Archives of Suicide Research最新文献

{"title":"EEG Power Spectral Signatures of Looming Vulnerability Style in Individuals with a Recent Suicide Attempt.","authors":"Masoumeh Bayat, Kazem Malakouti, Nafee Rasouli, Reza Khosrowabadi, John H Riskind, Shadi Moradkhani, Alireza Talesh Jafadideh","doi":"10.1080/13811118.2025.2597354","DOIUrl":"10.1080/13811118.2025.2597354","url":null,"abstract":"<p><strong>Objective: </strong>The Looming Vulnerability Model suggests that rapidly approaching or increasing threats, like visual looming stimuli, can potentially contribute suicidal thoughts and behaviors. This study investigates the neurobiological basis of this theory in suicide attempters, focusing on the EEG power spectrum.</p><p><strong>Methods: </strong>In a case-control design, participants completed a visual Looming task involving threatening and neutral stimuli during EEG neuroimaging. The final sample included 15 participants with recent suicide attempts and major depressive disorder (SA+MDD), 19 participants with major depressive disorder (MDD), and 18 Healthy Controls (HC). EEG absolute power was calculated and group differences were analyzed using ANOVA with post-hoc tests.</p><p><strong>Results: </strong>Participants in the SA+MDD group showed significantly greater delta band power in frontopolar regions (AF3, Fp2, Fpz) compared to HC under both task conditions. Theta band power over the right frontal cortex during both conditions differentiated SA+MDD from MDD participants, while increased beta synchronization in the right premotor area distinguished SA+MDD from both MDD and HC, particularly during trials with neutral stimuli. Additionally, gamma band desynchronization to threatening stimuli was observed in SA+MDD compared to MDD.</p><p><strong>Conclusions: </strong>The findings support a link between electrophysiological responses to looming stimuli and recent suicide attempts. Increased delta and theta power may reflect heightened emotional processing and sensitivity to threat or pain, while elevated beta activity may indicate increased demands on motor inhibition. Gamma desynchronization may reflect a residual vulnerability to suicidal behavior in the aftermath of a recent attempt.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"888-905"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145713140","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":"Neural Correlates Involved in Behavioral Metrics of Emotion Regulation and Suicidal Thoughts and Behaviors.","authors":"Simon M Li, Veronika Kobrinsky, Kiyan Irani, Aayushi Sangani, Qimin Liu","doi":"10.1080/13811118.2025.2560362","DOIUrl":"10.1080/13811118.2025.2560362","url":null,"abstract":"<p><p>Given the well-documented association between emotion regulation (ER) deficits and suicidal thoughts and behaviors (STBs), and the limited understanding of their neural mechanisms, we reviewed studies across five databases that included validated ER tasks and neuroimaging techniques such as functional magnetic resonance imaging and electroencephalography. This systematic review synthesizes evidence from 11 neuroimaging studies to explore the neural correlates of ER deficits in individuals with STBs. Findings revealed that individuals with STBs exhibit heightened activation in the dorsolateral and ventrolateral prefrontal cortex during ER tasks, alongside increased amygdala reactivity to negative stimuli (e.g., sad facial expressions), in implicit ER paradigms. Heterogeneity in prefrontal cortex activation suggests that task- and population-specific neural signatures may influence these patterns. Our review also identifies methodological limitations in the current literature, including a reliance on cross-sectional designs and small sample sizes, which limit generalizability. These limitations highlight the need for longitudinal and multi-modal studies to better understand the dynamic neural patterns associated with ER and STBs. By elucidating the neural underpinnings of ER deficits in STBs, these findings may enable earlier identification of at-risk individuals and the development of personalized, targeted interventions (e.g., transcranial magnetic stimulation).</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"621-641"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13071884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102557","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}

{"title":"Family Conflict in Adolescents with Acute Suicidality, Depression, and Controls.","authors":"Carly Albaum, Eric Tu, Sherinne Clarissa, Yaron Finkelstein, Daphne Korczak","doi":"10.1080/13811118.2025.2571631","DOIUrl":"10.1080/13811118.2025.2571631","url":null,"abstract":"<p><strong>Objective: </strong>Family conflict is associated with adolescent depression and suicidality. Whether the conflict level differs among adolescents based on presenting concern is unknown. This study compared family conflict between adolescents with self-injurious thoughts and behavior (SITB), those with depression, and healthy controls with neither condition.</p><p><strong>Method: </strong>Data were collected from 495 adolescents with SITB (<i>n</i> = 151), depression (<i>n</i> = 256), and healthy controls (<i>n</i> = 88). Adolescents were between 12 and 17 years old (<i>M</i> = 15.07, <i>SD</i> = 1.60; 65.3% female, 24.3% male, 10.4% nonbinary; 61.4% White). Family conflict was assessed by adolescent and parent report on the Conflict Behavior Questionnaire and compared by informant across diagnostic groups, controlling for demographic variables and depression status.</p><p><strong>Results: </strong>Adolescents with SITB experienced greater conflict with their mothers than adolescents with depression (<i>p</i> = .033), and greater conflict with their mothers (<i>p</i> < .001) and fathers (<i>p</i> = .029) compared with controls. Adolescents with depression reported more conflict with mothers (<i>p</i> = .015), and not fathers (<i>p</i> = .232), compared with controls. Parents of adolescents with SITB (<i>p</i> = .002) or depression (<i>p</i> < .001) both reported greater family conflict than parents of controls. Parent report of family conflict did not differ between the two clinical groups (<i>p</i> = .814).</p><p><strong>Conclusion: </strong>Adolescent and parent perceptions of family conflict differ across diagnostic groups, with adolescents experiencing SITB reporting the highest family conflict. The link between family conflict and mental health problems may be a function of presenting clinical concern, informant, and parent role.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"691-703"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145353592","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":"Non-Suicidal Self-Injury and Outcome Expectancies: The Roles of Self-Efficacy, Cognitive Reappraisal, and Expressive Suppression.","authors":"Kassandra Hon, Mark E Boyes, Kirsty Hird, Penelope Hasking","doi":"10.1080/13811118.2025.2567931","DOIUrl":"10.1080/13811118.2025.2567931","url":null,"abstract":"<p><strong>Objective: </strong>According to the Cognitive Emotional Model of Non-Suicidal Self-Injury (NSSI), this behavior is governed by a complex interplay of NSSI-related cognitions (i.e., a person's expected outcomes of self-injury and self-efficacy to resist NSSI) and emotion-regulatory strategies (i.e., cognitive reappraisal and expressive suppression). To empirically test this proposition, the current study examined the moderating roles of self-efficacy to resist NSSI, cognitive reappraisal, and expressive suppression in the relationships between outcome expectancies and NSSI frequency among university students.</p><p><strong>Method: </strong>559 university students (<i>M</i> = 20.7 years, 74.2% female, 40.3% with a NSSI history) completed an online self-report questionnaire.</p><p><strong>Results: </strong>Self-efficacy to resist NSSI was a strong protective factor by diminishing the strength of the associations between expectations of affect regulation, communication, and negative self-beliefs and NSSI frequency. The relationships between outcome expectancies and self-efficacy to resist NSSI in predicting self-injury were further contingent on a person's use of expressive suppression. Specifically, a tendency to use expressive suppression strengthened the risk associated with the relationship between affect-regulatory expectancies and self-efficacy to resist NSSI, <i>b</i> = 1.05 [.64, 1.46], <i>t</i> = 5.04, <i>p</i> < .001, and attenuated the protection conferred by the relationship between negative self-beliefs expectancies and self-efficacy, <i>b</i> = -.17 [-.34, -.00], <i>t</i> = -2.02, <i>p</i> = .04.</p><p><strong>Conclusions: </strong>In collectively examining the cognitive-emotional correlates of NSSI, the current findings empirically support the Cognitive-Emotional Model of NSSI and highlight the potential utility of targeting outcome expectancies and self-efficacy to resist NSSI in prevention and intervention initiatives.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"676-690"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211488","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":"Masculinity: A Protective and Risk Factor for Suicidality in UK Samples from the Community and Patients Admitted to Hospital for a Suicide Attempt.","authors":"Charlotte Starkey, Fhionna Moore","doi":"10.1080/13811118.2025.2586778","DOIUrl":"10.1080/13811118.2025.2586778","url":null,"abstract":"<p><strong>Objective: </strong>Men are more likely than women to die by suicide, while women are more likely to report suicidal ideation and make suicide attempts. To understand this, it is necessary to consider the ways in which men and women are exposed to divergent pressures in gendered social roles. We reviewed the literature to identify a set of seven pathways by which masculinity may impact upon suicidality (moderation of the relationship between masculinity and suicidality by adverse life events, mediation of the relationship between masculinity and suicidality by help-seeking, social support, maladaptive coping, impulsivity, and mental health, and a protective function of positive masculine psychological characteristics on suicidality), and tested these in two samples.</p><p><strong>Method: </strong>In Study 1 we tested pathways in a sample of 195 participants in an online survey. In Study 2 we tested pathways in a sample of 48 participants admitted to hospital for a suicide attempt. In both studies we included both men and women, and tested moderation of relationships by sex.</p><p><strong>Results: </strong>Both studies demonstrated a protective role of \"positive\" masculine psychological characteristics in the development of suicidality. There was also support from both for an indirect effect of \"negative\" masculine psychological characteristics on suicidal ideation through impulsivity (those high in negative masculinity had higher suicidal ideation due to increased levels of impulsivity). In Study 1 only, the relationship between negative masculine psychological characteristics and suicidal ideation was mediated by help seeking and by maladaptive coping (amongst men only). In all other cases, results were consistent across men and women.</p><p><strong>Conclusions: </strong>Our results suggest both protective and risk functions of masculinity in the development of suicidality, and provide evidence for pathways from negative masculinity to suicidality through impulsivity and help-seeking, as well as protective functions of positive masculine psychological characteristics, providing potential targets for clinical intervention.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"772-791"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666869","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":"A Systematic Review of Perceived Risks and Risk Management Strategies in Non-Suicidal Self-Harm.","authors":"Omaya Kharboutli, Alexandra Pitman, Jessica Davies, Connor Clarke, Sarah Rowe","doi":"10.1080/13811118.2025.2602011","DOIUrl":"10.1080/13811118.2025.2602011","url":null,"abstract":"<p><strong>Background: </strong>Although the risks associated with non-suicidal self-harm (NSSH) have been widely described in the literature, evidence remains fragmented regarding how these risks are understood and managed by individuals with lived experience.</p><p><strong>Objective: </strong>Our systematic review aimed to identify the risks perceived by those who engage in NSSH and the risk management strategies they utilized.</p><p><strong>Methods: </strong>We searched five databases and performed a quality assessment and meta-synthesis of qualitative findings. We summarized the quantitative findings from one study because a narrative synthesis was not feasible.</p><p><strong>Results: </strong>We included 37 eligible studies (n = 34 qualitative only; n = 3 mixed methods), with only one presenting quantitative findings. Our meta-synthesis of qualitative findings highlighted three overarching themes: (1) Physical risks: understanding and managing injuries; (2) Interpersonal risks: impacts of and responses to self-harm; (3) Intrapersonal risks: a personal assessment. Individuals who self-harm showed a nuanced understanding of all overarching risks. Management strategies included damage limitation and concealment of scars. The perceived utility of risk management strategies varied from useful to counterproductive. Quantitative findings from one study showed that users of online self-harm communities perceive similar physical and interpersonal risks, including fears of judgment and stigma.</p><p><strong>Conclusion: </strong>Views on self-harm risk management strategies were mixed. Incorporating lived experience perspectives can promote person-centered care for NSSH, enhancing peer support interventions and collaborative clinician-patient risk management plans.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"954-976"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145803103","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":"Exploring the Role of Social Worldviews in Linking Interpersonal Discrimination to Suicidal Ideation Among Sexual Minority Young Adults.","authors":"Michael G Curtis, Joshua L Boe, Haiden Hice, Cante Nakanishi","doi":"10.1080/13811118.2025.2598409","DOIUrl":"10.1080/13811118.2025.2598409","url":null,"abstract":"<p><strong>Objective: </strong>Sexual minority young adults (SM-YAs) experience high rates of interpersonal discrimination, which increases their risk of suicidal ideation. However, little is known about the mechanisms that underly this association. According to the Anxiety Buffer Disruption Theory (ABDT) exposure to interpersonal discrimination can influence the development of a negative social worldview (i.e., antagonistic perceptions of others and the future of society) leading to the onset and maintenance of suicidal ideation. We aimed to test the utility of ABDT in articulating the association between exposure to interpersonal discrimination and suicidal ideation by examining the mediating role of negative social worldview.</p><p><strong>Method: </strong>Hypotheses were tested using structural equation modeling with 3 waves of data from a national sample of 670 SM-YAs aged 18 to 26 at baseline.</p><p><strong>Results: </strong>Analyses largely supported the proposed model. T1 interpersonal discrimination was directly associated with increases in both T2 negative social worldviews and T3 suicidal ideation. T2 negative social worldviews was also directly associated with increased T3 suicidal ideation. T1 exposure to interpersonal discrimination was indirectly associated with increased T3 suicidal ideation via increases in T2 negative social worldviews.</p><p><strong>Conclusions: </strong>Study results suggest that clinical and preventive interventions for suicidal ideation should target the influence of discriminatory experiences and the negative social worldviews they induce.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"918-935"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145660025","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":"Associations Among Employment Pressure, Expressive Suppression, Depressive Symptoms and Suicidal Ideation Among Chinese University Students.","authors":"Guangzhe Frank Yuan, Yanping Lu, Yuan Tao, Wei Shi","doi":"10.1080/13811118.2025.2596289","DOIUrl":"10.1080/13811118.2025.2596289","url":null,"abstract":"<p><p>Employment pressure has emerged as a significant stressor among Chinese university students, yet the psychological mechanisms linking this pressure to suicidal ideation remain underexplored. This study investigated how expressive suppression and depressive symptoms mediate the relationship between employment pressure and suicidal ideation. Data were collected between March and June 2024. A sample of 10,839 Chinese university students completed standardized measures of employment pressure, expressive suppression, depressive symptoms, and suicidal ideation through an online survey. Path analysis revealed that employment pressure positively predicted suicidal ideation both directly and indirectly. Expressive suppression significantly mediated the relationship between employment pressure and suicidal ideation. Furthermore, expressive suppression and depressive symptoms serially mediated the association between employment pressure and suicidal ideation. These findings suggest that employment pressure maybe associated with increased suicidal ideation through pathways involving expressive suppression, which in turn may exacerbate depressive symptoms. Interventions targeting emotion regulation strategies and depressive symptoms may help mitigate the negative psychological impact of employment pressure among Chinese university students facing competitive job markets.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"827-841"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145666836","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":"The Destructive Courage: A Longitudinal Analysis of How Harsh Parenting Leads to Adolescent Non-Suicidal Self-Injury.","authors":"Honglei Gu, Qi Zhong, Yufang Cheng","doi":"10.1080/13811118.2025.2573840","DOIUrl":"10.1080/13811118.2025.2573840","url":null,"abstract":"<p><strong>Objective: </strong>Harsh parenting is a family risk factor that can lead to non-suicidal self-injury (NSSI) in adolescents. Based on the developmental psychopathology model and the identity disruption model, this study aimed to investigate the mechanism underlying the relationship between harsh parenting and NSSI using a one-year longitudinal design. Specifically, the study focused on the mediating role of identity confusion and the moderating role of intentional self-regulation in this association.</p><p><strong>Methods: </strong>Three waves of data (T1, T2, and T3) were collected at 6-month intervals between May 2023 and May 2024. A total of 564 Chinese adolescents from four schools in Central China (54.3% boys; <i>M</i>_age at T1 = 14.48 years) completed questionnaires regarding harsh parenting (T1), identity confusion (T2), intentional self-regulation (T2), and NSSI (T1 and T3). All measures used in this study have demonstrated good reliability and validity in prior research.</p><p><strong>Results: </strong>The results of the structural equation modeling indicated a mediation process in which T1 harsh parenting positively predicted T2 identity confusion, which subsequently predicted higher T3 NSSI. Furthermore, the latent moderated structural equations analysis revealed that T2 intentional self-regulation buffered the effect of T2 identity confusion on T3 NSSI, thereby mitigating the mediation process.</p><p><strong>Conclusions: </strong>The results of this study illustrate how harsh parenting, identity confusion, and intentional self-regulation contribute to NSSI and offer recommendations for preventing and addressing NSSI among adolescents.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"733-750"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145298284","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":"Patients Who Screen Positive for Suicide Risk Incidental to Their Chief Complaint in the Emergency Department: Characteristics and Post-Visit Suicide Outcomes.","authors":"Edwin D Boudreaux, Alan J Ardelean, Joseph Ciminelli, Sarah A Arias, Carlos A Camargo, Ivan W Miller","doi":"10.1080/13811118.2025.2574516","DOIUrl":"10.1080/13811118.2025.2574516","url":null,"abstract":"<p><strong>Objective: </strong>Universal screening improves suicide risk detection in individuals presenting to the emergency department (ED) who are not presenting with a psychiatric chief complaint, what we refer to as incidental risk. We sought to better understand characteristics of individuals who present with incidental risk and to evaluate their suicide-related outcomes after the ED visit.</p><p><strong>Methods: </strong>Two samples (cross-sectional, longitudinal) from the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study were used. Combined, the samples allowed for comparison of baseline characteristics and suicide-related outcomes for participants with incidental risk compared to those with negligible risk (any kind of chief complaint and negative suicide risk) and clinically congruent risk (psychiatric chief complaint and positive suicide risk). Univariable and multivariable logistic regression analyses were completed.</p><p><strong>Results: </strong>Universal screening differentially improved the identification of suicide risk among non-white individuals, potentially reducing racial disparities in risk detection. Participants presenting with incidental risk were generally more similar to those with congruent risk than they were to those with negligible risk across demographics and clinical characteristics. Those with incidental suicide risk exhibited similar post-visit suicide-related outcomes compared to those with congruent risk, yet they were far less likely to receive clinical assessments and interventions during the ED visit.</p><p><strong>Conclusions: </strong>The results of this study highlight an opportunity to broaden evidence-based suicide prevention practices in the ED where logistically possible. EDs may need to consider redesigning their clinical approach to address suicide risk among those who present with medical complaints but screen positive for suicide risk.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"751-771"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457503","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}