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

行为和生态自杀追踪：注意力、解释和记忆

• 批准号: 8686957
• 负责人: Michael F Armey
• 金额: $ 31.04万
• 依托单位: BUTLER HOSPITAL (PROVIDENCE, RI)
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-20 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8686957
• 关键词: Address; Admission activity; Affect; Area; Attention; Awareness; Behavior; Behavioral; Cessation of life; Chronic; Clinical; Cognition; Cognitive; Cognitive Science; Conscious; Country; Development; Emotional; Feeling suicidal; Future; Hospitalization; Hospitals; Individual; Intervention; Investigation; Laboratories; Lead; Location; Measurement; Measures; Memory; Mental disorders; Methodology; Methods; Participant; Patients; Procedures; Process; Protocols documentation; Psychiatric Hospitals; Public Health; Reaction Time; Recruitment Activity; Reporting; Research; Resistance; Risk; Risk Factors; Sampling; Self Perception; Self-Injurious Behavior; Social Psychology; Suicide; Suicide attempt; Suicide prevention; Technology Assessment; United States; base; effective therapy; falls; follow-up; high risk; indexing; novel; prevent; public health relevance; reducing suicide; suicidal behavior; suicidal patient; suicidal risk; suicide rate

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.

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步，但在过去的十年里，这个国家的自杀率并没有下降。虽然以前的研究已经确定了自杀行为的几个风险因素，但这些变量提供的预测水平是不够的。当前危险因素的一个主要限制是几乎完全基于患者报告。不幸的是，病人报告的效用可能是