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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":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>Within a community United Kingdom (UK) sample, adults (<i>N</i> = 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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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
{"title":"Correction.","authors":"","doi":"10.1080/13811118.2024.2419780","DOIUrl":"10.1080/13811118.2024.2419780","url":null,"abstract":"","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"827"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493675","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
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":"<p><strong>Objective: </strong>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 <i>via</i> breathing tasks.</p><p><strong>Method: </strong>The sample comprised 94 trauma-exposed undergraduate students (<i>M</i><sub>age</sub> = 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.</p><p><strong>Results: </strong>An overall path model indicated past-year suicidal ideation was significantly positively associated with psychological reactivity (<i>β</i> = .51); no other associations were significant.</p><p><strong>Conclusions: </strong>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.</p>","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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><p>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 (<i>F</i>(1,132) = 4.5, <i>p</i> = 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 (<i>F</i>(4,17732) = 5.6, <i>p</i> < 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.</p>","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":"<p><p>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 (<i>N</i> = 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.</p>","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
Typologies of Psychiatric Diagnoses Among Inpatients with Recent Suicide Attempts. 近期有自杀企图的住院病人的精神病诊断类型。
IF 2 3区 医学
Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-09-20 DOI: 10.1080/13811118.2024.2405732
Kayla A Lord, David F Tolin, Gretchen J Diefenbach
{"title":"Typologies of Psychiatric Diagnoses Among Inpatients with Recent Suicide Attempts.","authors":"Kayla A Lord, David F Tolin, Gretchen J Diefenbach","doi":"10.1080/13811118.2024.2405732","DOIUrl":"10.1080/13811118.2024.2405732","url":null,"abstract":"<p><strong>Objective: </strong>Psychiatric multimorbidity is a well-documented risk factor for suicide. However, diagnostic heterogeneity and patterns of comorbidity likely exists within the population of those who attempt suicide. Person-centered statistical approaches, such as latent class analysis (LCA), extract distinguishable groups differentiated by prevalence and comorbidity of psychiatric disorders.</p><p><strong>Method: </strong>The present study used LCA to identify typologies of psychiatric heterogeneity in a sample of 213 inpatients (<i>M</i> age = 33.04 [<i>SD</i> = 12.67]; 57.3% female; 62.4% White; 23.9% Hispanic/Latino) with a history of suicide attempt who were recruited for a suicide prevention clinical trial. Class differences in suicide history characteristics; demographic characteristics; and cognitive-affective and behavioral risk factors, obtained from an initial evaluation involving the administration of a semi-structured diagnostic interview, suicide risk assessment, and battery of self-report measures, were explored.</p><p><strong>Results: </strong>LCA identified three classes in the best-fitting solution: Depressive-High Comorbidity (<i>n</i> = 68), Depressive-Low Comorbidity (<i>n</i> = 86), and Bipolar (<i>n</i> = 59). The Depressive-Low Comorbidity class reported less severe suicidal ideation (<i>p</i> < .001), anxiety (<i>p</i> < .001), stress (<i>p</i> < .001), unlovability beliefs (<i>p</i> = .006), and impulsivity (<i>p</i> < .001). The Depressive-Low Comorbidity class also reported fewer actual attempts than the Bipolar class (<i>p</i> = .001) and fewer interrupted attempts than the Depressive-High Comorbidity class (<i>p</i> = .004).</p><p><strong>Conclusions: </strong>The Depressive-High Comorbidity and Bipolar classes consistently endorsed higher levels of suicide risk factors. These findings may help to illuminate typologies of suicide attempters with unique clinical needs, which is an essential step toward personalized medicine.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"718-733"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279806","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
Bullying Victimization and Self-Harm Among Adolescents from Diverse Inner-City Schools: Variation by Bullying Sub-Types and the Role of Sex. 来自不同城市内学校的青少年遭受欺凌和自残的情况:欺凌子类型的差异和性别的作用。
IF 2 3区 医学
Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-11-13 DOI: 10.1080/13811118.2024.2424237
Emma Wilson-Lemoine, Colette Hirsch, Gemma Knowles, Stephanie Smith, Rachel Blakey, Samantha Davis, Katie Chamberlain, Daniel Stanyon, Aisha Ofori, Alice Turner, Esther Putzgruber, Holly Crudgington, Rina Dutta, Vanessa Pinfold, Ulrich Reininghaus, Seeromanie Harding, Charlotte Gayer-Anderson, Craig Morgan
{"title":"Bullying Victimization and Self-Harm Among Adolescents from Diverse Inner-City Schools: Variation by Bullying Sub-Types and the Role of Sex.","authors":"Emma Wilson-Lemoine, Colette Hirsch, Gemma Knowles, Stephanie Smith, Rachel Blakey, Samantha Davis, Katie Chamberlain, Daniel Stanyon, Aisha Ofori, Alice Turner, Esther Putzgruber, Holly Crudgington, Rina Dutta, Vanessa Pinfold, Ulrich Reininghaus, Seeromanie Harding, Charlotte Gayer-Anderson, Craig Morgan","doi":"10.1080/13811118.2024.2424237","DOIUrl":"10.1080/13811118.2024.2424237","url":null,"abstract":"<p><strong>Objective: </strong>Bullying has consistently been highlighted as a risk factor for youth self-harm. Less is known about associations by bullying sub-type (i.e., physical, verbal, relational, cyberbullying), among boys and girls in diverse urban populations. This study aimed to explore: (1) prevalence of bullying and lifetime self-harm; (2) cross-sectional associations between bullying and self-harm. Both aims investigated bullying sub-types and the role of sex.</p><p><strong>Method: </strong>Baseline data on bullying victimization and lifetime self-harm were drawn from REACH (Resilience, Ethnicity and AdolesCent Mental Health), an accelerated cohort study of adolescent mental health in London, United Kingdom. Data on baseline self-harm and sex were available for 3,060 adolescents aged 11-14 years (<i>M</i><sub>age</sub>=12.4, 50.6% girls, >80% ethnic minority groups) from 10 schools.</p><p><strong>Results: </strong>Prevalence of bullying in the past six months was 22.3% and lifetime self-harm was 16.9%. Both were more common in girls than boys (adjusted risk ratios: bullying, 1.13 [1.02,1.25]; self-harm, 1.45 [1.03,1.86]). By bullying sub-type, prevalence estimates ranged from 4.1% (cyberbullying) to 16.6% (physical bullying). Bullying was associated with self-harm (aRR 3.35 [2.89,3.82]) for both girls (aRR 3.61 [3.07,4.14]) and boys (aRR 2.96 [2.27,3.65]), independent of sex, age, free school meals and ethnic group. All sub-types were associated with self-harm (aRRs 3.16-4.34), for girls and boys.</p><p><strong>Conclusions: </strong>These baseline findings underline the importance of exploring nuances between bullying sub-types and self-harm, by sex or gender.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"808-826"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613941","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
Development and Validation of Electronic Health Record Measures of Safety Planning Practices as Part of Zero Suicide Implementation. 作为 "零自杀 "实施工作的一部分,开发和验证安全规划实践的电子健康记录措施。
IF 2 3区 医学
Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-08-28 DOI: 10.1080/13811118.2024.2394676
Jennifer M Boggs, Bobbi Jo H Yarborough, Gregory Clarke, Erica M Aguirre-Miyamoto, Lee J Barton, Arne Beck, Cambria Bruschke, Stuart Buttlaire, Karen J Coleman, Jean P Flores, Robert Penfold, J David Powers, Julie Angerhofer Richards, Laura Richardson, Arthur Runkle, Jacqueline M Ryan, Gregory E Simon, Stacy Sterling, Christine Stewart, Scott Stumbo, LeeAnn M Quintana, Hsueh-Han Yeh, Brian K Ahmedani
{"title":"Development and Validation of Electronic Health Record Measures of Safety Planning Practices as Part of Zero Suicide Implementation.","authors":"Jennifer M Boggs, Bobbi Jo H Yarborough, Gregory Clarke, Erica M Aguirre-Miyamoto, Lee J Barton, Arne Beck, Cambria Bruschke, Stuart Buttlaire, Karen J Coleman, Jean P Flores, Robert Penfold, J David Powers, Julie Angerhofer Richards, Laura Richardson, Arthur Runkle, Jacqueline M Ryan, Gregory E Simon, Stacy Sterling, Christine Stewart, Scott Stumbo, LeeAnn M Quintana, Hsueh-Han Yeh, Brian K Ahmedani","doi":"10.1080/13811118.2024.2394676","DOIUrl":"10.1080/13811118.2024.2394676","url":null,"abstract":"<p><strong>Objective: </strong>Safety planning for suicide prevention is an important quality metric for Zero Suicide implementation. We describe the development, validation, and application of electronic health record (EHR) programs to measure uptake of safety planning practices across six integrated healthcare systems as part of a Zero Suicide evaluation study.</p><p><strong>Methods: </strong>Safety planning was documented in narrative notes and structured EHR templates using the Stanley Brown Safety Planning Intervention (SBSPI) in response to a high-risk cutoff score on the Columbia Suicide Severity Rating Scale (CSSRS). Natural Language Processing (NLP) metrics were developed and validated using chart review to characterize practices documented in narrative notes. We applied NLP to measure frequency of documentation in the narrative text and standard programming methods to examine structured SBSPI templates from 2010-2022.</p><p><strong>Results: </strong>Chart reviews found three safety planning practices documented in narrative notes that were delivered to at least half of patients at risk: professional contacts, lethal means counseling for firearms, and lethal means counseling for medication access/storage. NLP methods were developed to identify these practices in clinical text with high levels of accuracy (Sensitivity, Specificity, & PPV ≥ 82%). Among visits with a high-risk CSSRS, 40% (Range 2-73% by health system) had an SBSPI template within 1 year of implementation.</p><p><strong>Conclusions: </strong>This is one of the first reports describing development of measures that leverage electronic health records to track use of suicide prevention safety plans. There are opportunities to use the methods developed here in future evaluations of safety planning.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"654-667"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142078941","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
The Transtheoretical Model of Change and Recovery from a Suicidal Episode. 改变和摆脱自杀倾向的跨理论模型。
IF 2 3区 医学
Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-08-24 DOI: 10.1080/13811118.2024.2394674
Yosef Sokol, Yaakov Wahl, Sofie Glatt, Chynna Levin, Patricia Tran, Marianne Goodman
{"title":"The Transtheoretical Model of Change and Recovery from a Suicidal Episode.","authors":"Yosef Sokol, Yaakov Wahl, Sofie Glatt, Chynna Levin, Patricia Tran, Marianne Goodman","doi":"10.1080/13811118.2024.2394674","DOIUrl":"10.1080/13811118.2024.2394674","url":null,"abstract":"<p><strong>Objective: </strong>The Transtheoretical Model of Change (TTM) is an established model outlining five stages of change within a psychotherapeutic context: pre-contemplation, contemplation, preparation, action, and maintenance. Research shows that these models benefit patients and clinicians by enhancing their understanding of complex processes and identifying optimal therapeutic support for individuals at specific times. This study aimed to apply the TTM to personal recovery following a suicidal episode.</p><p><strong>Method: </strong>A meta-synthesis was conducted on qualitative studies that outlined distinct phases or stages of recovery from a suicidal episode. The identified recovery stages were mapped onto corresponding TTM stages.</p><p><strong>Results: </strong>Recovery processes followed a pattern aligning with TTM stages, but the action, maintenance, and termination stages were not clearly distinguished in the context of personal recovery. A three-stage model was proposed instead: (1) precontemplation, where recovery is not seen as possible or meaningful; (2) contemplation, during which there is growing awareness and consideration of the possibility of recovery and change; and (3) active growth, which is characterized by ongoing progress and engagement in at least one personal recovery process.</p><p><strong>Conclusions: </strong>The proposed three-stage model condenses the later TTM stages and may better reflect personal recovery from a suicidal episode. Applying the model in clinical settings could help with case conceptualization and inform recovery approaches to an individual's current stage. Future research should evaluate the benefits of incorporating stages of change into suicide-focused recovery interventions to develop more effective interventions.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"637-653"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046200","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}
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