Persistent versus brief suicidal ideation subtypes in risk for adolescent suicide attempts

持续与短暂的自杀意念亚型存在青少年自杀未遂的风险

• 批准号: 10327782
• 负责人: Regina Miranda
• 金额: $ 36.89万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-01 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10327782
• 关键词: Address; Adolescence; Adolescent; Age; Characteristics; Childhood; Chronic; Clinical assessments; Cognitive; Data; Diagnostic; Failure; Feeling suicidal; Frequencies; Future; Grain; Grant; Intervention; Interview; Laboratories; Life; Longitudinal Studies; Measurement; Measures; New York City; Parents; Patient Self-Report; Pattern; Population; Research; Risk; Risk Assessment; Sampling; Structure; Suicide; Suicide attempt; Suicide prevention; Testing; Thinking; Time; Urban Hospitals; adolescent suicide; follow-up; multilevel analysis; recruit; suicidal adolescent; suicidal behavior; suicidal risk

More suicide attempts are made during adolescence than at any other time in life. However, the measurement of suicidal ideation in adolescence has been hampered by a failure to understand the fine-grained aspects of suicidal ideation that predict the transition from suicidal thoughts to actual suicidal behavior. Recent research suggests that knowing how adolescents think about suicide – i.e., the form of suicidal ideation – in terms of characteristics such as frequency, duration, and pattern – may help predict not only whether an adolescent will go on to make a future attempt but also how soon they will do so, regardless of whether they have previously made a suicide attempt. However, current suicidal ideation measures and conceptualizations of suicide risk tend to ignore the form of an adolescent's suicidal ideation. This proposal for a renewal of a SCORE SC1 grant seeks to test 1) whether suicidal ideation that is characterized as occurring within a more persistent, long-standing episode is associated with higher short-term risk for a future suicide attempt over a 12-month follow-up period, compared to suicidal ideation that occurs in the context of a brief episode; 2) whether chronic suicidal ideation is characterized by more interference from and difficulty disengaging from suicide-related thoughts, as assessed by laboratory measures; and 3) whether this interference from and difficulty disengaging from suicide-related thoughts explains the greater risk of future suicide attempts among persistent vs. brief suicide ideators. These aims will be addressed via a longitudinal study of a diverse sample of 150 adolescents, ages 12-19, recruited from two New York City hospitals. Adolescents will be interviewed about the circumstances leading to their suicidal ideation and attempts using a newly developed semi-structured interview. They will also complete laboratory measures of their ability to disengage from suicide-related thoughts. Adolescents (and their parents) will be interviewed again 3 and 12 months later to assess for suicidal ideation and attempts made within the follow-up interval. This research will combine a newly developed semi- structured suicidal ideation interview with structured diagnostic interviews, tests of intellectual functioning, self- report assessments of cognitive biases, and objective measures of suicide-related cognitive biases. Data will be analyzed using multilevel modeling. Understanding patterns of suicidal ideation and their underlying cognitive profiles is a critical step in identifying targets for intervention to prevent suicide in this population. This research has the potential to change how suicide risk assessments are conducted in pediatric EDs by identifying which characteristics of suicidal ideation merit focus in clinical assessments with adolescents.

青春期期间的自杀企图比一生中任何其他时期都多。然而，测量 由于未能理解自杀意念的细粒度，阻碍了青少年自杀意念的发展。 自杀意念预测从自杀想法到实际自杀行为的转变。最近的研究 表明了解青少年如何看待自杀——即自杀意念的形式—— 频率、持续时间和模式等特征——不仅可以帮助预测青少年是否会 继续进行未来的尝试，以及他们多久会这样做，无论他们之前是否有过 企图自杀。然而，当前的自杀意念测量和自杀风险的概念化 往往忽视青少年自杀意念的形式。 SCORE SC1 更新提案 格兰特试图测试 1) 自杀意念是否发生在更持久、 长期发作与未来 12 个月内自杀企图较高的短期风险相关 随访期，与短暂发作背景下发生的自杀意念进行比较； 2）是否慢性 自杀意念的特点是更多地受到与自杀相关的干扰并且难以摆脱 通过实验室测量评估的想法； 3) 这种干扰和脱离是否困难 与自杀相关的想法解释了持续性自杀者与短暂性自杀者未来自杀企图的风险更大 自杀念头。这些目标将通过对 150 名青少年的不同样本进行纵向研究来实现， 年龄 12-19 岁，从纽约市两家医院招募。青少年将接受采访 导致他们产生自杀意念并尝试使用新开发的半结构化的环境 面试。他们还将完成实验室测量，衡量他们摆脱与自杀相关的影响的能力。 想法。青少年（及其父母）将在 3 个月和 12 个月后再次接受采访，以评估自杀倾向 在后续间隔内进行的构思和尝试。这项研究将结合新开发的半 结构化自杀意念访谈、结构化诊断访谈、智力功能测试、自我评估 报告认知偏差的评估以及与自杀相关的认知偏差的客观测量。数据会 使用多级建模进行分析。了解自杀意念的模式及其背后的原因 认知概况是确定预防该人群自杀的干预目标的关键一步。 这项研究有可能改变儿科急诊室自杀风险评估的方式 确定自杀意念的哪些特征值得在青少年临床评估中重点关注。

项目成果

The effects of familial acculturative stress and hopelessness on suicidal ideation by immigration status among college students.

家庭文化压力和绝望对大学生移民身份自杀意念的影响。

• DOI: 10.1080/07448481.2017.1376673
• 发表时间: 2018
• 期刊: Journal of American college health : J of ACH
• 作者: Lane,Robert;Miranda,Regina
• 通讯作者: Miranda,Regina

Future-oriented repetitive thought, depressive symptoms, and suicide ideation severity: Role of future-event fluency and depressive predictive certainty.

面向未来的重复思维、抑郁症状和自杀意念严重程度：未来事件流畅性和抑郁预测确定性的作用。

• DOI: 10.1016/j.jad.2023.05.050
• 发表时间: 2023
• 期刊: Journal of affective disorders
• 影响因子: 6.6
• 作者: Miranda,Regina;Wheeler,Alyssa;Chapman,JasonE;Ortin-Peralta,Ana;Mañaná,Jhovelis;Rosario-Williams,Beverlin;Andersen,Susan
• 通讯作者: Andersen,Susan

Parent-Adolescent Acculturation Gap and Suicidal Ideation among Adolescents from an Emergency Department.

急诊科青少年的父母-青少年文化适应差距和自杀意念。

• DOI: 10.1080/13811118.2017.1372828
• 发表时间: 2017
• 期刊: Archives of suicide research : official journal of the International Academy for Suicide Research
• 作者: Ortin,Ana;Miranda,Regina;Polanco-Roman,Lillian;Shaffer,David
• 通讯作者: Shaffer,David

Measurement Invariance of the Ruminative Responses Scale Across Gender.

• DOI: 10.1177/1073191118774131
• 发表时间: 2020-04
• 期刊: ASSESSMENT
• 影响因子: 3.8
• 作者: Whisman, Mark A.;Miranda, Regina;Fresco, David M.;Heimberg, Richard G.;Jeglic, Elizabeth L.;Weinstock, Lauren M.
• 通讯作者: Weinstock, Lauren M.

The future-oriented repetitive thought (FoRT) scale: A measure of repetitive thinking about the future.

面向未来的重复思考（FoRT）量表：对未来重复思考的衡量标准。

• DOI: 10.1016/j.jad.2016.09.055
• 发表时间: 2017
• 期刊: Journal of affective disorders
• 影响因子: 6.6
• 作者: Miranda,Regina;Wheeler,Alyssa;Polanco-Roman,Lillian;Marroquín,Brett
• 通讯作者: Marroquín,Brett