Archives of Suicide Research最新文献

{"title":"Psychological Flexibility and Experiential Avoidance as Moderators of the Relationship Between Entrapment and Suicidal Ideation Among LGBTQ+ Individuals in UK and US.","authors":"Katariina Keinonen, Raymond P Tucker, Skyler D Prowten, Robert J Cramer, Ryan M Hill, Susan Rasmussen","doi":"10.1080/13811118.2026.2666406","DOIUrl":"https://doi.org/10.1080/13811118.2026.2666406","url":null,"abstract":"<p><strong>Objective: </strong>The Integrated Motivational Volitional (IMV) model of suicidal behavior posits that progression to action happens through a pathway where experiences of defeat and a sense of entrapment are central in the development of suicidal ideation. This progression is moderated by individual and contextual variables that may be important to consider in efforts to prevent suicide. One such moderator is psychological flexibility, which can support adaptive behavior even when faced with adversity. It is important to extend IMV research to include more diverse samples, including LGBTQ+ individuals, who experience worse defeat and entrapment than cisgender peers.</p><p><strong>Method: </strong>The current cross-national study examined specific processes of psychological flexibility (openness to experience, behavioral awareness and valued action) and psychological inflexibility (experiential avoidance) as potential moderators for the relationship between internal and external entrapment and suicidal ideation among 771 LGBTQ+ individuals in US and UK.</p><p><strong>Results: </strong>The domains of psychological flexibility and inflexibility were associated with levels of internal and external entrapment and suicidal ideation. However, a moderation effect for the relationship between entrapment and ideation was only found for experiential avoidance and valued action and only in the US sample.</p><p><strong>Conclusions: </strong>The results suggest psychological inflexibility may contribute to the development of suicidal ideation among LGBTQ+ individuals. However, the mechanism through which inflexibility affects progression through the IMV pathway may differ across cultural, societal or political contexts.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-23"},"PeriodicalIF":2.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939414","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":"Suicide by a Novel Toxic Substance: A Scoping Review.","authors":"Cheuk Yui Yeung, Vera Yu Men, Mark Sinyor, Paul S F Yip","doi":"10.1080/13811118.2026.2670725","DOIUrl":"https://doi.org/10.1080/13811118.2026.2670725","url":null,"abstract":"<p><strong>Objective: </strong>A growing international concern has emerged regarding a novel suicide method involving the ingestion of a toxic substance, particularly after the arrest of Kenneth Law. Better surveillance and understanding of the profiles of individuals who adopt the method are critical to improving the effectiveness of suicide prevention efforts. This review aims to summarize the existing epidemiological evidence on suicide attempts and deaths by self-poisoning with the substance.</p><p><strong>Methods: </strong>This study followed Guidance for Conducting Systematic Scoping Reviews, and the searching process was in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Scoping Reviews (PRISMA-ScR). A literature search was conducted in MEDLINE, EMBASE and SCOPUS for articles published until March 16, 2026, using the search terms related to this substance AND (suicid* OR 'suicide attempt' OR 'self-harm' OR 'self-poisoning' OR 'intentional' OR 'deliberate'). Case reports, case series, and research articles reporting suicide attempts or deaths involving the substance were included.</p><p><strong>Results: </strong>A total of 67 studies were included in the review, the majority of which were case reports or case series. Several cases reported that individuals learned about and/or purchased the substance online.</p><p><strong>Conclusions: </strong>A rising trend in suicide involving this substance has been observed globally. The findings support a targeted, evidence-based public health response that addresses the online supply chain directly, improves the accuracy of surveillance and coding, equips clinicians and investigators with the awareness needed to identify cases, and coordinates regulatory action across jurisdictions in restricting its access.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939600","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":"Scaling Up a Blended Digital and Face-to-Face School-Based Suicide Prevention Program for Adolescents: A Quasi-Experimental Study of the Reframe-IT+ Intervention in Santiago, Chile.","authors":"Jorge Gaete, Daniel Nuñez, Saray Ramírez, Daniela Meza, Jo Robinson","doi":"10.1080/13811118.2026.2672043","DOIUrl":"https://doi.org/10.1080/13811118.2026.2672043","url":null,"abstract":"<p><strong>Objective: </strong>Adolescent suicide remains a major public health concern in Chile. Reframe-IT+ is a culturally adapted, school-based program that integrates digital cognitive-behavioral therapy with face-to-face sessions. Following a pilot randomized trial and a cluster RCT in southern Chile, this study aimed to evaluate the preliminary effectiveness under scale-up conditions of Reframe-IT+ in a new region and educational context.</p><p><strong>Methods: </strong>A quasi-experimental, pre-post study without a control group was conducted between December 2023 and December 2024 in 11 schools in Santiago, Chile. A total of 75 adolescents with suicidal ideation were enrolled, and 71 completed the intervention and post-assessments. The intervention included 13 weekly sessions (8 digital and 5 face-to-face). Primary outcome measures assessed suicidal ideation and depression. Paired-samples <i>t</i>-tests and adjusted models were used to examine changes.</p><p><strong>Results: </strong>Significant improvements were observed across all primary outcomes, including reductions in suicidal ideation (C-SSRS: -2.7; SIQ-JR: -13.2; <i>p</i> < 0.001) and depressive symptoms (PHQ-9: -3.7; <i>p</i> < 0.001). Secondary outcomes also showed improvements: anxiety (-3.9), hopelessness (-3.2), and psychotic-like experiences (-8.6) all declined (<i>p</i> < 0.001). Expressive suppression decreased (-0.9; <i>p</i> = 0.028). Protective factors increased significantly, including problem-solving skills (+5.3), behavioral activation (+1.9), cognitive reappraisal (+2.0), and quality of life (+3.8).</p><p><strong>Conclusions: </strong>This study provides preliminary evidence for the effectiveness of Reframe-IT+ when scaled to a new educational and geographic context. The program significantly reduced suicidal ideation and emotional distress while enhancing protective factors. These findings support further implementation studies and potential integration into national school-based mental health policies. <b>Trial Registration:</b> Clinical Trials NCT06759441, December 26^th, 2024. [https://clinicaltrials.gov/study/NCT06759441].</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.0,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939581","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":"Social Connectedness and the Recent Development of Suicidal Ideation During Adolescence.","authors":"Anne C Knorr, Brigid Behrens, Brooke A Ammerman","doi":"10.1080/13811118.2026.2666680","DOIUrl":"10.1080/13811118.2026.2666680","url":null,"abstract":"<p><strong>Objective: </strong>Social connectedness is underscored in nearly all suicide theories. Yet, the unique influence of specific adolescent social relationships on suicidal ideation (SI) is understudied. The current study provides a novel investigation of adolescent connectedness within the family and school contexts in relation to recent SI development.</p><p><strong>Methods: </strong>Data from the U.S. National Longitudinal Study of Adolescent Health (Add Health) was utilized for participants who denied SI at Wave I and subsequently completed Wave II (<i>N</i> = 4,154; <i>M</i>_age=15.15 [<i>SD</i> = 1.60]; 51% female; 67.4% White, 24.4% African American). Structural equation modeling was used to examine the independent concurrent and prospective influences of connectedness with family, mother, father, school, and teacher on recent SI development (i.e., SI endorsed at Wave II), with significant connectedness variables then assessed in a combined, structural equation model.</p><p><strong>Results: </strong>The combined model indicated that Wave II family and Wave II school connectedness each had negative, concurrent associations with recent SI development. School connectedness at Wave I was a positive, prospective predictor of recent SI.</p><p><strong>Conclusions: </strong>Interventions to improve school and family connectedness may reduce concurrent risk for SI among youth who recently developed SI. Several explanations may account for the role of greater school connectedness as a SI prospective predictor, including increased exposure to school-based stressors and greater contact with distressed peers that may diminish the protective influence of prior connectedness. Future research should clarify these mechanisms to inform when strengthening school connectedness is likely to be protective and when additional supports may be needed.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939560","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 Impact of Personal and Other Client Loss to Suicide on Psychology Students' Confidence in Suicide Risk Assessment and Likelihood of Taking a Future Suicidal Client.","authors":"Morgan Buerke, Halle Fowler, Eleni Kapoulea, Acacia Edwards, Kirsten Bootes, Raymond P Tucker, Daniel W Capron, Michael R Nadorff","doi":"10.1080/13811118.2026.2671358","DOIUrl":"10.1080/13811118.2026.2671358","url":null,"abstract":"<p><strong>Objective: </strong>While research has examined the impact of losing a client to suicide among psychology professionals, its impact among psychology graduate student clinicians is still unknown. Students that experience client suicide loss are suggested to speak about the loss with others; however there is no research on the impact of hearing about other individuals' experiences with client suicide loss. This study examined the prevalence of personal and other exposure to client suicide loss, and their relationship with current confidence and future likelihood of working with individuals expressing suicidal thoughts and behaviors.</p><p><strong>Method: </strong>166 psychology graduate students with client contact across the United States were recruited. Participants answered questions about whether they had lost a client to suicide or heard of another person losing a client to suicide, their confidence in working with individuals with suicidal thoughts and behaviors, and their likelihood of working with those individuals in the future. T-tests were run comparing those who experienced personal (or other) client suicide loss and those who had not on likelihood and confidence.</p><p><strong>Results: </strong>Less than 2% of students reported personal client suicide loss. 47% of students had heard of another individual experiencing client suicide loss, and this was related to increased future likelihood of taking a suicidal client but not increased confidence.</p><p><strong>Conclusions: </strong>Further research into emotional impacts of client loss, program postvention, and disclosure of client suicide loss among students and faculty is warranted. There may be a positive benefit to hearing of other individuals' experience with client suicide loss.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147925926","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":"Participatory Design of the Minplan Zero Self-Harm Mobile Phone Application: A Focus Group Study.","authors":"Niels Buus, Annette Erlangsen, Jette Louise Skovgaard Larsen, Merete Nordentoft, Evelyn Guerrero, Rasmus Thastum, Mille Vang Hansen, Kate Andreasson","doi":"10.1080/13811118.2026.2669777","DOIUrl":"10.1080/13811118.2026.2669777","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine the needs of people with lived experiences of non-suicidal self-injury (NSSI), and how they contributed to transforming the Minplan app for suicide prevention into a specialized version addressing self-harm through a participatory process.</p><p><strong>Method: </strong>We conducted three focus groups with 10 young female Danes with lived experiences of NSSI and experiences of using safety-planning tools. Transcripts were analyzed thematically.</p><p><strong>Results: </strong>Participants spoke very favorably about the original app's features and were very active in the innovative development of additional features for the specialized \"Zero Self-Harm\" app. While the Zero Self-Harm app had the same basic safety planning features as the original app, it had different emphases, most notably on interruptions, aspirations and control, which constituted a shift away from focusing on dangers and alarm to focus on the continual management of impulses and keeping aspirations in mind.</p><p><strong>Conclusions: </strong>Participants with lived experiences of NSSI collaborated actively in developing and implementing new features into the Minplan app to make it more relevant to people with NSSI.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2026-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147866531","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":"Suicidal Ideation Effectiveness and Safety Outcomes from the Ketamine for Adult Depression Study (KADS).","authors":"Gregory Carter, Maree Hackett, Stevan Nikolin, Vanessa Dong, Nick Glozier, Shanthi Sarma, Donel Martin, Michael Berk, Verònica Gálvez-Ortiz, Andrew A Somogyi, Natalie T Mills, Sean Hood, Paul Glue, Bernhard Baune, Philip B Mitchell, Anthony Rodgers, Colleen Loo","doi":"10.1080/13811118.2026.2669779","DOIUrl":"https://doi.org/10.1080/13811118.2026.2669779","url":null,"abstract":"<p><strong>Objective: </strong>Ketamine has disputed effects on suicidal ideation scores in depressed populations. This study assessed effectiveness of ketamine in adults with treatment resistant depression, examining a secondary outcome of suicidal ideation.</p><p><strong>Methods: </strong>Phase III, double-blind, randomized, active-controlled, multicenter trial. Participants were randomized to twice-weekly subcutaneous racemic ketamine or midazolam for 4 weeks; cohort 1 (n = 68) fixed-dose and cohort 2 (n = 106) flexible-dose. Analyses were cumulative link mixed models for change scores (baseline to treatment end), comparing ketamine versus midazolam (active control) for suicidal ideation, using the MADRS item 10 (planned) and C-SSRS (<i>post hoc</i>).</p><p><strong>Results: </strong>Mean baseline ideation scores were low (MADRS-10 cohort 1: 1.93 and cohort 2: 2.0). Cohort 1 had no significant difference between intervention and control: MADRS-10 β = 0.97, (95% CI=-0.95 to 2.90, p = 0.32), C-SSRS β = 0.64, (95% CI=-1.27 to 2.55, p = 0.51). Cohort 2 had a non-significant reduction for MADRS-10: β -0.61 (95% CI=-1.65 to 0.44, p = 0.25), but a significant reduction for C-SSRS: β-1.32 (95% CI=-2.51 to -0.12, p = 0.03). Participants had a higher C-SSRS score than the previous session, each of which triggered a clinical review, in 13.8% of all treatment sessions.</p><p><strong>Conclusions: </strong>Subcutaneous, flexible-dosed, racemic ketamine over four weeks showed beneficial effects on suicidal ideation scores. Future studies should use suicidal ideation powered as a primary outcome, sample the full range of ideation scores, use consensus instruments, and explore treatment discontinuation, in various depressed populations.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863450","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":"Interventions Addressing Suicide and Depression in Those Identifying as Lesbian, Gay, Bisexual, Trans, Queer, Intersex, Asexual and Other Gender Identities: A Systematic Review and Intervention Component Analysis.","authors":"Natasha Josifovski, Niamh Hunnisett, Chloe Haynes, Alexandra South, Fiona Shand","doi":"10.1080/13811118.2026.2666411","DOIUrl":"https://doi.org/10.1080/13811118.2026.2666411","url":null,"abstract":"<p><strong>Objective: </strong>Few interventions target suicide in people identifying as lesbian, gay, bisexual, trans, queer, intersex, asexual, and other gender identities (LGBTQIA+). This systematic review examined interventions addressing suicide or depression among LGBTQIA+ people and conducted an intervention component analysis to assess effectiveness of design components, implementation, and alignment with existing evidence.</p><p><strong>Method: </strong>We screened 8, 046 abstracts from PubMed, PsycINFO, and Embase for relevance, and assessed full text against inclusion criteria. Eligible studies had to target LGBTQIA+ people, and the primary outcome had to be suicidal thoughts or behaviors, or depression (or related constructs, such as hopelessness). Studies were synthesized narratively and according to the intervention component analysis method. Risk of bias was assessed using the RoB-2 and ROBINS-I tools.</p><p><strong>Results: </strong>4,400 individuals were represented across 39 included studies. While some single-group designs showed reductions in suicidal thoughts and behaviors, no studies demonstrated significantly greater reductions relative to treatment as usual/waitlist groups. In contrast, many interventions which targeted depression reported significantly greater reductions compared to control conditions. Analysis of intervention components revealed little attention to concepts which may be effective for those experiencing minority stress, and of those pertinent to preventing suicide, such as safety planning.</p><p><strong>Conclusions: </strong>Findings highlighted the value of shared experiences, yet also revealed that LGBTQIA+ adaptation alone may be insufficient to reduce suicidality. Across studies, there were notable gaps between components used and mediators of suicide in LGBTQIA+ populations. We discuss implications for research, particularly recommendations for interventions designed to reduce suicidal ideation in LGTBQIA+ people.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863507","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":"Families of Young People Who Self-Harm: A Mixed-Methods Systematic Review of Their Experiences and Needs.","authors":"Beatriz Cação-Dias, Inês Rothes, Cláudia Carmo, Cristina Nunes, Marta Brás","doi":"10.1080/13811118.2026.2666405","DOIUrl":"https://doi.org/10.1080/13811118.2026.2666405","url":null,"abstract":"<p><strong>Background: </strong>Self-harm in young people is a pressing public health issue, with family support playing a crucial role in the young person's prognosis. Concurrently, the impact extends to families themselves, who must navigate caregiving responsibilities while also requiring support. Understanding these experiences is key to providing more effective assistance in their caregiving roles.</p><p><strong>Aim: </strong>With this mixed-methods systematic review we investigated the experiences, barriers, and needs of families of young people who self-harm.</p><p><strong>Method: </strong>Following PRISMA guidelines, a search was conducted within PsycINFO, PubMed, Web of Science, and Scopus databases in July 2024 and April 2025. Thirty-one studies were included in this review, and quality was assessed with the Mixed Methods Appraisal Tool (MMAT). A narrative synthesis was employed for the quantitative data, while qualitative data were analysed with thematic synthesis.</p><p><strong>Results: </strong>The quantitative findings revealed two themes: (1) the repercussions of self-harm in the family and (2) family support needs. Qualitative analysis identified four themes: (1) parents' emotional and psychological impact; (2) impact on parenting and the bond with the young person; (3) disruption of family dynamics; and (4) barriers to and pathways for family support.</p><p><strong>Conclusion: </strong>We discuss the implications of these findings, offering recommendations for future research and improvements in family support services to alleviate caregiver burden and foster supportive environments for recovery.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-32"},"PeriodicalIF":2.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147855836","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":"Childhood Trauma and Suicide Risk Among University Students: A Longitudinal Moderated Mediation Model of Depression and Self-Compassion.","authors":"Meng Song, Lina Yan, Xi Song, Yu Peng","doi":"10.1080/13811118.2026.2666410","DOIUrl":"10.1080/13811118.2026.2666410","url":null,"abstract":"<p><strong>Objective: </strong>Childhood trauma is a potent predictor of suicide risk in university students, yet the longitudinal mechanisms and protective factors that are associated with this trajectory are not fully understood. This study aimed to elucidate the pathway from childhood trauma to suicide risk by examining the mediating role of depression and, critically, to test whether self-compassion functions as a protective factor that moderates these direct and indirect relationships.</p><p><strong>Methods: </strong>A longitudinal design was employed, drawing from a large cohort of Chinese university students. From an initial sample of 24,548 students, 3,712 individuals with a history of childhood trauma provided complete data at baseline (T1: childhood trauma, self-compassion, depression) and at a one-year follow-up (T2: depression, suicide risk). A longitudinal moderated mediation model was tested to analyze the data.</p><p><strong>Results: </strong>Childhood trauma was a significant direct predictor of suicide risk. Crucially, the mediating effect of depression on the relationship between trauma and suicide risk was significantly moderated by self-compassion. The moderated mediation analysis revealed that the indirect pathway from trauma to suicide risk via depression was non-significant at low and mean levels of self-compassion but became a significant protective pathway at high levels of self-compassion.</p><p><strong>Conclusion: </strong>Childhood trauma exerted both direct and indirect influences on suicide risk, with depression serving as a key mediating mechanism. Self-compassion emerged as a vital resilience factor that buffered both the direct effect of childhood trauma on suicide risk and the pathway from trauma to depression.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147833010","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}