Future Directions in Understanding and Interpreting Discrepant Reports of Suicidal Thoughts and Behaviors Among Youth

Journal of Clinical Child & Adolescent Psychology, Journal Year: 2022, Volume and Issue: 52(1), P. 134 - 146

Published: Dec. 6, 2022

Both the quality and utility of youth suicide research depend on how we assess our outcomes interest: suicidal thoughts behaviors (STBs). We now have access to more STB assessments than ever before, with measures for that vary in what exact experiences are asked about, such elicit information, when frequently administered, who informants are. This growing armamentarium has potential improve study treatment STBs among youth, but it hinges meaningful interpretation assessment responses. Interpretation can be especially challenging different yield conflicting information. Determining manage discrepant reports is a pivotal step toward achieving meaningfully comprehensive batteries. Here, outline several reporting patterns been detected, discuss significance these observed discrepancies, present initial steps formally investigate youth. Developing coherent, interpretable, batteries assessing would address fundamental uncovering etiology, improving clinical decision-making case management, informing intervention development, tracking prognosis.

Language: Английский

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Interpersonal risk factors for suicide in daily life among young people: A review of intensive longitudinal studies

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

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Digital health technologies and major depressive disorder

CNS Spectrums, Journal Year: 2023, Volume and Issue: 28(6), P. 662 - 673

Published: April 12, 2023

Abstract There is an urgent need to improve the clinical management of major depressive disorder (MDD), which has become increasingly prevalent over past two decades. Several gaps and challenges in awareness, detection, treatment, monitoring MDD remain be addressed. Digital health technologies have demonstrated utility relation various conditions, including MDD. Factors related COVID-19 pandemic accelerated development telemedicine, mobile medical apps, virtual reality apps continued introduce new possibilities across mental care. Growing access acceptance digital present opportunities expand scope care close technology rapidly evolving options for nonclinical support patients with Iterative efforts validate optimize such technologies, therapeutics biomarkers, continue quality personalized The aim this review highlight existing depression discuss current future landscape as it applies faced by their healthcare providers.

Language: Английский

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Suicide Crisis Syndrome: A systematic review

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

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Acceptability and Feasibility of a Smartphone-Based Real-Time Assessment of Suicide Among Black Men: Mixed Methods Pilot Study

JMIR Formative Research, Journal Year: 2024, Volume and Issue: 8, P. e48992 - e48992

Published: Jan. 22, 2024

Background Suicide rates in the United States have increased recently among Black men. To address this public health crisis, smartphone-based ecological momentary assessment (EMA) platforms are a promising way to collect dynamic, real-time data that can help improve suicide prevention efforts. Despite promise of methodology, little is known about its suitability detecting experiences related suicidal thoughts and behavior (STB) Objective This study aims clarify acceptability feasibility using EMA through pilot assesses user experience Methods We recruited men aged 18 years older MyChart patient portal messaging (the patient-facing side Epic electronic medical record system) or outpatient provider referrals. Eligible participants self-identified as with previous history STB ownership an Android iOS smartphone. completed 7-day study. They received prompt 4 times per day complete brief survey detailing their STB, well proximal risk factors, such depression, social isolation, feeling like burden others. At conclusion each day, also daily diary sleep quality everyday discrimination. Participants semistructured exit interview 60-90 minutes at study’s conclusion. Results In total, 10 166 surveys 39 entries. A total 75% (21/28) more surveys, while 9 (90%) out 25% (7/28) more. The average completion rate all was 58% (20.3/35), minimum 17% (6/35) maximum 100% (35/35). (40%) entries for full No safety-related incidents were reported. On average, took 2.08 prompts 2.72 surveys. Our qualitative results generally affirm procedures, but noted difficulties technology redundancy questions. Emerging themes addressed issues reduced compliance diminished mood deficit-framed questions suicide. Conclusions Findings from will be used Overall, our demonstrated mixed when delivered apps Specific recommendations provided managing safety within these designs refinements future intervention implementation science research. International Registered Report Identifier (IRRID) RR2-10.2196/31241

Language: Английский

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Associations between humiliation, shame, self-harm and suicidality among adolescents and young adults: A systematic review

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(2), P. e0292691 - e0292691

Published: Feb. 8, 2024

Background Suicide is the second leading cause of death among young people worldwide. Research indicates that negative social contexts involving familial and peer relationships have far-reaching influences on levels suicidality in later life. While previous systematic reviews focused evaluating associations between life events such as abuse bullying childhood subsequent suicidality, this review examines prevalence of, association processes humiliation shame self-harm, suicidal ideation, suicide adolescents adults. Methods A literature search databases including MEDLINE, Web Science Core Collection, CINAHL, PsycINFO, Embase was conducted to identify potential studies. ProQuest searched relevant grey research. combination MESH terms keywords used. All original quantitative studies published English examined prevalence, or behaviours and/or by were included. Studies assessed for methodological quality using Joanna Briggs Institute critical appraisal tools. The protocol registered with International Prospective Register Systematic Reviews (PROSPERO) [CRD42022289843]. Results Narrative synthesis performed. total 33 reporting (n = 10) 23) thoughts/behaviours those any ranged from 18% 28.1%, excluding an outlier (67.1%), two presenting a significant self-harm their fully adjusted analyses. outlined thinking (intent/suicide plan) had no after adjustment confounders. For shame, half found models 10), evident both ideation self-harm. Conclusion To our knowledge, first study attempt topic. dearth research field enquiry reflective unique challenges associated assessments various clinical settings amongst adolescent adult populations. Nonetheless, given importance relevance psychological imprint youth morbidity mortality mental health, it timely review. In light role people, we recommend these need be explored further via prospective part comprehensive bio-psycho-social assessment when focusing stressors adults emergency departments health services.

Language: Английский

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The Effectiveness of Mobile Apps for Monitoring and Management of Suicide Crisis: A Systematic Review of the Literature

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(19), P. 5616 - 5616

Published: Sept. 23, 2022

Suicide risk is a multifaceted phenomenon, and many factors are involved in its complexity. In the last few decades, mental health apps have spread, providing economic affordable strategies to prevent suicide. Therefore, aim of this review identify original studies on mobile that target suicidal crises. The follows PRISMA guidelines, searching through four major electronic databases (PubMed/MEDLINE, Scopus, PsycInfo Web Science) for relevant titles/abstracts published from January 2010 May 2022. It includes explicitly analyze suicide prevention. A total 32 met inclusion criteria. Sixteen assessed feasibility acceptability apps, ten efficacy preventing suicide, six described randomized control trial protocols not yet implemented. Generally, were judged by participants be acceptable helpful, several improvements enhance functionality suggested. although limited with very heterogenous methods, was confirmed most studies. Mobile could represent helpful supplement traditional prevention tactics, real-time monitoring at-risk persons, personalized tools cope crises, immediate access specific support.

Language: Английский

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Predicting a short-term change of suicidal ideation in inpatients with depression: An ecological momentary assessment

Journal of Affective Disorders, Journal Year: 2024, Volume and Issue: 350, P. 1 - 6

Published: Jan. 15, 2024

Patients with depression often require inpatient treatment due to their high suicide risk. Ecological momentary assessment (EMA) studies have shown that suicidal ideation (SI) fluctuates over time. As affective instability and psychological pain (PP) are common experiences in borderline personality disorder (BPD), comorbid depression, we examined factors predicting short-term changes of SI depressive inpatients or without BPD.

Language: Английский

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Positive and negative social media experiences and proximal risk for suicidal ideation in adolescents

Journal of Child Psychology and Psychiatry, Journal Year: 2024, Volume and Issue: 65(12), P. 1580 - 1589

Published: May 13, 2024

Background Social media (SM) has received considerable attention as a potential risk factor for adolescent suicide. Few empirical studies, however, have examined adolescents' daily negative and positive experiences on SM its proximal impacts suicidal ideation (SI), particularly using intensive monitoring designs. Method Adolescents ( N = 60; 14–17 years; 49% girls; 62% LGBTQ+) recruited across the United States participated in an 8‐week protocol. Ecological momentary assessment (three brief surveys per day) asked about SI (passive active). Multilevel modelling was used to evaluate within‐person relationships between (e.g. individual fluctuations compared person's average) SI, controlling average levels of experiences, use screen time, lifetime SI. Results Significant effects were associated with days when adolescents had Specifically, teens endorsed more frequent than usual, they likely report However, usual lower likelihood having There no significant (‘screen time’) or reverse associations next‐day experiences. Conclusions indicate that may be dynamic modifiable protective factors adolescents, whereas there is effect time Our results highlight targeting augmenting critical targets improve teens' mental health prevent suicide, rather focusing limiting time.

Language: Английский

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Effects of frequent assessments on the severity of suicidal thoughts: an ecological momentary assessment study

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: May 17, 2024

Objective In recent years, there has been a significant increase in research using ecological momentary assessment (EMA) to explore suicidal thoughts and behaviors (STBs). Meanwhile, concerns have raised regarding the potential impacts of frequent intense STBs assessments on study participants. Methods From November 2021 June 2023, total 83 adolescent young adult outpatients (M age = 21.0, SD 6.3, 71.1% female), who were diagnosed with mood disorders, recruited from three psychiatric clinics China. Smartphone-based EMA was used measure times per day at randomly selected times. We examined change each measurement within 1 evaluate adverse effects Bayesian multilevel models. Results The 3,105 effective surveys nested participants (median follow-up days: 14 days). results two-level models indicated that decreased during monitoring period. However, this effect varied among different individuals model. Conclusion Our findings did not support notion repeated is iatrogenic, but future should continue investigate impact thoughts, taking into account individual differences utilizing larger sample sizes.

Language: Английский

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