The Short-Term Course of Nonsuicidal Self-Injury Among Individuals Seeking Psychiatric Treatment DOI Creative Commons
Glenn Kiekens, Laurence Claes, Evan M. Kleiman

et al.

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(10), P. e2440510 - e2440510

Published: Oct. 22, 2024

Importance A major portion of adolescents and adults seeking psychiatric treatment report nonsuicidal self-injury (NSSI) within the past month, yet short-term course NSSI among these patients remains poorly understood. Objective To advance understanding cognitions (ie, thoughts, urges, self-efficacy to resist self-injury) behavior. Design, Setting, Participants cohort study was conducted using an intensive longitudinal design with ecological momentary assessment, including 6 daily surveys event registrations for 28 days. Data were collected from June 2021 August 2023. Individuals mental health services in Flanders region Belgium reporting past-month urges and/or behavior at intake recruited by referral. Main Outcomes Measures Nonsuicidal self-efficacy, Sociodemographic clinical baseline characteristics served as between-person variables. Descriptive variability statistics dynamic structural equation modeling used. Results completed a mean (SD) 121 (34.5) surveys, totaling 15 098 assessments (median adherence, 78.6%; IQR, 59.5%-88.7%). Among 125 (87.2% female; median age, 22.0 [range, 15-39] years; 52.8% heterosexual), thoughts present during most but low intensity (individual means [SD] on 0- 6-point scale, 1.52 [1.13] urges; 1.57 [1.18] thoughts). The prevalence 84.0% monthly, 49.90% weekly, 18.19% daily. Between-patient substantial (intraclass correlation coefficient, 0.43-0.47; range individual cognitions, 0-6; frequency behavior, 0-103), recency consistently associated differences NSSI. greatest observed (root square successive 1.31 1.40 instability thoughts), characterized changes more than 1 within-person SD between less 2 hours apart 5 instances. is rare morning, increased afternoon, frequent evening. contemporaneous temporally each other’s course, higher-than-usual lower uniquely signaling heightened risk next hours. Conclusions Relevance In this treatment-seeking individuals, appeared be over short term. These findings suggest potential utility self-monitoring outside therapy setting need focus assessment interventions evening

Language: Английский

Mapping the timescale of suicidal thinking DOI Creative Commons
Daniel D.L. Coppersmith, Oisín Ryan, Rebecca G. Fortgang

et al.

Proceedings of the National Academy of Sciences, Journal Year: 2023, Volume and Issue: 120(17)

Published: April 18, 2023

This study aims to identify the timescale of suicidal thinking, leveraging real-time monitoring data and a number different analytic approaches. Participants were 105 adults with past week thoughts who completed 42-d (total observations = 20,255). two forms assessments: traditional assessments (spaced hours apart each day) high-frequency 10 min over 1 h). We found that thinking changes rapidly. Both descriptive statistics Markov-switching models indicated elevated states lasted on average 3 h. Individuals exhibited heterogeneity in how often for long they reported our analyses suggest aspects operated timescales. Continuous-time autoregressive current intent is predictive future levels 2 h, while desire 20 Multiple has shorter duration than desire. Finally, inferences about within-person dynamics basis statistical modeling shown depend frequency at which was sampled. For example, estimated severe as 9.5 whereas shifted 1.4

Language: Английский

Citations

54
Facets of Suicidal Ideation DOI
David A. Jobes, Abby Adler Mandel, Evan M. Kleiman

et al.

Archives of Suicide Research, Journal Year: 2024, Volume and Issue: 28(4), P. 1263 - 1278

Published: Jan. 4, 2024

According to SAMHSA (2023), approximately 16,600,000 American adults and teens reported having serious thoughts of suicide in 2022. While prevention has primarily focused on deaths attempts, we contend that suicidal ideation (SI) deserves more in-depth investigation should be an essential intervention target its own. In support this point, provide three examples ways improve specificity understanding SI through the study controllability SI, language used assess measuring real time. We also consider qualitative work content treatment, definitional considerations. thus call for increased general focus within research, clinical care, policy.

Language: Английский

Citations

16
Translating promise into practice: a review of machine learning in suicide research and prevention DOI
Olivia J Kirtley, Kasper van Mens, Mark Hoogendoorn

et al.

The Lancet Psychiatry, Journal Year: 2022, Volume and Issue: 9(3), P. 243 - 252

Published: Feb. 17, 2022

Language: Английский

Citations

59
The use of advanced technology and statistical methods to predict and prevent suicide DOI
Evan M. Kleiman, Catherine R. Glenn, Richard T. Liu

et al.

Nature Reviews Psychology, Journal Year: 2023, Volume and Issue: 2(6), P. 347 - 359

Published: April 6, 2023

Language: Английский

Citations

29
The Lancet Commission on self-harm DOI
Paul Moran, Amy Chandler, Pat Dudgeon

et al.

The Lancet, Journal Year: 2024, Volume and Issue: 404(10461), P. 1445 - 1492

Published: Oct. 1, 2024

Language: Английский

Citations

13
Interpersonal risk factors for suicide in daily life among young people: A review of intensive longitudinal studies DOI Creative Commons
Emily Hutchinson, Lori N. Scott, Sophia Choukas‐Bradley

et al.

Development and Psychopathology, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 21

Published: Jan. 2, 2025

Abstract Suicide is one of the leading causes death among individuals aged 10–24. Research using intensive longitudinal methods to identify near-term predictors suicidal thoughts and behaviors (STBs) has grown dramatically. Interpersonal factors may be particularly critical for suicide risk young people, given heightened salience interpersonal experiences during adolescence adulthood. We conducted a narrative review on studies investigating how contribute STBs adolescents adults. Thirty-two met inclusion criteria focused theoretical cross-theoretical factors. Negative states (e.g., perceived burdensomeness), hopelessness, social support were consistently associated with proximal within-person changes in concurrent, but not prospective, thoughts. Further, work examining these processes extend behavior diverse samples remains scarce. Implications contemporary theories people are discussed.

Language: Английский

Citations

1
Development and Pilot Testing of the Mobile Application to Prevent Suicide (MAPS) DOI
Heather T. Schatten, Christopher D. Hughes, Sara Kimble

et al.

Cognitive Therapy and Research, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 9, 2025

Language: Английский

Citations

1
Suicide Crisis Syndrome: A systematic review DOI Creative Commons
Laura Melzer, Thomas Forkmann, Tobias Teismann

et al.

Suicide and Life-Threatening Behavior, Journal Year: 2024, Volume and Issue: 54(3), P. 556 - 574

Published: Feb. 27, 2024

The objective of this systematic review is to describe the scientific evidence for Suicide Crisis Syndrome (SCS), a presuicidal cognitive and affective state consisting five symptomatic dimensions: entrapment, disturbance, loss control, hyperarousal, social withdrawal. aim article summarize emerging literature on SCS assess extent which uniform syndrome can be assumed.

Language: Английский

Citations

6
Integrating a functional view on suicide risk into idiographic statistical models DOI
Aleksandra Kaurin, Alexandre Y. Dombrovski, Michael N. Hallquist

et al.

Behaviour Research and Therapy, Journal Year: 2021, Volume and Issue: 150, P. 104012 - 104012

Published: Nov. 30, 2021

Language: Английский

Citations

39
Future Challenges in Psychotherapy Research for Personality Disorders DOI Creative Commons
Uëli Kramer, Catherine F. Eubanks, Katja Bertsch

et al.

Current Psychiatry Reports, Journal Year: 2022, Volume and Issue: 24(11), P. 613 - 622

Published: Oct. 13, 2022

Abstract Purpose of Review Individuals with personality disorders are frequently seen in mental health settings. Their symptoms typically reflect a high level suffering and burden disease, potentially harmful societal consequences, including costs related to absenteeism at work, use services, ineffective or parenting, substance use, suicidal non-suicidal self-harming behavior, aggressiveness legal consequences. Psychotherapy is currently the first-line treatment for patients disorders, but study psychotherapy domain faces specific challenges. Recent Findings Challenges include knowing what works whom, identifying which putative mechanisms change explain therapeutic effects, social interaction context disorder. By following dimensional approach, research on may serve as model development innovative psychotherapeutic interventions. Summary We recommend developing following: (a) an evidence base make decisions based individual features; (b) data-driven approach predictors, moderators, psychotherapy; (c) methods studying between psychotherapy.

Language: Английский

Citations

26