Archives of Suicide Research最新文献_第3页

Barriers to Youth Disclosing Self-Injurious Thoughts and Behaviors: A Focus on the Therapeutic Context. 青少年披露自我伤害想法和行为的障碍：关注治疗环境。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-11-08 DOI: 10.1080/13811118.2024.2424233

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":"Objective: 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.Method: Participants (n = 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

Transitions in Suicide Risk from Early Adolescence to Early Adulthood. 从青春期早期到成年早期自杀风险的转变。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-09-27 DOI: 10.1080/13811118.2024.2403491

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":"Objective: 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).Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

Assessing a Suicide Prevention Helpline's Impact on Caller Crisis Level and Suicidality. 评估自杀预防热线对来电者危机程度和自杀倾向的影响。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-08-23 DOI: 10.1080/13811118.2024.2394666

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":"Objective: 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.Methods: 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).Results: Callers (n = 487) showed significant improvement in their level of crisis (p < .001, d = -0.31), hopelessness (p < .001, d = -0.22), entrapment (p < .001, d = -0.25), suicide intent (p < .001, d = -0.37), and social support (p < .001, d = 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.Conclusions: 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.","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}

引用次数: 0

Depression, Anxiety, and Stress Mediate the Relationship Between Poor Sleep Quality and Suicidal Ideation Among Young Chinese Men. 抑郁、焦虑和压力可调节睡眠质量差与中国男性自杀倾向之间的关系

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-10-30 DOI: 10.1080/13811118.2024.2405733

Huifang Zhang, Lvfeng Zhang, Hongwei Zhang, Hua Guo

{"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":"Objective: Poor sleep quality exacerbates suicidal ideation. Depression, anxiety, and stress may play important roles in this relationship. However, the underlying mechanisms remain unknown.Method: 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.Results: 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 (βDepression = 0.166, 95% confidence interval [CI]: 0.144, 0191; βAnxiety = 0.153, 95% CI: 0.130, 0.177; βStress = 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 (βa = 0.049, 95% CI: 0.036, 0.062; βb = 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 (β = 0.173, 95% CI: 0.150, 0.197). Self-reported measures and the study's cross-sectional design preclude the causal inferences reported.Conclusions: 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.","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}

引用次数: 0

A Qualitative Assessment of Reasons for Living and Dying in the Context of Feeling Trapped Among Adults in the United Kingdom. 英国成年人在感到受困的情况下对生死原因的定性评估。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-09-11 DOI: 10.1080/13811118.2024.2400915

Laura Matheson, Susan Rasmussen, Jessamyn Moxie, Robert J Cramer

{"title":"A Qualitative Assessment of Reasons for Living and Dying in the Context of Feeling Trapped Among Adults in the United Kingdom.","authors":"Laura Matheson, Susan Rasmussen, Jessamyn Moxie, Robert J Cramer","doi":"10.1080/13811118.2024.2400915","DOIUrl":"10.1080/13811118.2024.2400915","url":null,"abstract":"Objective: Contemporary approaches to suicide assessment and treatment incorporate reasons for living (RFL) and reasons for dying (RFD). This study qualitatively explored individuals' self-described RFL and RFD in the context of suicidal thinking and behaviors.Method: Within a community United Kingdom (UK) sample, adults (N = 331, aged 16+) responded to eight open-ended questions probing their experiences of suicide, defeat, and entrapment. Utilizing these data, which were collected from a larger online survey examining risk and protective factors for suicidal behaviors, this study explored RFL and RFD within these narratives. After the research team established an initial code book, RFL and RFD codes were subsequently analyzed through inductive and deductive thematic analyses.Results: The present study identified five complimentary RFD-RFL themes: (1) Hopelessness-Hopefulness, (2) Stress of Responsibilities-Duty to Responsibilities, (3) Social Disconnection-Social Connection, (4) Death as Sin-Desire for an Afterlife, and (5) Temporary Escapes as Coping-Entrapment (i.e., a lack of escape). Three subthemes within the RFD theme Entrapment were General/Unspecified, By Feelings, and Within Self.Conclusions: Identified themes reflect the existing quantitative RFL and RFD literature. The identified RFL and RFD themes are discussed with reference to their clinical applications in advancing suicide-specific assessments and interventions. We propose a dimensional framework for RFD and RFL which informs future suicidal behaviors research and practice.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"668-682"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279804","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

Correction. 更正。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-10-24 DOI: 10.1080/13811118.2024.2419780

引用次数: 0

Associations of Suicidal Thoughts and Behaviors with Psychological and Physiological Reactivity to a Hyperventilation Task Among Trauma-Exposed Emerging Adults. 在创伤暴露的新生成人中，自杀念头和行为与过度通气任务的心理和生理反应的关联。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 DOI: 10.1080/13811118.2025.2524414

Linda M Thompson, Nathan T Kearns, Hanan S Rafiuddin, Ateka A Contractor, Heidemarie Blumenthal

{"title":"Associations of Suicidal Thoughts and Behaviors with Psychological and Physiological Reactivity to a Hyperventilation Task Among Trauma-Exposed Emerging Adults.","authors":"Linda M Thompson, Nathan T Kearns, Hanan S Rafiuddin, Ateka A Contractor, Heidemarie Blumenthal","doi":"10.1080/13811118.2025.2524414","DOIUrl":"10.1080/13811118.2025.2524414","url":null,"abstract":"Objective: Suicidality is a critical public health concern, especially among emerging adults who have experienced trauma. However, limitations remain in understanding the associations of suicidal risk and stress-responding. The current study experimentally evaluated the extent to which suicidal thoughts and behaviors (lifetime ideation/attempts, past-year suicidal ideation, threat of suicide attempt, likelihood of suicide in the future) were associated with self-reported psychological and physiological reactivity to a trauma-relevant stress induction task via breathing tasks.Method: The sample comprised 94 trauma-exposed undergraduate students (Mage = 20.30; 61.7% women) who completed a laboratory-based, within-subjects study. Participants completed both a voluntary hyperventilation challenge and a normal breathing control task and reported psychological and physiological reactivity before and after each trauma-relevant stress induction task.Results: An overall path model indicated past-year suicidal ideation was significantly positively associated with psychological reactivity (β = .51); no other associations were significant.Conclusions: Identifying patterns between stress-responding and suicidal thoughts and behaviors may allow researchers and clinicians to develop programs to reduce the risk of suicide in young adults in the future, especially among those who are trauma-exposed.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perinatal Factors and Their Association with Early-Adulthood Suicidal Behavior in a Brazilian Birth Cohort. 巴西出生队列中的围产期因素及其与成年早期自杀行为的关联。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-10-08 DOI: 10.1080/13811118.2024.2405737

Heidi Eccles, Mila Kingsbury, Joseph Murray, Marie-Claude Geoffroy, Ana M B Menezes, Dawn-Li Blair, Gabriel Calegaro, Fernando C Wehrmeister, Helen Gonçalves, Ian Colman

{"title":"Perinatal Factors and Their Association with Early-Adulthood Suicidal Behavior in a Brazilian Birth Cohort.","authors":"Heidi Eccles, Mila Kingsbury, Joseph Murray, Marie-Claude Geoffroy, Ana M B Menezes, Dawn-Li Blair, Gabriel Calegaro, Fernando C Wehrmeister, Helen Gonçalves, Ian Colman","doi":"10.1080/13811118.2024.2405737","DOIUrl":"10.1080/13811118.2024.2405737","url":null,"abstract":"Background: The objectives of this study were to investigate the relationship between perinatal risk factors and suicidal ideation and attempts in young adults in Pelotas, Brazil.Methods: The data were collected from the 1993 Pelotas Birth Cohort study. Every pregnant woman who gave birth in one of the hospitals in Pelotas Brazil in 1993 was invited to participate in the study. The current study uses perinatal data collected in 1993, and follow-ups at ages 18 and 22. The primary outcome was lifetime suicide attempts with past month suicide ideation a secondary outcome. The association between perinatal predictors and suicidal ideation or lifetime suicide attempts was investigated using hierarchical logistic regression.Findings: There was an analytic sample size of 3493. The perinatal factors association with lifetime suicide attempts were sex (OR = 2.25 CI: 1.76-2.89), paternal education at birth (OR = 0.60, 95%CI: 0.36-0.99), maternal education (9-11 years OR = 2.81, 95%CI: 1.41-5.59, & 0-8 years OR = 2.21, 95%CI: 1.07-4.58), support from friends or neighbors at birth (OR = 0.36 95%CI: 0.17-0.77), and maternal smoking during pregnancy (OR = 1.41, 95%CI: 1.10-1.79). Patterns of associations were broadly similar with suicidal ideation. Interactions between sex and the perinatal factors paternal education, maternal education, smoking and support from friends were assessed and found to be not significant.Conclusion: Several factors during the perinatal period are associated with risk of lifetime suicide attempts and ideation in young adults in Brazil. Early-life factors associated with suicide-related concerns in early adulthood were similar to those observed in studies from high-income settings.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"746-761"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387473","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

Firearm Availability Reduces the Stability of Suicidal Ideation: Results from an Ecological Momentary Assessment Study. 枪支的可获得性会降低自杀意念的稳定性：生态瞬间评估研究的结果。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-11-08 DOI: 10.1080/13811118.2024.2420983

Craig J Bryan, Jeffrey V Tabares, Jonathan E Butner, Samantha E Daruwala, Melanie L Bozzay, Stephanie M Gorka

{"title":"Firearm Availability Reduces the Stability of Suicidal Ideation: Results from an Ecological Momentary Assessment Study.","authors":"Craig J Bryan, Jeffrey V Tabares, Jonathan E Butner, Samantha E Daruwala, Melanie L Bozzay, Stephanie M Gorka","doi":"10.1080/13811118.2024.2420983","DOIUrl":"10.1080/13811118.2024.2420983","url":null,"abstract":"Firearm availability is correlated with increased risk of suicide but its link with suicidal ideation remains unclear. Previous studies are limited by retrospective reports and prospective designs with lengthy gaps between assessments that are ill-suited for measuring fluctuations in suicidal ideation. This study used ecological momentary assessment (EMA) to repeatedly assess suicidal ideation in a sample of 138 U.S. adults (81 handgun owners, 57 non-owners). Participants received six EMA prompts per day for 28 consecutive days. Results revealed no group differences in the frequency, maximum amplitude, or variability of suicidal ideation across male and female handgun owners and non-owners. Stability of suicidal ideation significantly differed across groups, however (F(1,132) = 4.5, p = 0.036); male handgun owners had the strongest stability and male non-owners had the weakest stability. Stability of suicidal ideation was significantly lower when participants reported a firearm was nearby as compared to when no firearm was nearby (F(4,17732) = 5.6, p < 0.001). Results suggest firearm availability increases reactivity to the environment, slows recovery from acutely elevated risk states, and may increase vulnerability to sudden shifts to higher risk states characterized by increased probability of suicidal behavior. Although these effects were observed in both handgun owners and non-owners, they disproportionately impact handgun owners because they report being near firearms more often.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"762-778"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptability and Feasibility of an Ecological Momentary Intervention for Managing Emotional Distress Among Psychiatric Inpatients at Risk for Suicide. 在有自杀风险的精神病住院患者中开展生态瞬间干预以控制情绪困扰的可接受性和可行性。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-08-26 DOI: 10.1080/13811118.2024.2391293

Evan M Kleiman, Kate H Bentley, Adam C Jaroszewski, Joseph S Maimone, Rebecca G Fortgang, Kelly L Zuromski, Erin N Kilbury, Michelle B Stein, Stuart Beck, Jeff C Huffman, Matthew K Nock

{"title":"Acceptability and Feasibility of an Ecological Momentary Intervention for Managing Emotional Distress Among Psychiatric Inpatients at Risk for Suicide.","authors":"Evan M Kleiman, Kate H Bentley, Adam C Jaroszewski, Joseph S Maimone, Rebecca G Fortgang, Kelly L Zuromski, Erin N Kilbury, Michelle B Stein, Stuart Beck, Jeff C Huffman, Matthew K Nock","doi":"10.1080/13811118.2024.2391293","DOIUrl":"10.1080/13811118.2024.2391293","url":null,"abstract":"The weeks following an inpatient psychiatric hospitalization are known to be the highest-risk time for suicide. Interventions are needed that are well-matched to the dynamic nature of suicidal thoughts and easily implementable during this high-risk time. We sought to determine the feasibility and acceptability of a novel registered clinical trial that combined three brief in-person sessions to teach core cognitive-behavioral therapy (CBT) skills during hospitalization followed by smartphone-based ecological momentary intervention (EMI) to facilitate real-time practice of the emotion management skills during the 28 days after hospital discharge. Results from this pilot study (N = 26) supported some aspects of feasibility and acceptability. Regarding feasibility, 14.7% of all screened inpatients met study eligibility criteria. Half (50.3%) of those who were ineligible were ineligible because they were not part of the population for whom this treatment was designed (e.g., symptoms such as psychosis rendered them ineligible for the current study). Those who were otherwise eligible based on symptoms were primarily ineligible due to inpatient stays that were too short. Nearly half (48%) of study participants did not receive all three in-person sessions during their hospitalization. Among enrolled participants, rates of engagement with the smartphone-based assessment and EMI prompts were 51.47%. Regarding acceptability, quantitative and qualitative data supported the perceived acceptability of the intervention, and provided recommendations for future iterations. Well-powered effectiveness (and effectiveness-implementation) studies are needed to determine the effects of this promising and highly scalable intervention approach.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"603-620"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0