Suicide and Life-Threatening Behavior最新文献

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Dynamic Longitudinal Associations Between Adolescent Help-Seeking Attitudes and Suicide Attempts. 青少年求助态度与自杀企图之间的动态纵向关联。
IF 2.5 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2026-01-01 DOI: 10.1111/sltb.70082
Shelley Alyse Gresko, Kate L Senich, Ian J Cero, Peter A Wyman
{"title":"Dynamic Longitudinal Associations Between Adolescent Help-Seeking Attitudes and Suicide Attempts.","authors":"Shelley Alyse Gresko, Kate L Senich, Ian J Cero, Peter A Wyman","doi":"10.1111/sltb.70082","DOIUrl":"10.1111/sltb.70082","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is a leading cause of death for adolescents and cross-sectional research suggests adolescents experiencing suicide attempts have more negative help-seeking attitudes. Less is known about the effect of suicidal experiences on subsequent help-seeking attitudes. The present study examined reciprocal, longitudinal associations between help-seeking attitudes and suicide attempts.</p><p><strong>Methods: </strong>8469 students from 20 high schools on the wait-list condition of a cluster randomized trial of a universal school-based suicide prevention program were included. Adolescents were assessed in grades 9-12 at four waves. Cross-lagged panel models estimated bidirectional associations between suicide attempts and help-seeking attitudes.</p><p><strong>Results: </strong>Analyses collapsed across gender indicated students reporting negative attitudes towards help-seeking and suicide were more likely to engage in a subsequent suicide attempt. Students with reported suicide attempts reported more negative later attitudes. Attitudes towards help-seeking and suicide predicted suicide attempts in both genders, whereas attempting suicide influenced help-seeking attitudes in girls, rather than boys.</p><p><strong>Conclusions: </strong>Results suggest both boys and girls would benefit from interventions fostering positive attitudes towards help-seeking, such as the Sources of Strength intervention. Adolescents who attempt suicide are also particularly vulnerable to negative help-seeking attitudes, which may be influenced by the severity of psychological distress and interventions received post-attempt.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"56 1","pages":"e70082"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12998492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207986","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
Exploration of the Intersections of Race, Nonbinary Gender, Sex Assigned at Birth, and Deaf Identity on Self-Injurious Thoughts and Behaviors in Transgender and Gender Diverse Adults. 种族、非二元性别、出生性别和聋人身份对跨性别和性别多元成人自伤思想和行为的影响
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-12-01 DOI: 10.1111/sltb.70071
Halle S Fowler, Austin Starkey, Sarah Pardue-Bourgeois, Morgan Buerke, Ryan M Hill, Kristel Scoresby, Julie Cerel, Raymond P Tucker
{"title":"Exploration of the Intersections of Race, Nonbinary Gender, Sex Assigned at Birth, and Deaf Identity on Self-Injurious Thoughts and Behaviors in Transgender and Gender Diverse Adults.","authors":"Halle S Fowler, Austin Starkey, Sarah Pardue-Bourgeois, Morgan Buerke, Ryan M Hill, Kristel Scoresby, Julie Cerel, Raymond P Tucker","doi":"10.1111/sltb.70071","DOIUrl":"https://doi.org/10.1111/sltb.70071","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the prevalence of self-injurious thoughts and behaviors, including suicidal ideation (SI), suicide attempts (SA), and non-suicidal self-injury (NSSI) for transgender and gender-diverse (TGD) deaf adults.</p><p><strong>Methods: </strong>This project used data collected as part of the 2017 TransLifeline Mental Health Survey. Study participants include N = 4245, self-identified TGD adults ages 18-87 that currently live in the United States. Chi-square analyses compared endorsement of lifetime and recent SI, SAs, and NSSI between TGD deaf and TGD hearing adults.</p><p><strong>Results: </strong>Compared to their TGD hearing peers, TGD deaf participants, regardless of gender identity, were more likely to endorse hospitalization for SI, despite equivalent endorsement of past-year and lifetime SI compared to their TGD hearing peers. Similarly, TGD deaf participants, regardless of gender or racial/ethnic identity, were more likely to endorse a lifetime hospitalization for a SA. Lastly, although TGD deaf participants were equally likely as their TGD hearing peers to endorse lifetime experiences of NSSI, TGD deaf participants were more likely to report hospitalization for NSSI.</p><p><strong>Conclusions: </strong>TGD deaf adults are at an increased risk of making a SA in their lifetime and at an increased risk for hospitalization for SI, SAs, and NSSI.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 6","pages":"e70071"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feasibility and Acceptability of Caring Cards: A Peer-to-Peer Recovery-Oriented Suicide Prevention Intervention for US Veterans. 关怀卡的可行性和可接受性:美国退伍军人以点对点康复为导向的自杀预防干预。
IF 2.5 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-12-01 DOI: 10.1111/sltb.70066
Blaire C Ehret, Cara T Pozun, Camila Martinez Ceren, Jillian Carter, Christen Shriver, Phillip J Ehret, Brandon Ferragut, Colin A Depp, Emily Treichler, Neal Doran, Eric Granholm, Samantha A Chalker
{"title":"Feasibility and Acceptability of Caring Cards: A Peer-to-Peer Recovery-Oriented Suicide Prevention Intervention for US Veterans.","authors":"Blaire C Ehret, Cara T Pozun, Camila Martinez Ceren, Jillian Carter, Christen Shriver, Phillip J Ehret, Brandon Ferragut, Colin A Depp, Emily Treichler, Neal Doran, Eric Granholm, Samantha A Chalker","doi":"10.1111/sltb.70066","DOIUrl":"10.1111/sltb.70066","url":null,"abstract":"<p><p>Caring Cards is a novel adaptation of caring contacts, where Veterans with a history of suicidality (card makers) create cards for Veterans with active suicidality (recipients). Aims included (1) establishing Caring Cards' feasibility and acceptability, including an optional meetup group, and (2) evaluating pre-/postchanges in thwarted belongingness, perceived burdensomeness, social connectedness, and suicide ideation. Participants included 30 card makers and 50 recipients receiving care at a Veterans Affairs Center. Groups of 5-10 card makers met weekly for 3-6 months to create cards; recipients received cards monthly for 6 months. Outcomes were collected at baseline and follow-up (one month postparticipation completion). Card makers demonstrated marginal feasibility (69.4% average attendance). Card maker attrition was greater than expected (60%). These rates may have been impacted by COVID-19. Card maker follow-up was feasible (70%). There was 0% attrition for recipients; however, follow-up was marginally feasible (68%). The optional meetup group was not feasible (36.4% attendance). All participants found the intervention acceptable (> 75% average satisfaction). There were no significant pre-/postdifferences across card maker outcomes. Recipients reported significant reductions in thwarted belongingness (d = 0.27) and perceived rejection (d = 0.41). Results highlight the promise of Caring Cards as a low-cost, highly scalable intervention.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 6","pages":"e70066"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670254","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
Prescription Opioid Misuse and the Perceived Likelihood of Future Suicidal Behavior: Considering the Role of Suicide Capability Dimensions. 处方阿片类药物滥用与未来自杀行为的感知可能性:考虑自杀能力维度的作用。
IF 2.5 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-12-01 DOI: 10.1111/sltb.70069
Zachary T DeMoss, Matthew T Tull, Kim L Gratz
{"title":"Prescription Opioid Misuse and the Perceived Likelihood of Future Suicidal Behavior: Considering the Role of Suicide Capability Dimensions.","authors":"Zachary T DeMoss, Matthew T Tull, Kim L Gratz","doi":"10.1111/sltb.70069","DOIUrl":"10.1111/sltb.70069","url":null,"abstract":"<p><strong>Introduction: </strong>In the past two decades, suicide attempts and deaths involving prescription opioids have sharply increased. Research is needed to understand how prescription opioid misuse may increase suicide risk. Contemporary suicide theories suggest opioid use may increase suicide capability by increasing pain tolerance, altering fears related to death, or increasing one's understanding of lethal doses and/or access to means. This study examined the role of these dimensions of suicide capability in the association between prescription opioid misuse and self-reported likelihood of future suicidal behaviors.</p><p><strong>Methods: </strong>Individuals with chronic pain, past year depression, and a current prescription of opioids for pain (N = 166) completed assessments of opioid misuse, suicide capability (i.e., fearlessness about death, pain tolerance, and suicide preparation and rehearsal), and suicidal behaviors.</p><p><strong>Results: </strong>Analyses demonstrated significant indirect relations of prescription opioid misuse to the perceived future likelihood of suicide planning and attempts (both in general and involving opioids specifically) through suicide capability in the form of suicide preparation and rehearsal, controlling for suicide attempt history.</p><p><strong>Conclusion: </strong>Findings suggest that prescription opioid misuse may increase suicide risk by increasing familiarity with a potential suicide method, consistent with extant literature highlighting the role of practical suicide capability in suicide risk.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 6","pages":"e70069"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12649308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145606846","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
Thinking About Suicide for a Long Time: A Scoping Review of Empirical Studies on Persistent Suicidal Ideation. 长期自杀思考:持续自杀意念的实证研究综述。
IF 2.5 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-12-01 DOI: 10.1111/sltb.70070
Lena Spangenberg, Tobias Teismann, Inken Höller
{"title":"Thinking About Suicide for a Long Time: A Scoping Review of Empirical Studies on Persistent Suicidal Ideation.","authors":"Lena Spangenberg, Tobias Teismann, Inken Höller","doi":"10.1111/sltb.70070","DOIUrl":"10.1111/sltb.70070","url":null,"abstract":"<p><strong>Introduction: </strong>Persistent suicidal ideation (PSI) represents a clinically relevant phenomenon that remains insufficiently understood. The aim of this scoping review was to provide an overview of empirical studies investigating PSI, with a focus on definitions, operationalizations, and associations with indicators of mental health, suicidal behaviors, and treatment approaches.</p><p><strong>Materials and methods: </strong>Following established guidelines for conducting scoping reviews, a systematic search of the literature was conducted, and studies were screened according to predefined inclusion criteria.</p><p><strong>Results: </strong>N = 44 articles reporting on n = 40 individual studies were included in this review. The results indicate that several empirical studies have addressed PSI, most commonly using longitudinal designs. However, the absence of a consistent conceptualization across studies led to diverse and heterogeneous operationalizations and partly contradictory findings, making synthesis difficult.</p><p><strong>Discussion: </strong>A major limitation of this review lies in the inconsistent terminology across publications, which may have resulted in missed studies. Furthermore, case studies and theoretical works were excluded, narrowing the scope of the findings.</p><p><strong>Conclusion: </strong>The clinical relevance of PSI contrasts with the lack of empirical findings addressing its epidemiological and phenomenological characteristics. Future research should establish a common definition and operational criteria for PSI.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 6","pages":"e70070"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764090","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
Apologies in Crisis: The Link Between Perceived Burdensomeness and Suicide Risk in Online Text Communication. 危机中的道歉:网络文本交流中感知负担与自杀风险之间的联系。
IF 2.5 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-12-01 DOI: 10.1111/sltb.70063
Kenta Ishikawa, Takato Oyama, Yoshihiko Tanaka, Matia Okubo, Hajime Sueki
{"title":"Apologies in Crisis: The Link Between Perceived Burdensomeness and Suicide Risk in Online Text Communication.","authors":"Kenta Ishikawa, Takato Oyama, Yoshihiko Tanaka, Matia Okubo, Hajime Sueki","doi":"10.1111/sltb.70063","DOIUrl":"10.1111/sltb.70063","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is a leading cause of preventable death worldwide, with approximately 700,000 individuals dying by suicide annually. Recent studies have highlighted the importance of text-based risk assessments and the use of artificial intelligence technologies such as ChatGPT in suicide prevention. This study examined how intolerable interpersonal situations influence text communication, focusing on the relationship between perceived burdensomeness and the expression of apologetic messages.</p><p><strong>Methods: </strong>A total of 120 university students participated in the Interpersonal Persistence Task (IPT), manipulating levels of perceived burdensomeness and thwarted belongingness (high and low PB-TB conditions) to observe their effects on participants' desire to escape and communication behaviors.</p><p><strong>Results: </strong>Participants in the high PB-TB condition reported higher levels of perceived burdensomeness and a stronger desire to escape the task. Regression analyses indicated that perceived burdensomeness predicted the frequency of apology expressions in the high PB-TB condition.</p><p><strong>Conclusions: </strong>These findings suggest that perceived burdensomeness may influence the expression of apology in digital communication under interpersonal distress. While not directly indicative of suicide risk, apologetic messages could reflect psychological vulnerability in certain contexts.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 6","pages":"e70063"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460033","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
When "Self-Harm" Means "Suicide": A Topic Modeling Study of Adolescent Online Help-Seeking for Self-Harm. 当“自残”意味着“自杀”:青少年网络自残求助的话题建模研究。
IF 2.5 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-12-01 DOI: 10.1111/sltb.70055
Monika Neff Lind, Afsaneh Razi, Hanneke Scholten, Madeleine J George, Munmun De Choudhury, Isabela Granic, Shalini Lal, Pamela J Wisniewski, Nicholas B Allen
{"title":"When \"Self-Harm\" Means \"Suicide\": A Topic Modeling Study of Adolescent Online Help-Seeking for Self-Harm.","authors":"Monika Neff Lind, Afsaneh Razi, Hanneke Scholten, Madeleine J George, Munmun De Choudhury, Isabela Granic, Shalini Lal, Pamela J Wisniewski, Nicholas B Allen","doi":"10.1111/sltb.70055","DOIUrl":"10.1111/sltb.70055","url":null,"abstract":"<p><strong>Introduction: </strong>The 15%-20% of adolescents worldwide who engage in nonsuicidal self-injury (NSSI) face an increased risk of transitioning from suicidal ideation to suicide attempt. To resist NSSI urges, young people often seek peer support online. We examined adolescent help-seeking on a purpose-built online mental health peer support platform, which is a critically understudied help-seeking venue.</p><p><strong>Methods: </strong>Adolescents' help-seeking posts in the \"Self Harm\" category on a large online peer support platform (575,261 posts from 114,937 users) were analyzed using topic modeling. We assessed the prevalence of NSSI-related topics versus morbid/suicidal topics.</p><p><strong>Results: </strong>Our 12-topic model produced interpretable themes. Three main findings emerged: posts included little information about the context of self-harm behavior; there was minimal evidence of pro-self-harm content in posts; and the primary topics of the posts were evenly split between NSSI-related topics and morbid/suicidal topics.</p><p><strong>Conclusion: </strong>Our findings have important implications for online mental health communities: requiring users to select a narrow category for their post may limit contextual information; moderation of pro-self-harm content may reduce its prevalence; and the absence of dedicated spaces for suicidal users may funnel those users into NSSI-focused spaces, potentially increasing risk for all users.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 6","pages":"e70055"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12621541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining Causal Pathways to Suicidal Ideation and Nonsuicidal Self-Injury in the Adolescent Brain Cognitive Development Study. 青少年大脑认知发展研究中自杀意念和非自杀自伤的因果途径。
IF 2.5 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-12-01 DOI: 10.1111/sltb.70068
Marvin Yan, Erich Kummerfeld, Eric Rawls, Kathryn R Cullen, Bonnie Klimes-Dougan
{"title":"Examining Causal Pathways to Suicidal Ideation and Nonsuicidal Self-Injury in the Adolescent Brain Cognitive Development Study.","authors":"Marvin Yan, Erich Kummerfeld, Eric Rawls, Kathryn R Cullen, Bonnie Klimes-Dougan","doi":"10.1111/sltb.70068","DOIUrl":"10.1111/sltb.70068","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is the second leading cause of death in adolescents in the United States. There is an urgent need to advance understanding of risk mechanisms in adolescents to guide early interventions. While prior research has implicated cognition, neural connectivity, and psychopathology in relation to adolescent suicidal ideation (SI) and nonsuicidal self-injury (NSSI), there is a relative lack of clarity regarding the causal structure of these factors, particularly in early adolescence.</p><p><strong>Methods: </strong>Causal discovery analysis was applied to neuroimaging, neurocognition, and clinical assessment data from the baseline visit of the Adolescent Brain Cognitive Development Study when the participants were 9-10 years old (N = 8937; 49.6% female) to produce models of causal relationships.</p><p><strong>Results: </strong>In the discovered model, causal pathways from resting state functional connectivity to externalizing and internalizing psychopathology were observed. Greater externalizing psychopathology increased SI and NSSI. Cognitive performance indirectly increased SI and NSSI via its negative relationship with externalizing psychopathology. Finally, more SI increased NSSI.</p><p><strong>Conclusions: </strong>In this developmental window prior to when the risk of suicide accelerates, it is critical to begin to advance our understanding of the processes that may undergird suicide risk (neural, cognitive performance), features of psychopathology and the potential progression of SI and NSSI (both risk factors for suicide). Future research should incorporate other factors related to SI and NSSI to produce a more comprehensive understanding of the mechanisms of risk. This line of research has the potential for a more comprehensive understanding of risk and provides avenues for prevention.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 6","pages":"e70068"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12641592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589191","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
Real-Time Prediction of Active and Passive Suicidal Ideation and the Moderating Role of Suicide Attempts. 主动和被动自杀意念的实时预测及自杀企图的调节作用。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70045
Fengzhou Yu, Shang Zhang, Bin Yu, Lili Wang, Li Yang
{"title":"Real-Time Prediction of Active and Passive Suicidal Ideation and the Moderating Role of Suicide Attempts.","authors":"Fengzhou Yu, Shang Zhang, Bin Yu, Lili Wang, Li Yang","doi":"10.1111/sltb.70045","DOIUrl":"https://doi.org/10.1111/sltb.70045","url":null,"abstract":"<p><strong>Introduction: </strong>Active suicidal ideation and passive suicidal ideation are distinct but related constructs, each carrying significant clinical implications. However, their real-time predictors remain underexplored in intensive longitudinal studies. This ecological momentary assessment (EMA) study investigated the associations of thwarted belongingness (TB), perceived burdensomeness (PB), and hopelessness with changes in both types of ideation at 2-4 h intervals, and whether a history of suicide attempts moderates these relationships.</p><p><strong>Methods: </strong>Thirty-one college students (23 females; mean age = 19.83 ± 1.86 years) with current suicidal ideation participated, 17 of whom (54.84%) had a history of suicide attempts. Participants completed EMA assessments five times daily for one week. Data were analyzed using mixed linear models.</p><p><strong>Results: </strong>TB (β = 0.05, p = 0.007) and hopelessness (β = 0.09, p = 0.006) predicted next-moment active ideation, but these associations became insignificant after all covariates were considered. PB was a robust predictor (β = 0.04, p = 0.032) of subsequent passive ideation, even after accounting for TB, hopelessness, and prior ideation. Notably, hopelessness predicted subsequent active ideation (β = 0.12, p = 0.034) only in participants with a history of suicide attempts.</p><p><strong>Conclusion: </strong>These findings underscore the distinct predictive roles of PB, TB, and hopelessness, highlighting the importance of considering suicide attempt history in risk assessment for suicidal ideation.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70045"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193416","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
Cross-Sectional Psychometric Comparison of the Fearlessness About Suicide and Fearlessness About Death Scales. 自杀恐惧量表与死亡恐惧量表的横断面心理测量比较。
IF 2.6 3区 医学
Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70056
Kefan Cathy Wu, Lauren M Harris, Rachel Torres, April R Smith
{"title":"Cross-Sectional Psychometric Comparison of the Fearlessness About Suicide and Fearlessness About Death Scales.","authors":"Kefan Cathy Wu, Lauren M Harris, Rachel Torres, April R Smith","doi":"10.1111/sltb.70056","DOIUrl":"https://doi.org/10.1111/sltb.70056","url":null,"abstract":"<p><strong>Introduction: </strong>The fearlessness about suicide scale (FSS) was developed in response to evidence suggesting fearlessness about suicide is more relevant to the capability for suicide than fearlessness about death. To extend its psychometric validation, this study provides a cross-sectional comparison of the FSS and the acquired capability for suicide-fearlessness about death (FAD) scale.</p><p><strong>Methods: </strong>Pearson correlations and regression analyses examined associations between both scales with suicidal ideation (SI), pain tolerance, non-suicidal self-injury (NSSI), and eating disorder symptoms in 1233 undergraduates.</p><p><strong>Results: </strong>In the full sample, the FSS was positively associated with SI, general pain tolerance, NSSI, restriction, purging, and muscle building, but negatively with NSSI pain tolerance. The FAD was positively associated with SI, general pain tolerance, anti-suicide and sensation-seeking NSSI functions, and muscle building, but negatively with NSSI, binge eating, and eating disorder cognitive symptoms. Differential patterns of associations emerged across individuals with and without recent SI.</p><p><strong>Conclusions: </strong>The FSS appears more strongly associated with painful and frightening experiences hypothesized to contribute to the capability for suicide, whereas the FAD is associated with traits and behaviors associated with unintentional bodily harm. Longitudinal research is needed to examine the FSS's predictive ability for future self-injurious thoughts and behaviors.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70056"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208039","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
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