Suicide and Life-Threatening Behavior最新文献_第8页

Subtypes of Eating Disorder Symptoms, Thwarted Belongingness, Perceived Burdensomeness, Capability for Suicide, and Their Associations With Suicide Ideation and Suicide Attempts. 饮食失调症状亚型、受挫的归属感、感知负担、自杀能力及其与自杀意念和自杀企图的关系

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70054

Reza N Sahlan, Zoe Bridges-Curry, Shruti S Kinkel-Ram, Caroline Christian, April R Smith

{"title":"Subtypes of Eating Disorder Symptoms, Thwarted Belongingness, Perceived Burdensomeness, Capability for Suicide, and Their Associations With Suicide Ideation and Suicide Attempts.","authors":"Reza N Sahlan, Zoe Bridges-Curry, Shruti S Kinkel-Ram, Caroline Christian, April R Smith","doi":"10.1111/sltb.70054","DOIUrl":"https://doi.org/10.1111/sltb.70054","url":null,"abstract":"Objective: Suicidal ideation and attempts as well as eating disorders (EDs) are common among Iranian individuals. Additionally, ED symptoms are associated with suicidality. According to the interpersonal-psychological theory of suicide (IPTS), factors such as thwarted belongingness, perceived burdensomeness, and capability for suicide must combine for suicidality to occur. The tenets of IPTS have been supported among individuals with ED symptoms from Western countries. However, no study has yet explored how ED symptoms might co-occur with IPTS factors and potentially relate to suicidal ideation and attempts using latent profile analysis (LPA).Methods: Participants (N = 773) were Iranian community members who completed a battery of scales assessing ED symptoms, suicide-related risk factors, as well as suicidal ideation and suicide attempts.Results: The LPA revealed that a six-class solution best fit the data. The classes with the highest levels of IPTS and binge/purge related symptoms also had the highest odds of suicide attempts.Conclusions: Our findings suggest that the measurement of thwarted belongingness, perceived burdensomeness, and capability for suicide is particularly important for individuals with binge/purge type eating disorder symptoms. Overall, IPTS factors should be incorporated into assessments of clients presenting with ED symptoms and suicidality.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70054"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193453","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

Affirmative Body Positivity and Positive Intimacy as a Buffer of Suicide Ideation Associated With Gendered Racism Among Asian American Men. 亚裔美国男性性别种族歧视自杀意念的缓冲：正面身体积极度与正面亲密度

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70052

Brian TaeHyuk Keum, Cathy Zhu, Hyeouk Chris Hahm

{"title":"Affirmative Body Positivity and Positive Intimacy as a Buffer of Suicide Ideation Associated With Gendered Racism Among Asian American Men.","authors":"Brian TaeHyuk Keum, Cathy Zhu, Hyeouk Chris Hahm","doi":"10.1111/sltb.70052","DOIUrl":"10.1111/sltb.70052","url":null,"abstract":"Introduction: Gendered racism, which emasculates and denigrates the masculinity self-concept and the desirability of Asian American men, has been associated with greater endorsement of suicide ideation. However, no research has examined culturally informed gendered racial factors that could moderate the risk of suicide ideation associated with gendered racism. Based on the potential of affirming gendered racial experiences that can validate and empower Asian American men to resist internalizing the harms of gendered racism, we examined whether affirmative body positive and positive intimacy experiences could moderate the link between gendered racism and suicide ideation.Methods: We conducted latent moderated structural equation modeling to analyze online convenience data from 876 Asian American men (Mage = 30.78; SD = 9.43).Results: Gendered racism was significantly associated with suicide ideation. Affirmative body positive experience was a buffer at low to mean levels of gendered racism but was an exacerbator at mean to high levels of gendered racism. Affirmative positive intimacy experiences were a buffer at low and mean levels of gendered racism but not at high levels of gendered racism.Conclusion: Implications include translating these findings into a more nuanced affirmative support system and gendered racial socialization strategies to help Asian American men engage in healthier and flourishing outcomes.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70052"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193397","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

Clinical Outcomes of Telehealth-Based Cognitive Behavioral Therapy for Suicide Prevention in the US Department of Veterans Affairs. 美国退伍军人事务部基于远程医疗的认知行为治疗预防自杀的临床结果。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70044

Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy

{"title":"Clinical Outcomes of Telehealth-Based Cognitive Behavioral Therapy for Suicide Prevention in the US Department of Veterans Affairs.","authors":"Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy","doi":"10.1111/sltb.70044","DOIUrl":"10.1111/sltb.70044","url":null,"abstract":"Introduction: US Veterans are at higher risk for suicide compared to the general population. Access to evidence-based practices for suicide prevention (EBP-SPs) is limited; however, emerging research supports the delivery of EBP-SPs through telehealth. The Veterans Health Administration's (VHA) Suicide Prevention (SP) 2.0 Clinical Telehealth Program aims to increase nationwide access to EBP-SPs for Veterans with recent suicidal self-directed violence (SSDV). This paper describes initial outcomes of SP 2.0's Cognitive Behavioral Therapy for SP (CBT-SP).Methods: From April 2021 to September 2023, SP 2.0 provided EBP-SPs to Veterans via telehealth. Veterans were eligible if they were enrolled in VHA care and engaged in SSDV (suicide attempts and/or preparatory behavior) in the past 12 months. CBT-SP was provided via VHA's telehealth platform, accessible to all 139 VA Health Care Systems in the US. Outcomes were captured via electronic health records and analyzed using logistic regression and generalized linear models. Significance was set at p < 0.003.Results: Veterans (N = 2712) received an average of 8.54 CBT-SP sessions. Models demonstrated improvements in suicide-related coping, depression, suicidal thought intensity, hopelessness, urge and intent to kill self, and self-efficacy.Conclusion: Providing CBT-SP via telehealth is feasible and Veterans demonstrated several improvements. Implications and future research directions are discussed.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70044"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253029","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

An Examination of Measurement Invariance of the Brief Suicide Cognitions Scale. 简易自杀认知量表测量不变性检验。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70057

Austin G Starkey, Raymond P Tucker, Ryan M Hill

{"title":"An Examination of Measurement Invariance of the Brief Suicide Cognitions Scale.","authors":"Austin G Starkey, Raymond P Tucker, Ryan M Hill","doi":"10.1111/sltb.70057","DOIUrl":"https://doi.org/10.1111/sltb.70057","url":null,"abstract":"Background: The Brief Suicide Cognitions Scale (B-SCS) is a self-report measure of suicidogenic cognitions. This study evaluated measurement invariance of the B-SCS among different subgroups. Secondarily, this study sought to evaluate the replicability of the psychometric validity, reliability, and factor structure of the B-SCS.Methods: Participants included undergraduate students (N = 2000) recruited between 2022 and 2023. Multigroup Confirmatory Factor Analyses (CFA) were conducted comparing participants by race, ethnicity, gender, and sexuality.Results: Results support the existence of a unidimensional factor structure of the B-SCS. Multigroup CFA analyses yielded all levels of measurement invariance across White and Black, Hispanic and Non-Hispanic, cisgender men and women, and heterosexual and sexual minority individuals. Additionally, the B-SCS was found to have strong internal consistency and good concurrent validity. Finally, the B-SCS was able to discriminate between participants who had a history of suicide attempts and those who did not.Conclusion: These results indicate that the B-SCS is a valid and reliable tool to be used in assessing suicidogenic cognitions. Moreover, results from measurement invariance analyses indicate that this tool may be viable to use within specific sub-populations examined within this study.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70057"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330327","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

Investigating Early Predictive Correlates of Suicide Among Adolescent Longitudinal Survey Participants After Nearly Three Decades: Reviewing National Death Index Records of Add Health Suicide Decedents From 2022. 调查近三十年后青少年纵向调查参与者自杀的早期预测相关性：回顾2022年以来健康自杀者的国家死亡指数记录。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70060

William Feigelman, Julie Cerel, Bernard S Gorman, Daniel Coleman, Alice C Edwards

{"title":"Investigating Early Predictive Correlates of Suicide Among Adolescent Longitudinal Survey Participants After Nearly Three Decades: Reviewing National Death Index Records of Add Health Suicide Decedents From 2022.","authors":"William Feigelman, Julie Cerel, Bernard S Gorman, Daniel Coleman, Alice C Edwards","doi":"10.1111/sltb.70060","DOIUrl":"https://doi.org/10.1111/sltb.70060","url":null,"abstract":"Introduction: We investigated predictors of suicide among Add Health longitudinal survey participants with over 20,000 high school students using National Death Index (NDI) mortality records, exploring behavioral, attitudinal, and demographic correlates of suicide risk.Method: We investigated early correlating suicide risk factors when students were in high school and whether they died by suicide during the next 28 years. We used multiple linear regression to distill the most essential correlates of suicide risk for male (n = 58) and female (n = 14) suicide decedents.Results: Findings indicated suicide rates four times higher for males than for females, with males dying at younger ages on average than females. Many risk factors established from previous research were found to be associated with suicide risk. Regression analysis showed only two factors associated with a male's suicide risk: experiencing a friend's death by suicide and running away from home. For females, being expelled from school and having a conflicted relationship with one's father were the most significant correlates.Conclusion: This follow-up provides insights into how risk factors evolve over time, highlighting the importance of early-life psychosocial challenges and gender-specific dynamics in creating suicide risks. Findings underscore the need for differentially targeted interventions to mitigate suicide risk across the lifespan.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70060"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145378685","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

Associations of Suicide Stigma Internalization With Risk Factors of Suicidal Thoughts and Behaviors Among Chinese College Students: A Multi-Wave Longitudinal Study. 中国大学生自杀污名内化与自杀念头和行为危险因素的关系：一项多波纵向研究

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70053

Shunyan Lyu, Sabrina Yanan Jiang, Yu Li

{"title":"Associations of Suicide Stigma Internalization With Risk Factors of Suicidal Thoughts and Behaviors Among Chinese College Students: A Multi-Wave Longitudinal Study.","authors":"Shunyan Lyu, Sabrina Yanan Jiang, Yu Li","doi":"10.1111/sltb.70053","DOIUrl":"https://doi.org/10.1111/sltb.70053","url":null,"abstract":"Introduction: Suicide stigma is a multifaceted social issue with far-reaching consequences for mental health. While previous research has linked it to suicidal thoughts and behaviors (STBs), the roles of perceived and internalized forms of suicide stigma in influencing STBs remain unclear.Method: This study investigated the potential causal relationships between perceived and internalized suicide stigma, hopelessness, unbearable pain, and thwarted connectedness in relation to STBs among 546 Chinese college students (mean age = 20.92 years). Three-wave longitudinal data with a time gap of roughly 3 months were analyzed by using structural equation modeling.Results: The results showed that the second-wave internalized stigma mediated the relationship between baseline perceived stigma and the third-wave unbearable pain, hopelessness, and thwarted connectedness, which are considered risk factors of STBs. Furthermore, the coexistence of unbearable pain and hopelessness, and the coexistence of unbearable pain and connectedness mediated the influences of perceived and internalized suicide stigma on STBs.Conclusion: These findings demonstrated that the temporal evolution of perceived and internalized suicide stigma contributes to risk factors predicting STBs.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70053"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193434","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

Comparing the Impacts of Crisis Response Plan and Self-Administered Safety Plan Use in Real Life on Key Clinical Outcomes. 比较危机应对计划和自我管理的安全计划在现实生活中使用对关键临床结果的影响。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70050

Melanie Bozzay, Xiaoxuan Cai, Jiaxin Chen, Samantha Daruwala, Lauren Khazem, Heather Wastler, Nicholas P Allan, AnnaBelle O Bryan, Craig J Bryan

{"title":"Comparing the Impacts of Crisis Response Plan and Self-Administered Safety Plan Use in Real Life on Key Clinical Outcomes.","authors":"Melanie Bozzay, Xiaoxuan Cai, Jiaxin Chen, Samantha Daruwala, Lauren Khazem, Heather Wastler, Nicholas P Allan, AnnaBelle O Bryan, Craig J Bryan","doi":"10.1111/sltb.70050","DOIUrl":"10.1111/sltb.70050","url":null,"abstract":"Background: Suicidal crises can occur when a clinician is not available to intervene. Safety planning-type interventions, such as the Crisis Response Plan (CRP) and the self-guided Safety Plan (SP), were developed to provide patients with skills to manage their suicide risk in daily life. These plans are similar in makeup, but differ in terms of how they are created. This study examined whether plan type moderated associations between frequency of plan use and suicide ideation and affect.Method: Participants were 115 military personnel in a randomized clinical trial comparing the effectiveness of CRP versus a self-guided SP who completed an ecological momentary assessment battery. Generalized linear mixed-effects models examined whether plan type moderated the association between daily plan use frequency and clinical outcomes.Results: Treatment group moderated the relationship between plan use frequency and the odds of suicidal ideation. When participants used plans more frequently than their average, they reported lower suicidal ideation and higher positive affect for CRP versus self-guided SP.Conclusions: More frequent CRP use was linked with lower risk of suicidal ideation and greater positive affect. This may reflect better plan use due to clinician guidance. Results have critical implications for the implementation of safety planning-type interventions.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70050"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12429010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041682","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

Assessing the Lethality of Suicide Attempts: Adding Chance of Rescue to Medical Severity. 评估自杀企图的致命性：在医疗严重程度上增加获救的机会。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI: 10.1111/sltb.70058

Tormod Stangeland, Ketil Hanssen-Bauer, Linn-Ingunn Lynum, Karen Margrethe Walaas Nedberge, Johan Siqveland

{"title":"Assessing the Lethality of Suicide Attempts: Adding Chance of Rescue to Medical Severity.","authors":"Tormod Stangeland, Ketil Hanssen-Bauer, Linn-Ingunn Lynum, Karen Margrethe Walaas Nedberge, Johan Siqveland","doi":"10.1111/sltb.70058","DOIUrl":"10.1111/sltb.70058","url":null,"abstract":"Introduction: Emphasis on medical severity when assessing the lethality of suicide attempts may overlook important contextual factors. We examined if distinguishing between medical severity and chance of rescue improves evaluation and understanding of suicidal mental states.Methods: Seventy adolescent inpatients with a recent suicide attempt were interviewed with the Suicide Intent Scale, and clinicians rated the Risk-Rescue Rating Scale, which provides separate ratings for medical severity (Risk) and chance of rescue (Rescue). They also completed the Interpersonal Needs Questionnaire and Fearlessness about Death scale.Results: The lethality components Risk and Rescue were uncorrelated (r = -0.02). However, Rescue was significantly negatively correlated with suicidal intent (r = -0.46), fearlessness about death (r = -0.29), and unmet interpersonal needs (r = -0.28), while Risk was only correlated with suicidal intent (r = 0.29). In a hierarchical regression model, Rescue was the strongest predictor of suicidal intent.Conclusion: Rescue factors, more than medical severity factors, were consistently related to our measures of suicidal mental state. Including the rescue component in lethality assessments may improve both the accuracy of clinical evaluations and our understanding of adolescents' mental state during suicidal crisis.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70058"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293990","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

Rates and Reasons for Concealing Suicidal Ideation From Clinicians: A Cross-National Examination. 临床医生隐瞒自杀意念的比率和原因：一项跨国调查。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-08-01 DOI: 10.1111/sltb.70039

Devon Peterkin, Megan L Rogers, Olivia C Lawrence, Jenelle Richards, Sifan Zheng, Claudia I Astudillo-García, Yael Apter Levy, Shira Barzilay, Yarden Blum, Ksenia Chistopolskaya, Elif Çinka, Manuela Dudeck, M Ishrat Husain, Alberto Jiménez, Fatma Kantas Yilmaz, Oskar Kuśmirek, Ming-Been Lee, Vikas Menon, Jefté Peper-Nascimento, Veronika Sadovnichaya, Judith Streb, Samira S Valvassori, Chia-Yi Wu, Sungeun You, Igor Galynker

{"title":"Rates and Reasons for Concealing Suicidal Ideation From Clinicians: A Cross-National Examination.","authors":"Devon Peterkin, Megan L Rogers, Olivia C Lawrence, Jenelle Richards, Sifan Zheng, Claudia I Astudillo-García, Yael Apter Levy, Shira Barzilay, Yarden Blum, Ksenia Chistopolskaya, Elif Çinka, Manuela Dudeck, M Ishrat Husain, Alberto Jiménez, Fatma Kantas Yilmaz, Oskar Kuśmirek, Ming-Been Lee, Vikas Menon, Jefté Peper-Nascimento, Veronika Sadovnichaya, Judith Streb, Samira S Valvassori, Chia-Yi Wu, Sungeun You, Igor Galynker","doi":"10.1111/sltb.70039","DOIUrl":"10.1111/sltb.70039","url":null,"abstract":"Introduction: Nondisclosure of suicidal ideation (SI) presents a challenge to assessing suicide risk, as assessments often rely on self-reported SI. Cross-national comparisons of rates of, and reasons for, SI nondisclosure remain understudied. The present study examined whether rates of SI nondisclosure from clinicians differed, and if there were differences in rates of reasons for SI nondisclosure, across 12 countries.Method: A subset of adult participants (n = 6770) who reported a lifetime history of SI from 12 countries responded to the question: \"Have you ever denied or concealed thinking about suicide from a doctor or clinician?\" Those who selected \"Yes\" provided reason(s) for SI nondisclosure. Responses were coded according to inductively and deductively derived reasons for SI nondisclosure.Results: Rates of nondisclosure among participants who reported lifetime SI ranged from 7.2% (Taiwan) to 48.2% (United States). Among those participants, rates of reasons for SI nondisclosure ranged from 2.0% (participant was unsure/did not know why they concealed SI) to 35.6% (negative internal experiences).Conclusions: Findings provide insight into the frequency of and reasons for SI nondisclosure from clinicians at a country-specific level. Results could serve as a rationale for clinicians to incorporate indirect suicide risk factors into risk assessments.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70039"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875720","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

Reduced Trust in Bodily Sensations Predicts Suicidal Ideation in Hospitalized Patients With Major Depression: An Observational Study. 一项观察性研究：对身体感觉信任度降低可预测重度抑郁症住院患者的自杀意念。

IF 2.6 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2025-08-01 DOI: 10.1111/sltb.70041

Michael Eggart, Juan Valdés-Stauber, Bruno Müller-Oerlinghausen

{"title":"Reduced Trust in Bodily Sensations Predicts Suicidal Ideation in Hospitalized Patients With Major Depression: An Observational Study.","authors":"Michael Eggart, Juan Valdés-Stauber, Bruno Müller-Oerlinghausen","doi":"10.1111/sltb.70041","DOIUrl":"https://doi.org/10.1111/sltb.70041","url":null,"abstract":"Background: Major depressive disorder (MDD) is associated with maladaptive self-reported interoception, that is, abnormal bodily self-experience. Although diminished body trust predicts suicidal ideation, interoceptive measures have not been considered in depressed inpatients, whose suicide risk regularly peaks post-discharge. This study aims to explore interoceptive characteristics at admission that help identify inpatients at risk for suicidal ideation at discharge.Methods: The observational study included 87 depressed inpatients providing self-ratings at both hospital admission (T0) and discharge (T1) on the BDI-II and MAIA-2. The statistical analysis included hierarchical logistic regression models and used ROC curve analysis to establish optimal cutpoints.Results: Suicidal ideation was found in 17.24% of patients at discharge, who reported lower baseline MAIA-2 Trusting scores than non-ideators (p = 0.01). Diminished Trusting (OR = 0.19), somatic comorbidity (OR = 16.77), and baseline suicidal ideation (OR = 24.01) significantly predicted suicidal ideation (T1). For Trusting, we estimated an optimal classification of subsequent suicidal ideation for the cutpoint ≤ 2.33 (AUC = 0.70 [95% CI 0.57, 0.83], sensitivity = 0.87, specificity = 0.44, positive predictive value = 0.25, negative predictive value = 0.94).Conclusions: Diminished body trust is a significant predictor for post-treatment suicidal ideation in depressed inpatients. This finding emphasizes the importance of incorporating body-centered approaches into multimodal treatment strategies, especially in inpatients under risk to prevent suicidal incidents.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70041"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973084","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