Archives of Suicide Research最新文献_第4页

The Progression of Lethality Across Multiple Suicide Attempts: A Systematic Review. 多次自杀未遂的致死率进展：系统回顾

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-08-26 DOI: 10.1080/13811118.2024.2394671

Gamal Wafy, Lin Ajayi, Sara Siddiqi, Taylor Saravanamuttoo, Risa Shorr, Marco Solmi, Ian Colman, Jess G Fiedorowicz

{"title":"The Progression of Lethality Across Multiple Suicide Attempts: A Systematic Review.","authors":"Gamal Wafy, Lin Ajayi, Sara Siddiqi, Taylor Saravanamuttoo, Risa Shorr, Marco Solmi, Ian Colman, Jess G Fiedorowicz","doi":"10.1080/13811118.2024.2394671","DOIUrl":"10.1080/13811118.2024.2394671","url":null,"abstract":"Objective: Suicide is a major global public health concern. While some progress has been made in understanding risk factors for suicidal behavior, other relevant questions have received less attention. One such question relates to the longitudinal course of suicidal behavior amongst individuals with multiple suicide attempts. This systematic review investigated whether there is an increase in the lethality across multiple suicide attempts.Method: This systematic review followed PRISMA 2020 reporting guidelines. A literature search was conducted in MEDLINE, Embase and PsycINFO electronic databases from inception to August 2023 to identify studies with key terms related to multiple suicide attempts and lethality. The review included longitudinal studies with data on multiple suicide attempts, and any rating of their lethality. Covidence was used to guide the screening and extraction process. A narrative synthesis approach was used to descriptively summarize included studies.Results: After identifying 828 unique abstracts for screening, 11 studies were included for narrative synthesis. Suicide attempt assessment methods and definitions were heterogenous, often indirectly inferring lethality based on suicide attempt method. Individuals with repeat attempts may be more likely to continue using the same method.Conclusions: There was no evidence to support increasing lethality across repeat suicide attempts. However, this should be interpreted along with the fact that the evidence base is scarce, heterogenous, and methodologically limited.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"581-602"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054785","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

Financial Stress Amongst People Who Self-Harm in Sri Lanka. 斯里兰卡自残者的经济压力。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-09-20 DOI: 10.1080/13811118.2024.2403499

Blessing Nyakutsikwa, Peter James Taylor, Keith Hawton, Rob Poole, Manjula Weerasinghe, Kalpani Dissanayake, Sandamali Rajapakshe, Pramila Hashini, Michael Eddleston, Flemming Konradsen, Peter Huxley, Catherine Robinson, Melissa Pearson

{"title":"Financial Stress Amongst People Who Self-Harm in Sri Lanka.","authors":"Blessing Nyakutsikwa, Peter James Taylor, Keith Hawton, Rob Poole, Manjula Weerasinghe, Kalpani Dissanayake, Sandamali Rajapakshe, Pramila Hashini, Michael Eddleston, Flemming Konradsen, Peter Huxley, Catherine Robinson, Melissa Pearson","doi":"10.1080/13811118.2024.2403499","DOIUrl":"10.1080/13811118.2024.2403499","url":null,"abstract":"Objective: Socioeconomic status deprivation is known to be associated with self-harm in Western countries but there is less information about this association in Low and Middle Income Countries (LMIC). One way of investigating this is to assess the prevalence of indicators of financial stress in people who self-harm. We have assessed the prevalence and correlates of day-to-day financial hardships amongst individual presenting with non-fatal self-harm to hospitals in Sri Lanka.Methods: Data on non-fatal self-harm presentations were collected from an ongoing surveillance project in 52 hospitals in Sri Lanka. A questionnaire captured data on two forms of financial stress: unmet need (i.e., costs and bills that cannot be paid) and required support (i.e., steps taken to cover costs, such as selling belongings). Additional data on demographic, economic and clinical characteristics were also collected.Results: The sample included 2516 individuals. Both forms of financial stress were very common, with pawning/selling items (47%) and asking family or friends for money (46%) in order to pay bills or cover costs being commonly reported. Greater financial stress was associated with being aged 26-55 years, limited education, and low socioeconomic position. Financial stress was greater in women than men after adjusting for other factors.Conclusion: The results indicate that financial stress is commonly reported amongst individuals presenting to hospital with non-fatal self-harm in Sri Lanka, especially women. The research highlights a need to attend to financial stress both within self-harm prevention and aftercare.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"700-717"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142279805","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

Outcomes of Universal Suicide Risk Screening in Medical Inpatients. 在住院病人中普及自杀风险筛查的结果。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-07-01 Epub Date: 2024-11-09 DOI: 10.1080/13811118.2024.2426168

Kevin MacKrell, Paul Sasha Nestadt

{"title":"Outcomes of Universal Suicide Risk Screening in Medical Inpatients.","authors":"Kevin MacKrell, Paul Sasha Nestadt","doi":"10.1080/13811118.2024.2426168","DOIUrl":"10.1080/13811118.2024.2426168","url":null,"abstract":"Objectives: Universal screening for suicide risk has not been shown to reduce suicide rates or reliably predict suicide, but there have been few studies assessing other potential benefits of this practice. We aimed to investigate the feasibility of implementing a universal inpatient suicide risk screening protocol and determine if a positive suicide screen was predictive of the need for psychiatric admission, and if it reduced the length of stay prior to psychiatric admission.Methods: We conducted a retrospective chart review of non-psychiatric admissions over 1 year at a tertiary care academic hospital. We calculated the proportion of patients screening positive for suicidal ideation (SI), and among those screening positive, the proportion receiving a psychiatric consult and being admitted to psychiatry. Length of stay among groups was determined. We performed chi square analysis and adjusted multivariate logistic regression comparing different demographics.Results: 97.2% of patients were screened, with 2.6% screening positive. Of these patients, 44.6% received a psychiatric consultation and 9.2% were admitted to psychiatry. Psychiatric admissions who screened positive for SI averaged 5.7 days until transfer to psychiatry, compared to 17.9 days for those who screened negative. Suicide risk screening had a sensitivity of 62.0%, specificity of 97.6%, positive predictive value of 9.2%, and a negative predictive value of 99.8% for psychiatric admission.Conclusions: Universal suicide risk screening is feasible and may help identify patients requiring psychiatric care sooner, reducing length of stay of those requiring psychiatric admission.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"795-807"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142613944","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

Cultural Moderators of Pathways to Suicide: Application of the IMV Theory Among International Students Within the U.S. 自杀路径的文化调节因素：IMV理论在美国留学生中的应用

IF 2.5 3区医学

Archives of Suicide Research Pub Date : 2025-06-26 DOI: 10.1080/13811118.2025.2517628

Lauren Weis, Jennifer J Muehlenkamp

{"title":"Cultural Moderators of Pathways to Suicide: Application of the IMV Theory Among International Students Within the U.S.","authors":"Lauren Weis, Jennifer J Muehlenkamp","doi":"10.1080/13811118.2025.2517628","DOIUrl":"https://doi.org/10.1080/13811118.2025.2517628","url":null,"abstract":"Objective: The goal of this study was to evaluate whether concepts from the cultural theory of suicide operate as culturally specific motivational and volitional moderators on the pathways to suicidal ideation and suicide behavior as described by the integrated motivational-volitional theory within a sample of international students.Methods: International students (n = 444) were recruited through email advertisements to complete an online survey evaluating entrapment (feelings of being trapped and unable to escape; this could be internal or external), cultural stress, cultural support, idioms of distress, cultural sanctions of suicide, and suicidal ideation and attempts.Results: Two moderated regression models with 5,000 bootstrapped bias-corrected samples were conducted. Cultural stress was a significant moderator of the relationship between entrapment and suicidal ideation, but cultural support did not moderate the same pathway. Contrary to hypotheses, neither idioms of distress nor cultural sanctions significantly moderated the relationship between suicidal ideation and suicide attempts, although both exhibited a direct main effect. Exploratory post hoc analyses among those with suicidal ideation suggest that cultural sanctions may moderate the relationship between suicidal ideation and attempts when ideation is high.Conclusion: Experiences of cultural stress may exacerbate the risk for suicide among international students, but the role of other cultural factors is unclear. Further research is needed to identify how cultural components and experiences impact suicide risk among international students.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504681","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 Meta-Analysis of the Relationship Between Problem-Solving Appraisal as Assessed by the Problem Solving Inventory and Suicide Ideation. 用问题解决量表评估的问题解决评价与自杀意念关系的元分析。

IF 2.5 3区医学

Archives of Suicide Research Pub Date : 2025-06-23 DOI: 10.1080/13811118.2025.2521543

Anita Padmanabhanunni, Tyrone B Pretorius

{"title":"A Meta-Analysis of the Relationship Between Problem-Solving Appraisal as Assessed by the Problem Solving Inventory and Suicide Ideation.","authors":"Anita Padmanabhanunni, Tyrone B Pretorius","doi":"10.1080/13811118.2025.2521543","DOIUrl":"10.1080/13811118.2025.2521543","url":null,"abstract":"Suicide is a significant public health concern globally, and deficits in problem-solving ability have been identified as an important risk factor for suicide. Through a comprehensive meta-analysis, this study aims to quantitatively synthesize the relationship between self-appraised problem-solving ability as measured by the Problem Solving Inventory (PSI) and suicidal ideation as indicated by measures of hopelessness and suicidal thoughts. The heterogeneity metrics suggested that the PSI and its subscales relate to suicide-related variables, though the strength and direction of these relationships vary across studies and populations. Despite this variability, the total PSI scale demonstrated the strongest combined effect, indicating its potential utility in suicide risk assessment. There were no significant moderating effects of age or gender composition across the studies, indicating that the relationship between perceived problem-solving abilities and suicide-related outcomes is consistent across age and gender groups. The strong association between perceived problem-solving competencies and reduced hopelessness highlights the potential of targeted interventions to enhance these skills. Such interventions could form a vital component of suicide-prevention strategies, aimed at bolstering the ability to cope with stress and adversity.HIGHLIGHTSTotal PSI scale had the largest combined effect on suicide-related variables.Self-appraised problem-solving has a pronounced association with hopelessness.Findings highlight the potential of interventions to enhance problem-solving.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-33"},"PeriodicalIF":2.5,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367837","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

Implementation of Structured Suicide Risk Screening in a State Physician Health Monitoring Program. 在州医生健康监测项目中实施结构化自杀风险筛查。

IF 2.5 3区医学

Archives of Suicide Research Pub Date : 2025-06-14 DOI: 10.1080/13811118.2025.2512454

Cristiana N P Araujo, Apollonia Lysandrou, Alexandria Polles, Tish Conwell, Janet Wroblewski, Lisa J Merlo

{"title":"Implementation of Structured Suicide Risk Screening in a State Physician Health Monitoring Program.","authors":"Cristiana N P Araujo, Apollonia Lysandrou, Alexandria Polles, Tish Conwell, Janet Wroblewski, Lisa J Merlo","doi":"10.1080/13811118.2025.2512454","DOIUrl":"https://doi.org/10.1080/13811118.2025.2512454","url":null,"abstract":"Background: This study examined the implementation of structured suicide risk screening by a large state physician health monitoring program (PHP).Methods: Physicians (n = 363; 87 women; 44.78 years-old, SD = 13.75) were screened for suicide risk with the Columbia Suicide Severity Rating Scale (C-SSRS) at PHP intake and at 2-weeks, 3-months, 1-year, 2-years, 3-years after initiating monitoring, and following any sentinel events. The PHP response was recorded at each timepoint.Results: At intake, female physicians reported higher current (p = .025, Cramer's V = .178) and lifetime suicide risk (p = .010, Cramer's V = .163) compared to male physicians. Physicians monitored for substance use disorders (SUD) were more likely to deny any lifetime suicide risk than those monitored for co-occurring SUD and psychiatric disorders (p = .017, Cramer's V = .171), and had lower rates of \"moderate\" lifetime suicide risk than those monitored for psychiatric disorders only (p = .017, Cramer's V = .171). The PHP offered behavioral health referrals for physicians reporting \"low\" risk (n = 2) plus safety measures for those with \"moderate\" (n = 2) and \"high\" risk (n = 1). One physician reporting \"low\" risk and four physicians reporting \"high\" risk were already in-treatment. At 2-weeks and 3-months into monitoring, suicide risk remained \"very low\" (99.4% and 98.8%) or \"low.\" At 1-year, risk was \"very low\" for 99.3% of physicians, with two at \"moderate\" risk. At 2 and 3 years, 100% reported \"very low\" suicide risk. No suicides occurred among monitored physicians.Conclusion: PHPs offer support to mitigate suicide risk among physicians. The observed decrease in suicide risk across monitoring may reflect the recovery processes that monitoring is intended to support.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293260","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

Investigating the Relationship Between DNA Methylation, Genetic Variation, and Suicide Attempt in Bipolar Disorder. 双相情感障碍中DNA甲基化、遗传变异和自杀企图之间关系的研究。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-06-06 DOI: 10.1080/13811118.2025.2511264

Aysheh Alrfooh, Lucas G Casten, Jenny Gringer Richards, John A Wemmie, Vincent A Magnotta, Jess G Fiedorowicz, Jacob Michaelson, Aislinn J Williams, Marie E Gaine

{"title":"Investigating the Relationship Between DNA Methylation, Genetic Variation, and Suicide Attempt in Bipolar Disorder.","authors":"Aysheh Alrfooh, Lucas G Casten, Jenny Gringer Richards, John A Wemmie, Vincent A Magnotta, Jess G Fiedorowicz, Jacob Michaelson, Aislinn J Williams, Marie E Gaine","doi":"10.1080/13811118.2025.2511264","DOIUrl":"10.1080/13811118.2025.2511264","url":null,"abstract":"Objective: Individuals with bipolar disorder are at increased risk for suicide, and this can be influenced by a range of biological, clinical, and environmental risk factors. Biological components associated with suicide include DNA modifications that lead to changes in gene expression. Common genetic variation and DNA methylation changes are some of the most frequent types of DNA findings associated with an increased risk of suicide attempt. Importantly, the interplay between genetic predisposition and DNA methylation patterns is becoming more prevalent in genetic studies. We hypothesized that DNA methylation patterns in specific loci already genetically associated with suicide would be altered in individuals with bipolar disorder and a history of suicide attempt.Method: To test this hypothesis, we searched the literature to identify common genetic variants (N = 34) previously associated with suicidal thoughts and behaviors in individuals with bipolar disorder. We then created a customized sequencing panel that covered our chosen genomic loci. We profiled DNA methylation patterns from blood samples collected from bipolar disorder participants with a history of suicide attempt (N = 55) and without (N = 51).Results: We identified seven differentially methylated CpG sites and five differentially methylated regions between the two groups. Additionally, we found that DNA methylation changes in MIF and CACNA1C were associated with lethality or number of suicide attempts. Finally, we identified three meQTLs in SIRT1, IMPA2, and INPP1.Conclusions: This study illustrates that DNA methylation is altered in individuals with bipolar disorder and a history of suicide attempts in regions known to harbor suicide-related variants.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232996","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 Gender Distribution and Association between Sociodemographic Factors and Hospital-Presenting Self-Injury: Analysis from the Korea National Hospital Discharge In-Depth Injury Survey. 性别分布及社会人口因素与医院自伤的关系：来自韩国国家医院出院深度伤害调查的分析。

IF 2.5 3区医学

Archives of Suicide Research Pub Date : 2025-06-06 DOI: 10.1080/13811118.2025.2507591

Meekang Sung, S V Subramanian, Rockli Kim

{"title":"The Gender Distribution and Association between Sociodemographic Factors and Hospital-Presenting Self-Injury: Analysis from the Korea National Hospital Discharge In-Depth Injury Survey.","authors":"Meekang Sung, S V Subramanian, Rockli Kim","doi":"10.1080/13811118.2025.2507591","DOIUrl":"https://doi.org/10.1080/13811118.2025.2507591","url":null,"abstract":"Objective: Research gaps persist in understanding the underlying sociodemographic patterning of hospital-presenting self-injury (HPSI) in South Korea. Our research aims to understand the relationship between HPSI and gender over time in relation to its sociodemographic attributes.Method: The study utilized the Korea National Hospital Discharge In-depth Injury Survey (KNHDIS) from 2004 to 2021. The change in the age-standardized rate per 100,000 Koreans over age groups and their gender distribution was examined. Logistic regression models were employed to understand the association between gender and HPSI.Results: The study encompassed 497,882 injury patients, with 13,139 HPSI patients. The age-standardized rate per 100,000 was similar across years, and significantly higher in older age groups over 70. Also, the HPSI rate was higher in women (43.01, 95% CI: 40-46.08) than in men (36.65, 95% CI: 34.03-39.28). This gender pattern was consistent across years but showed an opposite trend over age 50, where men experience more HPSI. Gender gaps showed a decreasing trend over time, except for the 2019-2021 period in which HPSI rates rose disproportionately among adolescent girls and elderly men. Regression models confirmed these patterns, where the odds ratio of women on HPSI was 1.76 (95% CI: 1.46-2.16) in the fully adjusted model, it was 4.33 (95% CI: 3.64-5.14) in age group ≤20 and 0.39 (95% CI: 0.34-0.44) in age group >80.Conclusions: The gender pattern of HPSI varies significantly by age group. Further research is imperative to delve into the root causes of these differences.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246107","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

Hazardous Drinking Amplifies the Association Between Emotion-Based Impulsivity and Negative Thoughts Related to Suicide Ideation Among Adults. 危险饮酒放大了成年人基于情绪的冲动和与自杀意念相关的消极想法之间的联系。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-06-05 DOI: 10.1080/13811118.2025.2513020

Lauren Richardson, Cole Marvin, Sean M Mitchell, Julia Petrovic, Sarah E Victor, Devin J Mills

{"title":"Hazardous Drinking Amplifies the Association Between Emotion-Based Impulsivity and Negative Thoughts Related to Suicide Ideation Among Adults.","authors":"Lauren Richardson, Cole Marvin, Sean M Mitchell, Julia Petrovic, Sarah E Victor, Devin J Mills","doi":"10.1080/13811118.2025.2513020","DOIUrl":"10.1080/13811118.2025.2513020","url":null,"abstract":"Objective: Emotion-based impulsivity (EBI) and hazardous drinking have consistently been associated with elevated negative thoughts related to suicide ideation (N-SI); however, the interaction between these risk factors has not been tested empirically. Thus, we tested the moderating effect of hazardous drinking on the relation between EBI and N-SI in a high-risk adult sample.Method: Cross-sectional, self-report data were used from adults (N = 329, Mage = 36.61 years, SD = 11.38) screened for elevated suicide risk and previous alcohol use via Amazon's Mechanical Turk crowdsourcing platform.Results: Bivariate correlations indicated significant positive associations between EBI, hazardous drinking, and N-SI. Furthermore, hazardous drinking moderated the relation between EBI and N-SI, such that the association between EBI and N-SI was stronger among those with more severe hazardous drinking. This moderation effect was robust to the inclusion of additional covariates.Conclusion: This study demonstrated that hazardous drinking strengthens the association between EBI and N-SI among adults with elevated suicide risk and previous alcohol use. These findings underscore the need for clinicians to fully evaluate the drinking behaviors of individuals at risk for suicide. Further directions for research are discussed.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144232995","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

Suicidal Communications in Adults with Borderline Personality Disorder: Clinical Correlates and Treatment Response to Dialectical Behavior Therapy. 成人边缘型人格障碍的自杀沟通：临床关联及辩证行为疗法的治疗反应。

IF 2.5 3区医学

Archives of Suicide Research Pub Date : 2025-06-04 DOI: 10.1080/13811118.2025.2512455

Alma M Bitran, Evan M Kleiman, Shireen L Rizvi

{"title":"Suicidal Communications in Adults with Borderline Personality Disorder: Clinical Correlates and Treatment Response to Dialectical Behavior Therapy.","authors":"Alma M Bitran, Evan M Kleiman, Shireen L Rizvi","doi":"10.1080/13811118.2025.2512455","DOIUrl":"https://doi.org/10.1080/13811118.2025.2512455","url":null,"abstract":"Objective: Suicidal communications (SCs)-also known as suicide threats or \"gestures,\" whereby an individual verbally or behaviorally signals suicidal intent-present a serious challenge to clinicians and loved ones, who may struggle to determine the appropriate level of response. Yet, few studies have examined clinical correlates of SCs, partly due to inconsistent operationalization. It is critical to identify mechanisms that maintain SCs and clarify associated suicide risk, especially among individuals with borderline personality disorder (BPD), among whom SCs are relatively common.Method: Adults (N = 108) with BPD receiving a 6-month course of dialectical behavior therapy (DBT) reported on SCs and other suicidal thoughts and behaviors (STBs) at intake, mid-treatment, and end-of-treatment. Participants also completed measures assessing BPD severity, emotion dysregulation, and DBT skills uptake.Results: Participants who endorsed lifetime SCs (53%) reported higher BPD severity and worse emotion dysregulation at baseline. However, dosage of DBT-conceptualized as both skills uptake and length of time in treatment-reduced the incidence of SCs. There were no significant associations between lifetime SCs and engagement in other STBs, both at baseline and during treatment.Conclusion: Current findings support a conceptualization of SCs as an expression of severe emotion dysregulation, which may be alleviated by DBT. Specifically, DBT may protect against SCs by teaching alternative, more adaptive coping strategies, even in the presence of heightened emotion dysregulation. Finally, though results indicate a lack of association between SCs and other STBs, further researcher is needed before clinical recommendations can be made.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214775","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