Archives of Suicide Research最新文献

{"title":"The Impact of Intersectional Discrimination on Suicidality in an Adult Life Course Sample.","authors":"Jana Koch, Brooke Brady, Anna Brooks, Kaarin J Anstey","doi":"10.1080/13811118.2026.2656708","DOIUrl":"https://doi.org/10.1080/13811118.2026.2656708","url":null,"abstract":"<p><strong>Objective: </strong>We investigated how different forms of intersectional discrimination-that is, discrimination based on \"who you are\"-contribute to suicidality across the adult lifespan. We focused on the mediating role of depressive symptoms and explored whether human connection (operationalized as social network size) acts as a potential moderator.</p><p><strong>Method: </strong>Data were from 1,570 Australian adults (<i>M</i>_age = 52.9, range = 18-93, 72.9% female) participating in the Resilient Minds study. Discrimination was measured on the Intersectional Discrimination Index, capturing anticipated, day-to-day, and major discrimination in the past year and lifetime. Suicide ideation and attempts in the past year were measured using binary items (yes/no). Depressive symptoms and social network size were assessed using the Center for Epidemiologic Studies Depression Scale and Lubben Social Network Scale, respectively. Logistic regressions and moderated mediation models (Hayes' PROCESS macro) were conducted to explore the associations.</p><p><strong>Results: </strong>Anticipated (<i>OR</i> = 1.64, <i>p</i> < .001), day-to-day (past year) (<i>OR</i> = 1.62, <i>p</i> < .001), and major (lifetime) (<i>OR</i> = 1.24, <i>p</i> < .001) discrimination were significantly associated with suicide ideation. Only day-to-day (past year) discrimination was associated with suicide attempts (<i>OR</i> = 2.99, <i>p</i> < .001). These associations were partially mediated by heightened depressive symptoms. Although the size of one's close social network was not found to be a moderator of the discrimination-suicidality associations, a larger social network reduced the effect of discrimination on depressive symptoms.</p><p><strong>Conclusions: </strong>The current results support the role of intersectional discrimination as a risk factor for suicide ideation and attempts, partly through increased depressive symptoms. Reducing persistent day-to-day discrimination and promoting human connection may be important targets for future suicide prevention strategies.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-21"},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728278","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":"Differentiating Suicide Attempt History Among Individuals with Borderline Personality Disorder Engaging in Non-Suicidal Self-Injury.","authors":"Simon M Li, Liat Itzhaky, Ariana Cid, Hanga Galfalvy, J John Mann, Barbara Stanley, Beth S Brodsky","doi":"10.1080/13811118.2026.2657520","DOIUrl":"https://doi.org/10.1080/13811118.2026.2657520","url":null,"abstract":"<p><strong>Objective: </strong>Suicidal behaviors and non-suicidal self-injury (NSSI) are highly prevalent and often co-occur among individuals with borderline personality disorder (BPD). Individuals with both a BPD diagnosis and NSSI are at heightened risk for suicide. However, few studies have examined which factors differentiate those with BPD and NSSI who have attempted suicide from those who have not. This study aimed to identify such clinical factors to inform suicide risk assessment within this vulnerable population.</p><p><strong>Methods: </strong>Participants were 78 individuals with BPD and a history of NSSI. Fifty-four had a lifetime history of suicide attempt (SA). Participants completed structured interviews and self-report measures assessing childhood trauma, dissociation, and anxiety, as well as current suicidal ideation, depressive symptoms, global functioning, and demographics. Logistic regression was used to evaluate whether these factors are associated with an increased likelihood of having a lifetime SA history in this unique population.</p><p><strong>Results: </strong>Dissociative amnesia was associated with decreased likelihood of having a lifetime SA, while dissociative absorption was associated with increased likelihood of having such a history, while controlling for education level, current suicidal ideation, global functioning, and depression severity.</p><p><strong>Conclusions: </strong>In individuals with BPD who engage in NSSI, those who have made a SA present with distinct dissociative symptoms. Future studies should further investigate other risk factors for suicidal behavior among individuals with BPD who engage in NSSI to improve suicide risk assessment in this population.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728264","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":"Examining Factors Involved in Suicide Deaths in the National Violent Death Reporting System.","authors":"Shannon M Cain, Samantha C Cacace, Robert J Cramer","doi":"10.1080/13811118.2026.2653017","DOIUrl":"https://doi.org/10.1080/13811118.2026.2653017","url":null,"abstract":"<p><strong>Objective: </strong>Suicide claims thousands of Americans' lives every year. A leading theory explaining suicide is the Interpersonal Theory of Suicide (ITS), yet little is known about how well this theory applies to suicide deaths. We assessed how well the ITS fit suicide deaths, followed by exploratory theoretical examination, in a national dataset using psychosocial variables.</p><p><strong>Method: </strong>The sample (N = 289,329) comprised individuals who died by suicide or by undetermined intent in the National Violent Death Reporting System (NVDRS). Factor analyses were conducted to examine how well ITS-supported indicators fit the data, and to identify novel theoretical patterns, for the group who died by suicide. Measurement invariance compared the resulting model across groups.</p><p><strong>Results: </strong>The ITS was a poor fit to the data. Exploratory analyses suggested a 2-factor model (i.e., justice-involvement and substance misuse) best fit the data. Model fit was found to vary at the configural level, indicating the 2-factor model was not the same for those who died by suicide and for those who died by deaths of undetermined intent.</p><p><strong>Conclusions: </strong>Results identified a unique subset of suicide decedents characterized by justice involvement and substance use. Further work should explore the validity and clinical utility of the combination of justice involvement and substance misuse for suicide for those involved with the legal system.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653462","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":"Clinical and Neurocognitive Characteristics of Adolescents with Non-Suicidal Self-Injury and Suicidal Behavior: The Role of Hyperactivity Symptoms.","authors":"Celal Yesilkaya, Serkan Turan","doi":"10.1080/13811118.2026.2651384","DOIUrl":"https://doi.org/10.1080/13811118.2026.2651384","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare sociodemographic, clinical, and neurocognitive features between adolescents with non-suicidal self-injury (NSSI) and those with suicidal behavior (SB), and to identify predictors of SB.</p><p><strong>Methods: </strong>A total of 151 adolescents (97 with NSSI and 54 with SB) were recruited from child and adolescent psychiatry outpatient clinics. Clinical symptoms and functioning were assessed using the Children's Global Assessment Scale (CGAS), Child Depression Rating Scale (CDRS), Revised Child Anxiety and Depression Scale (RCADS), Pittsburgh Sleep Quality Index (PSQI), Strengths and Difficulties Questionnaire (SDQ), and Swanson, Nolan, and Pelham Scale (SNAP-IV). Neurocognitive domains, such as memory, processing speed, verbal fluency, and social cognition were assessed through a standardized test battery. Logistic regression identified predictors of SB.</p><p><strong>Results: </strong>The groups did not differ in age, gender, or parental education. Adolescents with SB had lower global functioning (<i>p</i> = 0.001), more severe depression (<i>p</i> = 0.027), higher inattention/hyperactivity (<i>p</i> = 0.014), and poorer sleep quality (<i>p</i> = 0.045). No neurocognitive differences were observed. Hyperactivity symptoms on the SNAP-IV independently predicted suicidal behavior (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Adolescents with NSSI and SB show comparable neurocognitive performance, but hyperactivity symptoms differentiate those with SB. Targeting hyperactivity may reduce suicide risk in self-injuring youth.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618252","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 Association Between X (Formerly Twitter) Content and Suicide Following a National Media Engagement Strategy in Canada.","authors":"Mark Sinyor, Samantha G Mason, Melvin Chih-Shing Chen, Prudence Chan, Rachel H B Mitchell, Ayal Schaffer, Jane Pirkis, Marnin J Heisel, Benjamin I Goldstein, Donald A Redelmeier, Thomas Niederkrotenthaler","doi":"10.1080/13811118.2026.2641563","DOIUrl":"https://doi.org/10.1080/13811118.2026.2641563","url":null,"abstract":"<p><strong>Objective: </strong>To identify associations between X (formerly Twitter) content and narratives and suicide deaths following Canadian media engagement efforts.</p><p><strong>Method: </strong>We coded suicide-related tweets (<i>N</i> = 862) geolocated to Toronto originating from high-level influencers (July 2020-June 2021) for general, putatively harmful, and putatively protective content and overarching (\"gestalt\") narrative. We used multivariable logistic regression to examine associations between tweet characteristics and increases or decreases in suicide deaths in Toronto in the 7 days after posting, compared with a 7-day control window.</p><p><strong>Results: </strong>Tweets most strongly associated with increased subsequent suicides included calls to action to address suicide (OR 3.59, 95%CI 1.97-6.55), those arising from celebrities (3.55, 95%CI 1.87-6.75), and gestalt narratives focused on suicide deaths and/or attempts in A-list celebrities (OR 2.85, 95%CI 1.24-6.53). Tweets most strongly associated with decreased subsequent suicides were those about specific at-risk groups (LGBTQI+ or indigenous peoples; OR 0.18, 95%CI 0.09-0.38) and artists/entertainers (OR 0.33, 95%CI 0.14-0.76), and that referenced the 988 helpline (OR 0.30, 95%CI 0.09-0.92). Neither putatively harmful nor protective elements were common in tweets.</p><p><strong>Conclusions: </strong>These findings largely align with prior evidence of the potential harms and benefits of specific suicide-related media content and narratives. We found limited harmful content in tweets after Canadian media engagement efforts, but also little evidence of helpful content.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"1-20"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147615482","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":"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":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>Cross-sectional, self-report data were used from adults (<i>N</i> = 329, <i>M</i>_age = 36.61 years, <i>SD</i> = 11.38) screened for elevated suicide risk and previous alcohol use via Amazon's Mechanical Turk crowdsourcing platform.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"298-316"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","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}

{"title":"A Cross-Sectional Study of Cybervictimization and Non-Suicidal Self-Injury Among College Students: A Moderated Mediation Model of Rumination and Resilience.","authors":"Xin'e Liu, Xiaoli Liao, Juan Ni","doi":"10.1080/13811118.2025.2513578","DOIUrl":"10.1080/13811118.2025.2513578","url":null,"abstract":"<p><strong>Background: </strong>Non-suicidal self-injury (NSSI) is a pressing public health concern on college campuses, with increasing evidence highlighting cybervictimization as a critical predictor of NSSI behaviors. However, the underlying mechanisms through which cybervictimization linking to NSSI behaviors remain under elucidation and warrant further investigation.</p><p><strong>Objective: </strong>This study aimed to investigate the relationship between cybervictimization and NSSI behaviors among college students, with a specific focus on the mediating role of rumination and the moderating role of resilience in this relationship.</p><p><strong>Method: </strong>An observational cross-sectional study was conducted with a convenience sample of 1,439 college students from public universities in Hunan Province, China. Data were collected via an online questionnaire assessing cybervictimization, NSSI behaviors, rumination, and resilience. Descriptive statistics and Pearson's correlation analysis were first conducted, and structural equation modeling (SEM) and moderated mediation analysis were then applied to test the proposed relationships.</p><p><strong>Result: </strong>The study sample comprised 1439 college students with a mean age of 18.44 ± 0.84 years. Pearson's correlation analysis revealed significant positive associations between NSSI behaviors and both cybervictimization (<i>r</i> = 0.29, <i>p</i> < 0.01) and rumination (<i>r</i> = 0.17, <i>p</i> < 0.01), and a negative association with resilience (<i>r</i> = -0.25, <i>p</i> < 0.01). Moderated mediation analysis indicated that rumination mediated while resilience moderated the positive correlation between cybervictimization and NSSI behaviors (all <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The study highlights the critical role of rumination as a mediator and resilience as a moderator in the relationship between cybervictimization and NSSI behaviors. These findings provide crucial insights for developing and implementing interventions to prevent and reduce NSSI behaviors among college students, underscoring the importance of addressing both cognitive processes and personal resources to effectively mitigate and eliminate NSSI risks among college students with cybervictimization experiences.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"317-333"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198148","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":"Utilization of Postvention Supports: A National Cross-Sectional Survey of Adults Bereaved by Suicide.","authors":"Eve Griffin, Selena O'Connell, Karl Andriessen, Almas Khan, Cliodhna O'Brien, Caroline Daly, Fiona Tuomey, Ella Arensman","doi":"10.1080/13811118.2025.2552953","DOIUrl":"10.1080/13811118.2025.2552953","url":null,"abstract":"<p><strong>Background: </strong>Deaths by suicide have significant impacts on those bereaved. This study examined the utilization of supports by adults bereaved by suicide and associations with personal growth.</p><p><strong>Methods: </strong>Data on adults bereaved in a personal capacity were obtained from the Irish Suicide Bereavement Survey. Regression analyses identified factors relating to the utilization of both informal and formal supports and the relationship between utilization of supports and personal growth.</p><p><strong>Results: </strong>Of the 2,059 participants, three-quarters of participants (74%) were female, and the mean age was 41 years. Most participants were family members of the deceased (73%), while one-quarter were friends or acquaintances (27%). Informal supports were received by most participants (85%), while two-thirds (67%) accessed formal support. Greater perceived social support was positively associated with utilization of both formal and informal supports. Men, those from ethnic minorities, and non-family members were less likely to access formal supports. Having received informal support emerged as the strongest predictor of formal support utilization. Utilization of informal supports was associated with positive personal growth among men.</p><p><strong>Conclusions: </strong>Having access to multiple forms of support is a critical feature of postvention. Future research should consider the development of proactive outreach and signposting for hard-to-reach groups.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"556-569"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145367462","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 Serial Mediating Role of Shame-Proneness and Depressive Symptoms on the Relationship Between Perceived Family Invalidation and Non-Suicidal Self-Injury Among Adolescents.","authors":"On Lon Wong, Huiting Fang, Jie Zhong, Qian Wang, Xiuming Zhang","doi":"10.1080/13811118.2025.2552455","DOIUrl":"10.1080/13811118.2025.2552455","url":null,"abstract":"<p><p>Non-suicidal self-injury (NSSI) is a significant global public health concern among adolescents. Prior research has confirmed the importance of perceived family invalidation in contributing to NSSI engagement. However, the mechanism underlying this association remains unclear. The current study hypothesized that perceived family invalidation would be associated with NSSI through a serial mediation pathway via shame-proneness and depressive symptoms. A sample of 3,875 Chinese adolescents from 12 to 18 years old (<i>M_age</i> = 14.43, <i>SD</i> = 1.38, 50.8% females) completed self-report questionnaires with outcome variables of perceived family invalidation, shame-proneness, depressive symptoms, and NSSI. Results showed that the prevalence of lifetime NSSI was 13.6%. Perceived family invalidation, shame-proneness, and depressive symptoms were all positively correlated with NSSI. The mean scores of all variables in the NSSI group were significantly higher than the non-NSSI group. The association between perceived family invalidation and NSSI was not directly mediated by shame-proneness. Still, it was mediated by depressive symptoms, while this link was also serially mediated by shame-proneness and depressive symptoms. Findings demonstrate a potential psychopathological mechanism underlying the pathway from perceived family invalidation to NSSI through shame-proneness and depressive symptoms. Furthermore, it provides empirical evidence for future specific intervention and prevention directions for mental health services providers working with adolescents of elevated perceived family invalidation as well as shame-proneness to reduce the risk of NSSI.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"480-494"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940251","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":"Is Mental Health Multimorbidity Associated with Contact with Healthcare Services Before Suicide? Retrospective Analysis of Irish Coronial Data, 2015-2020.","authors":"Katerina Kavalidou, Gemma Cox, Anita Munnelly, Stephen Platt","doi":"10.1080/13811118.2025.2552948","DOIUrl":"10.1080/13811118.2025.2552948","url":null,"abstract":"<p><strong>Objective: </strong>Healthcare services are potential interventions points before suicide. The aim of the current study was to explore whether mental health (MH) multimorbidity is associated with contact with healthcare services before suicide.</p><p><strong>Methods: </strong>A retrospective study was conducted using data from the Irish Probable Suicide Deaths Study (IPSDS), over the period 2015-2020. MH conditions were recorded on the basis of collateral information, including medical diagnosis or/and undiagnosed. The IPSDS cohort (<i>n</i> = 3625), comprising deaths given a coronial verdict of suicide and deaths on the balance of probabilities, was allocated to three mutually exclusive health groups: (a) no MH conditions, (b) one MH condition only, (c) two or more MH conditions (\"MH multimorbidity\"). Descriptive statistics (<i>p</i> ≤ 0.05) and binary logistic regression analyses with odds ratios (OR) and 95% CIs (<i>p</i> ≤ 0.01) are presented.</p><p><strong>Results: </strong>One fifth (20%) of the IPSDS cohort had MH multimorbidity, which was more prevalent among those aged 35-44 years. The unadjusted logistic regression analysis indicated that those with multimorbidity were significantly more likely to have contacted health services before suicide, compared to those with no MH conditions. This finding was substantially unchanged following adjustment for sex, age, and labor market position (OR = 12.170, 95% CI 9.595-15.437, <i>p</i> < .001) and in a sensitivity analysis restricted to a subset of deaths given a coronial verdict of suicide (OR = 12.728, 95% CI 9.635-16.814).</p><p><strong>Conclusions: </strong>Our findings suggest that those who experience MH multimorbidity and are in contact with health services should be targeted with tailor-made suicide prevention interventions.</p>","PeriodicalId":8325,"journal":{"name":"Archives of Suicide Research","volume":" ","pages":"526-540"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940220","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}