Positive future thinking among suicidal adolescents

项目总结 青春期是自杀念头产生的常见时期，因此是一个关键的 干预的机会。减少青春期自杀念头的一个关键是彻底了解 潜在的干预目标可能会如何运作。目前的调查集中在积极的未来思维，一个 一种心理过程，长期以来一直被认为是预防自杀等临床结果风险的心理过程 并因此日益成为干预目标。最近的研究表明，某些表现形式 积极的未来思维可能与直觉相反，实际上可能会带来更大的内忧外患风险 以及自杀的念头和行为。尽管它具有潜在的临床意义，但令人惊讶的是，关于它的工作很少 这一主题-主要限于对未来思维的衡量，可能不适用于现实世界的环境和 仅限于成人样本。从来没有关于积极未来的潜在有害影响的正式研究 在有自杀倾向的青少年中思考。与我们的长期目标保持一致，通过以下方式打破自杀的轨迹 干预自杀风险背后的可塑性心理机制，这是R21的直接目标 该提案旨在研究积极未来思维的离散方面是否以及如何使自杀倾向永久化。 青少年的思维能力。对过去一年有自杀意念史的110名青少年进行了抽样调查， 目前的研究团队将通过以下方式衡量积极的未来思维和相应的激励过程 基线评估和生态瞬时评估(EMA)。具体目标是：(1)测试 青少年想象“个人幸福”(IWB)主题的体验是否期望未来的结果 预测随后的自杀意念；(2)测试青少年的想象体验是否未获得 预期的未来结果预测随后的自杀意念；以及(3)确定动机过程 这可能解释了想象IWB主题和未实现预期的未来结果的不适应效应。 这一建议具有创新性，因为：(A)它以对积极未来的最丰富的地形考察为特色 在有自杀倾向的个体中进行的思考；(B)它的特点是对 有自杀倾向的个人曾经进行过积极的未来思考；(C)在概念上是激进的。探索 这一高度新颖但看似合理的研究问题可能不仅有助于开发更有针对性的 这不仅是对现有干预措施的改进，也是对现有干预措施的改进。彻底审查假定的干预目标 在有自杀倾向的人开始接受心理治疗的时候， 治疗和更明确地降低自杀风险，无论是在标准治疗环境中还是在标准治疗环境之外。

PROJECT SUMMARY Adolescence is a common period of time for suicidal ideation to emerge and thereby presents a critical opportunity for intervention. A key to reducing suicidal ideation during adolescence is to thoroughly understand how potential intervention targets may operate. The present investigation focuses on positive future thinking, a psychological process that has long been assumed to protect against risk of clinical outcomes such as suicide and thus increasingly become an intervention target. Recent work suggests that certain manifestations of positive future thinking may be counterintuitively harmful and may in fact confer greater risk of internal distress and suicidal thoughts and behaviors. Despite its potential clinical implications, there is surprisingly little work on this topic—mostly limited to measures of future thinking that may not generalize to real-world settings and limited to adult samples. Never has there been a formal study of potentially harmful effects of positive future thinking among suicidal adolescents. Aligned with our long-term goal to disrupt the trajectory toward suicide by intervening on malleable psychological mechanisms underlying suicide risk, the immediate goal of this R21 proposal is to study whether and how discrete aspects of positive future thinking may perpetuate suicidal ideation among adolescents. With a sample of 110 adolescents with past year history of suicidal ideation, the present research team will measure positive future thinking and corresponding motivational processes through baseline assessments and via ecological momentary assessment (EMA). Specific Aims are to: (1) Test whether adolescents’ experience of imagining ‘intrapersonal well-being’ (IWB)-themed desired future outcomes predicts subsequent suicidal ideation; (2) Test whether adolescents’ experience of imagining unattained desired future outcomes predicts subsequent suicidal ideation; and (3) Identify motivational processes that may account for the maladaptive effects of imagining IWB-themed and unattained desired future outcomes. This proposal is innovative because: (a) it features the most topographically rich examination of positive future thinking ever conducted among suicidal individuals; (b) it features the most ecologically valid assessment of positive future thinking ever conducted among suicidal individuals; and (c) it is conceptually radical. Exploring this highly novel yet plausible research question may not only inform the development of more focused interventions but also refine numerous extant interventions. Thoroughly vetting presumed intervention targets during a time when suicidal individuals begin engaging in psychotherapy may help prevent adverse effects of treatment and more definitively reduce suicide risk both in and out of standard treatment settings.