Behavioral and Ecological Suicide Tracking: Attention, Interpretation, and Memory

描述（由申请人提供）：尽管在理解和治疗自杀行为方面取得了进展，但该国的自杀率在过去十年中并没有下降。虽然以前的研究已经确定了自杀行为的几个危险因素，但这些变量提供的预测水平是不够的。目前风险因素的一个主要局限性是几乎完全基于患者报告。不幸的是，患者报告的效用可能 受诸如患者拒绝诚实报告自杀意念和行为或患者对认知和经验风险的自我意识有限等因素的影响 与自杀有关的因素最近，两个研究领域显示出在确定自杀行为的潜在风险因素方面的希望，这些因素可能会解决这些限制。首先，内隐认知过程领域的研究表明， 和自残行为有客观可检测的自杀相关联系，他们可能没有意识到或不愿意明确披露。其次，生态瞬时评估技术在自我伤害行为中的应用产生了令人鼓舞的结果，两项研究表明，情感的变化，患者在很大程度上没有意识到，比单独的性格措施更能预测未来的自我伤害事件。BEST-AIM研究提出了第一个充分的调查，内隐和经验的措施， 自杀风险在一个高风险样本的病人入院精神病医院，由于显着的自杀风险。

DESCRIPTION (provided by applicant): Despite advances in understanding and treating suicidal behavior, suicide rates in this country have not fallen over the last decade. While previous research has identified several risk factors for suicidal behavior, the level of predictio afforded by these variables is inadequate. One major limitation of current risk factors is that the are almost exclusively based on patient report. Unfortunately, the utility of patient report may be compromised by factors such as patient resistance to reporting honestly regarding suicidal ideation and behavior or limited patient self- awareness related to cognitive and experiential risk factors associated with suicide. Recently, two areas of research have shown promise in identifying potent risk factors for suicidal behavior that may address these limitations. First, research in the area of implicit cognitive processes has shown that individuals at-risk for suicide and self-harm behavior have objectively detectable suicide-related associations of which they may not be aware or willing to disclose explicitly. Second, the application of ecological momentary assessment technology to self-harm behavior has produced encouraging results, with two studies indicating that shifts in affectivity, of which patients are largely unaware, are better predictors of future episodes of self-harm than dispositional measures alone. The BEST-AIM study proposes the first, fully powered, investigation of implicit and experiential measures of suicide risk in a high-risk sample of patients admitted to a psychiatric hospital due to significan suicide risk.