strong>The population focused on in this study is understudied and has unique needs. Identifying familial support may not automatically reduce the thoughts and plans of young BMSM, which is an example of why their intersecting marginalized identities must be considered when conducting further research, creating interventions, and providing therapeutic services.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13072"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations among intimate partner violence, suicidal ideation, suicide behaviors, non-suicidal self-injury, and psychological well-being in Black American emerging adults.","authors":"Diamonde C McCollum, Steven E Smathers, Tara Sullivan, Yajna Jowaheer, Ethan H Mereish","doi":"10.1111/sltb.13102","DOIUrl":"10.1111/sltb.13102","url":null,"abstract":"<p><strong>Background: </strong>Suicidal ideation and behavior and non-suicidal self-injury (NSSI) among Black emerging adults is a major public health concern. Intimate partner violence (IPV) is a significant risk factor for suicidal ideation and behavior and NSSI, but there is little work examining the buffering effect of psychological well-being (PWB). The purpose of this study was to examine the associations between IPV, suicide ideation and behavior, and NSSI, and the moderating role of PWB on these associations.</p><p><strong>Method: </strong>Secondary data analyses were conducted using a subsample of Black American emerging adults (N = 4694) from the National College Health Assessment.</p><p><strong>Results: </strong>IPV was associated with greater odds of suicide ideation, past-year suicide attempt, and NSSI. PWB was associated with lower odds of suicide ideation, past-year suicide attempt, and NSSI. PWB did not moderate the relationships between IPV and the outcomes.</p><p><strong>Conclusions: </strong>IPV was a risk factor for suicidal ideation, suicide attempt, and NSSI among Black American emerging adults. PWB was associated with lower suicidal ideation and behavior and NSSI engagement, suggesting it can be a protective factor. Bolstering PWB in Black communities may be beneficial in intervention and prevention efforts.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13102"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Suicide Status Form-4 (SSF-IV) as a potentially therapeutic suicide risk assessment tool.","authors":"Nicolas Oakey-Frost, Emma H Moscardini, Tovah Cowan, Jessica L Gerner, Kathleen A Crapanzano, David A Jobes, Raymond P Tucker","doi":"10.1111/sltb.13128","DOIUrl":"10.1111/sltb.13128","url":null,"abstract":"<p><strong>Background: </strong>Empirically supported suicide risk assessment and conceptualization is a central aim of the Zero Suicide model. The Suicide Status Form (SSF) is the essential document and scaffolding of the Collaborative Assessment and Management of Suicidality-Brief Intervention (CAMS-BI) and is hypothesized as an example of a psychological assessment as therapeutic intervention (PATI). However, this hypothesis has never been directly tested.</p><p><strong>Methods: </strong>N = 57 patients deemed at risk for outpatient suicidal behavior and treated as part of an inpatient psychiatric consultation and liaison service were recruited to participate in CAMS-BI at a Level 1 trauma center in the southeastern United States. During the CAMS-BI process, patients were asked to rate their subjective units of distress (SUDS) at five time points throughout the intervention (k = 285).</p><p><strong>Results: </strong>The omnibus random intercept multilevel model revealed a significant difference in pre- to post-session ratings of SUDS across patients. Post hoc pairwise comparisons revealed no significant differences between SSF sections (e.g., Section A, Section B, and Section C) and relative reductions in SUDS; however, there was an observable trend toward a favorable effect of Section A of the SSF.</p><p><strong>Conclusions: </strong>The SSF may represent an example of PATI pending replication and extension of the current results.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13128"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the relationship between suicide ideation frequency and intergenerational acculturative conflict between Mexican descent college students and their caregivers using the interpersonal theory of suicide.","authors":"Jocelyn I Meza, Brandy Piña-Watson, Daisy Lopez, Gisel Suarez Bonilla, Maria R Sanchez, Gabriela Manzo, Aundrea Garcia","doi":"10.1111/sltb.13067","DOIUrl":"10.1111/sltb.13067","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is the third leading cause of death among US young adults, with significant racial/ethnic disparities related to the risk for suicide among Latine young adults. Despite the elevated risk for suicide, culturally relevant risk factors are not well-known. Intergenerational acculturative conflict (IAC) among Latine youth is a sociocultural factor associated with suicide ideation.</p><p><strong>Method: </strong>Although widely cited, the interpersonal theory of suicide (IPTS) lacks consistent support among Latine groups. The following cross-sectional study examined relationships between IAC categories (cultural preference, autonomy, and dating/staying out late), IPTS risk factors (i.e., thwarted belongingness and perceived burdensomeness), and suicide ideation frequency among 376 Mexican descent college students sampled using participant pools and snowball sampling (73.7% female: M_age = 19.88).</p><p><strong>Results: </strong>Mediation analyses supported the hypotheses that IPTS risk factors partially explained the links between IAC categories and suicide ideation frequency.</p><p><strong>Conclusions: </strong>These findings advance our understanding of how sociocultural constructs, such as IAC, influence the IPTS and future advancements in culturally responsive treatments for suicide.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13067"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing the suicide prevention trials database: A publicly available data repository of suicide prevention studies.","authors":"Maya E O'Neil, Stephanie Veazie, Danielle Krushnic, Sara Hannon, William Baker-Robinson, Joren Adams, Kate Clauss, Joseph Constans, Jessica L Hamblen, Vanessa C Somohano, Lauren M Denneson","doi":"10.1111/sltb.13152","DOIUrl":"10.1111/sltb.13152","url":null,"abstract":"<p><strong>Background: </strong>Healthcare, research, policy, and legislative stakeholders need timely, accurate, and detailed information on the effectiveness and potential harms of suicide prevention approaches. We created the Suicide Prevention Trials Database (SPTD) to provide a centralized, publicly accessible, detailed database of harmonized study-level suicide prevention clinical trial data.</p><p><strong>Methods: </strong>We searched for randomized controlled trials (RCTs) of suicide prevention published from 1980 to 2023. Over 300 data variables were extracted from each RCT.</p><p><strong>Results: </strong>We identified a total of 140 unique RCTs in 180 articles. Most of the included RCTs compared two treatment arms (92%), and the remainder compared three arms (88%). Nearly half of the RCTs reported on Behavioral Interventions (49%), followed by Care Management, Follow-up, or Monitoring (16%). Typically, the comparator condition was Treatment as Usual (53%). Interventions were most often delivered in person (61%) in an individual format (79%).</p><p><strong>Conclusions: </strong>The SPTD provides efficient, accurate, up-to-date access to a comprehensive suicide prevention trials database, which can be utilized by a range of stakeholders. It can reduce the time required for high-quality systematic reviews and provides researchers, administrators, and funders with current data on the state of the literature.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e13152"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is known about suicide prevention gatekeeper training and directions for future research.","authors":"Sarah G Spafford, Morton M Silverman, Peter M Gutierrez","doi":"10.1111/sltb.13130","DOIUrl":"10.1111/sltb.13130","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide prevention training that teaches skills to support a person experiencing thoughts of suicide and create community support networks, often termed, \"gatekeeper\" training (GKT), has been a longstanding pillar of international, national, and local suicide prevention efforts. GKT aims to improve knowledge, attitudes, and self-efficacy in identifying individuals at risk for suicide, hopefully enhancing one's willingness and ability to intervene with a person experiencing a crisis. However, little is known about GKT's effectiveness in creating the essential behavior change (e.g., increase in intervening behaviors) it sets out to accomplish.</p><p><strong>Methods: </strong>This paper explores the history and theoretical background of GKT, reviews the current state of research on GKT, and provides framing and recommendations for next steps to advance research and practice around GKT.</p><p><strong>Results & conclusion: </strong>Through positioning GKT appropriately within the field of suicide prevention, we argue that the field of suicide prevention needs more rigorous research around GKT that includes long-term follow-up data on usage of skills learned during training, data on outcomes of those who have received an intervention from a trained gatekeeper, and the integration of implementation science to further our understanding of which trainings are appropriate for which helpers.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13130"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying important predictors of adolescent suicide ideation, planning, and attempt in low- and middle-income countries.","authors":"Hayoung Kim Donnelly, Danielle Richardson, V Scott H Solberg","doi":"10.1111/sltb.13032","DOIUrl":"10.1111/sltb.13032","url":null,"abstract":"<p><strong>Introduction: </strong>Over 90% of all adolescent suicides occur in low- and middle-income countries (LMIC), yet the majority of suicide research has focused on primarily high-income countries (HIC).</p><p><strong>Method: </strong>Using nationally representative data on 82,494 adolescents from thirty-four LMIC, this research employed machine learning to compare the predictive effects of multiple determinants of suicidal behaviors previously identified in the literature.</p><p><strong>Results: </strong>Results indicate that distinct predictors are present for suicidal ideation, suicidal planning, and suicide attempts in youth living in LMIC as well as shared predictors common to all three behaviors.</p><p><strong>Conclusion: </strong>These findings provide insights into the unique needs in global mental health policy and efforts within and across adolescents in LMIC.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13032"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138808475","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}