Examining the predictive utility of suicidal ideation characteristics in relation to real-time monitoring of suicidal ideation and suicide attempts at follow-up.

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-18 DOI:10.1111/sltb.13103
Megan L Rogers, Melanie L Bozzay, Christopher D Hughes, Heather T Schatten, Michael F Armey
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Abstract

Introduction: Several characteristics of suicidal ideation, including frequency, duration, perceived controllability, and intensity, have been identified. The present study examined whether these characteristics of baseline suicidal ideation uniquely predicted (1) the severity, variability, and frequency of suicidal ideation assessed through real-time monitoring; and (2) suicide attempts at 3-week and 6-month follow-up among recently discharged psychiatric inpatients.

Methods: A sample of 249 adults (Mage = 40.43, 55.1% female, 91.4% White) completed a baseline assessment of their suicidal ideation characteristics during psychiatric hospitalization, five daily ecological momentary assessments (EMA) for 21 days following discharge, and follow-up assessments of suicide-related outcomes at 3-week and 6-month follow-up.

Results: Perceived controllability of suicidal thoughts was uniquely associated with the variability of EMA-assessed suicidal ideation and the presence of suicide attempts at 3-week, but not 6-month follow-up. No other characteristic of baseline suicidal ideation was uniquely associated with EMA-assessed suicidal ideation or the presence of suicide attempts at follow-up.

Conclusions: Given links between the perceived controllability of suicidal ideation and (1) momentary variability of suicidal ideation and (2) suicide attempts over the subsequent 3 weeks, perceived controllability of suicidal thinking may be a useful marker of short-term risk that may be malleable to clinical intervention.

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研究自杀意念特征与实时监测自杀意念和自杀未遂随访的相关性。
简介自杀意念的几个特征已被确认,包括频率、持续时间、可控性和强度。本研究探讨了这些自杀意念的基线特征是否能独特地预测(1)通过实时监测评估的自杀意念的严重性、可变性和频率;以及(2)最近出院的精神病住院患者在 3 周和 6 个月随访中的自杀企图:249名成年人(年龄=40.43,55.1%为女性,91.4%为白人)完成了精神病住院期间自杀意念特征的基线评估、出院后21天内的5次每日生态瞬间评估(EMA),以及3周和6个月随访时自杀相关结果的随访评估:结果发现:自杀想法的可控性与EMA评估的自杀意念的可变性以及3周后的自杀未遂情况有独特的关联,但与6个月的随访无关。基线自杀意念的其他特征均与EMA评估的自杀意念或随访时的自杀企图无关:鉴于自杀意念的可控性与(1) 自杀意念的瞬间可变性和(2) 随后 3 周内的自杀未遂之间的联系,自杀意念的可控性可能是短期风险的一个有用标记,可对临床干预进行调整。
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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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