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

Development and Psychopathology, Год журнала: 2025, Номер unknown, С. 1 - 21

Опубликована: Янв. 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.

Язык: Английский

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Intensive Longitudinal Assessment of Adolescents to Predict Suicidal Thoughts and Behaviors

Journal of the American Academy of Child & Adolescent Psychiatry, Год журнала: 2023, Номер 62(9), С. 1010 - 1020

Опубликована: Май 12, 2023

Язык: Английский

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Mathematical and Computational Modeling of Suicide as a Complex Dynamical System

Опубликована: Сен. 24, 2023

Background: Despite decades of research, the current suicide rate is nearly identical to what it was 100 years ago. This slow progress due, at least in part, a lack formal theories suicide. Existing are instantiated verbally, omitting details required for precise explanation and prediction, rendering them difficult effectively evaluate improve. By contrast, mathematically computationally, allowing researchers precisely deduce theory predictions, rigorously can cannot explain, thereby, inform how be improved. paper takes first step toward addressing need research by formalizing an initial, general evaluating its ability explain suicide-related phenomena.Methods: First, we formalized General Escape Theory Suicide as system stochastic ordinary differential equations. Second, used these equations simulate behavior over time. Third, evaluated if produced robust phenomena including rapid onset brief duration suicidal thoughts, zero-inflation thinking time series data.Results: Simulations successfully proposed (i.e., onset, short duration, high thoughts data). Notably, simulations also theorized following from Suicide: that emerge when alternative escape behaviors failed regulate aversive internal states, effective use long-term strategies may prevent emergence thoughts. Conclusions: To our knowledge, model developed here suicide, which able produce – and, thus, well-established documented literature. We discuss next steps program dedicated studying complex dynamical system, describe integration empirical advance understanding, prevention

Язык: Английский

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Using Smartphone GPS Data to Detect the Risk of Adolescent Suicidal Thoughts and Behaviors

JAMA Network Open, Год журнала: 2025, Номер 8(1), С. e2456429 - e2456429

Опубликована: Янв. 27, 2025

Importance Suicide rates among adolescents continue to rise, but there are a lack of clinical tools predict when youths may be at risk for suicidal behaviors. Objective To identify whether geolocation metrics, assessed through an app installed on adolescents’ personal smartphones, could detect the next-week events and clinically meaningful ideation. Design, Setting, Participants This case series study included high-risk aged 13 18 years reporting current affective and/or substance use disorder, oversampled thoughts behaviors (STB). were recruited from greater New York City Pittsburgh communities psychiatric outpatient programs, emergency departments, medical center research registries, social media. Effortless Assessment Research System (EARS) software application onto their which obtained passive sensor data, including metrics (via global positioning system [GPS]), as well weekly experience sampling data probing STB duration 6-month study. Adolescents also completed assessments baseline during 1-, 3-, follow-up assessments. Statistical analysis was performed March 2023 November 2024. Main Outcomes Measures Repeated measures mixed-effects logistic models estimated aggregates features (ie, entropy, homestay, distance traveled) associated with suicide attempts, hospitalizations, department visits concerns) ideation sampling). Results Overall, 186 participants in this (148 [79.6%] female; 19 [10.2%] Asian, 23 [12.4%] Black, 106 [57.0%] White), mean (SD) age 16.4 (1.7) years. Greater homestay (amount time spent home) given week, relative one’s own mean, 2-fold odds subsequent week (odds ratio, 1.99 [95% CI, 1.15-3.45]). not significant entropy traveled metrics. However, using leave-future-out validation, accuracy model modest (area under receiver operating characteristic curve, 0.64 0.50-0.78]). Conclusions Relevance Advancements smartphone technology afford unique opportunities capture behavioral dynamics that presage risk. found GPS over course event week. Although modest, these findings offer novel starting point prevention research, particularly have capacity who is while providing opportunity deliver greatest.

Язык: Английский

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Clinical characteristics of depressed children and adolescents with and without suicidal thoughts and behavior: a cross-sectional study

Frontiers in Child and Adolescent Psychiatry, Год журнала: 2025, Номер 4

Опубликована: Фев. 21, 2025

About half of all adolescents with major depressive disorder (MDD) have frequent suicidal thoughts and those ideations, about one-third attempt suicide. Identifying clinical characteristics associated ideation attempts is important for suicide prevention care. Participants were four groups diagnosed MDD (n = 246, 180 females): (a) non-suicidal youths 76), (b) ideators 102; current ideation), (c) ideator-attempters 56; lifetime history attempt), (d) attempters 12; no but attempt). Adolescents underwent interviews completed questionnaires assessing sociodemographic variables. Multivariate analyses variance, logistic regression models, mediation moderation run to assess which variables group membership. Suicidal ideators, irrespective whether they had attempted previously, higher depression severity, anxiety lower resilience compared non-ideators. Hopelessness was greater odds being a ideator (p < .001, OR 1.18) or an ideator-attempter 0.036, 1.13) than youth. Attempter-ideators engaged more often in self-harm behavior 0.046, 1.45). Ideator-attempters experienced childhood maltreatment, hopelessness mediating the relationship between maltreatment ideation. Self-harm moderated probability having made attempt. Only cross-sectional data included, based mostly on self-report measures. are increases while linked behavior. Treatment might be effective strategy young people depression. www.ClinicalTrials.gov, identifier (NCT03167307).

Язык: Английский

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Readdressing the Ongoing Challenge of Missing Data in Youth Ecological Momentary Assessment Studies: Meta-Analysis Update

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e65710 - e65710

Опубликована: Апрель 30, 2025

Background Ecological momentary assessment (EMA) is pivotal in longitudinal health research youth, but potential bias associated with nonparticipation, omitted reports, or dropout threatens its clinical validity. Previous meta-analytic evidence inconsistent regarding specific determinants of missing data. Objective This meta-analysis aimed to update and expand upon previous by examining key participation metrics—acceptance, compliance, retention—in youth EMA studies. In addition, it sought identify moderators among sample design characteristics, the goal better understanding mitigating impact Methods We used a bibliographic database search studies involving children adolescents published from 2001 November 2023. Eligible mobile-delivered protocols samples an average age up 18 years. conducted separate meta-analyses for acceptance, retention rates, performed meta-regressions address characteristics. Furthermore, we extracted pooled sample-level effect sizes related correlates response compliance. Risk publication was assessed using funnel plots, regression tests, sensitivity analyses targeting inflated compliance rates. Results identified 285 samples, including 17,441 participants aged 5 17.96 years (mean 14.22, SD 2.24 years; mean percentage female 55.7%). Pooled estimates were 67.27% (k=88, 95% CI 62.39-71.96) 71.97% (k=216, 69.83-74.11) 96.57% (k=169, 95.42-97.56) retention. Despite overall poor moderation metrics, acceptance rates decreased as number items increased (log-transformed b=−0.115, SE 0.036; −0.185 −0.045; P=.001; R2=19.98), declined 0.8% per year (SE 0.25, −1.3 −0.3; P=.002; R2=4.17), dropped increasing study duration b=−0.061, 0.015; −0.091 0.032; P<.001; R2=10.06). The benefits monetary incentives on diminished proportion (b=−0.002, 0.001; −0.003 −0.001; P=.003; R2=9.47). Within-sample showed small significant indicating higher girls compared boys (k=25; g=0.18; 0.06-0.31; P=.003), no age-related effects found (k=14; z score=0.05; −0.01 0.16). Conclusions 5-fold increase included initial review, variability data that one can expect based characteristics remains substantial. inconsistency identifying robust highlights need greater attention results. To eradicate any health-related studies, researchers should collectively transparent reporting practices, intensify primary methodological research, involve participants’ perspectives Trial Registration PROSPERO CRD42022376948; https://www.crd.york.ac.uk/PROSPERO/view/CRD42022376948

Язык: Английский

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Smartphone-based text obtained via passive sensing as it relates to direct suicide risk assessment

Psychological Medicine, Год журнала: 2025, Номер 55

Опубликована: Янв. 1, 2025

Abstract Background Recent research highlights the dynamics of suicide risk, resulting in a shift toward real-time methodologies, such as ecological momentary assessment (EMA), to improve risk identification. However, EMA’s reliance on active self-reporting introduces challenges, including participant burden and reduced response rates during crises. This study explores potential Screenomics—a passive digital phenotyping method that captures intensive, smartphone screenshots—to detect through text-based analysis. Method Seventy-nine participants with past-month suicidal ideation or behavior completed daily EMA prompts provided data over 28 days, approximately 7.5 million screenshots. Text from screenshots was analyzed using validated dictionary encompassing suicide-related general language. Results indicated significant associations between planning specific language patterns. Detection words related thoughts risk-related strongly correlated self-reported distinct between- within-person effects highlighting dynamic nature factors. Conclusions demonstrates feasibility leveraging text for detection, offering scalable, low-burden alternative traditional methods. Findings suggest dynamic, individualized monitoring via collection could enhance prevention efforts by enabling timely, tailored interventions. Future should refine models explore diverse populations extend generalizability this innovative approach.

Язык: Английский

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A cross-sectional study on the influence of emotion regulation strategies on the association between trait mindfulness and suicidality

BMC Psychology, Год журнала: 2025, Номер 13(1)

Опубликована: Апрель 5, 2025

Abstract Background Several risk factors for suicidality, including dysfunctional emotion regulation strategies (ERS), have been identified. With regard to the high number of suicides worldwide, suicide prevention and identifying potentially protective is relevance. Mindfulness has discussed positively influence both suicidality ERS (e.g., expressive suppression, thought cognitive reappraisal). The aim this study was examine associations between mindfulness, ERS, suicidal ideation as well mediating role on association mindfulness ideation. Methods In a cross-sectional online study, 376 participants ( M = 27.35, SD 9.98, range 18–77; n 282 (75%) female) filled out questionnaires (Freiburger Questionnaire Mindfulness; FFA), (Beck Scale Suicidal Ideation; BSS), suppression (Emotion Regulation Questionnaire; ERQ), (White Bear Suppression Inventory; WBSI), reappraisal (ERQ). Correlations mediation models were calculated using SPSS. Results negatively correlated with use reappraisal. suppression. showed that all three mediated relationship Conclusions results meaningfully complement other findings in field show how promising it can be integrate mindfulness-based interventions prevention. Additionally, starting point therapeutic interventions. Trial registration preregistered 05/06/2022 at aspredicted.org (#96242) prior any data collection (see https://aspredicted.org/a4yq7.pdf ).

Язык: Английский

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Temporal dynamics in the content of wishes after the expression of suicidal ideation on Twitter: Focusing on changes in retweet content

Computers in Human Behavior, Год журнала: 2025, Номер unknown, С. 108663 - 108663

Опубликована: Апрель 1, 2025

Язык: Английский

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Acceptability and feasibility of ecological momentary assessment with augmentation of passive sensor data in young adults at high risk for suicide

Psychiatry Research, Год журнала: 2023, Номер 326, С. 115347 - 115347

Опубликована: Июль 21, 2023

Язык: Английский

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