{"title":"Association Between Hair Lithium Levels and Suicide: A Case-Control Study.","authors":"Orquídia Neves, Vasco Mendes Águia, Rui Azevedo, Agostinho Almeida, Agostinho Santos, Frederico Simões do Couto","doi":"10.1080/13811118.2026.2679007","DOIUrl":"https://doi.org/10.1080/13811118.2026.2679007","url":null,"abstract":"<p><strong>Objective: </strong>Hair analysis has emerged as a promising strategy for long-term monitoring of trace elements, offering advantages such as stability and ability to reflect chronic exposure including in cases of postmortem studies. Past research has linked low hair Li levels to mental illness and violent behavior, but no research studies have explored its relationship with suicide.</p><p><strong>Methods: </strong>A case-control study involving deceased individuals was conducted, analyzing hair samples from 25 suicide cases (59 ± 14, 31-88 years) and 27 non-suicide controls (67 ± 13, 42-94 years). Hair samples were collected, over a three-month period during consecutive forensic autopsies, processed following standardized procedures, and Li analyzed by Inductively Coupled Plasma-Mass Spectrometry.</p><p><strong>Results: </strong>Lithium concentration in hair samples ranged from <3 to 42 µg/kg, after excluding two outliers. No significant differences in Li hair content were found between the suicide and control groups (7 ± 10 µg/kg and 10 ± 11 µg/kg, respectively; F1 (1,50 = 0,748, p = 0,391). After adjustment for sex, age, and mental disorder, the presence of a mental disorder remained significantly associated with suicide (OR, 22.74; 95% CI, 2.18 to 237.19; p = 0.009).</p><p><strong>Conclusion: </strong>In the groups studied the hair Li concentrations do not differ between suicide group and controls in this specific population, with low variability and exposure range and no association was found between hair Li and suicide.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161621","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}
Sarah R Sullivan, Emily L Mitchell, Lucy Liotta, Lakshmi Chennapragada, Terra J Osterberg, Jake R Szeszko, Gabriela K Khazanov, Samantha Slattery, Marianne Goodman
{"title":"Locking Families into Care: A PRISMA Scoping Review of Lethal Means Interventions That Incorporate Families into Treatment.","authors":"Sarah R Sullivan, Emily L Mitchell, Lucy Liotta, Lakshmi Chennapragada, Terra J Osterberg, Jake R Szeszko, Gabriela K Khazanov, Samantha Slattery, Marianne Goodman","doi":"10.1080/13811118.2026.2654645","DOIUrl":"https://doi.org/10.1080/13811118.2026.2654645","url":null,"abstract":"<p><strong>Objective: </strong>This PRISMA-Scoping Review (ScR) is the first of its kind to examine the efficacy of interventions incorporating the family unit in lethal means counseling and their outcomes to reduce accidental death or suicide.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidelines, researchers systematically searched databases (i.e., Ovid Medline, Ovid PsycINFO, EBSCO Social Services Abstracts, and Web of Science Core Collection) and compiled relevant studies. Results were independently screened by two reviewers. Conflicts in reports were resolved by a third reviewer. Out of 4,693 articles identified, 30 were included. All were primary analyses of controlled research trials of lethal means counseling in which family members were actively involved in the intervention itself, with studies reporting on suicide, safety, or feasibility outcomes. Two team members extracted information, and two additional team members provided revisions.</p><p><strong>Results: </strong>All 30 articles described the administration of lethal means safety counseling involving family members, with the majority of studies targeting adolescents. Most studies found that counseling improved patients' suicidal ideation and behavior, increased outpatient treatment seeking, or decreased the rate of hospitalization relative to control groups. Of the 14 studies that assessed the feasibility of treatment, all demonstrated feasibility.</p><p><strong>Conclusion: </strong>This review provides preliminary evidence that family-based lethal means and safety counseling interventions, especially those targeting adolescents and children, are both feasible and effective at decreasing access to firearms. Future research is needed to better understand family involvement in lethal means safety for adults, as well as demographic contextualization of those who benefit from this form of intervention. Future research in lethal means safety counseling should expand beyond firearms to include medications.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-35"},"PeriodicalIF":2.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148353","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}
Kenvil Souza, Edward M Sosu, Tiago Zortea, Rory O'Connor, Susan Rasmussen
{"title":"Exploring the Factor and Network Structures of Defeat and Entrapment.","authors":"Kenvil Souza, Edward M Sosu, Tiago Zortea, Rory O'Connor, Susan Rasmussen","doi":"10.1080/13811118.2026.2676680","DOIUrl":"https://doi.org/10.1080/13811118.2026.2676680","url":null,"abstract":"<p><strong>Objective: </strong>Defeat and entrapment are key risk factors for suicide. However, the number of factors underlying these constructs is debated.</p><p><strong>Method: </strong>This study examined the dimensionality of the short and long defeat and entrapment scales using exploratory factor analyses (EFA), exploratory graph analyses (EGA) and confirmatory factor analyses (CFA). EFA and EGA were conducted on two samples (N1 = 502, N2 = 893) from the general population and CFAs on a third sample (N = 251).</p><p><strong>Results: </strong>The EFA and EGA supported a one-factor solution (defeat/entrapment) for the short measure and a five-factor model for the full scales. The five-factors were interpreted as defeat, defeat (method), internal entrapment, external entrapment (people), and external entrapment (situation). The CFAs supported the three-factor model for the full measure and the one-factor model for the short measure.</p><p><strong>Conclusions: </strong>This suggests that the findings depend on the measures and methodological approaches, highlighting the need to examine the item content.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142483","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}
Hyori Jeon, Dohyeon Lee, Hyejin Kim, Hyeona Yu, Jakyung Lee, Junwoo Jang, Tae Hyon Ha, Hong-Hee Won, Woojae Myung, Hyo Shin Kang, Jungkyu Park
{"title":"Gene-Environment Interactions in Predicting Self-Harm: A Machine Learning Approach Using Explainable Artificial Intelligence.","authors":"Hyori Jeon, Dohyeon Lee, Hyejin Kim, Hyeona Yu, Jakyung Lee, Junwoo Jang, Tae Hyon Ha, Hong-Hee Won, Woojae Myung, Hyo Shin Kang, Jungkyu Park","doi":"10.1080/13811118.2026.2657528","DOIUrl":"https://doi.org/10.1080/13811118.2026.2657528","url":null,"abstract":"<p><strong>Background: </strong>Self-harm is a critical public health concern; nevertheless, the complex interplay between genetic predispositions and environmental factors in self-harm remains poorly understood.</p><p><strong>Methods: </strong>This study employed data from 156,873 participants in the UK Biobank to investigate how polygenic risk scores (PRSs) for 15 psychiatric disorders/traits interact with environmental risk factors in predicting lifetime self-harm. Automated machine learning identified the optimal predictive model, while explainable artificial intelligence techniques were applied to assess feature importance and interactions.</p><p><strong>Results: </strong>Environmental factors, particularly interpersonal trauma, such as partner belittlement and sexual assault, demonstrated stronger predictive value than genetic factors. However, gene-environment interactions accounted for approximately 12% of the variance in predicted self-harm risk, with major depression, cannabis use disorder, and anorexia nervosa PRSs exhibiting the strongest interaction effects.</p><p><strong>Conclusions: </strong>This study's findings suggest that individuals with genetic vulnerabilities may be particularly susceptible to interpersonal trauma, highlighting the need for personalized prevention strategies addressing combined genetic and environmental risks.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-24"},"PeriodicalIF":2.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148040896","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}
Christine B Cha, Ki Eun Kay Shin, Neha Parvez, Rachel Nam, Marianne Bassing
{"title":"Experience Sampling of Future Thinking and Suicidal Ideation Among Adolescents.","authors":"Christine B Cha, Ki Eun Kay Shin, Neha Parvez, Rachel Nam, Marianne Bassing","doi":"10.1080/13811118.2026.2670722","DOIUrl":"https://doi.org/10.1080/13811118.2026.2670722","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescents' future thinking abilities shape their perceptions of life beyond the present moment. Here, we harnessed ecological momentary assessment (EMA) to test how adolescents' future thinking abilities relate to their prior and ongoing instances of suicidal ideation (SI).</p><p><strong>Method: </strong>We recruited 80 community-based adolescents (<i>M</i> = 15.84 years), including those with recent history of suicidal ideation (i.e., SI group) and those with no history of suicidal ideation or attempt (i.e., no-SI group). The sample was mostly female (gender, 67.1%; sex, 76.0%), heterosexual (55.1%), non-Hispanic (86.1%), and racially diverse (64.6% racial minority group membership). Participation involved adolescents meeting with the research team to complete baseline clinical assessments, followed by completing up to 70 EMA surveys (5/day) across two weeks.</p><p><strong>Results: </strong>Adolescents overall tended to imagine their future approximately one-third of the time, and these future thoughts referred to the short-term, were action-oriented, and perceived to be mild-to-moderately positive. When assessing future thinking according to SI history, we found that the SI Group displayed more frequent and uncontrollable future thoughts compared to the No-SI Group-though these group comparisons seemed to be accounted for by depression and anxiety symptoms. When assessing future thinking and concurrent SI via EMA, we found that adolescents' momentary experiences of SI were often accompanied by negative, intrusive, repetitive, and uncontrollable thoughts about the distant future-with temporal distance and emotional impact being especially robust correlates of concurrent SI.</p><p><strong>Conclusion: </strong>How adolescents perceive their future relates to their prior and ongoing experiences with suicidal ideation.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-19"},"PeriodicalIF":2.0,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025987","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":"Emotion Regulation Difficulties and Interpersonal Relationship Skills in Adolescents with Nonsuicidal Self-Injury: A Comparative Study.","authors":"Uğur Tekeoğlu, Yüksel Sümeyra Naralan","doi":"10.1080/13811118.2026.2675588","DOIUrl":"https://doi.org/10.1080/13811118.2026.2675588","url":null,"abstract":"<p><strong>Objective: </strong>Non-suicidal self-injury (NSSI) is a clinically important behavior that often emerges during adolescence and is closely linked to emotion regulation difficulties and maladaptive interpersonal patterns. This study examined these associations in Turkish adolescents with depressive disorder and recent NSSI.</p><p><strong>Methods: </strong>This cross-sectional comparative case-control study included 100 adolescents aged 12-18 years who had a DSM-5 diagnosis of depressive disorder and had engaged in NSSI at least once during the previous six months, and 100 healthy controls without a psychiatric diagnosis or NSSI history. Case participants were evaluated in a child and adolescent psychiatry outpatient clinic, and controls were clinically screened before inclusion. Participants completed the Difficulties in Emotion Regulation Scale (DERS), the Interpersonal Relationships Scale (IRS), and the Inventory of Statements About Self-Injury (ISAS). Normality was assessed with the Shapiro-Wilk test; because distributions were non-normal, Mann-Whitney U, Pearson's chi-square/Fisher's exact tests, Spearman's correlation analysis, and hierarchical binary logistic regression were used.</p><p><strong>Results: </strong>The NSSI group showed significantly higher emotion regulation difficulty and toxic interpersonal relationship scores and significantly lower nurturing relationship scores than controls (all <i>p</i> < 0.001). ISAS autonomous functions were positively correlated with DERS total scores (r = 0.216, <i>p</i> = 0.031) and IRS-toxic scores (r = 0.504, <i>p</i> < 0.001), whereas ISAS social functions were negatively correlated with DERS total scores (r = -0.548, <i>p</i> < 0.001). In the final hierarchical logistic regression model, higher DERS total scores (OR = 1.062, <i>p</i> = 0.005) and higher IRS-toxic scores (OR = 1.227, <i>p</i> = 0.012) increased the odds of NSSI, whereas higher IRS-nurturing scores were protective (OR = 0.810, <i>p</i> < 0.001). The final model showed 94.0% classification accuracy (Nagelkerke R<sup>2</sup>=0.901).</p><p><strong>Conclusion: </strong>These findings indicate that emotional dysregulation and maladaptive interpersonal patterns are independently associated with NSSI in adolescents. The results support multidimensional assessment and intervention strategies that address both emotion regulation and relationship functioning.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148012885","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}
Rachael A Jasperson, Evan V Goldstein, Emily Sullivan
{"title":"Evaluating Suicide Prevention Gatekeeper Training in a Real-World Setting: Pre- and Post-Training Findings from an Academic Medical Center Implementing the Zero Suicide Framework.","authors":"Rachael A Jasperson, Evan V Goldstein, Emily Sullivan","doi":"10.1080/13811118.2026.2675592","DOIUrl":"https://doi.org/10.1080/13811118.2026.2675592","url":null,"abstract":"<p><strong>Background: </strong>Gatekeeper training is a widely endorsed strategy for suicide prevention education, yet its effectiveness in real-world healthcare settings remains underexplored. Within the Zero Suicide framework, training the healthcare workforce to recognize and respond to suicide risk is a key implementation component.</p><p><strong>Objective: </strong>This evaluation examined whether a suicide prevention gatekeeper training implemented at an academic medical center was associated with differences in self-perceived suicide prevention competencies among healthcare employees.</p><p><strong>Methods: </strong>Pre- and post-training questionnaires were administered to employees at University of Utah Health who participated in gatekeeper training between 2023 and mid-2025. A total of 1,658 completed questionnaires were analyzed, assessing self-reported competencies in suicide risk identification, referral knowledge, supportive listening, and comfort initiating conversations about suicide.</p><p><strong>Results: </strong>Results demonstrated statistically significant differences across all self-reported domains, with medium-to-large effect sizes for referral knowledge and warning sign recognition. Differences were consistent across years and among both patient-facing and non-patient-facing staff.</p><p><strong>Conclusion: </strong>Findings suggest higher self-perceived suicide prevention competencies in post-training responses within a large real-world healthcare system setting. These results support the role of workforce training as a core component of the Zero Suicide framework. Future research should incorporate longitudinal designs and objective behavioral measures to assess sustained impact and inform best practices.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148012888","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}
Emma Harris, Regan S Sweeney, Juan Arredondo, Alison Krauss, Alexander Riera, Lance Roehl, Sheila F O'Brien
{"title":"Moral Injury and Suicide: A Systematic Review of Mediators and Moderators.","authors":"Emma Harris, Regan S Sweeney, Juan Arredondo, Alison Krauss, Alexander Riera, Lance Roehl, Sheila F O'Brien","doi":"10.1080/13811118.2026.2669778","DOIUrl":"10.1080/13811118.2026.2669778","url":null,"abstract":"<p><strong>Objective: </strong>\"Moral injury\" (MI) describes the psychosocial-spiritual distress that may follow events that involve deep violations of right and wrong (i.e., potentially morally injurious events [PMIE]). Little is known about why MI seems to elevate risk for suicidal thoughts and behaviors (STB). This review aims to synthesize the existing research on mechanisms of the association (i.e., mediators and moderators) between PMIE/MI/moral distress and STB.</p><p><strong>Method: </strong>We conducted a PRISMA/PROSPERO systematic review (ID# CRD42024524601; last search July 2025). Data quality were assessed with two validated bias assessments.</p><p><strong>Results: </strong>Searches across 23 databases identified 1363 studies, 25 of which met inclusion criteria (i.e., empirical analysis in a peer-reviewed publication on mediators or moderators of the association between PMIE/MI/moral distress and STB). The studies had a combined total of 20,832 participants including military and healthcare professionals in the United States, Israel, and China. Mediators and moderators were classified as internalizing psychopathology (<i>n</i> = 10; e.g., depression, post-traumatic stress disorder [PTSD]), externalizing psychopathology (<i>n</i> = 1; e.g., aggression), social/environmental factors (<i>n</i> = 10; e.g., social connectedness, belongingness), guilt/shame (<i>n</i> = 5), and meaning making/mindfulness (<i>n</i> = 7). The combined effect of depression, anxiety, and PTSD explained the most variance in STB. Most studies received an \"acceptable\" quality rating.</p><p><strong>Conclusion: </strong>Psychological pain, including psychopathology and shame, and impaired social functioning may confer the greatest risk for STB. Interventions addressing comorbidities and social functioning may be critical in STB prevention among those exposed to PMIEs.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-32"},"PeriodicalIF":2.2,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004228","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}
Bethany Cliffe, Laura Joyner, Lisa Marzano, Penny Phillips, Andy Willis, Peter Craig, Keith Hawton, Manuela Deidda, Giorgio Ciminata, Elizabeth Pettersen, Carlisle George, Alex Dark, Ian Marsh, Amina Mahmood, Jay-Marie Mackenzie
{"title":"Surveillance Technologies for Suicide Prevention in Public Places: A Scoping Review of Their Nature and Feasibility.","authors":"Bethany Cliffe, Laura Joyner, Lisa Marzano, Penny Phillips, Andy Willis, Peter Craig, Keith Hawton, Manuela Deidda, Giorgio Ciminata, Elizabeth Pettersen, Carlisle George, Alex Dark, Ian Marsh, Amina Mahmood, Jay-Marie Mackenzie","doi":"10.1080/13811118.2026.2666413","DOIUrl":"10.1080/13811118.2026.2666413","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review maps the range of surveillance technologies being implemented and proposed for suicide prevention in public locations, and explores the reported feasibility of implementing surveillance technologies for suicide prevention.</p><p><strong>Method: </strong>Searches were conducted via EBSCO (PsycINFO, MEDLINE, CINAHL, Computer Source), Ovid (SPP), Web of Science, PTSDpubs, CENTRAL (Cochrane), and IEEE Xplore. Grey literature searches were conducted through Overton, preprint databases (e.g., PsyArXiv), and industry/government websites. Studies were included if they were written in English and described surveillance technologies in public locations that could identify possible suicide-related incidents.</p><p><strong>Results: </strong>169 reports were included, mostly from academia. Around half of the reports described technology that had already been implemented. CCTV was the most discussed technology, and the railways were the most common location referenced. 111 reports discussed the feasibility of implementing these technologies. Key factors which determined feasibility included the processes and procedures involved in installing or using the technology, legal and ethical issues, staff and public attitudes toward technology, the appropriateness of the technology for particular contexts or locations, and cost-effectiveness.</p><p><strong>Conclusions: </strong>Key gaps in the current research include a lack of lived experience involvement and ethical consideration being reported, and a disparity in research coming from high and low/middle income countries. Future research needs to prioritize transparency around ethical implications, consulting people with lived experience, and sharing findings internationally to further the global suicide prevention imperative.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-57"},"PeriodicalIF":2.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147980134","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}
Sebastian Gabriel Kaplan, Elizabeth Grubb, Dylan Ballard, Elizabeth Mayfield Arnold
{"title":"Motivational Interviewing Interventions for the Treatment of Suicidality in Adolescents: A Scoping Review.","authors":"Sebastian Gabriel Kaplan, Elizabeth Grubb, Dylan Ballard, Elizabeth Mayfield Arnold","doi":"10.1080/13811118.2026.2672661","DOIUrl":"https://doi.org/10.1080/13811118.2026.2672661","url":null,"abstract":"<p><strong>Objective: </strong>Adolescent suicidality warrants significant public health attention. Motivational Interviewing (MI) is a widely applied intervention with empirical support across health care settings. The current scoping review aims to summarize MI-based interventions for adolescent suicidality, including key findings, settings, types of interventionists, and use of fidelity monitoring.</p><p><strong>Methods: </strong>A literature search was conducted with four databases (PubMed, Web of Science, EMBASE, and PsycINFO) using the following search terms: motivational interviewing, motivational interview, motivational change, suicidality, self-harm, non-suicidal self-injury, youth, adolescent, child, and children.</p><p><strong>Results: </strong>In total, 10 articles published between 2013 and 2021 were included. These studies included five settings and nine types of interventionists. All but one described fidelity monitoring of some kind including four that used the Motivational Interviewing Treatment Integrity code 3.1 (MITI). Four of the studies described reductions in adolescent suicidality variables, while others described improvements in a range of related outcomes, including depression symptoms, family support, self-efficacy, problem solving, use of safety planning, and attendance at follow-up mental health care visits.</p><p><strong>Conclusions: </strong>Results suggest that MI is a feasible and acceptable intervention for adolescents experiencing suicidality. Results also align with prior research in other clinical areas that MI is highly flexible in its application.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939359","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}