Archives of Suicide Research最新文献

{"title":"Questionnaire Items to Identify Suicidality in Perinatal Women: A Delphi Study.","authors":"Elizabeth Dudeney, Rose Meades, Susan Ayers, Rose McCabe","doi":"10.1080/13811118.2025.2509645","DOIUrl":"https://doi.org/10.1080/13811118.2025.2509645","url":null,"abstract":"<p><strong>Objective: </strong>Maternal suicide is a leading cause of death during pregnancy and after birth (perinatal period). Perinatal suicidality is associated with significant adverse consequences for mother and baby. It is vital that women experiencing suicidality are identified early and given access to appropriate care. Screening measures are one way to identify women requiring additional support. No self-report screening measures have been specifically designed to identify suicidality in perinatal women. This study sought to determine the content validity, acceptability, and potential clinical utility of 22 suicide-related items that have been adapted and/or developed for use with perinatal women.</p><p><strong>Method: </strong>Two-round Delphi study. Thirty panelists with expertise and/or experience in perinatal mental health, suicidality and/or the development of measurement instruments took part. Items were rated against five dimensions, \"relevance,\" \"clarity,\" \"acceptability,\" \"effectiveness,\" and \"feasibility.\" Consensus was determined as ≥70% panelists endorsing \"quite\" or \"highly\" for all dimensions. Response options were also rated on three dimensions, and qualitative feedback was explored.</p><p><strong>Results: </strong>Ten items reached consensus ≥70% for all five dimensions in round-one and a further four reached consensus in round-two, totaling 14 items. Twenty-one response scales/items reached consensus ≥70% in both rounds. The top-ranking item for identifying suicidal ideation was \"Have you had thoughts about ending your own life?\" Qualitative findings highlighted key areas to be addressed. These included the implications of item content, the importance of asking perinatal women about suicidality, and the need for all pregnant and postnatal women to receive appropriate information about perinatal mental health and suicidality.</p><p><strong>Conclusions: </strong>Specifically developed screening measures to identify perinatal suicidality are warranted. Findings from this study will help to inform the continuing development of suicidality items for measures to be used with pregnant and postnatal women in clinical and research settings.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-23"},"PeriodicalIF":2.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172450","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":"Predicting Suicide Acts Among Crisis Line Callers: Screening Recent Suicidal History or Using a Comprehensive Scale?","authors":"Yi Yin, Yongsheng Tong, Liting Zhao, Xiaohong Li","doi":"10.1080/13811118.2025.2507601","DOIUrl":"https://doi.org/10.1080/13811118.2025.2507601","url":null,"abstract":"<p><strong>Objective: </strong>Crisis lines face challenges in identifying individuals at high suicide risk. We aimed to compare two routine methods for predicting suicide acts at different time points.</p><p><strong>Methods: </strong>In this prospective cohort study, we recruited and monitored 8859 callers from the Beijing Psychological Support Hotline. We evaluated their suicide risk through two strategies during their index calls: (a) one screening about suicidal ideation, plan, or behavior in the last two weeks and (b) the Comprehensive Suicidal Risk Assessment Scale, which included more risk factors, such as depression, hopelessness, and psychological distress. We monitored their suicidal behaviors for one year through telephone interviews.</p><p><strong>Results: </strong>The number of callers who attempted suicide or died by suicide within 24 hours (1.2%), 30 days (3.8%), 180 days (6.9%), or 365 days (9.1%) was: 102, 341, 615, and 802, respectively. The sensitivities, specificities, and positive predictive values for screening for recent suicidal history were higher than those of the comprehensive scale for predicting suicidal acts within each time point. However, with the increasing duration of the follow-up, the screening had a poorer predictive ability than the comprehensive scale (predicting suicide acts within 270 days: Youden's index, 34.5% vs. 36.2%.; the Area under the Receiver Operator Characteristic Curve, 67.2% vs. 68.1%), especially among those without a history of suicide attempts.</p><p><strong>Conclusions: </strong>Screening for recent suicidal history is valid for predicting suicidal acts within six months; however, screening is insufficient for predicting long-term suicidal acts compared to assessing more suicide risk factors.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109674","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":"Differences Between Adolescents with Self-Harm Ideation and a History of Self-Harm. A Cross-Sectional Study Among Adolescents in Denmark.","authors":"Henriette Jenssen, Sarah Grube Jakobsen, Christina Petrea Larsen, Erik Christiansen","doi":"10.1080/13811118.2025.2490153","DOIUrl":"https://doi.org/10.1080/13811118.2025.2490153","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is among the leading causes of death among adolescents. Many risk factors for suicide are well known, and self-harm ideation and behavior are among the strongest. Still, there is limited research on factors that distinguish those with self-harm ideation and those who self-harm. Our aim is to investigate nonpsychiatric risk factors that distinguish between adolescents with self-harm ideation, those who self-harm, and those who engage in repeated self-harm.</p><p><strong>Method: </strong>This survey analysis was based on findings from a cross-sectional study (<i>N</i> = 7,943 adolescents). Multinomial logistic regression was employed to compare the effects of various exposures (including social relations, happiness, vulnerability, being bullied, self-worth, physical and sexual abuse) on self-harm ideation, self-harm, and repeated self-harm, using a reference group of adolescents without self-harming behavior.</p><p><strong>Results: </strong>Adolescents exhibiting self-harming behavior showed significantly higher levels of exposure, with the highest exposure observed in the repeated self-harm group. Vulnerability and lack of self-worth emerged as the most significant risk factors. Additionally, we found a clear dose-response effect across all groups.</p><p><strong>Conclusions: </strong>This study highlights the significant increase in the risk of self-harm with the accumulation of risk factors in adolescents' lives, emphasizing the importance of providing support and assistance to those exposed to multiple risk factors. Addressing these factors may help reduce the risk of suicidal behavior, as self-harm remains one of the strongest risk factors for suicide attempt and suicide. Furthermore, the findings point out the critical role of single risk factors, particularly vulnerability and lack of self-worth.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.5,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959832","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":"Risks Associated with Recent Self-Harm in Preadolescent and Adolescent Youth: Parent-Report.","authors":"Lauren McGillivray, Quincy J J Wong, Daniel Z Q Gan, Demee Rheinberger, Rachel Baffsky, Michelle Torok","doi":"10.1080/13811118.2025.2495970","DOIUrl":"https://doi.org/10.1080/13811118.2025.2495970","url":null,"abstract":"<p><strong>Objective: </strong>Self-harm among children and adolescents is a global public health issue, with concerning trends of increased rates of hospital presenting self-harm in younger age groups (5-12 years). Few studies have investigated risk factors of emerging self-harm in preadolescent populations (<12 years). This study aimed to identify key factors associated with recent (past 12-months) self-harm in preadolescents (5-12 years) compared to adolescents (13-18 years).</p><p><strong>Method: </strong>This cross-sectional case-control study recruited 305 parents/guardians who had a child (aged 5-18 years) that had (i) recently engaged in self-harm (case group) or (ii) never engaged in self-harm (control group). Participants completed an online parent-report questionnaire that assessed demographic characteristics and self-harm, childhood adversity, child-parent relationships, peer relationships, and problematic digital media use. Data were analyzed using univariate and multivariate logistic regression analyses.</p><p><strong>Results: </strong>Poorer emotion regulation (OR = 1/0.76 = 1.32), lower parental age (OR = 1/0.83 = 1.20), lower household income (OR = 4.38), problematic peer relationships (OR = 1.38), and lifetime suicidal ideation (OR = 20.34) were associated with increased odds of self-harm among all youth ages. Higher parent education was associated with greater odds of self-harm among preadolescents (OR = 0.02). Lifetime mental health diagnosis (OR = 7.84) and lower levels of childhood adversity (OR = 0.60) were associated with greater odds of recent self-harm among adolescents.</p><p><strong>Conclusions: </strong>Coordinated multi-agency efforts are essential for holistically addressing common, modifiable individual, social, and socioeconomic risk factors of youth self-harm that may help to prevent onset in young people.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967878","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":"\"I Can't Overcome It\": Exploring the Relationship Between Bullying Victimization and NSSI Among College Students Through the Lens of Emotion-Driven Mechanism.","authors":"Jialei Gu, Luming Liu, Xinchun Wu, Wenchao Wang","doi":"10.1080/13811118.2025.2492688","DOIUrl":"https://doi.org/10.1080/13811118.2025.2492688","url":null,"abstract":"<p><p>With its susceptibility in victimized populations and the potential for suicidality, non-suicidal self-injury (NSSI) is among the most severe health concerns in college students, indicating an urgency to explore its antecedents and interventions. The present study aims to examine the relationship between bullying victimization and NSSI and the mediating roles of internal shame, external shame, depressive symptoms, and PTSD symptoms based on the general strain theory, the vulnerability-stress theory, and the transactional stress theory. By adopting a three-time-point design with 6-month intervals, hypotheses were tested using data from 634 Chinese college students (374 female; Mage = 18.97). Through a structural equation modeling approach, the study found that bullying victimization was positively correlated with NSSI via internal shame and depressive symptoms. However, this study found no evidence for the mediating association of either external shame or PTSD symptoms in the examined relationship. Through a lens of emotion-driven mechanism, this study contributes to understanding the roles of internal shame and depressive symptoms in NSSI intervention strategies among victims of bullying. The results also illuminate the differentiation of the mechanisms of internal and external shame and the discrepancy between depressive symptoms and PTSD symptoms as two types of post-traumatic symptomatology.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953061","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":"Predicting Suicidal Ideation Among Native American High Schoolers in California.","authors":"Valentín Quiroz Sierra","doi":"10.1080/13811118.2025.2490154","DOIUrl":"https://doi.org/10.1080/13811118.2025.2490154","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is the leading cause of non-accidental death for Native American young people ages 15-24. Alarmingly, suicide rates have continued to rise over the past decade despite ongoing prevention efforts. This shortcoming has urged some scholars to (re)examine dominant theoretical models to better direct suicide prevention efforts in tribal communities.</p><p><strong>Method: </strong>Using Indigenous Wholistic Theory, this study used an algorithmic approach to identify a broader set of factors associated with suicidal ideation among Native American high school students in California (n = 2,609). Data were drawn from the 2019-2020 California Healthy Kids Survey, a statewide school-based dataset. Lasso penalized regression was employed to select the most predictive variables for suicidal ideation from a set of 17 candidate factors.</p><p><strong>Results: </strong>Ten predictors were retained in the final model: depressive symptoms; school-based victimization; sexual and gender minority status; lifetime use of alcohol, vapes, and cannabis; breakfast consumption; access to alcohol and other drugs; and parent education level.</p><p><strong>Conclusion: </strong>A combination of factors spanning individual, emotional-social, mental-political, and physical-economic domains predicted individualized risk for experiencing suicidal ideation. These findings underscore the need to move beyond psycho-centric models and toward more comprehensive understandings of suicide-related behavior among Native American youth.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958850","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":"Racial Discrimination Experiences During Pregnancy Are Associated with Suicidal Ideation in Depressed Postpartum Women.","authors":"Marcos Gonçalves de Rezende, Juliana Arantes Figueiredo de Paula Eduardo, Vitória Levi, Daiane Leite da Roza, Ricardo de Carvalho Cavalli, Heloisa Bettiol, Paulo Rossi Menezes, Cristina Marta Del-Ben","doi":"10.1080/13811118.2025.2488524","DOIUrl":"https://doi.org/10.1080/13811118.2025.2488524","url":null,"abstract":"<p><strong>Objective: </strong>Self-directed violence with suicidal intent is one of the main causes of maternal mortality. We aimed to evaluate the impact of several predictors on suicidal ideation (SI) in postpartum women.</p><p><strong>Methods: </strong>A cohort of 1,822 women, over 18 years old, was assessed in two Brazilian cities with contrasting sociodemographic profiles. Participants were followed from pregnancy (22nd-25th weeks) until postpartum (mean = 116.8 days, SD = 81.5 after delivery). The main outcome was SI assessed using item-10 of the Edinburgh Postpartum Depression Scale. Potential predictors of SI were allocated into seven different domains: sociodemographic characteristics, environmental stressors and social support during pregnancy, maternal mental health during pregnancy and postpartum, substance use during pregnancy, obstetric data, and newborn characteristics.</p><p><strong>Results: </strong>SI prevalence was 3.1%. In the univariate analysis, having more children, lower family income, lower education, history of depression, stressors during pregnancy (perceived stress, hopelessness, anxiety, depression, alcohol use, smoking and history of violence, greater number of stressful events, lower social support, and racially discriminatory experience), newborn with low APGAR in the first minute, non-breastfeeding, and postpartum depression, were positively associated with SI. In the multiple predictors model (X² = 136,502; df = 6; <i>p</i> < 0.001), only racial discrimination during pregnancy (PR: 1.13; 95% CI 1.01-1.27) and postpartum depression (PR: 1.23; 95% CI 1.20-1.27) remained associated with SI.</p><p><strong>Conclusions: </strong>Although racial discrimination was not assessed in the postpartum, such experiences during pregnancy seem to contribute to an increased risk of SI among depressed postpartum women. This underscores the importance of addressing racial disparities and fostering an inclusive and supportive environment to safeguard maternal mental health.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971762","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":"Association between Loneliness and Suicidal Thoughts and Attempts in Adolescence and Young Adulthood: A Longitudinal Analysis of a Nationally Representative US Sample.","authors":"Yufei Jin, Karel Kieslich, Anna Hall, Alexandra Pitman","doi":"10.1080/13811118.2025.2489159","DOIUrl":"https://doi.org/10.1080/13811118.2025.2489159","url":null,"abstract":"<p><strong>Objective: </strong>Previous research has identified loneliness as a risk factor for suicidal ideation and attempt but has lacked studies using representative samples of adolescents. We aimed to address this evidence gap by using a nationally representative sample of US adolescents to investigate whether loneliness is longitudinally associated with suicide-related outcomes.</p><p><strong>Method: </strong>We analyzed data on 17,751 participants in the National Longitudinal Study of Adolescent to Adult Health (Add Health) aged 11-21 years at baseline. We used multivariable logistic regression to test the longitudinal association between baseline loneliness (1995; aged 11-21 years) and past-year suicidal ideation and suicide attempt measured six years later (2001-2002; aged 18-28 years) and 13 years later (2008-2009; aged 24-34 years) adjusted for socio-demographic and clinical characteristics.</p><p><strong>Results: </strong>Adolescents with higher levels of loneliness aged 11-21 years were 1.97 times more likely to report suicidal ideation six years later (OR_adj1=1.97, 95% CI [1.45, 2.67], <i>p</i> < 0.001), but this association was no longer significant after adjustment (OR_adj2=1.10, 95% CI [0.75, 1.61], <i>p</i> = 0.62). They were also significantly more likely to report suicidal ideation at 13-year follow-up (OR_adj1=2.22, 95% CI [1.71, 2.89], <i>p</i> < 0.001), even after adjustment (OR_adj2=1.36, 95% CI [1.00, 1.86], <i>p</i> = 0.049). However, there was no association between loneliness and suicide attempt at either follow-up point.</p><p><strong>Conclusions: </strong>Loneliness aged 11-21 years predicts suicidal ideation (but not suicide attempt) 13 years later, suggesting a need for interventions delivered at the start of adolescence to prevent the onset of distressing suicidal ideation later in adolescence and young adulthood.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794512","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 Risk in Veterinary Professionals in Portugal: Prevalence of Psychological Symptoms, Burnout, and Compassion Fatigue.","authors":"Maria Manuela Peixoto","doi":"10.1080/13811118.2024.2363223","DOIUrl":"10.1080/13811118.2024.2363223","url":null,"abstract":"<p><p>Mental health problems and suicide risk among veterinarians and veterinary nurses are well documented in the literature. Data on veterinary assistants have been overlooked, however. In addition, information on Portuguese veterinary professionals is lacking. An online sample of 833 Portuguese veterinary professionals (443 veterinarians, 287 nurses, and 103 assistants) completed self-report questionnaires about suicide risk and mental health between December 2022 and March 2023. Descriptive analysis revealed that 3.5% of respondents attempted suicide during their lifetime; 17.2% experienced extremely severe depression and suicidal ideation; 17.8% and 27.0% experienced extremely severe stress and anxiety, respectively; and 27.4% and 27.7% reported burnout and compassion fatigue, respectively. Multiple linear regression analysis revealed that professionals with a history of mental illness history; with current clinical symptoms of depression, anxiety, and stress; and working more than 40 hours per week experienced greater levels of burnout, compassion fatigue, and suicide ideation. Other variables such as being a woman, being a veterinary assistant, and disagreeing with motives for euthanasia also predicted some mental health problems. Mental health problems in the Portuguese veterinary professionals are a major health concern. These professionals are at higher risk for suicide, and clinical implications and guidelines are discussed.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"439-452"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465860","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 Death Prediction Using the Maryland Suicide Data Warehouse: A Sensitivity Analysis.","authors":"C Kitchen, A Zirikly, A Belouali, H Kharrazi, P Nestadt, H C Wilcox","doi":"10.1080/13811118.2024.2363227","DOIUrl":"10.1080/13811118.2024.2363227","url":null,"abstract":"<p><strong>Objective: </strong>Nearly 50,000 Americans die each year from suicide, despite suicide death being a rare event in the context of health risk assessment and modeling. Prior research has underscored the need for contextualizing suicide risk models in terms of their potential uses and generalizability. This sensitivity analysis makes use of the Maryland Suicide Data Warehouse (MSDW) and illustrates how results inform clinical decision support.</p><p><strong>Method: </strong>A cohort of 1 million living control patients were extracted from the MSDW in addition to 1,667 patients who had died by suicide between the years 2016 and 2019 according to the Maryland Office of the Medical Examiner (OCME). Data were extracted and aggregated as part of a 4-year retrospective design. Binary logistic and two penalized regression models were deployed in a repeated fivefold cross-validation. Model performances were evaluated using sensitivity, positive predictive value (PPV), and F1, and model coefficients were ranked according to coefficient size.</p><p><strong>Results: </strong>Several features were significantly associated with patients having died by suicide, including male sex, depressive and anxiety disorder diagnoses, social needs, and prior suicidal ideation and suicide attempt. Cross-validated binary logistic regression outperformed either ridge or LASSO (least absolute shrinkage and selection operator) models but generally achieved low-to-moderate PPV and sensitivity across most thresholds and a peak F1 of 0.323.</p><p><strong>Conclusions: </strong>Suicide death prediction is constrained by the context of use, which determines the best balance of precision and recall. Predictive models must be evaluated close to the level of intervention. They may not hold up to different needs at different levels of care.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"453-467"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465859","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}