Suicide and Life-Threatening Behavior最新文献

{"title":"Examining the integrated model of the interpersonal-psychological theory of suicide and intersectionality theory among Black male adolescents.","authors":"Robyn D Douglas, Jasmine O Alli, Noni Gaylord-Harden, Ijeoma Opara, Tamika Gilreath","doi":"10.1111/sltb.13066","DOIUrl":"10.1111/sltb.13066","url":null,"abstract":"<p><strong>Introduction: </strong>Guided by Opara et al.'s (2022), Integrated Model of the Interpersonal Psychological Theory of Suicide and Intersectionality Theory, the current study examined contextual stressors experienced disparately by Black youth (racial discrimination, poverty, and community violence) as moderators of the association between individual motivating factors for suicidal thoughts and behaviors (perceived burdensomeness, thwarted belongingness, and hopelessness) and active suicidal ideation.</p><p><strong>Method: </strong>Participants were 457 Black adolescent boys (mean age = 15.31, SD = 1.26) who completed self-report surveys.</p><p><strong>Results: </strong>As predicted, the association between perceived burdensomeness and active suicidal ideation was significantly moderated by economic stress. In addition, the association between peer belongingness and suicidal ideation was significantly moderated by racial discrimination, but there were no moderating effects for school belongingness. Finally, the association between hopelessness and suicidal ideation was significantly moderated by both racial discrimination and witnessing community violence.</p><p><strong>Conclusion: </strong>These findings highlight the need for research, interventions, and policy work devoted to using integrated approaches of individual and socioeconomically relevant patterns of suicidal thoughts and behaviors to support Black youth exposed to various forms of structural oppression.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13066"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973939","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":"Suicide Ideation Severity and Oculomotor Avoidance of Suicide-Related Stimuli.","authors":"Emilia Sherifi, Megan Rowe, Thomas R Armstrong, Jeremy G Stewart","doi":"10.1111/sltb.13166","DOIUrl":"10.1111/sltb.13166","url":null,"abstract":"<p><strong>Introduction: </strong>Identifying variables linked to distinct suicide outcomes has long been among suicidology's research priorities. Cognitive theories of suicide identify attentional processes that may vary for individuals at a greater suicide risk. However, an overreliance on self-report and objective measures that are poor estimates of attention has led to mixed findings.</p><p><strong>Method: </strong>The current study utilizes eye tracking with a novel passive viewing task to explore differences in viewing patterns for suicide- and neutral-image pairings, as a function of suicide outcomes. Young adults (N = 124, 83.9% women) were oversampled for recent suicidal thoughts and behaviors, and completed a series of self-report questionnaires specific to suicide history, as well as relevant covariates prior to completing the eye-tracking task.</p><p><strong>Results: </strong>Multilevel modeling revealed that individuals with low-to-moderate ratings of past-year ideation displayed a significant decline in the amount of time spent viewing suicide images as compared to neutral images over the course of the task (oculomotor avoidance). However, the same pattern was not seen among individuals with high suicide ideation, specifically those with resolved plans and preparation. Furthermore, no differences were found between people with and without a suicide attempt history.</p><p><strong>Conclusion: </strong>These results suggest a suicide-specific disengagement bias among individuals high in suicide ideation and more specifically, resolved plans and preparation.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e13166"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256164","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":"Structural adverse childhood experiences associated with suicidal ideation, suicide attempts, and repetitive nonsuicidal self-injury among racially and ethnically minoritized youth.","authors":"Patricia I Jewett, Lindsay A Taliaferro, Iris W Borowsky, Michelle A Mathiason, Eunice M Areba","doi":"10.1111/sltb.13084","DOIUrl":"10.1111/sltb.13084","url":null,"abstract":"<p><strong>Introduction: </strong>High rates of suicidal ideation (SI), suicide attempts (SA), and repetitive nonsuicidal self-injury (NSSI) among some ethnoracially minoritized United States youth populations may be related to adverse childhood experiences (ACEs) with structural roots.</p><p><strong>Methods: </strong>Using the 2013-2019 Minnesota Student Surveys, we assessed associations of student-reported structural ACEs (parental incarceration, housing instability, food insecurity, and foster care involvement) with SI, SA, and repetitive NSSI within the past 12 months using multilevel logistic regression stratified by ethnoracial group (American Indian/Alaskan Native [AIAN], Hmong, other Asian, Black Latino, other Latino, Somali, other Black/African American [AA], Native Hawaiian/Pacific Islander [NHPI], and multiracial), and adjusted for sex, grade, ACEs experienced within one's household, mental health treatment, and perceived safety.</p><p><strong>Results: </strong>Structural ACEs were strongly associated with increasing SI, SA, and NSSI. At ≥2 structural ACEs, repetitive NSSI rates ranged from 7% to 29% (female), 8% to 20% (male); SA rates ranged from 13% to 35% (female), 10% to 22% (male); and SI rates ranged from 31% to 50% (female), 20% to 32% (male). Black Latino, NHPI, AIAN, and Black/AA students most often reported structural ACE exposures.</p><p><strong>Conclusion: </strong>Reducing structural ACEs may reduce SI, SA, and repetitive NSSI among ethnoracially minoritized youth populations. Disaggregating diverse youth groups revealed variations in these outcomes that remain hidden when subpopulations are aggregated.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13084"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866764","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":"Suicide prevention safety planning in the US Department of defense: Qualitative assessment of training.","authors":"Aaron M Norr, Devon Sandel-Fernandez, Janelle Nguyen, Heather Schacht Reisinger, Greg M Reger","doi":"10.1111/sltb.13131","DOIUrl":"10.1111/sltb.13131","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide rates in the military are a significant public health concern. The suicide prevention safety planning intervention is a brief and effective intervention in which a provider and patient work collaboratively to recognize warning signs of a suicidal crisis and create a defined list of coping strategies and supports for use during future crises (Stanley & Brown, 2012). Implementation of safety planning has been supported by the Department of Defense (DoD), yet readily available training and continuing education for healthcare providers in this intervention is limited and passive in nature. Existing safety planning training experiences and needs of DoD behavioral health providers are unknown. The present study is an exploratory qualitative assessment of current safety planning in DoD to inform the design and development of an interactive virtual standardized training patient.</p><p><strong>Method: </strong>Ten military behavioral health providers completed semi-structured interviews.</p><p><strong>Results: </strong>Thematic content analysis was conducted, and three themes are described in this paper: variety of training received, barriers to receiving suicide safety planning training, and desires for future training. Lack of protected time for training and a lack of access to training resources were identified as key barriers.</p><p><strong>Conclusions: </strong>Rich data obtained can help inform the key design features and relevance of new safety planning intervention training approaches.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13131"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477022","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":"Social life impact for mother scale at first trimester predicts postpartum suicide risk: A prospective study.","authors":"Satomi K Doi, Aya Isumi, Junichi Sugawara, Kazuhisa Maeda, Shoji Satoh, Nobuaki Mitsuda, Takeo Fujiwara","doi":"10.1111/sltb.13157","DOIUrl":"10.1111/sltb.13157","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether the Social Life Impact for Mother (SLIM) scale in the first trimester predicts postpartum suicide risk.</p><p><strong>Methods: </strong>We used part of the hospital-based prospective study conducted in obstetric clinics and hospitals in four populous prefectures in Japan (N = 7,462). Participants completed the SLIM scale, including nine risk factors in the first trimester, and postpartum suicide risk was assessed as item-10 in the Edinburgh Postnatal Depression Scale, self-harm ideation, at one month after delivery (N = 5,697).</p><p><strong>Results: </strong>The weighted total score of the SLIM scale which was calculated using the results of odds ratio predicted postpartum suicide risk with moderate accuracy. Pregnant women with 6+ scores of the new SLIM score were 4.26 (95%CI = 3.12-5.01) times more likely to have postpartum suicide risk. The original SLIM score also predicted postpartum suicide risk. The new SLIM score showed higher accuracy than the original score.</p><p><strong>Conclusion: </strong>The SLIM scale at the first trimester of prenatal checkups may be useful for obstetricians to predict postpartum suicide risk and start to provide support for the expecting mothers. Both weighted total scores could be utilized according to the purpose of implementing the SLIM scale at obstetric institutions.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 1","pages":"e13157"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013661","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 thoughts and behaviors among gender and sexual minorities: Adults ages 25-44 show highest rates of past month suicidal thoughts.","authors":"Margaret E Manges, Craig J Bryan, AnnaBelle O Bryan, Christina Rose Bauder, Heather M Wastler","doi":"10.1111/sltb.13029","DOIUrl":"10.1111/sltb.13029","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual and gender minority (SGM) people are at increased risk for suicidal thoughts and behaviors relative to their cisgender heterosexual peers. However, most research in this area has focused on youth, limiting our understanding of suicide risk among SGM adults.</p><p><strong>Methods: </strong>To address this gap in the literature, the present study examined suicidal thoughts and behaviors among SGM adults across different age groups using a sample of 10,620 US adults.</p><p><strong>Results: </strong>Consistent with the literature on youth, SGM adults showed higher rates of suicidal thoughts and behaviors than cisgender heterosexual adults. When examining prevalence rates across various age groups, young adults (18-25) showed greater suicidal thoughts and behaviors relative to adults ages 45+. However, adults ages 25-44 actually showed the highest rate of past month suicidal thoughts compared to adults ages 18-25.</p><p><strong>Conclusion: </strong>These findings suggest that suicide risk for SGM extends beyond youth and highlights the need for more research on middle-age SGM adults. Additional resources for SGM adults that are not only tailored toward youth and young adults are warranted.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"e13029"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138808481","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":"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":"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}