Suicidal risk during adolescence: Could covitality be part of the solution?

Objective The covitality model suggests that the co-disposition and synergy of core psychosocial assets (i.e., covitality) buffer the negative impact of stressful events and prevent the emergence of mental health problems during adolescence. At this stage of development, suicide already constitutes the leading cause of unnatural death in Europe. The present study aimed to examine […]

Resilience buffers the association between psychotic‑like experiences and suicide risk: A prospective study from a non‑clinical sample

Background: Several studies have reported that psychotic-like experiences are associated with low levels of resilience and increased suicide risk. However, it remains unknown as to whether resilience mediates or moderates the association between psychotic-like experiences and suicide risk. Therefore, in this study, we aimed to explore the moderating and mediating effect of resilience in the association […]

Identify adolescents’ help-seeking intention on suicide through self- and caregiver’s assessments of psychobehavioral problems: Deep clustering of the Tokyo TEEN Cohort study

Background Psychopathological and behavioral problems in adolescence are highly comorbid, making their developmental trajectories complex and unclear partly due to technical limitations. We aimed to classify these trajectories using deep learning and identify predictors of cluster membership. Methods We conducted a population-based cohort study on 3171 adolescents from three Tokyo municipalities, with 2344 pairs of […]

Mental health disorders, functioning and health-related quality of life among extensively hospitalized patients due to severe self-harm: Results from the Extreme Challenges project

Background: Severe self-harm leading to extensive hospitalization generates extreme challenges for patients, families, and health services. Controversies regarding diagnoses and health care often follow. Most evidence-based treatments targeting self-harm are designed for borderline personality disorder (BPD). However, current knowledge about mental health status among individuals with severe self-harm is limited. Objectives: To investigate psychopathology among patients extensively […]

Identifying youth at risk for suicidal thoughts and behaviors using the “p” factor in primary care: An exploratory study

Suicide is a major, preventable public health problem. The general factor of psychopathology (“p” factor) might help improve detection and prediction of individuals at risk for suicide. This cross-sectional proof-of-concept study tests whether the p-factor score is associated with suicidal thoughts and behaviors (STB) better than a depression scale alone. Youth (N = 841; mean […]

Adolescents with non-suicidal self-harm: Who among them has attempted suicide?

We aimed to determine differences between adolescents with non-suicidal self-harm with and without a history of suicide attempt (SA). Sixty-eight adolescents with a mean age of 15.6 years (SD = 1.5) attending child and adolescent psychiatric outpatient clinics for repeated self-harm in Oslo, Norway, were included. A battery of instruments was used to assess sociodemographic information […]

Mapping normative trajectories of cognitive function and its relation to psychopathology symptoms and genetic risk in youth

Background Adolescence hosts a sharp increase in the incidence of mental disorders. The prodromal phases are often characterized by cognitive deficits that predate disease onset by several years. Characterization of cognitive performance in relation to normative trajectories may have value for early risk assessment and monitoring. Methods Youth aged 8 to 21 years (N = 6481) from the Philadelphia […]

Association between psychopathology and suicidal behavior in schizophrenia: A cross-sectional study of 509 participants

Background: Suicide in schizophrenia is a serious problem–ideation rates go up to 40%, and approximately one half of patients attempt suicide at least once. The distinction between attempters and ideators is vital in everyday clinical practice. Aim: To explore the association between psychopathology and suicidal behavior in a comparative study of three groups of patients with schizophrenia: […]

Prevalence of suicidal ideation and thought of hurting-others and associated psychopathology among university students

Purpose: Suicide is the second leading cause of death among adolescents in many countries including Taiwan. Youth mental health issue including suicide and homicide has become a focus of attention worldwide. The present  study investigated the prevalence of suicidal ideation (SI) and thoughts of hurting others (THO) and their associations with the psychopathology among University […]

Suicidality, psychopathology, resilience, and psychosocial correlates of internet addictive disorder among the internet users: An online questionnaire survey

Background: Internet addiction (IA) has become a major public health issue worldwide and is closely linked to psychiatric disorders and suicide. The American Psychiatric Association has published the diagnostic criteria for  Internet Gaming Disorder (IGD) in the 5th Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The present study aimed to investigate the associated psychosocial […]

Suicide risk in post-COVID-19 syndrome

Post-acute sequelae of COVID-19 include several neuropsychiatric disorders. Little is known about the relationship between post-COVID-19 syndrome and suicidality. The aim of the study was to investigate the risk of suicide in subjects with persistent post-COVID-19 syndrome. One-thousand five-hundred eighty-eight subjects were assessed in the Post-Acute Care Service at the Fondazione Policlinico Universitario “Agostino Gemelli” […]

Suicidal ideation in patients experiencing a first-episode psychosis: Findings from the 2-year follow-up of the “Parma Early Psychosis” program

Objective Although suicide behavior is relevant in first-episode psychosis (FEP), little is known about suicidal ideation and its longitudinal stability. The aim of this study was (1) to assess incidence rates of suicide attempts, completed suicide, and suicidal thinking in FEP individuals at baseline and over a 24-month follow-up period; (2) to explore any significant […]

Distinguishing veterans with suicidal ideation from suicide attempt history: The role of emotion reactivity

Introduction Growing evidence suggests emotion reactivity—sensitivity and intensity of emotional experience—may represent a diathesis for suicide risk. However, our understanding of its ability to differentiate risk for suicidal ideation (SI) from suicide attempt (SA) is limited. Method This study compares Veterans with SI (n = 81) to Veterans with SA (n = 177) history on factors relevant to emotion […]

Incorporating psychopathology into the interpersonal-psychological theory of suicidal behavior (IPTS)

Background The interpersonal-psychological theory of suicidal behavior (IPTS) posits that the joint presence of perceived burdensomeness (PB), thwarted belongingness (TB), and capability for suicide (CS) is necessary for suicide attempt. Emerging evidence demonstrates these effects are not consistently observed. Psychopathology may independently impact on the explanatory power of the IPTS constructs. Aims The aims of […]

Identifying person-specific coping responses to suicidal urges: A case series analysis and illustration of the idiographic method

Introduction Suicide is a leading cause of death. One challenge to prevention efforts is the wide phenomenological heterogeneity in suicidal urges, thoughts, and behaviors across individuals at risk. Despite this heterogeneity, most suicide research estimates group-level effects by averaging across people as if they were the same, preventing detection of person-specific factors that may modulate […]

Suicidal behaviors in women with the hypermobile Ehlers-Danlos syndrome

Background Hypermobile Ehlers–Danlos syndrome (hEDS) is the most frequent heritable disorder of the connective tissue. This is characterized by a generalized fragility of tissues leading to chronic pain, disability and high levels of psychological distress. Suicidal behaviors in those affected are not uncommon but they have not been well studied. We aimed to explore aspects […]

The latent structure of child and adolescent psychopathology and its association with different forms of trauma and suicidality and self-harm

The Hierarchical Taxonomy of Psychopathology (HiTOP) is a multidimensional and hierarchical model of the latent structure of psychopathology. While HiTOP has received much support in child/adolescent community samples, fewer studies have assessed this model in clinical samples of children/adolescents. Here, we modelled the latent structure of 45 symptoms of psychopathology from a clinical sample of […]

Optimal PAI-A cutoffs to determine risk for non-suicidal self-injury (NSSI) and suicide-related behavior (SRB) among at-risk adolescents

Objective This study examines psychopathology and personality correlates of non-suicidal self-injury (NSSI) and suicide-related behavior (SRB) in an understudied sample of adolescents who have exhibited behaviors (e.g., delinquent acts, premature high school termination) that place them at-risk for poor psychosocial outcomes. Method Participants included a predominantly White male sample of 182 adolescents (Mage = 16.82 years). In […]

Assessment of psychological pain in clinical and non-clinical samples: A preliminary investigation using the psychic pain scale

Psychological pain is an important contributing factor to suicide risk. The present study examined the psychometric properties of the Psychic Pain Scale (PPS), a new measure assessing unbearable negative affect as described in Maltsberger’s theory of suicidality. The PPS was administered to n = 131 adult psychiatric patients as well as n = 953 undergraduate students. An initial factor analysis which […]

Sociodemographic and psychopathological risk factors in repeated suicide attempts: Gender differences in a prospective study

BACKGROUND: The prevention of the repetition of suicide attempts is an important feature of the care of attempters but current data fail to give actual predictors of repetition. The aim of this study was to characterize sociodemographic and psychopathological features and risk factors associated with future repetition of suicide attempts in two years. The study […]

Parental suicide attempt and offspring self-harm and suicidal thoughts: Results from the Avon Longitudinal Study of Parents and Children birth cohort

OBJECTIVE: Parental suicidal behavior is associated with offspring’s risk of suicidal behavior. However, much of the available evidence is from population registers or clinical samples. We investigated the associations of self-reported parental suicide attempt (SA) with offspring self-harm and suicidal thoughts in the Avon Longitudinal Study of Parents and Children (ALSPAC), a prospective birth cohort. […]

Experimentally-enhanced perceptions of meaning confer resilience to the interpersonal adversity implicated in suicide risk

Background and Objectives The interpersonal theory of suicide proposes that perceived burdensomeness and thwarted belongingness (PB-TB) are proximal causes of suicidal desire. Here we test whether experimentally induced perceptions of meaningfulness can confer resilience against interpersonal adversity and enhance persistence, the erosion of which is a potential antecedent to suicide risk. Methods Undergraduate university students (N = 93) […]

Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: Results from a large community study.

OBJECTIVES: Little is known about the prevalence and correlates of deliberate self-harm (DSH) in children from low- and middle-income countries. We investigated the prevalence of DSH and its clinical and maternal psychopathological associations in Brazilian children (n=2,508, ages 6-14y) in a community-based study. METHODS: Participants of the High Risk Cohort Study for the Development of […]