Archives of Suicide Research最新文献_第7页

A Review of Systematic Reviews: Gatekeeper Training for Suicide Prevention with a Focus on Effectiveness and Findings. 系统性评论综述：系统综述：预防自杀的守门人培训，重点关注效果和结果。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-06-17 DOI: 10.1080/13811118.2024.2358411

Denise Kingi-Uluave, Nalei Taufa, Ruby Tuesday, Tania Cargo, Karolina Stasiak, Sally Merry, Sarah Hetrick

{"title":"A Review of Systematic Reviews: Gatekeeper Training for Suicide Prevention with a Focus on Effectiveness and Findings.","authors":"Denise Kingi-Uluave, Nalei Taufa, Ruby Tuesday, Tania Cargo, Karolina Stasiak, Sally Merry, Sarah Hetrick","doi":"10.1080/13811118.2024.2358411","DOIUrl":"10.1080/13811118.2024.2358411","url":null,"abstract":"Objectives: Suicide prevention gatekeeper training (GKT) is considered an important component of an overall suicide-prevention strategy. The primary aim of this study was to conduct the first robust review of systematic reviews of GKT to examine the overall effectiveness of GKT on knowledge, self-efficacy, attitudes, behavioral intentions, and behavioral change. The study also examined the extent to which outcomes were retained long term, the frequency of refresher sessions, and the effectiveness of GKT with Indigenous populations and e-learning delivery.Methods: For this review of reviews, MEDLINE, PsycINFO, Embase; and the Cochrane Database of Systematic Reviews were searched. ROBIS was applied to assess risk of bias and findings were synthesized using narrative synthesis.Results: Six systematic reviews were included comprising 61 studies, of which only 10 were randomized controlled trials (RCTs). Immediate positive effects of GKT on knowledge, skills, and self-efficacy were confirmed, including for interventions tailored for Indigenous communities. Evidence was mixed for change in attitude; few studies measured e-learning GKT, retention of outcomes, booster sessions, behavioral intentions, and behavioral change, with some positive results.Conclusions: Evidence supports the immediate effects of GKT but highlights a need for more high-quality RCTs, particularly for Indigenous and e-learning GKT. This review identified a concerning lack of long-term follow-up assessments at multiple time points, which could capture behavioral change and a significant gap in studies focused on post-training interventions that maintain GKT effects over time.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"329-346"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330327","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

"Prevalence and Associated Factors of Perinatal Suicide Risk in Spanish Women". "西班牙妇女围产期自杀风险的发生率和相关因素"。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-05-15 DOI: 10.1080/13811118.2024.2353175

Sergio Martínez-Vázquez, Rocío Adriana Peinado-Molina, Antonio Hernández-Martínez, Juan Miguel Martínez-Galiano

{"title":"\"Prevalence and Associated Factors of Perinatal Suicide Risk in Spanish Women\".","authors":"Sergio Martínez-Vázquez, Rocío Adriana Peinado-Molina, Antonio Hernández-Martínez, Juan Miguel Martínez-Galiano","doi":"10.1080/13811118.2024.2353175","DOIUrl":"10.1080/13811118.2024.2353175","url":null,"abstract":"Suicide is one of the leading causes of death worldwide, and in the perinatal period, the trend is increasing, even up to 100 times in the US. No studies have been carried out with validated instruments despite abundant recommendations to do so. This study aims to determine the prevalence of perinatal suicide risk in Spanish women, as well as the factors associated with it. A cross-sectional study was carried out with 908 women in the perinatal stage. Sociodemographic and obstetric variables, anxiety level (GAD-7), social support (DUKE-UNC), risk of intimate violence (WAST), and suicidal ideation (Paykel) were collected. Crude (OR) and adjusted odds ratios (aOR) were calculated using logistic regression for the main risk factors for suicidal ideation. The prevalence of suicidal ideation was 19.3% (175), and suicide attempt 2.4% (22). In the perinatal stage, the risk factors were anxiety [aOR of 1.08 (95% CI: 1.04-1.31)], experiencing a possible situation of intimate partner violence [aOR of 1.59 (95% CI: 1.04-2.43)], and a risk of PPD [aOR of 3.00 (95% CI: 1.86-4.81)]. Perceived social support appears as a protective factor [aOR of 0.97 (95% CI: 0.95-0.99)], along with skin-to-skin contact with the baby during childbirth [aOR 0.50 (95% CI: 0.28-0.88)]. Conclusions: Presenting anxiety or depression, little social support, and living in a possible situation of intimate partner violence are associated with a greater risk of suicidal ideation during the perinatal stage.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"361-376"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920889","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

University Students with Current Suicidal Ideation and Perceived Changes during the COVID-19 Pandemic: A Qualitative Study. 当前有自杀倾向的大学生和他们在 COVID-19 大流行期间感知到的变化：定性研究。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-06-21 DOI: 10.1080/13811118.2024.2365289

Lorenzo Montali, Patrizia Zeppegno, Andrea Prebilic, Megan Qosja, Valentina Brunetti, Valentina Zanoli, Ilaria Baù, Marianna Poli, Fabio Madeddu, Carla Gramaglia, Raffaella Calati

{"title":"University Students with Current Suicidal Ideation and Perceived Changes during the COVID-19 Pandemic: A Qualitative Study.","authors":"Lorenzo Montali, Patrizia Zeppegno, Andrea Prebilic, Megan Qosja, Valentina Brunetti, Valentina Zanoli, Ilaria Baù, Marianna Poli, Fabio Madeddu, Carla Gramaglia, Raffaella Calati","doi":"10.1080/13811118.2024.2365289","DOIUrl":"10.1080/13811118.2024.2365289","url":null,"abstract":"Introduction: Mental health problems seemed to have increased among university students during the COVID-19 pandemic. To deepen our understanding of the pandemic's effects in this population, we conducted qualitative research to investigate any perceived changes in students during the pandemic, differentiating the sample based on the presence or absence of current suicidal ideation (SI).Methods: A wide sample of Italian university students (n = 1,214) completed an online questionnaire during the COVID-19 pandemic, March 2020-June 2021. We conducted a computer-assisted content analysis of an open-ended question about the perceived changes that occurred to them during the pandemic.Results: (1) Four thematic clusters were identified: \"The psychological impact of the pandemic,\" \"New ties and new loneliness,\" \"An uncertain forethought\" and \"Discovering the value of relationships.\" (2) In subjects characterized by severe SI, the state of confinement at home was related to the most intense emotional states and worries. (3) Students with severe SI were different from the others, in particular using the lemma \"panic,\" which was the only psychological state specifically associated with this group.Conclusions: Students with current severe SI experienced higher level of psychological distress and suffering compared to the other groups during the pandemic.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"486-500"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431234","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

Suicidal Ideation in Medicinal Cannabis Patients: A 12-Month Prospective Study. 药用大麻患者的自杀意念：为期 12 个月的前瞻性研究。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-07-24 DOI: 10.1080/13811118.2024.2356615

M T Lynskey, H Thurgur, A Athanasiou-Fragkouli, A K Schlag, D J Nutt

{"title":"Suicidal Ideation in Medicinal Cannabis Patients: A 12-Month Prospective Study.","authors":"M T Lynskey, H Thurgur, A Athanasiou-Fragkouli, A K Schlag, D J Nutt","doi":"10.1080/13811118.2024.2356615","DOIUrl":"10.1080/13811118.2024.2356615","url":null,"abstract":"Objective: To document the prevalence and correlates of suicidal ideation (SI) among individuals seeking cannabis-based medicinal products (CBMPs); to test whether SI declines or intensifies after three months of CBMP treatment and to document 12-month trajectories of depression in those reporting SI and other patients.Method: Observational data were available for 3781 patients at entry to treatment, 2112 at three months and 777 for 12 months. Self-reported depressed mood and SI were assessed using items from the PHQ-9. Additional data included sociodemographic characteristics and self-reported well-being.Results: 25% of the sample reported SI at treatment entry and those with SI had higher levels of depressed mood (mean = 17.4 vs. 11.3; F(1,3533) = 716.5, p < .001) and disturbed sleep (mean = 13.8 vs. 12.2, F(1,3533) = 125.9, p < .001), poorer general health (mean = 43.6 vs. 52.2, F(1,3533) = 118.3, p < .001) and lower quality of life (mean = 0.44 vs. 0.56 (F(1,3533) = 118.3, p < .001). The prevalence of SI reduced from 23.6% to 17.6% (z = 6.5, p < .001) at 3 months. Twelve-month follow-up indicated a substantial reduction in depressed mood with this reduction being more pronounced in those reporting SI (mean (baseline) = 17.7 vs. mean (12 months) = 10.3) than in other patients (mean (baseline) = 11.1 vs. mean (12 months) = 7.0).Conclusions: SI is common among individuals seeking CBMPs to treat a range of chronic conditions and is associated with higher levels of depressed mood and poorer quality of life. Treatment with CBMPs reduced the prevalence and intensity of suicidal ideation.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"407-421"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750940","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

Sociodemographic Factors Associated with Suicide Outcomes in Transgender and Gender Diverse Young Adults. 与变性和性别多元化青少年自杀结果相关的社会人口因素》（Sociodemographic Factors Associated with Suicide Outcomes in Transgender and Gender Diverse Young Adults）。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-06-09 DOI: 10.1080/13811118.2024.2356613

Avery M Anderson, Allen B Mallory, Angela D Alston, Barbara J Warren, Ethan Morgan, Jeff A Bridge, Jodi L Ford

{"title":"Sociodemographic Factors Associated with Suicide Outcomes in Transgender and Gender Diverse Young Adults.","authors":"Avery M Anderson, Allen B Mallory, Angela D Alston, Barbara J Warren, Ethan Morgan, Jeff A Bridge, Jodi L Ford","doi":"10.1080/13811118.2024.2356613","DOIUrl":"10.1080/13811118.2024.2356613","url":null,"abstract":"Objective: Transgender and gender diverse (TGD) populations have a higher prevalence of suicide outcomes compared to cisgender peers. Further, among TGD groups, young adults frequently demonstrate a higher risk compared to other age cohorts. While evidence supports sociodemographic differences in suicide risk, these relationships are not well-established for TGD young adults.Method: A secondary data analysis of the young adult (18-24 years) subpopulation of the 2015 U.S. Transgender Survey was conducted. Predicted probabilities of 12-month and lifetime suicide outcomes by gender identity, sexual orientation, race/ethnicity, homelessness, and poverty were estimated comparing fully adjusted models.Results: Gender identity, race/ethnicity, and homelessness were significantly associated with all suicide outcomes. Comparisons of gender identities were significant for all outcomes and varied based on the outcome. American Indian/Alaska Native TGD young adults had the highest predicted probabilities compared to other race/ethnicity groups. Further, having a heterosexual/straight sexual identity was among the lowest predicted probabilities for suicide outcomes and significantly differed from several of the other sexual identities.Conclusions: Findings underscore the importance of heterogeneity among TGD young adults and the need for intersectional research within this population. Elucidating sociodemographic characteristics that contribute to differential suicide risk is necessary for effective intervention strategies and policy advocacy.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"392-406"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295475","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

The Components and Characteristics of Safety Management Plans Used to Reduce the Risk of Self Harm: A PRISMA Scoping Review. 用于降低自残风险的安全管理计划的组成部分和特点：PRISMA 范围界定综述。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-06-24 DOI: 10.1080/13811118.2024.2363226

Maeve O'Connor, Aine Sutton, Eilis Hennessy

{"title":"The Components and Characteristics of Safety Management Plans Used to Reduce the Risk of Self Harm: A PRISMA Scoping Review.","authors":"Maeve O'Connor, Aine Sutton, Eilis Hennessy","doi":"10.1080/13811118.2024.2363226","DOIUrl":"10.1080/13811118.2024.2363226","url":null,"abstract":"Background: The term \"safety management planning\" can be thought of as having evolved to constitute a number of different intervention types and components used across various clinical settings with various populations. This poses a challenge for effective communication between clinicians and likely variability in the clinical effectiveness of these interventions.Aim: This PRISMA Scoping Review aims to review the literature to ascertain which intervention components and characteristics currently fall under this umbrella term as well as in which contexts the plans are delivered and who is involved in the process.Method: Published research studies in PsycINFO, CINAHL Plus, MEDLINE, Science Direct and Web of Science were reviewed. Grey literature was searched using the databases Base and OpenGrey as well as through the search engine Google.Results: 2853 abstracts were initially identified for screening and 74 pieces of literature informed the final review, with 54 derived from the published academic literature and 20 from the grey literature. Results indicated that the safety plans are used with a wide variety of populations and often include components related to identifying warning signs, internal coping strategies, accessing social professional support amongst other components.Conclusion: Although most safety management plans described appeared to be based on specific interventions, there was a large amount of heterogeneity of components and characteristics observed. This was particularly the case with regards to safety management planning within the grey literature.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"347-360"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141445369","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

Risk Factors Associated with Suicidal Ideation and Suicidal Behavior in Wildland Firefighters. 与野地消防员自杀念头和自杀行为相关的风险因素。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-06-19 DOI: 10.1080/13811118.2024.2355222

Logan M Smith

{"title":"Risk Factors Associated with Suicidal Ideation and Suicidal Behavior in Wildland Firefighters.","authors":"Logan M Smith","doi":"10.1080/13811118.2024.2355222","DOIUrl":"10.1080/13811118.2024.2355222","url":null,"abstract":"Introduction: Wildland firefighters are posited to have a higher suicide rate than general firefighters and the general population. However, the rates and risk factors of suicide among wildland firefighters is not fully understood.Methods: For this preregistered study, 564 participants were recruited from Facebook to obtain a final sample of 246 participants with valid data who were current or former wildland firefighters in the United States. Participants completed online measures of suicidal ideation, history of suicidal behaviors, posttraumatic stress disorder (PTSD) symptoms, problematic alcohol use, and occupational exposure to suicide.Results: In this sample, 22% of wildland firefighters reported a history of at least one suicide attempt, and 36.7% reported current suicidal ideation. PTSD symptoms, but not problematic alcohol use or exposure to suicide, were positively associated with suicidal ideation and a history of suicide attempts. Additionally, PTSD symptoms explained significantly more variance in suicidal ideation than depression symptoms alone.Conclusions: Wildland firefighters demonstrate rates of suicide attempts that exceed those of non-wildland firefighters and of the general population at large. In addition, PTSD symptoms may contribute to suicidal thoughts and behaviors (STB) in this population. This is the largest study of STB in wildland firefighters to date.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"377-391"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141417556","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 Complex Suicide Prevention Interventions: Insights into Barriers, Facilitators and Lessons Learned. 实施复杂的自杀预防干预措施：对障碍、促进因素和经验教训的见解。

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-06-20 DOI: 10.1080/13811118.2024.2368127

Sadhvi Krishnamoorthy, Sharna Mathieu, Gregory Armstrong, Victoria Ross, Jillian Francis, Lennart Reifels, Kairi Kõlves

{"title":"Implementation of Complex Suicide Prevention Interventions: Insights into Barriers, Facilitators and Lessons Learned.","authors":"Sadhvi Krishnamoorthy, Sharna Mathieu, Gregory Armstrong, Victoria Ross, Jillian Francis, Lennart Reifels, Kairi Kõlves","doi":"10.1080/13811118.2024.2368127","DOIUrl":"10.1080/13811118.2024.2368127","url":null,"abstract":"Introduction: Effective suicide prevention interventions are infrequently translated into practice and policy. One way to bridge this gap is to understand the influence of theoretical determinants on intervention delivery, adoption, and sustainment and lessons learned. This study aimed to examine barriers, facilitators and lessons learned from implementing complex suicide prevention interventions across the world.Methods and materials: This study was a secondary analysis of a systematic review of complex suicide prevention interventions, following updated PRISMA guidelines. English published records and grey literature between 1990 and 2022 were searched on PubMed, CINAHL, PsycINFO, ProQuest, SCOPUS and CENTRAL. Related reports were organized into clusters. Data was extracted from clusters of reports on interventions and were mapped using the updated Consolidated Framework for Implementation Research.Results: The most frequently-reported barriers were reported within the intervention setting and were related to the perceived appropriateness of interventions within settings; shared norms, beliefs; and maintaining formal and informal networks and connections. The most frequently reported facilitators concerned individuals' motivation, capability/capacity, and felt need. Lessons learned focused on the importance of tailoring the intervention, responding to contextual needs and the importance of community engagement throughout the process.Conclusion: This study emphasizes the importance of documenting and analyzing important influences on implementation. The complex interplay between the contextual determinants and implementation is discussed. These findings contribute to a better understanding of barriers and facilitators salient for implementation of complex suicide prevention interventions.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"556-579"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141426126","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

Trauma Exposure Moderates the Link Between Cognitive Flexibility and Suicide Risk in Pre-Adolescent Children. 创伤暴露调节青春期前儿童认知灵活性与自杀风险之间的关系

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-07-29 DOI: 10.1080/13811118.2024.2372616

Shou En Chen, Christina F Chick, Ruth O'Hara

{"title":"Trauma Exposure Moderates the Link Between Cognitive Flexibility and Suicide Risk in Pre-Adolescent Children.","authors":"Shou En Chen, Christina F Chick, Ruth O'Hara","doi":"10.1080/13811118.2024.2372616","DOIUrl":"10.1080/13811118.2024.2372616","url":null,"abstract":"Objectives: Trauma exposure (TE) and cognitive flexibility (CF) are risk factors for self-injurious thoughts and behaviors (SITBs). However, it is unknown whether these risk factors contribute to mechanisms associated with distinct categories of SITBs. The current study examined the potential moderating role of TE in the relationships between CF and multiple SITBs, including active suicidal ideation (SI), passive SI, non-suicidal self-injury (NSSI), and history of suicide attempt (SA), among pre-adolescent children.Methods: A total of 11,326 children from the Adolescent Brain Cognitive Development study were included in the present study. SITBs and TE were measured by the Kiddy Schedule for Affective Disorder and Schizophrenia (KSADS). CF was measured using the NIH Cognitive Toolbox.Results: Cumulative TE moderated the relationship of CF to active SI. Higher CF was associated with lower odds of current SI in children with a single lifetime TE, but not in children without trauma or with two or more TE. As a main effect, two or more TE predicted higher odds of active SI, passive SI, and lifetime SA, but not NSSI. Higher CF was associated with lower odds of passive SI, with effects not moderated by trauma exposure.Conclusion: The current results clarify previously inconsistent findings about the relationship of CF to SI by identifying cumulative TE as a moderator. CF served as a protective factor against SI, but only in children with a single lifetime trauma. Implications for screening and treatment targets of children at risk for distinct categories of SITBs are discussed.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"527-543"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787145","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

Reliability of Suicide Risk Estimates: A Vignette Study. 自杀风险估计的可靠性：小故事研究

IF 2 3区医学

Archives of Suicide Research Pub Date : 2025-04-01 Epub Date: 2024-07-24 DOI: 10.1080/13811118.2024.2382709

Finn Dario Kolochowski, Nina Kreckeler, Thomas Forkmann, Tobias Teismann

{"title":"Reliability of Suicide Risk Estimates: A Vignette Study.","authors":"Finn Dario Kolochowski, Nina Kreckeler, Thomas Forkmann, Tobias Teismann","doi":"10.1080/13811118.2024.2382709","DOIUrl":"10.1080/13811118.2024.2382709","url":null,"abstract":"Objective: Suicide risk assessments are obligatory when patients express a death wish in clinical practice. Yet, suicide risk estimates based on unguided risk assessments have been shown to be of low reliability. Since generalizability of previous studies is limited, the current study aimed to assess inter-rater and intra-rater reliability of risk estimates conducted by psychotherapists and psychology students using written case vignettes.Method: In total, N = 256 participants (psychology students, psychotherapists) were presented with 24 case vignettes describing patients at either low, moderate, severe or extreme risk of suicide. Participants were asked to assign a level of risk to each single vignette at a baseline assessment and again at a follow-up assessment two weeks later.Results: Risk estimates showed a low inter-rater reliability, both for students (AC1 = .35) and for psychotherapists (AC1 = .44). Intra-rater reliability was moderate for psychotherapists (AC1 = .59) and rather low for psychology students (AC1 = .47). In general, intra- and intra-rater reliability were highest for vignettes displaying \"low\" and \"extreme\" risk.Conclusions: The results highlight that the reliability of unguided suicide risk assessments is questionable. Standardized risk assessment protocols are therefore recommended. Nonetheless, even reliable risk estimation does not imply predictive validity of risk estimates for future suicidal behavior.","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"544-555"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750939","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