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Anterior insula reactivity to loss moderates the association between trait impulsivity and future suicidal ideation in adolescents.

While impulsivity is a prominent risk factor for adolescent suicidal thoughts and behaviors (STB), impulsivity specifically following negative experiences shows more consistent associations. Individual differences in neural sensitivity to negative outcomes may explain why some impulsive adolescents develop STB while others do not. We examined whether neural reactivity to monetary loss moderates the relationship between impulsivity and future suicidal ideation (SI). Sixty-three adolescents (ages 13-18 at baseline; 59% female) with varying familial risk for psychopathology completed impulsivity …

Investigating Suicidal Ideation in Iranian Individuals With Emotional Disorders Through the Lens of the Three-Step Theory.

OBJECTIVE: Suicidal ideation (SI) in emotional disorders has received increasing attention in recent decades, but the specific psychological factors associated with SI in emotional disorders according to recent theories are not well understood. The current study sought to assess the emotional pain × hopelessness in relation to the three-step theory (3ST) among individuals with emotional disorders. METHODS: Participants who were diagnosed with emotional disorders (n = 119) completed self-report measures assessing SI, hopelessness, emotional pain, and connectedness. Regression analysis was cond…

Cannabis Use Disorder and Suicidal Ideation in the United States: Persistent Risk and Stable Trends, 2014-2023.

OBJECTIVE: Amid rising cannabis use, declining perceived harm, and policy liberalization over the past 15 years, we examined whether the association between cannabis use disorder (CUD) and past-year suicidal ideation among U.S. adults changed from 2014-2023 and varied by sex, age, and race/ethnicity. METHOD: Using data from 415,861 adults in the 2014-2023 National Surveys on Drug Use and Health, we examined temporal association change between past-year suicidal ideation and CUD (≥2 of 9 harmonized DSM-5 criteria). Logistic regression models, adjusted for demographic, social, clinical, and geo…

Nonmedical drug use and suicidal ideation among adolescents in the Republic of Korea: a population-based study.

Nonmedical drug use (NMU) among adolescents is an emerging public-health concern; however, population-based evidence on its association with suicidal ideation in the Republic of Korea remains limited. Using pooled data from the 2022-2024 Korea Youth Risk Behavior Survey (N = 158,829), we examined factors associated with lifetime NMU and its cross-sectional association with suicidal ideation during the previous 12 months using complex-samples logistic regression. A total of 2348 adolescents reported lifetime NMU (weighted prevalence, 1.6%; 95% CI  1.5-1.6%). Suicidal ideation was reported by 46…

Associations between loneliness severity and depression and suicidal ideation among older adults during the COVID-19 pandemic.

OBJECTIVES: The COVID-19 pandemic has exacerbated loneliness among older adults. This study evaluates the relationship between loneliness, depression, and suicidal ideation in this population during the early pandemic by utilizing data from the All of Us (AoU) Research Program. METHOD: We analyzed cross-sectional data from 17,084 individuals aged ≥65 enrolled in the AoU Research Program who completed a COVID-19 related survey in May 2020. Participants were categorized into loneliness quartiles based on their UCLA Loneliness Scale Short Form-8 scores. Descriptive statistics and chi-square test…

Fluctuating emotions, fluctuating risk? Evidence from a high-frequency EMA study of affective dynamics and suicidal ideation.

BACKGROUND: Affect plays an important role in suicidal ideation (SI), yet little is known about how affective dynamics relate to momentary and between-person differences in SI. This study is the first to systematically examine multiple indices of affective dynamics in relation to passive and active SI, using high-frequency ecological momentary assessment (EMA) in a high-risk clinical sample. METHODS: Seventy-four psychiatric inpatients diagnosed with major depressive disorder completed six days of EMA with ten prompts per day measuring positive affect (PA), negative affect (NA), and passive a…

Long-term stability of suicidal ideation among young adults residential care leavers: a prospective 10-year study.

BACKGROUND: Juveniles in residential care systems have high rates of suicidal ideation (SI). This study aims to expand knowledge of the prevalence and stability of SI, as well its associated factors among young adult care leavers. METHODS: Swiss juveniles in residential care (N = 179; non-Swiss origin: 12,29%; N = 22) were followed up into young adulthood (34% female/66% males; AgeBaseline (16.41, 2.86, 11-16); AgeFollow-Up (26.64, 3.22, 20-38 years)). SI was assessed at baseline and 10-year follow-up. Statistics included descriptives, proportion of enduring cases (categorical mean-level stab…

Concurrent Insomnia and Suicidal Ideation and Behavior as Psychiatric Adverse Effects of Clozapine Versus Other Atypical Antipsychotics.

Background: Clozapine is associated with decreased insomnia and suicidal ideation and behavior (SIB), both of which are prevalent in psychiatric disorders. Aims: To consider effects on insomnia underlying the antisuicidal properties of clozapine, we investigated the reported odds of suicidal ideation, suicide attempt and/or suicide death with and without concurrent insomnia as spontaneously reported psychiatric adverse drug reactions (ADRs) in adults using clozapine compared to other second-generation antipsychotics (SGAs) for schizophrenia or schizoaffective disorder. Methods: We searched the…

Factors associated with suicidal ideation in people with parkinsonism: findings from the PRIME-UK cross-sectional study.

OBJECTIVE: To assess the frequency, and factors associated with suicidal ideation (SI) in people with parkinsonism (PwP). BACKGROUND: Both the neuropsychiatric and motor features, coupled with the incurable progression of parkinsonism, make this population at increased risk of suicide. Whilst a meta-analysis found a pooled prevalence of SI of 22%, frequency of SI and the associated factors vary significantly between studies. METHODS: This single-centre cross-sectional questionnaire study included participants with a diagnosis of idiopathic Parkinson's Disease (PD), and other types of parkins…

Reduced Slow-Wave Sleep and Sleep-Disordered Breathing Are Linked to Suicidal Ideation in Major Depressive Disorder.

BACKGROUND: Suicidal ideation (SI) is common in major depressive disorder (MDD) and has been linked to sleep disturbances. However, the relative contributions of subjective sleep quality and objective sleep architecture to SI remain unclear. METHODS: A total of 103 inpatients with MDD underwent polysomnography (PSG) and completed the Pittsburgh Sleep Quality Index (PSQI). Based on HAMD-17 item 3 scores, participants were classified into SI (n = 49) and non-SI (N-SI, n = 54) groups. Clinical characteristics, subjective sleep quality, and PSG-derived sleep parameters were compared between group…

Suicidal ideation, mental health services, and barriers to care among syringe services program clients who use opioids.

INTRODUCTION: People who use opioids (PWUO) experience a disproportionately high burden of suicidal risk. Syringe services programs (SSPs) are a critical point of contact for this population, providing low-threshold, harm-reduction services. However, gaps persist in understanding suicidal risk among individuals attending SSPs and the extent to which such risk is associated with mental health service utilization in this setting. This study aimed to assess the prevalence and specific risk factors for suicidal ideation (SI) in PWUO, as well as their use of and barriers to accessing mental health …

Глобальная распространенность и факторы риска суицидальных идеи при множественном склерозе: систематический обзор и мета-анализ.

СЮ, попытки и смерть часто описываются и расследуются в связи с такими хроническими неврологическими расстройствами, как множественный склероз (MS). В ходе этого систематического обзора и метаанализа была проведена оценка глобальной распространенности СИ у пациентов с НР и продемонстрированы связанные с этим факторы риска. Это может помочь врачу сократить число попыток самоубийства и улучшить состояние здоровья населения. МЕТОДЫ: Был проведен всеобъемлющий систематический поиск на PubMed, Scopus, Embase и Web of Science с целью поиска исследований, в которых сообщалось о распространенности SI

Совпадение в аннотации оригинала
BACKGROUND AND AIMS: Suicidal ideation (SI), attempts, and death have been frequently described and investigated in chronic neurological disorders such as Multiple Sclerosis (MS). This systematic review and meta-analysis estimated the global prevalence of SI in patients with MS and demonstrated associated risk factors. This may help the physician to reduce t…

Screening for depression misses people with suicidal ideation in patients with persistent musculoskeletal pain attending private physiotherapy.

BACKGROUND: Patients with persistent musculoskeletal pain face an increased risk of suicidal ideation, yet suicide risk is not routinely assessed in physiotherapy. Many primary care professionals use a two-stage screening approach, assessing depression first and only asking about suicide if depressive symptoms are present. OBJECTIVE: This study examines the appropriateness of this approach in private musculoskeletal physiotherapy practicein Belgium and whether physiotherapists' observations of patients' distress align with patient self-reports. METHODS: Four-hundred fifty patients completed …

Prevalence and Correlates of Depression and Suicidal Ideation Across Stages 0-4 of Cardiovascular-Kidney-Metabolic Syndrome.

BACKGROUND: The American Heart Association (AHA) recently introduced the cardiovascular-kidney-metabolic (CKM) syndrome framework to improve cardiovascular health management. However, evidence on the prevalence of depression and suicidal ideation (SI) across distinct CKM stages is limited. METHODS: This cross-sectional study analyzed data from 10,519 US adults participating in the National Health and Nutrition Examination Survey (NHANES) 2007 to 2018. Depression and SI were assessed using the nine-item Patient Health Questionnaire (PHQ-9). CKM syndrome stages were classified as: Stage 0 (abse…

The association between self-oriented perfectionism and suicidal ideation in adolescents: The buffering role of social connectedness.

This study examined and compared the moderating roles of connectedness to parents, peers, friends, and school in the association between self-oriented perfectionism and suicidal ideation among adolescents in a non-clinical, community sample. Data on suicidal ideation, self-oriented perfectionism, and connectedness in these four domains were collected using self-report instruments from adolescents with no psychiatric history. The results showed that although connectedness to parents, friends, peers, and school was generally associated with lower suicidal ideation, it was only connectedness to f…

Forced marriage, domestic violence, and suicidal ideation among married individuals: a population-based study from Western Iran.

BACKGROUND: Suicide remains a critical public health issue worldwide. In Iran, particularly in the western province of Kermanshah, forced marriage and domestic violence are prevalent social problems that may contribute to suicidal ideation among married individuals. This study aimed to examine the association between forced marriage, physical intimate partner violence (IPV), and suicidal ideation, while exploring the protective roles of social support and resilience. METHODS: A cross-sectional population-based study was conducted in 2024 with 369 married adults aged 18-59 years from Kermansha…

Trajectories of Suicidal Ideation among Chinese High School Students: Predictive Effects of Family Risk and School Connectedness.

Although both family risk and school connectedness independently predict suicidal ideation, the extent to which school connectedness mitigates adolescent suicidal ideation in the presence of deprivation- and/or threat-related family risk remains unclear. Participants were 1227 Chinese adolescents (Mage = 15.67, SD = 1.03; 48.2% female; 57.5% 10th graders, 42.5% 11th graders). Three-wave longitudinal data on family risk, school connectedness, and suicidal ideation were collected with a three-month interval between each time point. Growth mixture modeling and multinominal logistic regression wer…

Insomnia and Nightmare as Vulnerability Factors for Suicidal Ideation from the Perspective of Integrated Motivational-Volitional Model.

OBJECTIVE: Insomnia and nightmares have been identified as significant predictors of suicidal ideation (SI), but the specific psychological processes underlying this relationship remain unclear. The current study aimed to examine the insomnia/nightmares-SI relationship, concerning the mediating role of defeat and entrapment according to the integrated motivational-volitional (IMV) model in the Iranian population. METHODS: Participants (N = 459) completed a self-report survey assessing insomnia/nightmare symptoms, feelings of entrapment and defeat, and SI. Path analysis was conducted to evalua…

Trends in clinically significant anxiety, depression, suicidal ideation and service utilisation among US medical students, 2018-2023.

Background Medical students experience disproportionately high rates of anxiety and depression, and treatment gaps may exist. To date, little is known about how these mental health outcomes have changed over time.Objective To examine recent trends in clinically significant anxiety, depression, suicidal ideation, and counselling service utilisation among US medical students.Methods We analysed five waves of the Healthy Minds Study throughout the academic years between 2018 and 2023. The analytic sample comprised 5313 students enrolled in MD programmes from diverse US universities. Study outcome…

Machine learning identifies different related factors associated with depression and suicidal ideation in Chinese children and adolescents.

BACKGROUND: Depression and suicidal ideation often co-occur in children and adolescents, yet they possess distinct characteristics. This study sought to identify the different related factors associated with depression and suicidal ideation. METHODS: A nationwide cross-sectional survey collected data from Chinese children and adolescents aged 8 to 18 (N = 160,962; 48.91 % girls). The survey included inquiries about demographics, depression, suicidal ideation, anxiety, perceived stress, academic burnout, internet addiction, non-suicidal self-injury, bullying, and being bullied. Fifteen machine…