Temporal profiles of suicidal thoughts in daily life: Results from two mobile-based monitoring studies with high-risk adolescents.
Temporal profiles of suicidal thoughts in daily life: Results from two mobile-based monitoring studies with high-risk adolescents.
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DOI：
10.1016/j.jpsychires.2022.06.050
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发表时间：
2022-09
影响因子：
4.8
通讯作者：
King, Cheryl A.
中科院分区：
文献类型：
--
作者：
Czyz, Ewa K.;Koo, Hyun Jung;Al-Dajani, Nadia;Kentopp, Shane D.;Jiang, Amanda;King, Cheryl A.
移动技术的进步提供了新的可能性，以检查在日常生活中，现实世界条件下自杀意念的细粒度过程。通过两个样本，本研究考察了高危青少年日常生活中近期自杀意念的时间变化，以及这些动态经历是否遵循明显的纵向轨迹。使用多变量结果的潜过程混合模型，我们调查了在住院期间（样本1:N=61； 843次观察）或出院后四周内（样本2:N=78； 1621次观察）完成每日4次生态瞬间评估（EMAs）的青少年中自杀念头的两个参数（频率和强度）的近期变化。最近评估的自杀念头遵循三种轨迹，其特征是低（样本1:65.6%；样本2:54%）、下降（样本1:4.9%；样本2:15%）或持续高（样本1:29.5%；样本2:31%）的意念频率和冲动严重程度。持续的轨迹也显示出一贯的高个人变异性。与下降轨迹相比，持续组的绝望感更高，应对自我效能感更低，与低意念轨迹相比，总体临床表现更严重。日常生活中的自杀想法，在两种情况下，无论数据分辨率如何（EMA和每日调查），都不是同质的，而是遵循不同的纵向剖面。研究结果指出，密切监测自杀意念的重要性，以识别表明持续自杀念头的模式。解决高绝望感和低自我效能感可能有助于减少持续的想法。提高我们对自杀意念如何实时展开的理解，可能对优化及时评估和支持至关重要。
Advancements in mobile technology offer new possibilities to examine fine-grained processes underlying suicidal ideation in everyday, real-world conditions. Across two samples, this study examined temporal changes in near-term suicidal ideation in high-risk adolescents’ daily life, and whether these dynamic experiences follow distinct longitudinal trajectories. Using latent process mixed modeling for multivariate outcomes, we investigated near-term changes in two parameters of suicidal thoughts (frequency and intensity) among adolescents who completed four-daily ecological momentary assessments (EMAs) during inpatient hospitalization (Sample 1: N=61; 843 observations) or daily surveys for four weeks after discharge (Sample 2: N=78; 1621 observations). Proximally assessed suicidal thoughts followed three trajectories characterized by low (Sample 1: 65.6%; Sample 2: 54%), declining (Sample 1: 4.9%; Sample 2: 15%), or persistently high (Sample 1: 29.5%; Sample 2: 31%) ideation in terms of frequency and urge severity. The persistent trajectory also showed consistently high within-person variability. The persistent group was differentiated by higher hopelessness and lower coping self-efficacy compared to the declining trajectory, and by an overall more severe clinical presentation relative to the low ideation trajectory. Suicidal thoughts in everyday life, across two contexts and regardless of data resolution (EMA and daily surveys), are not homogeneous and instead follow distinct longitudinal profiles. Findings point to the importance of closely monitoring suicidal ideation to identify patterns indicative of unrelenting suicidal thinking. Addressing high hopelessness and low self-efficacy may aid in reducing persistent ideation. Improving our understanding of how suicidal ideation unfolds in real-time may be critical to optimizing timely assessment and support.
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DOI：
10.1097/00004583-199812000-00012
发表时间：
1998-12-01
影响因子：
13.3
作者：
Boergers, J;Spirito, A;Donaldson, D
通讯作者：
Donaldson, D
影响因子：
3.2
作者：
Jacobson, Colleen;Batejan, Kristen;Gould, Madelyn
通讯作者：
Gould, Madelyn
揭示自我伤害思想和行为的形式和功能：青少年和年轻人的实时生态评估研究。
影响因子：
4.6
作者：
Nock MK;Prinstein MJ;Sterba SK
通讯作者：
Sterba SK
影响因子：
7.6
作者：
Johnson, JG;Harris, ES;Williams, JBW
通讯作者：
Williams, JBW
DOI：
10.1016/j.jaac.2016.02.010
发表时间：
2016-05-01
影响因子：
13.3
作者：
Goldston, David B.;Erkanli, Alaattin;Doyle, Otima
通讯作者：
Doyle, Otima