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

Collaboration and consent in decisions to initiate emergency dispatches for suicide risk: A national qualitative study. 在决定启动自杀风险紧急派遣时的合作与同意：一项全国性定性研究。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-11-08 DOI: 10.1111/sltb.13142

Lauren M Denneson, Kyla Tompkins, Maeve M Hindenburg, Alexandria Reguinga, Kipling M Bohnert, Dara A Ganoczy, Mark A Ilgen, Peter C Britton

{"title":"Collaboration and consent in decisions to initiate emergency dispatches for suicide risk: A national qualitative study.","authors":"Lauren M Denneson, Kyla Tompkins, Maeve M Hindenburg, Alexandria Reguinga, Kipling M Bohnert, Dara A Ganoczy, Mark A Ilgen, Peter C Britton","doi":"10.1111/sltb.13142","DOIUrl":"10.1111/sltb.13142","url":null,"abstract":"Introduction: This study sought to better understand discussions of emergency dispatches (i.e., activation of local crisis services to conduct a welfare check) and the circumstances under which Veterans Crisis Line (VCL) callers and responders feel they are able contribute to (collaboration) and agree upon (consent) the decision to initiate an emergency dispatch.Methods: Semi-structured interviews gathered data on veterans' (n = 40) experiences receiving an emergency dispatch and VCL responders' (n = 35) perspectives on initiating dispatches. Data were analyzed using a thematic analysis approach.Results: Veterans calling the VCL were often seeking emotional support and were surprised to receive a suicide risk assessment and emergency dispatch. Responders reported they strive for collaboration and consent prior to sending a dispatch, but the crisis setting challenged this ideal. Overall, veterans and responders described similar features of the ideal, collaborative conversation about dispatches yet noted threats to achieving collaboration: complex standard operating procedures, responder training quality, and responder lack of comfort with de-escalation.Conclusions: Increasing veteran awareness of VCL services, altering the timing and type of suicide risk assessment, enhancing de-escalation skill, increasing consistency of VCL responder proficiencies, and revising guidelines for dispatch disclosure were identified as ways to improve collaboration and consent around emergency dispatches.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606653","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

Implicit affective responses to suicide-related stimuli: Differences as a function of suicide attempt history and concurrent substance use. 对自杀相关刺激的内隐情感反应：自杀未遂史和同时使用药物的差异。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-11-07 DOI: 10.1111/sltb.13140

Jeremy L Grove, Angela M Tunno, Shayna M Cheek, Bridget E Weller, Nicole C Heilbron, Adrienne B Inscoe, B Keith Payne, Tia L Tyndal, David B Goldston

{"title":"Implicit affective responses to suicide-related stimuli: Differences as a function of suicide attempt history and concurrent substance use.","authors":"Jeremy L Grove, Angela M Tunno, Shayna M Cheek, Bridget E Weller, Nicole C Heilbron, Adrienne B Inscoe, B Keith Payne, Tia L Tyndal, David B Goldston","doi":"10.1111/sltb.13140","DOIUrl":"https://doi.org/10.1111/sltb.13140","url":null,"abstract":"Introduction: Individuals who are depressed, have suicide attempts, and a substance use disorder (SUD) may have different patterns of suicidal thoughts and behaviors and respond differently to cues associated with suicide and death.Method: Implicit affective reactions to visual cues suggestive of suicide and death (as well as to pleasant, unpleasant, and neutral cues), were compared among three groups of hospitalized adults: (a) depressed patients without the histories of suicidal behavior (depression only), (b) depressed patients with suicide attempts, but no current substance abuse disorder (SA), and (c) depressed patients with both suicide attempts and substance use disorder (SA + SUD).Results: The SA group demonstrated higher positive evaluations of visual cues associated with suicide and death when compared to the SA + SUD group. The SA + SUD group demonstrated the lowest positive evaluation of suicide-related stimuli as well as less positive evaluation of visual cues of generally unpleasant stimuli.Conclusion: Differences observed between SA and SA + SUD participants underscore differences in responses to cues related to suicide, which may reflect differences in mechanisms of risk.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606654","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

Developmental trajectories of interpersonal stress in school and psychological pain contributing to self-harm in adolescents. 学校人际关系压力的发展轨迹和导致青少年自残的心理痛苦。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-11-06 DOI: 10.1111/sltb.13144

Fang Sun, Yuying Chen, Huanhuan Li, Shijie Wei, Siru Wang, Hongyan Zhao

{"title":"Developmental trajectories of interpersonal stress in school and psychological pain contributing to self-harm in adolescents.","authors":"Fang Sun, Yuying Chen, Huanhuan Li, Shijie Wei, Siru Wang, Hongyan Zhao","doi":"10.1111/sltb.13144","DOIUrl":"https://doi.org/10.1111/sltb.13144","url":null,"abstract":"Background: This study investigated the trajectories of interpersonal stress and psychological pain and their effects on self-harm behaviors in adolescents and explored the reciprocal associations between interpersonal stress and NSSI/SA.Methods: The participants included 1149 adolescents (50.3% women; Mage = 12.86, SD = 0.69) who participated in three waves of data collection. Latent class growth models and cross-lagged panel models were used to identify subgroups of individuals and interactions between interpersonal stress and NSSI/SA.Results: Controlling for sex and age, compared to the low interpersonal stress class, the moderate to high and increasing classes have higher risks of NSSI and SA. Compared to adolescents in the low increasing feelings with high increasing avoidance class, those in the low increasing feelings with low decreasing avoidance class reported lower probabilities of NSSI and SA. Pain avoidance and painful feelings mediated the pathway from interpersonal stress to NSSI/SA, whereas pain arousal mediated the pathway from NSSI/SA to interpersonal stress.Conclusions: Shared impact of interpersonal stress and distinct effects of psychological pain over time on maintaining and distinguishing self-harm behaviors were found. Adolescent crisis interventions should simultaneously focus on building social networks within the school context and regulating maladaptive minds.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584305","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

Worsening sleep predicts next-week suicidal ideation in a high-risk adolescent outpatient treatment sample. 在高风险青少年门诊治疗样本中，睡眠恶化可预测下周的自杀意念。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-11-05 DOI: 10.1111/sltb.13141

Giana I Teresi, John Merranko, Giovanna Porta, Kelsey Bero, Kimberly D Poling, David A Brent, Tina R Goldstein

{"title":"Worsening sleep predicts next-week suicidal ideation in a high-risk adolescent outpatient treatment sample.","authors":"Giana I Teresi, John Merranko, Giovanna Porta, Kelsey Bero, Kimberly D Poling, David A Brent, Tina R Goldstein","doi":"10.1111/sltb.13141","DOIUrl":"https://doi.org/10.1111/sltb.13141","url":null,"abstract":"Introduction: Suicidal thoughts and behaviors often onset during adolescence, constituting a major public health concern. Despite rising rates in youth, psychotherapeutic and pharmacological treatment outcomes remain meager, indicating a need to identify modifiable risk factors. Experts suggest sleep may serve as a promising clinical indicator of risk and treatment progress, yet few studies have examined acute temporal associations between sleep and suicidal ideation.Methods: Participants were depressed and suicidal adolescents (age 13-19, n = 311) attending an intensive outpatient program (IOP). Patients completed weekly self-report assessments of sleep, depression, and suicidal ideation throughout IOP, with an average of 5 assessments over 30 days.Results: Greater overall sleep difficulties, as well as within-person increases in sleep difficulties, were predictive of greater depression severity and suicidal ideation at subsequent assessments, above and beyond previous levels of symptoms. The reverse associations were not found. Inclusion of within-person changes in sleep difficulties significantly improved model fit compared to inclusion of overall sleep difficulties alone.Discussion: This study provides additional evidence for a prospective relationship between worsening sleep difficulties and suicidal ideation in an IOP youth sample. Worsening sleep may be an important clinical indicator of subsequent depression and suicide risk among adolescents in treatment.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584310","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

The end of ambivalence. A narrative perspective on ambivalence in the suicidal process. 矛盾心理的终结。从叙事角度看自杀过程中的矛盾心理。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-06-07 DOI: 10.1111/sltb.13101

Dariusz Galasiński, Justyna Ziółkowska

{"title":"The end of ambivalence. A narrative perspective on ambivalence in the suicidal process.","authors":"Dariusz Galasiński, Justyna Ziółkowska","doi":"10.1111/sltb.13101","DOIUrl":"10.1111/sltb.13101","url":null,"abstract":"Introduction: Suicidal ambivalence is a recognized phenomenon in suicidology, yet not much is known about it in the context of progression from suicidal ideation to action. The current study addresses this gap. We explore narrative dynamics of suicidal ambivalence in stories about transition from suicidal ideation to action.Methods: We employ an experiential qualitative approach to gain in-depth understanding of narrated experience of suicidal ambivalence. We conducted semi-structured interviews with 22 patients hospitalized after a suicide attempt. For a detailed analysis, we selected 11 interviews in which the interviewees' accounts spontaneously referred to their ambivalence about attempting suicide. We used a text-oriented version of Critical Discourse Studies (CDS) to analyze the semantics and syntax, as well as the functions of what was said within the local context, and the social actions thus accomplished.Results: Our study shows primarily that ambivalence is not resolved. Rather, it is set aside and removed from the narrative and replaced by an action-focused narrative with no references to mental activities.Conclusion: We propose that ambivalence recedes and gives way to action and that qualitative research provides a useful evidence base for conceptualizing and understanding the role of ambivalence in transition from suicidal ideation to action.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"888-899"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284919","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

Ambulatory assessment of suicidal ambivalence: The temporal variability of the wish to live and the wish to die and their relevance in the concurrent and prospective prediction of suicidal desire. 自杀矛盾心理的非卧床评估：求生愿望和求死愿望的时间可变性及其在同时和前瞻性预测自杀愿望中的相关性。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-08-03 DOI: 10.1111/sltb.13120

Mareike Ernst, Theresa J Gemke, L Julian Olivi, Rory C O'Connor

{"title":"Ambulatory assessment of suicidal ambivalence: The temporal variability of the wish to live and the wish to die and their relevance in the concurrent and prospective prediction of suicidal desire.","authors":"Mareike Ernst, Theresa J Gemke, L Julian Olivi, Rory C O'Connor","doi":"10.1111/sltb.13120","DOIUrl":"10.1111/sltb.13120","url":null,"abstract":"Introduction: Suicidal ambivalence is increasingly understood as the result of the interplay of two conflicting motivational orientations, the wish to die (WTD) and wish to live (WTL). However, research is scarce regarding the nature of their relationship, their temporal structure, and their relevance in predicting suicidal desire.Methods: Fifty psychosomatic/psychiatric inpatients (17 reporting suicide attempts) took part in an intensive longitudinal design with 10 signal-contingent prompts per day over 10 days; assessing WTD, WTL, and suicidal desire. We calculated mean values and variability of WTD, WTL, suicidal ambivalence, and suicidal desire and tested mixed-effects models of suicidal desire.Results: The mean number of answered prompts was 40.98 (SD = 21.68). Repeated-measures correlation of WTD and WTL was r = -0.60. Patients with a history of suicide attempts reported higher WTD, lower WTL, more suicidal ambivalence, stronger suicidal desire, and showed higher variability in all constructs. At the same assessment, WTD was the strongest statistical predictor of suicidal desire. Only WTL and the interaction of WTD and WTL predicted suicidal desire prospectively.Conclusion: Wish to die and WTL are likely two distinct (although correlated) constructs that should not be reduced to a single ambivalence score. A stronger focus on WTL holds potential for suicide research and practice.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"831-843"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879627","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

Suicidal ambivalence: A scoping review. 自杀的矛盾心理：范围界定综述。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-05-06 DOI: 10.1111/sltb.13092

Tobias Teismann, Annika Maria Siebert, Thomas Forkmann

{"title":"Suicidal ambivalence: A scoping review.","authors":"Tobias Teismann, Annika Maria Siebert, Thomas Forkmann","doi":"10.1111/sltb.13092","DOIUrl":"10.1111/sltb.13092","url":null,"abstract":"Background: Suicidal ambivalence is considered a characteristic condition of suicidal individuals. At the same time, there is a lack of a uniform definition, conception and assessment of suicidal ambivalence. On this background, the current scoping review aims to explore the extent, range, and nature of research activity on suicidal ambivalence and to summarize research findings.Methods: A systematic literature search was conducted in four different databases (PubMed, Psychinfo, Web of Science, and Google Scholar) using an array of search terms (e.g., ambivalence, internal suicide debate, reasons for living and reasons for dying, wish to live and wish to die).Results: In total, 28 articles published between 1977 and 2023 were included in the scoping review. The study situation lacks a clear definition, conceptualization and operationalization of suicidal ambivalence. Nonetheless, suicidal ambivalence is a common experience in persons contemplating suicide and suicidal ambivalence seems to be present before, during and after a suicide attempt. Suicidal ambivalence is associated with diverse markers of negative/positive mental health as well as suicidal ideation and behavior.Conclusion: Results point to the relevance of suicidal ambivalence. At the same time, there are large gaps in knowledge about the development, impact and therapeutic responsiveness of suicidal ambivalence.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"802-813"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869864","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

Dynamic association between suicidal ambivalence and suicide risk among individuals with a history of suicide attempts. 有自杀未遂史者的自杀矛盾心理与自杀风险之间的动态关联。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-06-04 DOI: 10.1111/sltb.13096

Clemens Fartacek, Reinhold Fartacek, Günter K Schiepek, Josef Sturm, Wolfgang Aichhorn, Martin Plöderl

{"title":"Dynamic association between suicidal ambivalence and suicide risk among individuals with a history of suicide attempts.","authors":"Clemens Fartacek, Reinhold Fartacek, Günter K Schiepek, Josef Sturm, Wolfgang Aichhorn, Martin Plöderl","doi":"10.1111/sltb.13096","DOIUrl":"10.1111/sltb.13096","url":null,"abstract":"Objective: Suicide risk is highly fluctuating. There is a need for predictors of short-term change in suicide risk to optimize risk assessment and treatment, especially among individuals who already attempted suicide.Methods: Based on 1776 daily assessments of 16 former psychiatric inpatients with a history of suicide attempts, we examined how suicidal ambivalence and, respectively, wish to die (WTD) and wish to live (WTL) predicted same-day and change in perceived suicide risk (i.e., next-day perceived suicide risk, controlled for same-day perceived suicide risk) in multilevel regression models. Additionally, based on the assumptions of nonlinear dynamics, we examined the associations between levels of fluctuations in the WTD/WTL and perceived suicide risk within the same time period.Results: Suicidal ambivalence, WTD, and a WTL significantly correlated with same-day suicide risk. Suicidal ambivalence and WTD significantly predicted change in suicide risk. Fluctuations in WTD were significantly associated with concurrent suicide risk.Conclusion: The results suggest that suicidal ambivalence and WTD are drivers of suicide risk among individuals who already attempted suicide. The association between fluctuations in WTD and suicide risk was small and warrants further investigation on the practical utility as a warning sign.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"860-868"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262980","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

Identifying latent classes of suicidal ambivalence: Associations with suicide risk correlates and outcomes. 识别自杀矛盾心理的潜在类别：与自杀风险相关因素和结果的联系。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-07-12 DOI: 10.1111/sltb.13111

Sean Mitchell, Cole Marvin, Dea Mitaj, Megan L Rogers

{"title":"Identifying latent classes of suicidal ambivalence: Associations with suicide risk correlates and outcomes.","authors":"Sean Mitchell, Cole Marvin, Dea Mitaj, Megan L Rogers","doi":"10.1111/sltb.13111","DOIUrl":"10.1111/sltb.13111","url":null,"abstract":"Introduction: Research has largely conceptualized suicidal ambivalence as the difference between one's wish to live and wish to die without fully considering other suicide ideation (SI) experiences included on measures like the Beck Scale for Suicide Ideation (BSS). We utilized BSS items to identify SI latent classes and examined relevant correlates and outcomes.Methods: We collected self-report data from two samples of US adults who: (1) self-identified as LGBTQ+ (N = 349; cross-sectional) and (2) self-reported past-week SI (BSS score ≥ 11; N = 133; 3 timepoints).Results: Latent class analyses supported three-class (Sample 1) and four-class solutions (Sample 2), which included ambivalent classes. In Sample 1, sexual orientation, gender, depression, anxiety, SI, and suicide-specific rumination were concurrently associated with class membership. In Sample 2, depression, SI, suicide-specific rumination, and physical/psychological distance from suicide methods were concurrently associated with class membership. In Sample 2, at both follow-ups, suicide plans/preparations and Acute Suicidal Affective Disturbance symptom frequencies were provided by class membership, and suicidal intent significantly differed by class membership.Conclusions: SI classes differed by sample and evidenced nuances in SI and suicidal ambivalence. Risk factors and suicide-related outcomes also differed by class membership. Implications and limitations are discussed.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"844-859"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11479826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591633","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

Ambivalent attitudes toward life and death and suicide ideation among adolescents-The mediating role of depression. 青少年对生死的矛盾态度与自杀意念--抑郁症的中介作用。

IF 2.7 3区医学

Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-07-19 DOI: 10.1111/sltb.13118

N Toukhy, B Raviv, L Haruvi-Catalan, S Fennig, S Barzilay

{"title":"Ambivalent attitudes toward life and death and suicide ideation among adolescents-The mediating role of depression.","authors":"N Toukhy, B Raviv, L Haruvi-Catalan, S Fennig, S Barzilay","doi":"10.1111/sltb.13118","DOIUrl":"10.1111/sltb.13118","url":null,"abstract":"Background: Ambivalence in attitudes towards life and death are associated with suicide ideation (SI) among adolescents. However, previous research was mainly cross-sectional and did not examine through which psychopathological mechanisms (such as depression) attitudes towards life and death are associated with SI.Objective: The current longitudinal study examined the mediating role of depression at follow-up in the association between attitudes towards life and death at baseline and SI at follow-up among at-risk adolescents referred to an outpatient psychiatric clinic.Methods: 129 adolescents aged 10-18 years (75.2% females) with a history of suicidal thoughts and behaviors were assessed at clinic intake and 1 month follow-up (80% retention rate at follow-up). All participants completed a questionnaire assessing attitudes towards life and death and SI severity at clinic intake, and depression and SI severity at 1 month follow-up.Results: While controlling for SI severity at intake, attraction towards life at baseline, rather than attraction and repulsion towards death at baseline, led to higher SI severity at follow-up, while depression at follow-up fully mediated this association.Conclusions: Attitudes towards life, as well as depression play critical roles in the development of SI among adolescents. Interventions targeting reasons for living and promoting meaning of life may be beneficial in preventing depression and SI.","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":" ","pages":"878-887"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731493","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