Archives of Suicide Research最新文献

Associations Between Sleep Traits and Risk of Suicide Attempt: Insight from A Two-Sample Mendelian Randomization Analysis. 睡眠特征与自杀企图风险之间的关系：来自两样本孟德尔随机化分析的见解。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-10-09 DOI: 10.1080/13811118.2026.2741149

Chenfeng Zou, Ziying Chen, Yiting Chen, Zongyao Qiu, Xueyan Zheng, Bingyi Wang

{"title":"Associations Between Sleep Traits and Risk of Suicide Attempt: Insight from A Two-Sample Mendelian Randomization Analysis.","authors":"Chenfeng Zou, Ziying Chen, Yiting Chen, Zongyao Qiu, Xueyan Zheng, Bingyi Wang","doi":"10.1080/13811118.2026.2741149","DOIUrl":"https://doi.org/10.1080/13811118.2026.2741149","url":null,"abstract":"Background: Sleep-related traits were associated with the risk of suicide attempt (SA) in observational epidemiological studies. However, little is known regarding the causal associations between them.Objectives: To evaluate the potential causal associations between sleep traits and risk of SA using a two-sample Mendelian randomization (MR) design.Methods: Genetic instruments robustly associated with sleep traits were selected from corresponding genome-wide association studies. Summary statistics for SA were obtained from the FinnGen consortium and the Psychiatric Genomics Consortium (PGC). Inverse variance-weighted method was employed as the primary method, and several other MR methods under different assumptions were performed as sensitivity analyses. Additionally, multivariable MR analyses were further conducted to assess the independent effects of sleep traits on SA after adjusting for educational attainment, smoking initiation, and alcohol consumption. Results from two databases were combined using random-effects meta-analysis.Results: In the meta-analysis of two data sources, genetic liability to insomnia was significantly associated with an increased risk of SA (odds ratio [OR] = 1.29, 95% confidence interval [CI]: 1.23-1.35, p < 0.001). The association remained stable in multivariable MR analysis with adjustment for educational attainment (OR = 1.25, 95% CI: 1.19-1.32, p < 0.001), smoking initiation (OR = 1.25, 95% CI: 1.19-1.32, p < 0.001), and alcohol consumption (OR = 1.28, 95% CI: 1.22-1.34, p < 0.001). However, there was no significant evidence supporting the causal associations of chronotype, sleep duration, short sleep duration, and long sleep duration with risk of SA.Conclusions: The present MR study provides the supportive evidence for insomnia being a causal risk factor for SA.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134750","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

Rapid and Robust Reduction of Suicidal Ideation and Behavior with Accelerated Theta Burst in Unipolar and Bipolar Depression. 单极和双相抑郁症中加速θ波爆发对自杀意念和行为的快速有力减少。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-10-07 DOI: 10.1080/13811118.2026.2743267

Medhat M Bassiony, Alaa Zayed, Usama Yousef, Ghada Salah El-Deen, Hayam El-Gohary, Mohamed Sehlo, Alaa Ashraf

{"title":"Rapid and Robust Reduction of Suicidal Ideation and Behavior with Accelerated Theta Burst in Unipolar and Bipolar Depression.","authors":"Medhat M Bassiony, Alaa Zayed, Usama Yousef, Ghada Salah El-Deen, Hayam El-Gohary, Mohamed Sehlo, Alaa Ashraf","doi":"10.1080/13811118.2026.2743267","DOIUrl":"https://doi.org/10.1080/13811118.2026.2743267","url":null,"abstract":"Background: Suicidal ideation and behavior are major clinical challenges depression, and rapid-acting interventions remain limited. Intermittent theta-burst stimulation (iTBS) has emerged as a promising neuromodulatory technique with potential anti-suicidal and antidepressant effects.Objective: To evaluate the efficacy of iTBS in reducing suicidal ideation and behavior in patients with unipolar and bipolar depression.Methods: Thirty-four patients with depression (17 unipolar, 17 bipolar) completed a 5-day iTBS treatment protocol. Suicidal ideation severity and intensity, suicidal behavior and suicidal risk were assessed at baseline and daily during treatment and after one month using the C-SSRS.Results: iTBS produced significant reductions in suicidal ideation severity and intensity, suicidal behavior, and suicidal risk in both groups (p < 0.001). Large effect sizes were observed for all outcomes. At the end of treatment, the response and remission rates for suicidal ideation were 97.1% and 73.5%, respectively. No significant differences were observed between unipolar and bipolar patients in overall treatment efficacy, although bipolar patients showed slightly greater improvement in suicidal ideation intensity. At the one-month follow-up, response rates for suicidal ideation were 80% in the unipolar group and 75% in the bipolar group, with remission maintained in 60% and 62.5% of patients, respectively, and an absence of suicidal behavior reported by 100% and 93.8% of each group.Conclusion: iTBS is a rapid, effective intervention for reducing suicidality in both unipolar and bipolar depression. The one-month follow-up data indicates that the clinical improvements observed at the end of the five-day treatment course were largely sustained in both groups.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126287","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

Use of the Win Ratio for Suicide Prevention Research. 胜率在自杀预防研究中的应用。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-10-01 DOI: 10.1080/13811118.2026.2737861

Guy Brock, Md Rejuan Haque, Lai Wei, Madison Hyer, Cynthia Fontanella, Jeffrey A Bridge, Xueliang Pan

{"title":"Use of the Win Ratio for Suicide Prevention Research.","authors":"Guy Brock, Md Rejuan Haque, Lai Wei, Madison Hyer, Cynthia Fontanella, Jeffrey A Bridge, Xueliang Pan","doi":"10.1080/13811118.2026.2737861","DOIUrl":"https://doi.org/10.1080/13811118.2026.2737861","url":null,"abstract":"Objective: The Win Ratio (WR) is a novel approach to analyze composite outcomes that accounts for the relative priority of each outcome. In this study, we evaluated use of the WR for composite outcomes in suicide prevention studies to overcome challenges associated with low base rates of primary outcomes.Method: We illustrate the utility of the WR in suicide prevention studies through two re-analyses: 1) data from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) trial, and 2) Medicaid claims data comparing youths with concussions to those with orthopedic injuries. Statistical power of the WR is illustrated through simulations.Results: In the ED-SAFE trial, with ordered outcomes of suicide death, suicide attempt, interrupted attempt, aborted attempt, and preparatory acts, the active intervention had a WR of 1.26 (95% CI: 1.04-1.53, p = 0.018) compared to treatment as usual. For the Medicaid data, using a matched sample of 42,313 youths we found that youths with orthopedic injuries had a WR of 1.10, 95% CI (1.07, 1.12), p < 0.001 relative to concussed youths for the ordered outcomes of suicide; deliberate self-harm/suicide attempt; psychosis, externalizing, or internalizing disorders; migraines or sleep problems; and post-baseline concussions. Both results are consistent with the originally published findings.Conclusions: The Win Ratio preserves the clinical hierarchy of events and offers a robust analytic approach to account for multiple outcomes. By addressing challenges related to low event rates, the WR can enhance study efficiency and interpretability, supporting its broader use in suicide prevention research.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149103430","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

"It's About Meeting People Where They Are": A Qualitative Study Exploring Ways to Enhance Engagement with Services via Thematic Analysis of the Experiences of People Who Self-Harm, and the Healthcare Professionals Who See Them. “这是关于在他们所在的地方遇见人们”：一项定性研究，通过对自残者的经历和看到他们的医疗保健专业人员的主题分析，探索提高服务参与度的方法。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-09-17 DOI: 10.1080/13811118.2026.2731130

Charlotte Horner, Thomas A Willis, Christopher Graham, Elspeth Guthrie, Dean McMillan, Cathy Brennan

{"title":"\"It's About Meeting People Where They Are\": A Qualitative Study Exploring Ways to Enhance Engagement with Services via Thematic Analysis of the Experiences of People Who Self-Harm, and the Healthcare Professionals Who See Them.","authors":"Charlotte Horner, Thomas A Willis, Christopher Graham, Elspeth Guthrie, Dean McMillan, Cathy Brennan","doi":"10.1080/13811118.2026.2731130","DOIUrl":"10.1080/13811118.2026.2731130","url":null,"abstract":"Background/aim: People presenting to healthcare services following repeated self-harm often view care as unsuited to their needs, sometimes leading to disengagement with services. The aim of this paper was to explore the experiences of service users and healthcare professionals to identify key aspects of an effective interaction.Method: This paper draws on qualitative data from a large-scale national UK evaluation of a novel therapeutic intervention for people who self-harm. It reports data from semi-structured interviews with 24 service users with a history of recurrent self-harm and 34 healthcare professionals, recruited from NHS Trusts across England and Wales. Reflexive thematic analysis was used to identify patterns of meaning across the dataset.Results: Themes generated include (i) Meeting People Where They Are, which comprised concerns regarding perceived risk and how it can be used to ration care, how difficulties attending can be misread as disinterest or disengagement, and how flexibility can support continued engagement despite complex or unstable life circumstances; and (ii) Shame and Sensitivity in Services, which comprised accounts detailing self-censorship, shame, and fear of consequences when disclosing self-harm, alongside the importance of sensitive, nonjudgmental responses.Discussion: This study contributes to international evidence calling for a more compassionate and flexible response to self-harm, focusing on long-term benefits rather than short-term results. This is essential not only for improving outcomes for individuals, but also for building mental health systems that are financially sustainable, humane, and capable of addressing the complex realities of what it is to live with self-harm.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988020","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

Evaluating Problematic Social Media, Metacognitive Beliefs, and Cybervictimization in Depressed Adolescents with and without a History of Suicide Attempt. 评估有或没有自杀企图史的抑郁青少年的问题社交媒体、元认知信念和网络伤害。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-09-09 DOI: 10.1080/13811118.2026.2724425

Masum Öztürk, Yekta Özkan, Pınar Ünal-Aydın, Orkun Aydın

{"title":"Evaluating Problematic Social Media, Metacognitive Beliefs, and Cybervictimization in Depressed Adolescents with and without a History of Suicide Attempt.","authors":"Masum Öztürk, Yekta Özkan, Pınar Ünal-Aydın, Orkun Aydın","doi":"10.1080/13811118.2026.2724425","DOIUrl":"https://doi.org/10.1080/13811118.2026.2724425","url":null,"abstract":"Introduction: Research has demonstrated the relationship between major depressive disorder (MDD) and cybervictimization, social media use, and dysfunctional metacognition in adolescents. Nevertheless, there is scarcity in adolescent studies focusing on the relationship between these factors and there is a gap in examining the role of these factors with a history of suicide attempt.Methods: For the purpose of this study; 76 MDD patients without a history of suicide attempt, 75 MDD patients with a history of suicide attempt, and 84 controls were recruited. Data for the study were obtained using self-report DSM-5 Level 2 Depression Scale, Child Age 11-17 (DDS-II), Social Media Disorder Scale (SMDS), Metacognitions Questionnaire for Children (MCQ-C) ve Revised Cyberbullying Inventory-II (RCBI-II) scales.Results: Results demonstrated that problematic social media use, dysfunctional metacognitive beliefs, and cybervictimization were more prevalent in the MDD with a history of suicide attempt group. Furthermore, a binary logistic regression analysis identified the factors significantly associated with suicide attempts in MDD group. Accordingly, cybervictimization, and two factors of metacognitive beliefs including negative meta-worry and superstition, punishment and responsibility beliefs emerged as key determinants.Conclusion: These findings suggest that cybervictimization and metacognitive beliefs may be considered an important factor that clinicians should pay attention when monitoring suicidality and treating MDD among adolescents. While the cross-sectional design of this study limits causal inferences, these findings suggest that addressing dysfunctional metacognitive beliefs and cyber victimization may be an important component of the clinical management of adolescents with MDD who have a history of suicide attempts.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148910566","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

Historical Changes in the Proportional Age Distribution of Suicide Deaths: A Longitudinal Ecological Analysis of 118 Countries, 1950-2020. 自杀死亡年龄比例分布的历史变化：118个国家的纵向生态分析，1950-2020。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-09-05 DOI: 10.1080/13811118.2026.2723456

Matias Gay

{"title":"Historical Changes in the Proportional Age Distribution of Suicide Deaths: A Longitudinal Ecological Analysis of 118 Countries, 1950-2020.","authors":"Matias Gay","doi":"10.1080/13811118.2026.2723456","DOIUrl":"https://doi.org/10.1080/13811118.2026.2723456","url":null,"abstract":"Objective: This study described historical changes in the proportional age distribution of recorded suicide deaths and variation by sex and broad region, without interpreting death shares as age-specific risk.Method: A longitudinal ecological analysis used 9,396 country-year-sex records from 118 countries during 1950-2020. Suicide deaths were grouped as ages 0-14, 15-24, 25-44, 45-64, and 65 years and older. A grouped multinomial model analyzed the five-part composition, and 1,000 stratified country-cluster bootstrap samples preserved complete national time series for 95% confidence intervals (CIs).Results: The standardized share at ages 15-24 decreased from 16.1% in 1950 to 11.3% in 2020 (-4.8 percentage points, 95% CI [-14.4, -2.3]). Point estimates increased at ages 25-44 (+3.5 points) and 65 years and older (+1.4 points), but both CIs included no change. Compositions differed by sex and region, with substantial uncertainty where few countries reported.Conclusions: The data support a decline in the proportional share of recorded suicide deaths at ages 15-24, not a demonstrated decline in youth suicide risk. Other apparent redistributions were less certain after country-clustered compositional analysis and may reflect demographic structure, reporting coverage, or changes in other age groups.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896452","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 Non-Suicidal Self-Injury, Healthcare Utilization, and Quality of Life in the 12-Months After Screening Positive for Suicide Risk in the Emergency Department. 急诊科自杀风险筛查阳性后12个月内非自杀性自伤、医疗保健利用和生活质量的检查

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-09-04 DOI: 10.1080/13811118.2026.2724122

Victoria E Marques, Edwin D Boudreaux, Ivan W Miller, Carlos A Camargo, Sarah A Arias

{"title":"An Examination of Non-Suicidal Self-Injury, Healthcare Utilization, and Quality of Life in the 12-Months After Screening Positive for Suicide Risk in the Emergency Department.","authors":"Victoria E Marques, Edwin D Boudreaux, Ivan W Miller, Carlos A Camargo, Sarah A Arias","doi":"10.1080/13811118.2026.2724122","DOIUrl":"https://doi.org/10.1080/13811118.2026.2724122","url":null,"abstract":"Objective: This study aimed to examine the impact of suicide interventions on secondary outcomes, such as non-suicidal self-injury (NSSI), potentially suicide-related ED visits and hospitalizations, behavioral health interactions, and quality of life (QOL).Method: Data were analyzed from 1,376 adults, who screened positive for suicide risk as part of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study, a quasi-experimental, eight-center study, conducted from 2010-2013. Participants were enrolled across three phases: Treatment as Usual (TAU), Universal Screening (US), and Universal Screening + Intervention (Intervention). Outcomes were assessed during the 12-month follow-up period.Results: Participants in the Intervention phase reported fewer potentially suicide-related hospitalizations during the 12-months follow-up compared with those in the TAU or US phases. Intervention participants also reported more behavioral health interactions via phone at follow-up than those in TAU. Additional factors associated with secondary outcomes are discussed.Conclusion: Suicide interventions implemented in the ED may have benefits beyond reducing suicide behavior, including reduction in potentially suicide-related hospitalizations and increased engagement with behavioral health services by phone. These findings highlight the potential for ED-based suicide prevention strategies to influence broader health outcomes.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890851","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 Association Between Suicidal Ideation Trajectories and Later Academic Attitude and Career Adaptability Among South Korean Adolescents. 韩国青少年自杀意念轨迹与后期学业态度和职业适应的关系

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-09-04 DOI: 10.1080/13811118.2026.2725782

Taekho Lee, Suah Jeon, Yoonsun Han, Dong Hun Lee

{"title":"The Association Between Suicidal Ideation Trajectories and Later Academic Attitude and Career Adaptability Among South Korean Adolescents.","authors":"Taekho Lee, Suah Jeon, Yoonsun Han, Dong Hun Lee","doi":"10.1080/13811118.2026.2725782","DOIUrl":"10.1080/13811118.2026.2725782","url":null,"abstract":"Objective: This study investigated how adolescents' experience of suicidal ideation over time relates to academic and career development, both of which are regarded as critical areas of development. Specifically, we examined how latent trajectories of suicidal ideation are associated with academic engagement, academic helplessness, and career adaptability.Method: Latent class growth analysis (LCGA) and regression analyses were conducted using six waves of data from the middle school panel of the Korean Children and Youth Panel Survey 2018 (2018-2023; N = 1,936).Results: Four distinct latent trajectories of suicidal ideation were identified, characterized by significant group differences in academic and career-related variables: elevated-plummet (7.0%), moderate-surge (8.7%), moderate-rise (38.6%), and persistently low (45.7%). Results showed that both current and past levels of suicidal ideation were associated with academic engagement and helplessness, whereas career adaptability was more strongly linked to current experiences of suicidal ideation.Conclusions: These findings advance existing scholarship by shifting attention from antecedents of suicidal ideation to developmental experiences. Moreover, the findings highlight high-priority areas for early intervention among adolescents experiencing suicidal ideation and provide empirical evidence to inform the design of programs aimed at strengthening academic and career competencies.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890847","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

Suicide Risk in Adults: The Roles of Defeat, Entrapment, and Sexual and Gender Minority Identity Across Two Samples. 成人自杀风险：失败、诱捕、性和性别少数认同在两个样本中的作用。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-09-02 DOI: 10.1080/13811118.2026.2724116

Amy M Brausch, Taylor Kalgren, Seonaid Cleare, Kirsty Clark, Rory C O'Connor

{"title":"Suicide Risk in Adults: The Roles of Defeat, Entrapment, and Sexual and Gender Minority Identity Across Two Samples.","authors":"Amy M Brausch, Taylor Kalgren, Seonaid Cleare, Kirsty Clark, Rory C O'Connor","doi":"10.1080/13811118.2026.2724116","DOIUrl":"https://doi.org/10.1080/13811118.2026.2724116","url":null,"abstract":"Objective: Sexual and gender minority (SGM) people experience higher rates of suicidal ideation than cisgender heterosexual (cis/het) individuals. The Integrated Motivational-Volitional (IMV) model proposes key psychological mechanisms (i.e., defeat and entrapment) that contribute to suicide ideation. Examining IMV processes between SGM and cis/het adults can uncover the universality of defeat-entrapment pathways in suicide risk and inform for whom interventions targeting these mechanisms may be most effective.Method: The current study examined SGM status as a moderator between defeat/entrapment, and suicidal thoughts across two adult samples: a college student sample in the United States (Sample 1; n = 865) and an adult community sample in the United Kingdom (Sample 2; n = 734).Results: SGM participants reported higher rates of lifetime suicidal ideation across both samples, and higher levels of defeat and entrapment as compared to cis/het in Sample 1. Defeat and entrapment were significantly associated with suicide ideation in both samples. In Sample 1, SGM status moderated the association between entrapment and suicide ideation, but not between defeat and suicide ideation. The relationship between entrapment and suicide ideation was stronger for SGM people. In Sample 2, no moderation effects of SGM status were found.Conclusions: Findings highlight that across contexts, defeat and entrapment are key correlates of suicidal distress. For SGM adults, minority stressors and related mechanisms may increase suicide risk alongside defeat and entrapment. Future research should explore both shared and identity‑specific pathways to suicide risk as well as develop contextually sensitive suicide prevention approaches that integrate both IMV mechanisms and minority stress frameworks.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873004","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

Risk Factors for Suicidal Behavior Among European Youth: A Systematic Review. 欧洲青少年自杀行为的风险因素：系统回顾。

IF 2.2 3区医学

Archives of Suicide Research Pub Date : 2026-08-31 DOI: 10.1080/13811118.2026.2718276

Arnau Carmona, Ariadna Corbella-Sotil, Alícia Colomer-Salvans, Queralt Sales-Nomen, Jordi Mestres-Carbonell, Raquel Leal-Pujol, Manuel Abella, Judith Usall, Regina Vila-Badia

{"title":"Risk Factors for Suicidal Behavior Among European Youth: A Systematic Review.","authors":"Arnau Carmona, Ariadna Corbella-Sotil, Alícia Colomer-Salvans, Queralt Sales-Nomen, Jordi Mestres-Carbonell, Raquel Leal-Pujol, Manuel Abella, Judith Usall, Regina Vila-Badia","doi":"10.1080/13811118.2026.2718276","DOIUrl":"https://doi.org/10.1080/13811118.2026.2718276","url":null,"abstract":"Introduction: Clarifying risk factors for suicidal behavior in European youth is crucial for guiding assessment, prevention, and policy. This study provides a systematic review and synthesis of risk factors associated with suicidal ideation, attempts, and mortality across Europe.Methods: Following PRISMA guidelines and a PROSPERO-registered protocol, we reviewed studies published between 1976 and 2024 involving European general populations aged 15-35. A total of 10,832 unique records were screened across PubMed, Web of Science, and Scopus, resulting in the inclusion and quality appraisal of 194 studies.Results: Lifetime prevalence estimates ranged from 14-23% for ideation and 6-9% for attempts. The data confirmed a robust gender paradox: higher rates of ideation and attempts in women, but higher mortality in men. Risk factors spanned ten thematic domains: sociodemographic and identity, educational, family, victimization and childhood trauma, social connectedness, individual traits and coping, sleep and physical health, substance use and addictive behaviors, psychopathology and mental health, and prior suicidal behaviors. Research coverage was markedly uneven, with Northern & Western Europe accounting for most included studies.Conclusion: These findings highlight suicidal behavior in European youth as a critical, multifactorial public health issue. Compared to other world regions, European research distinctively documents sexual minority status and sleep/physical health correlates as consistent risk domains. Coordinated public policies should integrate suicide prevention into youth health agendas, prioritizing LGBTQ+ inclusive programs, post-self-harm monitoring, and digital risk assessment, alongside gender-sensitive approaches and targeted support for vulnerable groups.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-96"},"PeriodicalIF":2.2,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863336","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