Madison G Risner, Hannah D Johnson, William D Murley, Kendal F Parkhurst, Olivia D Teasdale, Justin H Tran, Megan L Rogers
{"title":"Empirical and Theoretical Overlap and Distinctiveness of Perceived Burdensomeness and Suicidal Ideation.","authors":"Madison G Risner, Hannah D Johnson, William D Murley, Kendal F Parkhurst, Olivia D Teasdale, Justin H Tran, Megan L Rogers","doi":"10.1111/sltb.70037","DOIUrl":"https://doi.org/10.1111/sltb.70037","url":null,"abstract":"<p><strong>Background: </strong>Although perceived burdensomeness and suicidal ideation are intended to be distinct constructs, they are often overlapping in both research and clinical settings. Such overlap provides room for error during assessment and analysis, with uncertainty in the degree to which PB and SI represent unique constructs. The present study evaluated what is represented in a SI variable with PB covaried out, and vice versa.</p><p><strong>Methods: </strong>312 students with lifetime suicidal ideation (M<sub>age</sub> = 19.10, 79.8% cisgender women, 75.6% White) completed self-report measures. We computed two variables-PB with SI covaried out and SI with PB covaried out-and examined relationships between these residuals and other suicide-related risk factors.</p><p><strong>Results: </strong>When SI was covaried out of PB, the PB residual remained significantly associated with nearly all risk factors. However, when PB was covaried out of SI, more than half of these suicide risk factors were no longer significantly associated with the SI residual.</p><p><strong>Conclusions: </strong>Our findings could hold relevance for advancing both clinical and research efforts, as most risk factors were uniquely associated with PB, as opposed to SI. Specifically, PB may act as a mediator between a plethora of suicide risk factors and SI, while also holding relevancy in other domains.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70037"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745391","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}
Rylee Lusich, April Smith, Nathan T Keans, Michelle Ganulin, Jefferey M Osgood, Bradley Fawver, Michael N Dretsch, Benjamin Trachik
{"title":"Self-Awareness as a Measure of Exteroception and Its Relationship to Suicide and Military Performance.","authors":"Rylee Lusich, April Smith, Nathan T Keans, Michelle Ganulin, Jefferey M Osgood, Bradley Fawver, Michael N Dretsch, Benjamin Trachik","doi":"10.1111/sltb.70032","DOIUrl":"https://doi.org/10.1111/sltb.70032","url":null,"abstract":"<p><strong>Background: </strong>As the Army continues to modernize in the domains of technology, strategy, and training, there remains a need for research that intersects across research fields to promote the identification of transdiagnostic mechanisms that impact both psychological health and performance by designing more efficient and effective interventions. Bodily awareness (i.e., interoception and exteroception) has significant implications in military contexts, whereby both psychological health (e.g., suicide) and physical performance are key components to training, readiness, and wellbeing. However, although promising research exists focused on the etiological impacts of interoception on suicide, no work has directly examined exteroception-awareness of the body with respect to space and movement-within a military sample.</p><p><strong>Objective/purpose: </strong>The current study aimed to address this gap by examining the impact of bodily awareness on measures of suicide and military performance.</p><p><strong>Methods: </strong>A total of 1462 ADSM completed surveys assessing exteroception, suicidal ideation, readiness, and specific job related performance indicators.</p><p><strong>Results: </strong>Awareness of one's body in space (i.e., exteroception) was associated with suicidal ideation, over and above thwarted belongingness and perceived burdensomeness. Notably, exteroception was significantly associated with all measures of military performance.</p><p><strong>Conclusion: </strong>The results of this study suggest that improving exteroception may be an appropriate transdiagnostic target for interventions designed to improve mental health while simultaneously optimizing performance among ADSM.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70032"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745392","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}
Laura Hennefield, Meghan Rose Donohue, Caroline P Hoyniak, Diana J Whalen, Renee J Thompson, Rebecca Tillman, Joan L Luby, Deanna M Barch
{"title":"Characteristics Differentiating Preadolescents With Suicidal Ideation From Those Who Display Suicidal Behaviors.","authors":"Laura Hennefield, Meghan Rose Donohue, Caroline P Hoyniak, Diana J Whalen, Renee J Thompson, Rebecca Tillman, Joan L Luby, Deanna M Barch","doi":"10.1111/sltb.70040","DOIUrl":"10.1111/sltb.70040","url":null,"abstract":"<p><strong>Background: </strong>Increases in suicide attempts in preadolescents represent a serious public health concern. This study aimed to identify prospective and concurrent risk factors that differentiate children with suicidal ideation (SI) from those with a suicide attempt (SA) across childhood.</p><p><strong>Method: </strong>195 participants comprised of 8-12-year-olds from the Pediatric Suicidality Study, which followed a sample of preschoolers enriched for depression into preadolescence. Clinical diagnostic interviews and surveys to assess children's thoughts, behaviors, and experiences were administered to caregivers (preschool, preadolescence) and children (preadolescence).</p><p><strong>Results: </strong>Three groups were created based on preadolescents' lifetime history of SI/SA: Suicide Attempt (SA; n = 25), Suicide Ideation without Attempt (SI-only; n = 102), and No SI/SA (n = 68). Compared to preadolescents with SI-only, preadolescents with SA exhibited increased depression (OR = 1.52), anxiety (OR = 1.32), maladaptive guilt (OR = 3.31), catastrophizing (OR = 1.24), stressful (OR = 1.20) and traumatic events (OR = 1.82) by preadolescence. Preadolescents with SA also exhibited increased anxiety (OR = 1.07) and maladaptive guilt during preschool (OR = 4.10). Family SA and social relationships did not differentiate groups.</p><p><strong>Conclusions: </strong>Findings demonstrate unique and separable risk factors for SI and SA in children under age 13 with clinical implications for assessing suicide risk. Alongside depression and anxiety, assessments of maladaptive guilt may be important to identify at-risk children for increased monitoring and intervention.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 4","pages":"e70040"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12607253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838046","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":"Within-Person Relationships Between Perceived Suicide-Related Coping and Suicide Risk and Protective Factors in High-Risk Veterans With Borderline Personality Disorder Symptoms.","authors":"Sofie Glatt, Ashley L Greene, Marianne Goodman","doi":"10.1111/sltb.70024","DOIUrl":"10.1111/sltb.70024","url":null,"abstract":"<p><strong>Introduction: </strong>Given the high frequency and persistence of suicidal thoughts and behaviors among individuals with borderline personality disorder (BPD), characterizing mitigating factors of risk is critical. Suicide-related coping (SRC; knowledge and confidence in using internal coping strategies and external supports to manage suicidal thoughts and urges) is beneficial for suicide risk management. However, SRC has not been characterized longitudinally in suicidal individuals with BPD.</p><p><strong>Methods: </strong>A clinical sample of 98 high-risk veterans (83% male; 21-73 years old [M = 44.7]) with BPD features was assessed in up to four waves over 1 year. Multilevel models evaluated between- and within-person relationships of SRC with thwarted interpersonal needs, depressive symptoms, hopelessness, and reasons for living.</p><p><strong>Results: </strong>Results found significant (p < 0.001) between- and within-person relationships between SRC and suicide risk and protective factors. Within-person heterogeneity accounted for ≥ 50% variance (between-person ≤ 50% variance). SRC's relationships with all outcomes were maintained when considering suicidal characteristics besides between-person SRC with depressive symptoms.</p><p><strong>Discussion: </strong>These findings suggest that SRC tracks with fluctuations in suicide risk and protective profiles over time in veterans with clinically meaningful BPD features, positioning it as a promising protective factor for suicidal thoughts and behaviors in this population.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70024"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12764367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152224","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}
A Jagger-Rickels, J Kearns, T Evans, D Rothlein, C J Bryan, W P Milberg, C B Fortier, J DeGutis, M Esterman
{"title":"Brain Activation During Suicide-Specific Cognition in Trauma-Exposed Veterans.","authors":"A Jagger-Rickels, J Kearns, T Evans, D Rothlein, C J Bryan, W P Milberg, C B Fortier, J DeGutis, M Esterman","doi":"10.1111/sltb.70018","DOIUrl":"10.1111/sltb.70018","url":null,"abstract":"<p><strong>Introduction: </strong>The suicide Implicit Association Test (S-IAT) captures the strength of the implicit identification between self and death and is one of the few suicide-specific behavioral tasks that uniquely predicts future suicide risk. Thus, identifying brain regions associated with the S-IAT provides insights into the neural mechanisms underlying suicidality.</p><p><strong>Methods: </strong>This study measured brain activation during the S-IAT with concurrent fMRI in a post-9/11 trauma-exposed veteran sample. In total, 37 post-9/11 veterans at low risk for suicide participated in this study as part of an ongoing longitudinal study.</p><p><strong>Results: </strong>Behaviorally, participants were slower to categorize words during incongruent (death-me) contexts relative to congruent (life-me) contexts (p < 0.001). Whole-brain voxelwise fMRI contrasts revealed a brain network that was significantly more active during incongruent trials than congruent trials that included the bilateral occipital, posterior parietal, and cerebellum (corrected p < 0.05). This increased brain activation corresponded with task performance, suggesting that more brain resources are needed to complete death-me identifications.</p><p><strong>Conclusions: </strong>These results suggest that death-me implicit identifications involve resolving conflict between self and death representations in the brain and mark an important step towards characterizing neural mechanisms contributing to suicidality.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70018"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12915386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121151","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":"Firearm Storage and the Perceived Risks and Value of Firearms: Differences Among Firearm Owners and Nonfirearm Owners With and Without a History of Suicidal Ideation.","authors":"Michael D Anestis, Allison E Bond","doi":"10.1111/sltb.70026","DOIUrl":"10.1111/sltb.70026","url":null,"abstract":"<p><strong>Objective: </strong>To identify firearm behaviors and perceptions that differentiate firearm owners with a history of suicidal thoughts from other firearm owners and from nonfirearm owners with a history of suicidal thoughts.</p><p><strong>Methods: </strong>A nationally representative sample (n = 8009) of adults residing in the United States completed a self-report survey May 15-May 28, 2024.</p><p><strong>Results: </strong>Firearm owners with a history of suicidal thoughts were 45% likelier to store firearms loaded and unlocked and reported a stronger belief that home firearm access increases suicide risk. Some subgroups of firearm owners more heavily represented among those with a history of suicidal thoughts (e.g., women) were more likely to store firearms loaded and unlocked if they endorsed a history of suicidal thoughts.</p><p><strong>Conclusions: </strong>Firearm owners with a history of suicidal thoughts are more likely to recognize the link between firearm access and suicide risk, but nonetheless are more likely to store firearms unsecured. Identification of firearm owners with suicidal ideation remains difficult, but findings point toward subgroups and beliefs to target with messages aimed at promoting secure firearm storage.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70026"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12108224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152214","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}
Dongfang Wang, Brendan Ross, Meng Sun, Huolian Li, Xiangting Zhang, Xuan Wang, Yang Qiu, Zijuan Ma, Fang Fan
{"title":"Unraveling the Bidirectional Associations of Psychotic-Like Experiences With Depressive Symptoms and Suicidal Ideation Among Adolescents.","authors":"Dongfang Wang, Brendan Ross, Meng Sun, Huolian Li, Xiangting Zhang, Xuan Wang, Yang Qiu, Zijuan Ma, Fang Fan","doi":"10.1111/sltb.70031","DOIUrl":"https://doi.org/10.1111/sltb.70031","url":null,"abstract":"<p><strong>Background: </strong>Previous literature suggests that adolescent psychotic-like experiences (PLEs) are associated with depressive symptoms and suicidal ideation. This study aimed to explore these prospective relationships between PLEs, depressive symptoms, and suicidal ideation among adolescents.</p><p><strong>Methods: </strong>A large-scale web-based survey was conducted using repeated measures at three time points: from 21 April to 12 May 2021 (T1), from 17 to 26 December 2021 (T2), and from 17 May to 6 June 2022 (T3). A total of 17,722 adolescents were assessed at both T1 and T2, and 15,694 adolescents also provided complete responses at both T1 and T3. Self-reported scales were used to assess PLEs and depressive symptoms, and suicidal ideation was assessed.</p><p><strong>Results: </strong>PLEs at baseline were significantly associated with increased odds of depressive symptoms and suicidal ideation at both follow-up intervals after adjusting for covariates (all p < 0.001). Moreover, baseline depressive symptoms and suicidal ideation were significantly associated with increased likelihoods of subsequent PLEs (all p < 0.001).</p><p><strong>Conclusions: </strong>This study underscores bidirectional prospective associations between PLEs, depressive symptoms, and suicidal ideation among adolescents, and its findings underscore the critical educational and clinical importance of screening for PLEs while treating depressive symptoms and suicidal ideation.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70031"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498322","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":"Longitudinal Tests of Conformity to Masculine Norms as a Risk Factor Within the Interpersonal Theory of Suicide.","authors":"Elena Gagliano, William Grunewald, April R Smith","doi":"10.1111/sltb.70019","DOIUrl":"10.1111/sltb.70019","url":null,"abstract":"<p><strong>Introduction: </strong>Conformity to the masculine norms of self-reliance and emotional control is linked to suicidal ideation. Risk factors for suicidal ideation, such as perceived burdensomeness and thwarted belongingness, may explain the relationship between conformity to the masculine norms of self-reliance/emotional control and suicidal ideation. The current study expanded on past cross-sectional research by testing if perceived burdensomeness and/or thwarted belongingness mediated longitudinal relationships between conformity to self-reliance/emotional control and suicidal ideation.</p><p><strong>Methods: </strong>Two hundred and sixty-nine US men completed self-report measures at three timepoints spaced 1 month apart. An adapted version of a longitudinal autoregressive three-wave mediation model was used to test study hypotheses.</p><p><strong>Results: </strong>Conformity to self-reliance longitudinally predicted perceived burdensomeness, which in turn longitudinally predicted suicidal ideation. Thwarted belongingness had nonsignificant longitudinal relationships with conformity to masculine norms or suicidal ideation.</p><p><strong>Conclusion: </strong>Results suggest that perceived burdensomeness links relationships between self-reliance and suicidal ideation. Clinicians working with male-identified clients may consider assessing and targeting extreme self-reliance or perceived burdensomeness by helping clients to flexibly negotiate certain standards of masculinity.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70019"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121153","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":"Temporal Trends in Correlates for Suicidal Thoughts and Behaviors Among Black High School Students in the United States, 1991-2021.","authors":"Xueqing Zhou, Xiafei Wang, Wenna Xi","doi":"10.1111/sltb.70028","DOIUrl":"10.1111/sltb.70028","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide among Black youth has become a public health concern. To better understand the rapid increase in Black youth suicide, we aimed to determine whether there had been changes in the risk correlates and their impacts on suicidality among Black youth over the past three decades.</p><p><strong>Methods: </strong>We analyzed four suicide-related outcomes-ideation, planning, attempts, and attempt-related injuries-using Black youth's responses from the 1991-2021 Youth Risk Behavior Survey (survey-adjusted n = 31667.12). Potential correlates considered were demographics, sexuality, injury, violence, bullying, diet, physical activity, mental health, substance use, school connectedness, and exposure to community violence. Correlate-by-year interactions were included to allow for time-varying effects of factors. Missing data were imputed five times, and logistic LASSO regressions were used to select important factors.</p><p><strong>Results: </strong>Rates of suicidal ideation decreased from 22% (1991) to 12% (2005), then increased to 22% (2021). Suicide planning and attempts had similar trends, whereas rates of injuries remained stable (ranging from 2% to 4%). Correlates identified for all four outcomes were similar and consistent over time, including violent behaviors, substance use, body image concerns, and sex. All correlates' effects remained unchanged over time.</p><p><strong>Conclusion: </strong>Although trends of suicidality in Black youth changed over time, correlates associated with them remained stable.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70028"},"PeriodicalIF":2.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12108227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152229","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}
Jennifer D Lockman, Anthony R Pisani, Breanna P Angerer, Adam C Graham, Jacob Henry, Fallan Lloyd
{"title":"THRIVE: Feasibility, Acceptability, and Social Validity of a Brief Recovery-Focused Intervention in Crisis Stabilization Centers.","authors":"Jennifer D Lockman, Anthony R Pisani, Breanna P Angerer, Adam C Graham, Jacob Henry, Fallan Lloyd","doi":"10.1111/sltb.70021","DOIUrl":"10.1111/sltb.70021","url":null,"abstract":"<p><strong>Background: </strong>Crisis Stabilization Centers (CSCs) are a critical component of the crisis response system and the 988 Lifeline expansion that may promote ED diversion. To maximize CSC care quality and effectiveness, brief psychotherapy interventions that focus on recovery, match CSC workflows, and have the potency to reduce suicide attempts and deaths are needed but do not exist. The purpose of this study was to establish the feasibility, acceptability, appropriateness, and social validity of a novel, ultra-brief, 60-min psychotherapy intervention-Toward Hope, Recovery, Interpersonal Connection, Values, and Engagement for Crisis (THRIVE-C).</p><p><strong>Methods: </strong>We recruited CSC stakeholders (n = 15) and CSC study therapists (n = 5) to complete surveys, followed by a pilot study of THRIVE-C with CSC guests (n = 54).</p><p><strong>Results: </strong>CSC stakeholders, study therapists, and guests found THRIVE feasible, acceptable, appropriate, and socially valid. CSC guests experienced THRIVE-C as satisfactory, established a positive therapeutic alliance (bond), and 91% of guests endorsed behavioral intentions to attend outpatient psychotherapy appointments after discharge. Further, 94% of guests completed all phases of THRIVE, demonstrating clinical readiness to work on suicide recovery beyond physical safety or stabilization from suicide alone.</p><p><strong>Conclusion: </strong>Preliminary findings suggest that further development and testing of THRIVE are needed.</p><p><strong>Trial registration: </strong>This study was registered with ClinicalTrials.gov (Identifier NCT05558891).</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 3","pages":"e70021"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121187","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}