Greater minority stress is associated with lower intentions to disclose suicidal thoughts among LGBTQ+ youth

Objective The current study examined suicide-related disclosure intentions in LGBTQ + youth, and the associations between reporting of lifetime experiences of minority stress and intentions to disclose suicidal thoughts. Method A sample of 592 LGBTQ + youth ages 12–24 (22.3% cisgender men, 33.1% cisgender women, 44.6% gender diverse, 75.3% white) who contacted an LGBTQ-specific crisis service, completed a survey. […]

Few do and to few: Disclosure of suicidal thoughts in friendship networks of young adults experiencing homelessness

Disclosure of one’s suicidal thoughts is a pivotal but under-investigated mechanism for preventing suicide among young adults experiencing homelessness (YAEH). In a sample of 527 YAEH, we adopted a multi-level perspective to assess patterns and correlates of disclosure in their friendship networks. Less than one-third of YAEH disclosed their suicidal thoughts—half of them doing so […]

Exploring adolescent experiences with disclosing self-injurious thoughts and behaviors across settings

Disclosure of self-injurious thoughts and behaviors (SITBs) is critical to current treatment and prevention programs. Limited research has examined patterns of and barriers to SITB disclosure in adolescents. This work is critical given the limits of confidentiality in this population. Over 1,000 adolescents aged 13–17 with a history of mental health treatment and SITBs were […]

Disclosure and nondisclosure of suicidality to romantic partners: Understanding the decision-making process

The stigmatization of suicidal thoughts and behaviors often prevents disclosure to others, including romantic partners. Minimal research has examined the disclosure or withholding of this stigmatized identity, resulting in a lack of knowledge about the benefits or consequences of informing others. Participants (n = 61) were recruited from Reddit and completed open-ended questions about their prior […]

An initial investigation of suicide attempt disclosures among US veterans

Background: Patient disclosure of prior suicidal behaviors is critical for effectively managing suicide risk; however, many attempts go undisclosed. Aims: The current study explored how responses following a suicide attempt disclosure may relate to help-seeking outcomes. Method: Participants included 37 veterans with a previous suicide attempt receiving inpatient psychiatric treatment. Veterans reported on their most and least helpful experiences disclosing […]

Suicide-related disclosure: Implications for inclusion and recovery

Purpose People who have lived experiences with suicide often struggle with concealable stigmatized identities that threaten their inclusion and recovery. While disclosure of a stigmatized identity can promote support and recovery and therefore prevent suicide, it may also present distinct risks. The purpose of this paper is to summarize key issues in suicide-related disclosure, suggest […]

“I feel like I know them”: The positive effect of celebrity self-disclosure of mental illness

The media is often perceived as portraying psychiatric illness in a negative, stigmatizing, and even dangerous fashion [1]. In the case of suicide, it has long been documented that media reporting of celebrity suicides can lead to an augmentation in copycat suicides, a phenomenon historically known as the Werther effect [2]. After the highly publicized […]

“Nobody hears a silent cry for help”: Suicide attempt survivors’ experiences of disclosing during and after a crisis

Suicide remains an important public health issue across the globe. Until recently the medically dominated field of suicide prevention has neglected first-hand accounts of suicidal thoughts and behaviors from those who have survived prior suicide attempts. This qualitative research provides insight into the experience of suicide attempt, highlighting difficulties with disclosure of suicidal thinking prior […]

Suicidality disclosed online: Using a simulated Facebook task to identify predictors of support giving to friends at risk of self-harm

Although peer support in response to online disclosures of suicidality may be imperative for suicide prevention efforts, little is known as to how often support is provided or what predicts giving support. This study addresses this issue by investigating the odds of providing peer support in response to simulated online disclosures of suicidality. While interacting […]

Suicidal disclosures among friends: Using social network data to understand suicide contagion

A robust literature suggests that suicide is socially contagious; however, we know little about how and why suicide spreads. Using network data from the National Longitudinal Study of Adolescent to Adult Health, we examine the effects of alter’s (1) disclosed and (2) undisclosed suicide attempts, (3) suicide ideation, and (4) emotional distress on ego’s mental […]

Predicting status along the continuum of suicidal thoughts and behavior among those with a history of nonsuicidal self-injury

Nonsuicidal self-injury (NSSI) and suicidal thoughts and behavior often co-occur, representing a growing public health concern. Despite extensive research examining suicidal thoughts and behavior among those who engage in NSSI, there is a lack of research investigating factors that, when considered together, can differentiate individuals along the continuum of suicidal thoughts and behavior (no history, […]

Understanding why patients may not report suicidal ideation at a health care visit prior to a suicide attempt: A qualitative study

Objective: The authors sought to understand why patients may not report suicidal ideation at a health care visit prior to a suicide attempt. Methods: Electronic health record data from Kaiser Permanente Washington were used to identify patients who reported having no suicidal ideation on question 9 of the nine-item Patient Health Questionnaire and who subsequently […]

“Are you having thoughts of suicide?”: Examining experiences with disclosing and denying suicidal ideation

Objective To characterize individuals’ prior experiences with being asked whether they are having thoughts of suicide and to understand factors that affected their response accuracy. Method Undergraduates (N = 306) reporting a lifetime history of suicidal ideation completed a web‐based survey about their experiences being probed about suicidal thoughts. Results Nearly two‐thirds of participants (63.1%) reported […]

Exploring suicide-related disclosure motivation and the impact on mechanisms linked to suicide

Suicide-related disclosure enables improved risk management but disclosure motivations are understudied. This study identified reasons for and against disclosing suicidal thoughts and examined their link to future disclosure and interpersonal needs among 44 people receiving psychiatric care. The most endorsed reasons for disclosure (approach-motivations) included help-seeking, shared background, and catharsis. The most endorsed reasons against […]

The decision-making process for disclosing suicidal ideation and behavior to family and friends

Objective This study was designed to explore the decision‐making processes for disclosing suicidal ideation and behavior. Background Suicide attempt survivors are an invaluable resource that can provide essential information about suicidal behavior and related communication to family and friends. Because of the stigma associated with suicide and seeking help, many individuals choose to conceal their […]

Moving beyond self-report: Implicit associations about death/life prospectively predict suicidal behavior among veterans.

Reliance on self-report limits clinicians’ ability to accurately predict suicidal behavior. In this study the predictive validity of an objective measure, the death/suicide Implicit Association Test (d/sIAT), was tested among psychiatrically hospitalized veterans. Following acute stabilization, 176 participants completed the d/sIAT and traditional suicide risk assessments. Participants had similar d/sIAT scores regardless of whether they […]

To share or not to share? The contribution of self-disclosure to stress-related growth among suicide survivors.

This study examined to what extent suicide survivors can experience growth in the aftermath of suicide loss, as well as the role of self-disclosure and coping strategies in stress-related growth (SRG) among suicide survivors, compared to bereavement following sudden and expected death types. One hundred forty-five bereaved individuals (aged 18–73) completed questionnaires measuring SRG, self-disclosure, […]

Suicide disclosure in suicide attempt survivors: Does family reaction moderate or mediate disclosure’s effect on depression?

Existing literature has found a link between disclosure of a stigmatized identity and improved mental health; however, research on the impact of suicide disclosure to family members is scarce. Suicide attempt survivors (n = 74) in the United States were examined to assess whether family reaction moderates or mediates the relationship between suicide disclosure and […]

Stress-related growth among suicide survivors: The role of interpersonal and cognitive factors.

Although stress-related growth had been documented in bereaved individuals, it is still not clear to what extent it can be experienced by suicide survivors or which psychological processes facilitate it. The current study examined the role of interpersonal factors, self disclosure and social supports as well as cognitive coping strategies in stress-related growth among suicide […]

Mental pain, communication difficulties, and medically serious suicide attempts: A case-control study.

Medical severe suicide attempts (MSSA) are epidemiologically very similar to individuals who complete suicide. Mental pain variants (e.g., hopelessness), facets of communication difficulties (e.g., self-disclosure), as well as socio-demographic and clinical characteristics were assessed. The MSSA had significantly higher communication difficulties than the other 3 groups. Moreover, the interaction between mental pain and communication difficulties […]

Attachment patterns in medically serious suicide attempts: the mediating role of self-disclosure and loneliness.