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  1. Article ; Online: Perseveration on suicidal thoughts and images in daily life: An examination of the cognitive model of suicide through a dynamic systems lens.

    Rogers, Megan L / Law, Keyne C / Lawrence, Olivia C / Mandel, Abby A

    Behaviour research and therapy

    2024  Volume 177, Page(s) 104524

    Abstract: According to the cognitive model of suicide, interactions between hopelessness and attentional biases toward suicidal information create a narrowed attentional focus on suicide as a viable solution, particularly in the presence of life stress, leading to ...

    Abstract According to the cognitive model of suicide, interactions between hopelessness and attentional biases toward suicidal information create a narrowed attentional focus on suicide as a viable solution, particularly in the presence of life stress, leading to increased suicide risk. This study used a dynamic systems approach to examine the short-term temporal patterns between stress, hopelessness, suicide-specific rumination, and suicidal intent. Adults (N = 237; M = 27.12 years; 62% cisgender women; 87% White/European American) with elevated suicidal ideation completed ecological momentary assessments six times a day for 14 days. A multilevel model approach informed by dynamic systems theory was used to simultaneously assess stable and dynamic temporal processes underlying perceived stress, hopelessness, suicide-specific rumination, and suicidal intent. Each variable demonstrated temporal stability. In support of the cognitive model of suicide, we observed (1) a reciprocal relationship between stress and hopelessness such that stress and hopelessness amplified each other (early-stage processes), and (2) reinforcing loops such that hopelessness, suicide-specific rumination, and suicidal intent amplified each other (later-stage processes). A dynamic systems modeling approach underscored the negative impact of a perpetuating cycle of suicide-specific rumination, deepening hopelessness, and escalating suicidal intent on increasing suicide risk, which may be targets for intervention.
    Language English
    Publishing date 2024-03-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 211997-3
    ISSN 1873-622X ; 0005-7967
    ISSN (online) 1873-622X
    ISSN 0005-7967
    DOI 10.1016/j.brat.2024.104524
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Facets of Suicidal Ideation.

    Jobes, David A / Mandel, Abby A / Kleiman, Evan M / Bryan, Craig J / Johnson, Sheri L / Joiner, Thomas E

    Archives of suicide research : official journal of the International Academy for Suicide Research

    2024  , Page(s) 1–16

    Abstract: According to SAMHSA (2023), approximately 16,600,000 American adults and teens reported having serious thoughts of suicide in 2022. While suicide prevention has primarily focused on suicide deaths and attempts, we contend that suicidal ideation (SI) ... ...

    Abstract According to SAMHSA (2023), approximately 16,600,000 American adults and teens reported having serious thoughts of suicide in 2022. While suicide prevention has primarily focused on suicide deaths and attempts, we contend that suicidal ideation (SI) deserves more in-depth investigation and should be an essential intervention target on its own. In support of this point, we provide three examples of ways to improve specificity in understanding of SI through the study of controllability of SI, the language used to assess SI, and measuring SI in real time. We also consider qualitative work on the content of SI, its treatment, and definitional considerations. We thus call for an increased general focus on SI within research, clinical care, and policy.
    Language English
    Publishing date 2024-01-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1283671-0
    ISSN 1543-6136 ; 1381-1118
    ISSN (online) 1543-6136
    ISSN 1381-1118
    DOI 10.1080/13811118.2023.2299259
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Uncontrollability of suicidal ideation adds incremental explanatory power in prediction of later suicidal ideation.

    Udupa, Nikhila S / Hanson, Jetta / Gutierrez, Peter M / Mandel, Abby A / Johnson, Sheri L / Kleiman, Evan / Bryan, Craig J / Jobes, David A / Joiner, Thomas

    Journal of clinical psychology

    2023  Volume 79, Issue 12, Page(s) 2974–2985

    Abstract: Objective: Suicidal ideation and suicidal behaviors are major public health concerns in the United States and are difficult to treat and predict. Risk factors that are incrementally informative are needed to improve prediction and inform prevention of ... ...

    Abstract Objective: Suicidal ideation and suicidal behaviors are major public health concerns in the United States and are difficult to treat and predict. Risk factors that are incrementally informative are needed to improve prediction and inform prevention of suicidal thoughts and behaviors. Uncontrollability of suicidal ideation, one parameter of suicidal ideation, is one such candidate.
    Method: In the current study, we assessed the predictive power of uncontrollability of suicidal ideation, over and above overall suicidal ideation, for future suicidal ideation in a large sample of active-duty service members. A total of 1044 suicidal military service members completed baseline assessments, of whom 664 (63.6%) completed 3-month follow-up assessments.
    Results: While baseline overall suicidal ideation itself was the strongest predictor of future suicidal ideation, uncontrollability of suicidal ideation added some incremental explanatory power.
    Conclusion: Further study of uncontrollability of suicidal thought is needed to elucidate its impact on suicidal outcomes.
    MeSH term(s) Humans ; United States ; Suicidal Ideation ; Suicide, Attempted/prevention & control ; Military Personnel ; Risk Factors
    Language English
    Publishing date 2023-09-06
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 219160-x
    ISSN 1097-4679 ; 0021-9762
    ISSN (online) 1097-4679
    ISSN 0021-9762
    DOI 10.1002/jclp.23593
    Database MEDical Literature Analysis and Retrieval System OnLINE

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