Anja Hildebrand, Maren Weiss, Abinaya Fernando, Mark Stemmler
{"title":"Does Online Peer Counselling Help in Reducing Suicidal Ideation? Outcome-Evaluation of [U25] Germany.","authors":"Anja Hildebrand, Maren Weiss, Abinaya Fernando, Mark Stemmler","doi":"10.1080/13811118.2025.2544766","DOIUrl":"https://doi.org/10.1080/13811118.2025.2544766","url":null,"abstract":"<p><strong>Objective: </strong>Cross-sectional and qualitative studies suggest that online peer counseling have potential benefits in addressing suicidality among adolescents and young adults. The present study aims to evaluate the effectiveness of [U25], a low-threshold online peer counseling service provided in Germany.</p><p><strong>Method: </strong>A non-randomized, longitudinal study design with control group was conducted to measure outcomes at baseline as well as four weeks, three months and six months after baseline. The control group consists of young adults who inform themselves about the service on the internet but do not register for counseling. Primary outcomes included service utilization, suicidal ideation, psychopathological symptoms and life adversities. The original sample consisted of <i>N</i> = 1250 young adults (treatment group: <i>n</i> = 210, control group: <i>n</i> = 1040). After propensity score matching, the treatment and control group each comprised <i>n</i> = 210 participants.</p><p><strong>Results: </strong>Service utilization increased in the CG but not in the TG. Suicidal ideation and psychopathological symptoms decreased for both groups across all time points. [U25] did not lead to greater symptom reduction compared to the control group. No differences were found in the number of life adversities.</p><p><strong>Conclusions: </strong>The results indicate that a large number of young adults with suicidal thoughts and other mental health issues feel supported by the U25 platform. However, similar symptom reduction was obtained in the treatment and control group. This result could be explained by the increased support utilization in the control group, which warrants further investigation. This study can serve as a framework for future research with larger sample sizes to further explore and validate these findings.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854363","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}
Jiaqi Zhou, Mengyao Wang, Jiangboheng Shi, Xilong Cui, Jingbo Gong
{"title":"Factors Associated with Non-Suicidal Self-Injury Among Middle and High School Students in China Using a Random Forest Classifier.","authors":"Jiaqi Zhou, Mengyao Wang, Jiangboheng Shi, Xilong Cui, Jingbo Gong","doi":"10.1080/13811118.2025.2542983","DOIUrl":"https://doi.org/10.1080/13811118.2025.2542983","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research has linked NSSI to various psychological, social, and environmental factors, but the relative importance of these factors across different developmental stages remains unclear. This study investigates the multidimensional factors associated with NSSI among middle and high school students in China using a Random Forest Classifier to inform targeted interventions.</p><p><strong>Methods: </strong>A total of 2735 Chinese students provided self-reported data on NSSI behavior, functions of NSSI behavior, as well as a number of associated factors. The study utilized a Random Forest Classifier to identify key factors related to NSSI across different time periods (last month, past 6 months, and past year), and compared these factors between middle school and high school student cohorts.</p><p><strong>Results: </strong>The Random Forest models showed good discriminative ability for identifying NSSI (AUC = 0.84 for middle school; AUC = 0.79 for high school students), with high specificity (94.7-97.3%) but low sensitivity (27.6-42.8%). For middle school students, depressive and anxiety symptoms, social support, negative self-evaluation, and self-control were primary factors. For high school students, depression, anxiety, schemas related to shame, emotional abuse, and executive functioning deficits were found primary factors. Within the subgroup who reported NSSI, differing motivations and factors were observed across developmental stages.</p><p><strong>Conclusions: </strong>NSSI behavior in Chinese adolescents is influenced by a complex interplay of emotional, psychological, social, and cognitive factors, with clear developmental distinctions between middle and high school students. These findings underscore the need for tailored prevention and intervention strategies that are sensitive to the developmental stage of the adolescent population.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-26"},"PeriodicalIF":2.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144815740","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}
Yi-Lung Chen, Ray C Hsiao, Ying-Yeh Chen, Cheng-Fang Yen
{"title":"Relationship Between the Declines of Stock Price Index and Suicide Death in Taiwan from 2012 to 2022: Moderating Effects of Sex, Age and Business Cycle Index.","authors":"Yi-Lung Chen, Ray C Hsiao, Ying-Yeh Chen, Cheng-Fang Yen","doi":"10.1080/13811118.2025.2544765","DOIUrl":"https://doi.org/10.1080/13811118.2025.2544765","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to examine the associations between various magnitudes of declines in the Taiwan Stock Exchange Capitalization-Weighted Stock Index (TAIEX) and suicides on the day following these declines and its possible moderating effects.</p><p><strong>Methods: </strong>We analyzed daily suicide data between January 1, 2012, and December 31, 2022. Quasi-Poisson regression models were employed to examine the cross-sectional (the same day) and lagged (one to seven days later) relationships between falls of TAIEX and suicide death.</p><p><strong>Results: </strong>Suicide rates increased two days after days with ≥ 5% declines in daily TAIEX. Associations between slight declines in the daily TAIEX (such as ≥ 1% and ≥ 2%) and suicides were less pronounced in females; however, associations between substantial declines (≥ 3%) and suicides were more prominent in females. The associations between substantial declines in the TAIEX (such as ≥ 4% and ≥ 5%) and suicides were more pronounced in middle-aged and older individuals. As business cycle conditions improved, the associations between falls in TAIEX and suicides intensified.</p><p><strong>Conclusion: </strong>We should pay more attention to the risk of suicide when the stock market index declines by 5% or more, especially among females, middle-aged, and older individuals, during periods of economic prosperity.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803305","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}
Erik J Reinbergs, Megan L Rogers, Olivia D Teasdale, Madison G Risner
{"title":"Initial Psychometric Properties of the Adaptive Suicide Cognitions Scale.","authors":"Erik J Reinbergs, Megan L Rogers, Olivia D Teasdale, Madison G Risner","doi":"10.1080/13811118.2025.2542576","DOIUrl":"https://doi.org/10.1080/13811118.2025.2542576","url":null,"abstract":"<p><p>Individuals who have experienced suicidal thoughts or behaviors report experiencing stigma from social contacts and treatment providers. Although research has measured experiences of stigma related to suicide, tools measuring destigmatizing or adaptive cognitions related to suicide are limited. This study adapted a resource from NowMattersNow.org listing 10 things people with lived experience of suicide said they wished they knew when they were suicidal. These 10 things were modified into pilot items for the development of a measure of adaptive cognitions about suicide. Participants (<i>N</i> = 1,258) completed the pilot items, demographic items, and convergent/divergent measures. The sample was randomly split 25% (<i>n</i> = 314)/75% (<i>n</i> = 944) for exploratory and confirmatory analyses. Exploratory factor analysis, confirmatory factor analysis, internal consistency estimates, measurement invariance testing, and correlations with other measures were performed. A two-factor model was identified, with one factor related to coping beliefs and one factor related to destigmatizing beliefs. Four items that did not clearly load into the two identified factors were dropped, leaving six items in the final scale (three for each factor). This obtained a good fit in a CFA framework. Scores on the two factors correlated in the expected directions with measures related to stigma, mental health, and experiences with suicide. The measure was invariant across gender. However, lower-than-desirable internal consistency estimates were obtained. The resultant measure, the Adaptive Suicide Cognitions Scale, assesses two constructs that may be useful to examine further, with the goal of reducing the severity and impacts of suicide-related stigma.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803304","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":"'You Just Wear a Mask': An Interpretative Phenomenological Analysis Study to Explore the Impacts of Bereavement by Suicide Among Peer Support Group Members.","authors":"John Whitebrook, Jamie S Churchyard","doi":"10.1080/13811118.2025.2542581","DOIUrl":"https://doi.org/10.1080/13811118.2025.2542581","url":null,"abstract":"<p><strong>Objective: </strong>Suicide is widely acknowledged as a pervasive global public health issue. Support for those bereaved by suicide (postvention) is a neglected area of research. Suicide loss survivors struggle with guilt, stigma, and a drive to comprehend. This study aimed to assess the ramifications of bereavement by suicide within a cohort of peer-support group members.</p><p><strong>Method: </strong>Data were collected using in-depth face-to-face and online semi-structured interviews. Audio-recordings of the interviews were transcribed and analyzed via Interpretative Phenomenological Analysis. Eight people, recruited from a UK Peer Support Group, participated.</p><p><strong>Findings: </strong>Five Group Experiential Themes emerged: (1) \"Never going to live a normal life\"; (2) \"You just wear a mask\"; (3) \"I'm conflicted\"; (4) \"I just want change\"; (5) \"Everyone in the room understood.\" Findings provide insights into the mindset of a cross-section of those bereaved by suicide and the all-encompassing, pervasive, life-shattering consequences of becoming a suicide loss survivor. These include the duality of their inner torment and public persona, perpetual possession of conflicting thoughts and perspectives, and alienation.</p><p><strong>Conclusions: </strong>A unique level of comprehension as to the power of peer-support groups is also outlined. Implications for practice include the signposting of postvention services requiring enhancement and the vital role played by peer-support groups in assisting those impacted.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793339","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":"Examining the Properties of the Suicidal Ideation Attributes Scale within a Text-Based Intervention Service Triage.","authors":"Geoffrey Gauvin, Louis-Philippe Côté","doi":"10.1080/13811118.2025.2527705","DOIUrl":"https://doi.org/10.1080/13811118.2025.2527705","url":null,"abstract":"<p><strong>Objective: </strong>Text-based crisis services often gather information on users' suicide risk prior to intervention. <i>Suicide.ca</i>'s crisis chat service uses a triage questionnaire combining a screening question on suicidal intent with the Suicidal Ideation Attributes Scale (SIDAS) to help identify users at highest risk. This study aimed to: (1) evaluate the SIDAS's psychometric properties in a real-world setting; and (2) assess its predictive validity in identifying users likely to be classified as high risk by counselors; and (3) examine whether combining the SIDAS with the suicidal intent question improves detection of high-risk users.</p><p><strong>Method: </strong>At triage, users completed the French version of the SIDAS along with questions on age, gender, and suicidal intent. Data from 1,480 users who subsequently received crisis intervention were analyzed. Predictive validity was evaluated using counselors' suicide risk assessments.</p><p><strong>Results: </strong>Confirmatory factor analysis replicated the unifactorial structure of the SIDAS. All items showed satisfactory factor loadings except item 2. Internal consistency was good (ω = .80). ROC analysis showed low sensitivity and specificity in differentiating high- vs low-risk users. Adding the SIDAS (cutoff ≥ 32) to the suicidal intent item in a hierarchical regression yielded a statistically significant but modest increase in explained variance.</p><p><strong>Conclusions: </strong>The SIDAS showed similar psychometric performance in a real-world context. While a revised cutoff improved prediction slightly, its added value in identifying users deemed high risk by counselors appears limited. The clinical utility of the SIDAS and implications of using a revised cutoff for triage in text-based intervention services will be discussed.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558904","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}
Sylvanna Mirichlis, Taylor A Burke, Alexandra H Bettis, Koosje Dayer, Kathryn R Fox
{"title":"Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context.","authors":"Sylvanna Mirichlis, Taylor A Burke, Alexandra H Bettis, Koosje Dayer, Kathryn R Fox","doi":"10.1080/13811118.2024.2424233","DOIUrl":"10.1080/13811118.2024.2424233","url":null,"abstract":"<p><strong>Objective: </strong>Disclosure of self-injurious thoughts and behaviors (SITBs) can serve as a catalyst to receiving mental health and lifesaving care; yet, many young people do not disclose these experiences to their therapists. In this study we aimed to identify barriers to adolescents disclosing their SITBs to their therapists and to compare these barriers across non-disclosure of suicidal ideation, suicidal behavior, and non-suicidal self-injury.</p><p><strong>Method: </strong>Participants (<i>n</i> = 292) all had lived experience of at least one SITB and were an average age of 15.55 years, with the majority identifying as cisgender girls (68.15%). Using inductive content analysis of open-ended responses, six main categories of disclosure barriers were identified.</p><p><strong>Results: </strong>These overarching barriers were: Agency Theft, Irrelevance, Therapeutic (Mis)Alliance, Internalized Stigma, Anticipated Stigma, and Lacking Disclosure Self-Efficacy. The majority (85.29%) of subordinate barriers were common across the three SITBs.</p><p><strong>Conclusions: </strong>Adolescents may hesitate to disclose their SITBs to their therapists for many reasons; prioritizing the therapeutic relationship and working collaboratively with adolescents could be instrumental in not only fostering disclosure but also an overall more positive therapeutic experience.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"779-794"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602912","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}
Molly Adrian, Kiera M James, Robert Gallop, Phuonguyen V Chu, Ann Vander Stoep, Elizabeth McCauley
{"title":"Transitions in Suicide Risk from Early Adolescence to Early Adulthood.","authors":"Molly Adrian, Kiera M James, Robert Gallop, Phuonguyen V Chu, Ann Vander Stoep, Elizabeth McCauley","doi":"10.1080/13811118.2024.2403491","DOIUrl":"10.1080/13811118.2024.2403491","url":null,"abstract":"<p><strong>Objective: </strong>Understanding patterns of suicide risk over the course of development can aid our ability to prevent suicide. Our community-based study examined changes in suicide risk status and predictors of changes in risk status in a sample of 521 adolescents over six assessments between the start of middle school and young adulthood (ages 12-22).</p><p><strong>Methods: </strong>Suicidal thoughts and behaviors (STB) were measured with the Diagnostic Interview Schedule for Children and the Moods and Feelings Questionnaire. Latent transition analysis (LTA) was utilized to evaluate transitions in suicide risk status over the course of development. Nine risk factors' initial values and change over time were modeled as predictors in the LTA.</p><p><strong>Results: </strong>Latent class analysis identified a four-class model of developmental suicide risk patterns: Class 1: Infrequent STB (73-87% of participants), Class 2: Diminishing STB (1-17% of participants), Class 3: Escalating STB (6-16% of participants), and Class 4: Consistently High STB (1-5% of participants). LTA demonstrated that infrequent STB members and escalating STB members were likely to maintain their risk class across time points.</p><p><strong>Conclusions: </strong>Classification of STB trajectories demonstrated self-worth and family involvement were salient variables affecting transitions in risk over time and suggest prevention targets early in adolescence that could have impact on suicide risk in adulthood.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"683-699"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340081","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}
Kirsten Pauwels, Eva De Jaegere, Patrick Vanderreydt, Silke Aerts, Eva Vande Gaer, Gwendolyn Portzky
{"title":"Assessing a Suicide Prevention Helpline's Impact on Caller Crisis Level and Suicidality.","authors":"Kirsten Pauwels, Eva De Jaegere, Patrick Vanderreydt, Silke Aerts, Eva Vande Gaer, Gwendolyn Portzky","doi":"10.1080/13811118.2024.2394666","DOIUrl":"10.1080/13811118.2024.2394666","url":null,"abstract":"<p><strong>Objective: </strong>Worldwide helplines are considered an important part of suicide prevention strategies. Nevertheless, evidence regarding the impact of suicide prevention helplines on the suicidality of its users remains limited and is frequently confronted with methodological issues. This study aimed to assess the impact of crisis calls on callers' levels of crisis and suicidality both immediately after the call and at follow-up compared to before the call. After the call, the satisfaction of the callers with the intervention was also assessed.</p><p><strong>Methods: </strong>A pre-post study, generated automatically by a telephone system, was conducted in order to compare the level of crisis and suicidality (operationalized by five indicators: hopelessness, entrapment, controllability, suicidal intent, and social support) experienced by callers before and immediately after the call and at follow-up (one to two weeks after the call).</p><p><strong>Results: </strong>Callers (n = 487) showed significant improvement in their level of crisis (<i>p</i> < .001, <i>d</i> = -0.31), hopelessness (<i>p</i> < .001, <i>d</i> = -0.22), entrapment (<i>p</i> < .001, <i>d</i> = -0.25), suicide intent (<i>p</i> < .001, <i>d</i> = -0.37), and social support (<i>p</i> < .001, <i>d</i> = 0.33) after the call compared to before the call. Improvements were also found at follow-up compared to pretest. The satisfaction of callers with the helpline was high.</p><p><strong>Conclusions: </strong>This study adds to the growing evidence on suicide prevention helplines and addresses some important methodological issues in helpline research. Furthermore, it shows promising results regarding the potential supportive impact of helplines on callers who feel suicidal.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"621-636"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035095","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":"Depression, Anxiety, and Stress Mediate the Relationship Between Poor Sleep Quality and Suicidal Ideation Among Young Chinese Men.","authors":"Huifang Zhang, Lvfeng Zhang, Hongwei Zhang, Hua Guo","doi":"10.1080/13811118.2024.2405733","DOIUrl":"10.1080/13811118.2024.2405733","url":null,"abstract":"<p><strong>Objective: </strong>Poor sleep quality exacerbates suicidal ideation. Depression, anxiety, and stress may play important roles in this relationship. However, the underlying mechanisms remain unknown.</p><p><strong>Method: </strong>A total of 2,598 young men were recruited for a cross-sectional study focusing on a range of sociodemographic factors, emotions, sleep quality, and suicidal ideation. Parallel, serial, and moderated mediation models were used to determine whether depression, anxiety, and stress mediated the relationship between poor sleep quality and suicidal ideation.</p><p><strong>Results: </strong>Direct and indirect effects of poor sleep quality on suicidal ideation were observed. Depression, anxiety, and stress mediated the relationship between poor sleep quality and suicidal ideation (<i>β</i><sub>Depression</sub> = 0.166, 95% confidence interval [CI]: 0.144, 0191; <i>β</i><sub>Anxiety</sub> = 0.153, 95% CI: 0.130, 0.177; <i>β</i><sub>Stress</sub> = 0.176, 95% CI: 0.154, 0.200). The serial mediation model indicated that depressive and stress symptoms co-play a serial mediating role in the relationship between poor sleep quality and suicidal ideation (<i>β</i><sub>a</sub> = 0.049, 95% CI: 0.036, 0.062; β<sub>b</sub> = 0.099, 95% CI: 0.080, 0.120). The moderated mediation model revealed that the mediating role of stress on the relationship between poor sleep quality and suicidal ideation was moderated by depression (<i>β</i> = 0.173, 95% CI: 0.150, 0.197). Self-reported measures and the study's cross-sectional design preclude the causal inferences reported.</p><p><strong>Conclusions: </strong>The findings of this study prompt clinical and scientific researchers to consider the interplay among affective disorders when investigating etiological and psychological factors that may contribute to suicidal ideation.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"734-745"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543357","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}