Thinking About Suicidal Thinking: Suicide-Related Metacognitions’ Relation to Maladaptive Processing of Suicidal Thoughts

Опубликована: Янв. 29, 2025

Abstract Objective The metacognitive model of suicidality proposes that positive metacognitions about suicide (PMS) activate a cognitive attentional syndrome (CAS), i.e., suicide-specific rumination, fixation, and thought suppression, which in turn activates negative (NMS) an aggravation suicidality. Preliminary evidence supports the assumptions; however, more comprehensive investigation is missing by now. Methods One hundred eighty-six participants (148 female [79.6%]; age M = 28.3 (SD 9.8)) with lifetime suicidal ideation filled self-report measures ideation/behavior, all CAS-components, suicide. Results All elements CAS correlated significantly each other concurrent ideation. PMS predicted rumination fixation. CAS-components NMS. Suicide-specific differentiated between attempters non-attempters. Conclusion are line warrant further studies regarding assumptions.

Язык: Английский

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It is time to dethrone suicidal ideations as a risk predictor

Australasian Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Март 12, 2025

Objective To evaluate the practice of using reported suicidal ideations (SI) as an important predictor suicide and a major indicator to decide eligibility priority access mental health services. Findings Examples on widespread use SI in triage, screening, management protocols presentations, both emergency community settings, are presented. Such comes contrast evidence clearly indicating limited utility predictor. limitations expected when put larger context generalized failure prediction tools. The potential detrimental effects exaggerated status several aspects clinical encounter discussed. Finally, systemic downsides humanitarian resource-limited settings hypothesized, such hindering integration into primary care, well over-reporting by beneficiaries seeking aid vulnerability status. Conclusions still holds “canonical” risk triage guide. This status, addition lacking evidence, can also lead downsides, especially overloaded systems.

Язык: Английский

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Suicide-risk implications in legalising medical assistance in dying for mental disorders

Mortality, Год журнала: 2025, Номер unknown, С. 1 - 19

Опубликована: Март 18, 2025

Язык: Английский

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Psychometric evaluation of a brief self-report measure and of EMA items assessing the Suicide Crisis Syndrome: Insights on reliability, validity and temporal variability

Psychiatry Research, Год журнала: 2025, Номер unknown, С. 116504 - 116504

Опубликована: Апрель 1, 2025

The present work psychometrically evaluates a brief self-report questionnaire and novel ecological momentary assessment (EMA) items to assess the Suicide Crisis Syndrome (SCS). Data from n = 220 psychotherapy outpatients (sample 1) 142 psychiatric inpatients after suicide attempt or suicidal crisis 2) are analyzed (cross-sectional, study 1; 21 24 day EMA, 2). Dimensionality is examined by exploratory factor analysis in sample 1 subsequently cross-validated confirmatory (CFA) 2 (self-report questionnaire). Convergent validity determined correlation analysis. multilevel CFA. Temporal instability associations of SCS with affect, context sleep examined. Unidimensionality both measures supported good excellent reliability (α 0.83 1, ϖ 0.91 [self-report questionnaire]; prompt-level 0.94 person-level [EMA]). Correlations convergent validity. fluctuated moderately over time (with 26 % variance being attributable changes on within-person level high heterogeneity between participants) extreme shifts not very likely. EMA appeared be context-sensitive vary according quality valence affective states. reliable tools repeatedly SCS. demonstrates for first that can assessed at moment waxes wanes time.

Язык: Английский

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Suicide crisis syndrome: a specific diagnosis to aid suicide prevention

World Psychiatry, Год журнала: 2024, Номер 23(3), С. 362 - 363

Опубликована: Сен. 16, 2024

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The Narrative-crisis Model of Suicide as an Emerging Framework for Suicide Risk Stratification, Management, and Prevention

Indian Journal of Psychological Medicine, Год журнала: 2024, Номер 46(4), С. 285 - 288

Опубликована: Июнь 1, 2024

Язык: Английский

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