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.

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