Higher Levels Of Suicidal Ideation Research Articles

Associations between Sleep Disturbance and Suicidal Ideation Severity in Iranian University Students: Evaluating Emotion Regulation Difficulties and Distress Tolerance

Aim Although sleep disturbance is associated with suicide ideation, underlying cognitive-affective mechanisms that may explain this association are not well understood. The aim of the present study was to concurrently evaluate whether emotion regulation difficulties and distress tolerance explain this association among Iranian university students. Method A total of 679 Iranian university students (66.42% females; Mage = 24.34 years, SD = 4.86) completed a battery of online self-report questionnaire. Structural equation modeling was used to empirically explore the relations among variables. Results Sleep disturbance was positively associated with suicide ideation. Higher sleep disturbance symptoms were associated with higher levels of suicide ideation. Sleep disturbance was indirectly related to suicide ideation through both emotion regulation difficulties and distress tolerance. Conclusion Findings expand knowledge of cognitive-emotional processes that may explain the sleep disturbance-suicide ideation association among Iranian university students. Iranian students experiencing sleep disturbance may benefit from intervention strategies targeting emotion regulation skills and distress tolerance to reduce suicide ideation.

Acknowledging the risk of suicidal ideation, depression, and anxiety in PAs.

The prevalence of suicidal ideation is unknown and limited information exists about depression and anxiety among physician associates/assistants (PAs). We set out to understand the degree of depression, anxiety, and suicidal ideation in PAs and PA students. In total, 728 PAs and 322 PA students took an online survey. Risk of depression and anxiety were present at higher levels in PA students compared with employed PAs. PA students indicated higher levels of suicidal ideation compared with clinically active PAs. One-third of those with suicidal ideation did not reveal it to anyone; among those who did, 16.2% feared the results of disclosure. This study establishes that PAs and PA students are at risk for suicidal ideation and often bypass help. The COVID-19 pandemic may have led to elevated rates of emotional distress, and longitudinal studies are needed to understand the basis for such ideation and if it is transitory.

Suicides risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication

Objective To analyze the relationship between suicidal ideation and the concerns or affectations perceived at the family, economic and health levels during the first year of the COVID-19 pandemic in Colombia and the mediating role of family communication. Method Participants were obtained through cluster sampling and quotas, resulting in 660 Colombians (Z=1,96; variance =,25; error =3,9%), who answered a questionnaire consisting of three reliable scales between November 1 and 30, 2020, after providing informed consent. Binary logistic regression was used to evaluate the concerns or affectations that most influenced suicidal ideation during this period. Results Thirty-five percent of the Colombian participants presented a high level of suicidal ideation. The concerns or affectations that most strongly explain this level come from the realm of health and intrafamily relationships. The effect of health concerns or affectations on suicidal ideation decreases by up to 32,4% when family communication is open. Likewise, when this type of positive communication is present, the effect of the concerns or affectations perceived in the family, such as breakdowns, distancing and crisis of coexistence, on suicidal ideation decrease between 29,1 and 70,1%. Conclusion Open family communication is a protective factor for mental health in crisis contexts because it can contribute to preventing suicide and alleviate to the concerns or affectations generated by COVID-19. Therefore, it is necessary to strengthen mental health programs through a communicative approach aimed at promoting assertive family dialog to achieve greater attention and openness to talk about concerns and affectations suffered.

Problematic Smartphone Use Mediates the Pathway from Suicidal Ideation to Positive Psychotic Experiences: a Large Cross-Sectional, Population-Based Study.

The present study followed the newly hypothesized "suicidal drive for psychosis" suggesting that psychosis may be consequential to suicidal ideation (SI) and behavior and attempted to explain parts of the pathway between these variables. To this end, we aimed to test whether problematic smartphone use (PSU) has an indirect mediating effect in the cross-sectional relationship between SI and positive psychotic experiences (PEs). Lebanese community young adults (N=4158; 64.4% females; mean age 21.91±3.79) have been invited to participate to a cross-sectional, web-based study in the period from June to September 2022. After adjusting for potential confounders (i.e., the living situation, marital status, household crowding index, economic pressure, cannabis use, other drugs use, and past history of mental illness other than psychosis), we found that higher levels of suicidal ideation was significantly associated with greater PSU, which was also positively and significantly associated with more positive PEs. Finally, greater suicidal ideation was significantly and directly associated with more positive PEs. Our findings suggest that SPU may be regarded as a potential target for prevention and intervention in psychosis. Clinicians, educators, and school administrators ought to give greater attention to PSU among vulnerable young people who present with SI.

Potential neuropsychological mechanism involved in the transition from suicide ideation to action - a resting state fMRI study implicating the insula.

Understanding the neural mechanism underlying the transition from suicidal ideation to action is crucial but remains unclear. To explore this mechanism, we combined resting-state functional connectivity (rsFC) and computational modeling to investigate differences between those who attempted suicide(SA) and those who hold only high levels of suicidal ideation(HSI). A total of 120 MDD patients were categorized into SA group (n=47) and HSI group (n=73). All participants completed a resting-state functional MRI scan, with three subregions of the insula and the dorsal anterior cingulate cortex (dACC) being chosen as the region of interest (ROI) in seed-to-voxel analyses. Additionally, 86 participants completed the balloon analogue risk task (BART), and a five-parameter Bayesian modeling of BART was estimated. In the SA group, the FC between the ventral anterior insula (vAI) and the superior/middle frontal gyrus (vAI-SFG, vAI-MFG), as well as the FC between posterior insula (pI) and MFG (pI-MFG), were lower than those in HSI group. The correlation analysis showed a negative correlation between the FC of vAI-SFG and psychological pain avoidance in SA group, whereas a positive correlation in HSI group. Furthermore, the FC of vAI-MFG displayed a negative correlation with loss aversion in SA group, while a positive correlation was found with psychological pain avoidance in HSI group. In current study, two distinct neural mechanisms were identified in the insula which involving in the progression from suicidal ideation to action. Dysfunction in vAI FCs may gradually stabilize as individuals experience heightened psychological pain, and a shift from positive to negative correlation patterns of vAI-MFC may indicate a transition from state to trait impairment. Additionally, the dysfunction in PI FC may lead to a lowered threshold for suicide by blunting the perception of physical harm.

Witnessing cyberbullying and suicidal ideation among middle school students.

Suicide is a significant public health concern school-aged youth. Although a growing body of literature has documented the association between cyberbullying and suicidal ideation, and the mediating effect of internalizing symptoms, there is no research to date examining the impact of witnessing cyberbullying and suicidal ideation. To address this gap, we conducted a cross-sectional study with middle school students (N = 130). Students completed questionnaires assessing witnessing cyberbullying, witnessing school bullying, depression, anxiety, and suicidal ideation. We used structural equation modeling to test a mediational model in which we hypothesized internalizing symptoms would mediate the unique relationship between witnessing cyberbullying and suicidal ideation (i.e., controlling for witnessing school bullying). Results supported the mediational model, indicating the frequency of witnessing cyberbullying was positively related to internalizing symptoms, which in turn were related to higher levels of suicidal ideation. Findings suggest the importance of providing programs to support middle school students who witness cyberbullying to reduce the mental health risks (i.e., internalizing symptoms and suicidal ideation) associated with being a cyberbullying bystander.

Interpersonal Needs and Suicidality of Discharged Army Veterans

Joiner’s (2007) Interpersonal Theory of Suicide (IPTS) has shown promise in understanding the ongoing problem of veteran suicide. Consistent with IPTS, it was hypothesized that perceived burdensomeness (PB) and thwarted belongingness (TB) would significantly predict suicidal ideation (SI), while acquired capability (AC) would predict SI after controlling for the effects of PB and TB on SI. It was also hypothesized that Army veterans’ help-seeking intentions would negatively predict SI after controlling for PB, TB, and AC and that veterans who had been discharged for one or more years (<em>n</em> = 165) would have higher SI than those discharged for less than one year (<em>n</em> = 105). Data from 270 Army veterans were collected. Measures included the Interpersonal Needs Questionnaire-10, the Acquired Capability for Suicide Scale, the Beck Scale of Suicidal Ideation, and the General Help-Seeking Questionnaire. Results indicated that PB and TB were significant predictors of SI (<em>R²</em> = .36, <em>F</em>(2, 267) = 74.66, <em>p</em> = .000); neither AC nor veterans’ help-seeking intentions significantly predicted SI. Army veterans’ time since discharge positively predicted SI (<em>R²</em> = .36, <em>F</em>(1, 264) = 31.84, <em>p</em> = .000) and veterans who were discharged longer than 1 year had higher levels of SI than those discharged more recently (<em>R</em>² = .38, <em>F</em>(1, 268) = 9.61, <em>p</em> = .002). Results are consistent with the literature and support the need for further research regarding Army veterans and their levels of SI help-seeking behaviors.

Suicidal Ideation among Nepalese Adolescents

Suicide has become a serious public health problem globally, contributing to around 800,000 deaths every year. It has become a major public health issue in low-income underdeveloped countries like Nepal. The present study was conducted with 325 school students, whose ages ranged from 13 to 17 years, from grade nine to class eleven, from Bhaktapur city using a purposive sampling technique. The Suicidal Ideation Scale developed by Dr. Devendra Singh Sisodia and Dr. Vibhuti Bhatnagar was employed for the study. The study showed that 52.6% (171) of the participants were male students and 47.4% (154) were female students, with a mean age of 14.92 0.85. Age 13, 14, 15, 16, and 17 were represented by 4%, 27.4%, 40.9%, 27.1%, and 0.6%, respectively. Participants from nine classes made up 37.8% (123) of the total, 28.0% (91) of the total, and 34.2% (111) of the total. There were no respondents to a high and very high level of suicidal ideation. The suicidal ideation of very low, low, and average percentages were 2.5%, 33.2%, and 64.3%. This study showed that average suicidal ideation is prevalent among Nepalese adolescents. The factors associated with suicidal ideation are age, education grade (class), and religion. A multidisciplinary approach may play a key role in preventing suicides among adolescents.

청소년의 학교행복감이 자살생각에 미치는 영향에 관한 연구

This study aimed to explore how adolescents’ school happiness affects the suicidal ideation and to test the moderation effects of gender and resilience therein. The survey was conducted for the high school students in Gyeonggi province between June and December in 2022 and the multiple additive moderation effects from the data of 1,259 students among them were analyzed. The results are as follows: First, the main effects of school happiness on the suicidal ideation were statistically significant. The higher the school happiness became, the lower the levels of the suicidal ideation of adolescents became. Second, it was found that the lower levels of school happiness led to the higher levels of suicidal ideation. The influence of the lower level of school happiness on suicidal ideation was more powerful for the students who have the low level of resilience or are female, that is to say, even though they were in the same level of school happiness, ones who had the low level of resilience or are female were more likely to have suicidal ideation more. Based on the results of this study, the measures to prevent adolescents from committing suicide were discussed and the suggestions for the future research were made.

Level of Suicidal Ideation Among Callers to the Danish Suicide Prevention Helpline

Objective The aim of this study was to: (1) determine the proportion of callers to a national helpline for suicide prevention who were evaluated to be at risk of suicide; (2) identify characteristics associated with being at risk; (3) determine the level of suicidal ideation among callers, as measured by a clinical scale, and compared to the general population. Method Data on all calls answered at the Danish helpline for suicide prevention during 2018–2019 were analyzed. These consisted of socio-demographic covariates and items related to suicidality, including the Suicidal Ideation Attribute Scale (SIDAS). Data on SIDAS for the general population derived from a survey. Being at risk of suicide, as evaluated by the counselors, was examined as outcome in adjusted logistic regressions. Results Among 42,393 answered calls, 24,933 (59%) related to personal concerns. Of these, 47% and 14% of callers, respectively, had suicidal thoughts and concrete suicidal plans, while 53% were evaluated to be at risk. Higher risks were found when issues related to self-harm, mental health problems, eating disorders, incest, physical health problems, substance abuse, or sexual assault were mentioned. In all 37% of callers who were administered the SIDAS scale were evaluated to be at high risk of suicide compared to 1.5% in the general population. Conclusions A substantial share of callers to a national helpline for suicide prevention were evaluated to be at risk of suicide, also when using a clinical scale. This emphasizes the potential for counselors to prevent suicidal behavior. Highlights More than half of callers reaching out to the helpline were evaluated to be at risk of suicide, and 37% were identified as being at high risk using SIDAS, a clinical scale. Being woman, of younger age, having a history of previous suicide attempt as well as experiencing problems related to self-harm, mental disorders, sexual assault, substance abuse, and physical health problems was associated with risk of suicide, as evaluated by counselors. This seemingly is the first study to compare clinical scores of helpline callers to those of the general population and significantly higher levels of suicidal ideation were found among helpline callers.

Suicidal Ideation and Suicide Attempts Among Lesbian, Gay, Bisexual, Pansexual, Queer, and Asexual Youth: Differential Impacts of Sexual Orientation, Verbal, Physical, or Sexual Harassment or Assault, Conversion Practices, Family or Household Religiosity, and School Experience.

Purpose: This article examines factors associated with suicidal ideation and suicide attempts in the past 12 months among lesbian, gay, bisexual, pansexual, queer, asexual, or other non-heterosexual identifying youth (LGBQA+). Methods: A national Australian cross-sectional online survey was conducted involving 4370 cisgender LGBQA+ participants aged 14-21 years from September to October 2019. Multivariable logistic regression analyses were performed to examine significant factors associated with suicidal ideation and suicide attempts in the past 12 months. Research ethics approval for the WTI4 study was granted by the La Trobe University Human Research Ethics Committee and the ACON Research Ethics Review Committee. Results: Overall, 56.4% of participants reported suicidal ideation and 8.9% a suicide attempt in the past 12 months. Multivariable regression results show that participants aged younger than 18 years, lesbian (compared with gay) identifying, those living in rural or remote locations (compared with inner city), those reporting any verbal, physical, or sexual harassment or assault based on sexual orientation or gender identity, or who had a religious family or household, or had experienced conversion practices in the past 12 months reported higher levels of suicidal ideation or suicide attempts. Those who reported feeling part of their school reported lower levels of suicidal ideation and suicide attempts. Conclusion: High levels of suicidal ideation and suicide attempts among young LGBQA+ people in Australia highlight a need for the ongoing inclusion of LGBQA+ youth as a priority population for suicide prevention. The findings illustrate key factors associated with a greater risk of suicidality among young LGBQA+ people. These findings can be used to inform the provision of tailored support services, including culturally safe suicide prevention programs and efforts to address stigma, discrimination, and conversion practices.

Trajectory Analysis of Suicidal Ideation in Spanish College Students Using Ecological Momentary Assessment.

IntroductionSuicide is a preventable death in young people. It is well known that suicide behavior is a multicausal phenomenon. However, suicidal ideation (SI) commonly underlies suicide, and Ecological Momentary Assessment (EMA) can help us to better characterize it and its risk and protective factors in the short term. We aimed, first, to investigate the estimated prevalence and trajectories of SI in a community sample of Spanish college students using an EMA methodology and, second, explore the associations between risk and protective factors and SI categorized as moderate or low.Materials and MethodsA total of 737 participants followed the EMA during a period of 6 months. We estimated the prevalence and trajectories of SI and the associations between depressive symptoms, positive and negative affect, thwarted belongingness, perceived burdensomeness, cognitive reappraisal, emotional suppression, and purpose in life with the MEmind smartphone App. SI was assessed 14 times during this period.ResultsTwenty-eight participants referred to SI at least once in longitudinal assessments. We found a lack of curvature and, thus, a relatively stable trajectory of SI. Two groups of latent dimensions were observed related to risk and protective factors of SI. One latent dimension of the risk factors (higher levels of thwarted belongingness, perceived burdensomeness, depressive symptoms, negative affect, and emotional suppression) best represented the group with moderate levels of SI, and a second latent dimension of protective variables (positive affect, cognitive reappraisal, and purpose in life) best represented the group with lower levels of SI.DiscussionThese findings may indicate that students with a sense of having a life worth living, in addition to having the ability to reevaluate their negative beliefs, are less likely to experience high levels of SI. Therefore, purpose in life would be a protective factor against the presence of SI.

The Association between Parental Attachment and Youth Suicidal Ideation: A Three-Level Meta-analysis

Youth suicidal ideation is regarded as a serious psychological problem that hinders their mental health development. Parental attachment is considered a critical factor linked with youth suicidal ideation, but existing findings are still inconsistent. The present study was based on the PRISMA method; it employed a three-level meta-analysis to obtain reliable estimates of effect size and examined a range of moderators (sample, publication, outcome). Through the retrieval of articles published before November 2020, a systematic search yielded 31 independent studies (N = 12848) from which 109 effect sizes could be extracted. The present meta-analysis revealed a significant negative correlation between parental attachment and youth suicidal ideation (r = −0.108, p < 0.001), implying that youths show a higher level of suicidal ideation when they experienced lower quality of parental attachment. Moreover, the overall association was influenced by different parental attachment patterns. More specifically, youth suicidal ideation was more strongly associated with parental alienation (r = 0.501, p < 0.001) than with parental communication (r = −0.173, p < 0.001). The moderator analyses also showed that the type of instrument used was a significant moderator of the association between parental attachment and youth suicidal ideation. The strength of the overall association was significantly stronger when measured with the IPPA (Inventory of Parent and Peer Attachment) (r = −0.181, p = 0.003) than with the ECR (Experiences in Close Relationships) (r = 0.085, p = 0.003). These results indicate that assessing parental attachment is important in strengthening interventions that target suicidal ideation among youths. HIGHLIGHTS Our analysis revealed a significant negative association between parental attachment and youth. Specifically, the presence of a secure relationship with parents, as perceived by the youth, brings forth feelings of appreciation, acceptance, safety, and confidence, that predispose the individual to seek help in a more consistent manner and to resist to maladjusted behavior when faced with adversity. However, a low quality of attachment produces cognitions associated with perceived burdensomeness and failed belongingness, which increase a youth’s vulnerability to suicidal ideation. The parental attachment pattern showed a significant moderating effect on the association between parental attachment and youth suicidal ideation. Regarding the association between parental attachment and youth suicidal ideation, we observed that the manner in which parental attachment is measured is another moderating effect.

Suicidal ideation among Chinese survivors of childhood sexual abuse: Associations with rumination and perceived social support

BackgroundAlthough previous studies have shown that childhood sexual abuse (CSA) experiences might be related to suicidal ideation in later life, its associations with rumination and perceived social support (PSS) remain unclear. ObjectiveThe present study aimed to expand prior findings among Chinese survivors of CSA to investigate rumination's effect on the association between CSA and suicidal ideation, and the potential moderating role of PSS in this relationship. MethodsThe Childhood Sexual Abuse Questionnaire, the Ruminative Response Scale, the Multi-dimensional Scale of Perceived Social Support, and the Symptom Checklist were completed by 6834 college students (56.61% females). Results: In all, 1400 (20.76%) students reported experiences of CSA. The rate of CSA in males was higher than that in females (24.23% vs. 18.10%). Students with CSA experiences reported a higher level of suicidal ideation than those without such experiences. CSA and rumination were positively related to suicidal ideation, and PSS were negatively related to CSA, rumination and suicidal ideation. CSA predicted suicidal ideation both directly and indirectly through rumination. PSS moderated the effect of rumination on suicidal ideation. ConclusionsThis study provides evidence for the effects of rumination on the association between CSA and suicidal ideation, and the buffering role of PSS on the relationship between rumination and suicidal ideation in Chinese survivors with CSA experiences. These findings suggest that developing adaptive emotional regulation strategies and enhancing the level of PSS might contribute to the alleviation of negative influences from CSA.

Suicidal ideation after acute traumatic brain injury: A longitudinal actor-partner interdependence model of patients and caregivers in Latin America.

Traumatic brain injury (TBI) is associated with depression, anxiety, and even suicidality in individuals with TBI and in caregivers. Moreover, emotional functioning in individuals with TBI is linked with caregiver functioning. However, no known studies to date have examined linkages in suicidal ideation in individuals with TBI and family caregivers. This is especially important in Latin America, where TBI rates are high, and where cultural norms influence family caregiving. This study examined associations among self-reported suicidal ideation in individuals with TBI and their primary caregivers over time in Mexico and Colombia. Research Method/Design: A total of 109 individuals and their primary caregivers completed measures during hospitalization for TBI and at 2- and 4-months posthospitalization. The primary outcome was Item 9 from the Spanish version of the Patient Health Questionnaire-9, assessing for thoughts of death or suicide in the previous 2 weeks. Patients and caregivers reported high levels of suicidal ideation (18.3%-22.4% and 12.4%-15.7%, respectively) at each time point, and suicidal ideation at one time point strongly predicted ideation at the next. When patients endorsed suicidal ideation in the hospital, their caregivers tended to endorse suicidal ideation 2 months later. Although unaccounted for variables could be driving these relationships, they may also provide possible evidence of causal preponderance between patient and caregiver suicidal ideation post-TBI. Clinicians and rehabilitation specialists can use these findings to inform suicide risk assessment by expanding these practices to caregivers of patients who endorsed suicidal ideation. Interventions after TBI should incorporate caregivers given this study showed significant interdependence of suicidality between patients and caregivers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The psychological characteristics and risk factors of suicidal attempt among mood disorders adolescents accompany with non-suicidal self-injury: A multi-center study

BackgroundIdentifying the risk factors of suicide attempts(SA) in adolescents with mood disorders(MD) who engage in non-suicidal self-injury(NSSI) is of great significance for suicide prevention. The aim of the present study was to explore the psychological characteristics and risk factors of SA among MD adolescents engaged in NSSI. MethodsWe recruited MD outpatients accompany with NSSI aged 12–18 years. SA, NSSI methods and function, suicidal ideation(SI), psychological distress(PD), self-esteem, stress mindset and perceived social support were assessed by valid scales. Classification and regression tree analysis (CART) was employed to explore the characteristics and risk factors of SA among MD adolescent with NSSI. ResultsWe included 658 participants in this study. Of 58.1% participants reported SA during the past 12 months. Compared with the adolescents without SA, the attempters used more different NSSI methods and reported more frequent NSSI. SA, SI, PD, self-esteem and amount of thinking time before engaging in self-injury were risk factors of SA among MD adolescents. Interactions between the four risk factors resulted in varying degrees of risk of SA. Compared to adolescents with the characteristics of low level of SI — little consideration before self-injury, adolescents who having multiple characteristics of the high level of SI —high level of PD — low self-esteem were associated with a 15.1-fold increased risk of SA(P < 0.001), and those with the characteristics of high SI — deliberated before engaging in self-injury were associated with a 28.1-fold increased risk of attempted suicide(P < 0.001). ConclusionsOur findings identify multiple correlates for SA in MD adolescents accompany with NSSI, including SI, PD, self-esteem and deliberate time they thought before self-injury, which may contribute to the development of suicidal behaviors in an interactive manner.

Unraveling the links among cybervictimization, core self-evaluations, and suicidal ideation: A multi-study investigation

Adolescents who experience cybervictimization are at increased risk for suicidal ideation. However, not all adolescents who suffer cybervictimization experience suicidal ideation, suggesting the importance of investigating protective factors that might potentially buffer and decrease these thoughts of death. The present study focused on examining the buffering effects of core self-evaluation (CSE) in the relationship between cybervictimization and suicidal ideation among Spanish adolescents. A moderated model was tested in two studies with two independent samples and designs. In Study 1 (cross-sectional design), a total of 858 students (53% female and 46.4% male; Mage = 15.75, SD = 1.27) completed the measures. In Study 2 (four-month prospective design), the sample consisted of 835 students (54.1% female and 45.9% male, Mage = 13.71, SD = 1.31). Main results showed that CSE might play a differential moderating role in the relationship between cybervictimization and suicidal ideation in both studies. Our findings suggest that adolescents who reported cybervictimization and lower rates of CSE tended to show higher levels of suicidal ideation. A focus on adolescents' evaluations of themselves and their worthiness and competence (i.e., on CSE) may contribute to intervention efforts targeting to prevent suicide after cybervictimization. The implications of these findings for adolescents, educators, and school counselling practitioners are considered.

The Clinical Characteristics of Patients With Borderline Personality Disorder in Different Treatment Settings.

The present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) Project compares patients with borderline personality disorder (BPD) in an outpatient practice (n = 390) and a partial hospital setting (n = 358) on diagnostic comorbidities, symptoms experienced, suicidality, and occupational impairment. The patients in the partial program were diagnosed with significantly more psychiatric disorders and were more frequently diagnosed with dysthymia, generalized anxiety disorder, alcohol and substance use disorders, adjustment disorders, and posttraumatic stress disorder. Those at the partial hospital had significantly higher levels of suicidal ideation than those in the outpatient practice. The samples did not differ on utilization of disability or suicide attempts. Treatment setting may have implications in the recognition of the disorder in clinical practice, the development and support of etiological theories, identification of core deficits, and evaluation of psychosocial morbidity associated with BPD.

Correlates of Suicide Ideation and Resilience Among Native- and Foreign-Born Adolescents in the United States

PurposeNearly 20% of U.S. adolescents have considered suicide. Yet, gaps remain in understanding correlates of resilience and suicide risk, especially among populations born outside the United States who may face unique migration- and acculturation-related stressors. This study adds to the literature by exploring correlates of suicide ideation among a diverse population. MethodsThis study analyzes quantitative data (N = 357) from the Study of Adolescent Lives after Migration to America, in Detroit and Harrisonburg. More than 40% of the sample was born outside the United States, with the majority born in the Middle East and North Africa. Path analysis was used to model dual outcomes of resilience and suicide ideation using measures of hope, school belonging, stressful life events, and being born outside the United States. ResultsSuicide ideation and resilience were negatively correlated (ß = -.236[.069]; p < .001). Adolescents with greater hope (ß = .367; p < .001) and school belonging (ß = .407; p < .001) reported higher resilience, while lower levels of school belonging correlated with higher levels of suicide ideation (ß = -.248; p = .009). More stressful life events were associated with suicide ideation (ß = .243; p < .001), while fewer were correlated with resilience (ß = -.106; p = .003). Being born outside the United States was associated with suicide ideation (ß = .186; P-.015), with this finding driven by those from the Middle East and North Africa region, who faced significantly increased risk of suicide ideation (ß = .169; p = .036). ConclusionsFindings suggest that adolescents born in the Middle East and North Africa region may represent a vulnerable group needing targeted and culturally responsive interventions to destigmatize mental health and psychosocial well-being, boost existing sources of resilience, and encourage help-seeking behaviors.

Longitudinal predictors of suicidal ideation: Emerging to early adulthood

Few studies have examined the longitudinal trajectory of suicidal ideation (SI) in community samples, particularly during emerging adulthood. Additionally, there is scant data on predictors of longer-term course of SI across this period. We examined multiple domains of adolescent psychosocial and clinical functioning as predictors of SI trajectory and explored whether biological sex moderates those associations. The data came from the Oregon Adolescent Depression Project. Participants completed self-reports of psychosocial and clinical functioning and interviews assessing psychopathology in mid-late adolescence. SI was assessed using up to seven annual mailer assessments spanning ages 19–31. Multilevel growth models found that SI declined across emerging adulthood. Multiple indices of adolescent functioning were associated with higher levels of SI three years later. Few adolescent functioning constructs predicted faster reductions in SI, and no constructs predicted slower longitudinal reductions (or increases) in SI. Similar associations were found when controlling for adolescent SI. Lastly, we found little evidence for sex differences in these associations. This work shows that adolescent functioning is largely associated with initial and enduring levels of SI. Moreover, associations were similar between sexes. Given the modest associations found across long periods of time, future research should focus on proximal risk factors for SI.