Courtney L Bagge1, Andrew K Littlefield2, Kenneth R Conner3, Julie A Schumacher4, Han-Joo Lee5. 1. University of Mississippi Medical Center, Department of Psychiatry and Human Behavior, 2500 North State Street, Jackson, MS 39216, United States. Electronic address: cbagge@umc.edu. 2. Texas Tech University, Department of Psychology, Lubbock, TX 79409, United States. Electronic address: andrew.littlefield@ttu.edu. 3. VISN 2 Center of Excellence for Suicide Prevention, 400 Fort Hill Avenue, Canandaigua, NY 14424, United States. Electronic address: ken.conner@va.gov. 4. University of Mississippi Medical Center, Department of Psychiatry and Human Behavior, 2500 North State Street, Jackson, MS 39216, United States. Electronic address: jschumacher@umc.edu. 5. University of Wisconsin-Milwaukee, Department of Psychology, 2441 E. Hartford Avenue, Garland 211, Milwaukee, WI 53211, United States. Electronic address: leehj@uwm.edu.
Abstract
BACKGROUND: The extent to which acute exposures such as alcohol use (AU) and negative life events (NLE) are uniquely associated with intensity of suicidal ideation during the hours leading up to a suicide attempt is unknown. The main aim of the current study was to quantify the unique effect of acute exposures on next-hour suicidal ideation when adjusting for previous hour acute exposures and suicidal ideation. An exploratory aim of the current study was to examine the effect of non-alcohol drug use (DU) on suicidal ideation. METHODS: Participants included 166 (61.0% female) recent suicide attempters presenting to a Level 1 trauma hospital. A timeline follow-back methodology was used to assess acute exposures and intensity of suicidal ideation within the 24h prior to the suicide attempt. RESULTS: Findings indicated that acute AU (b=.20, p<.01) and NLE (b=.58, p<.01) uniquely predicted increases in next-hour suicidal ideation, over and above previous hour suicidal ideation, whereas acute DU did not. LIMITATIONS: The current study׳s methodology provides continuous hourly snapshots prior to the suicide attempt, quite close to when it happened, but is retrospective and causality cannot be inferred. CONCLUSIONS: Understanding that, within a patient, AU and NLE predict near-term increases in suicidal ideation has practical utility impacting providers׳ clinical decision-making, safety concerns, and ultimate determination of level of risk for suicide. Published by Elsevier B.V.
BACKGROUND: The extent to which acute exposures such as alcohol use (AU) and negative life events (NLE) are uniquely associated with intensity of suicidal ideation during the hours leading up to a suicide attempt is unknown. The main aim of the current study was to quantify the unique effect of acute exposures on next-hour suicidal ideation when adjusting for previous hour acute exposures and suicidal ideation. An exploratory aim of the current study was to examine the effect of non-alcohol drug use (DU) on suicidal ideation. METHODS:Participants included 166 (61.0% female) recent suicide attempters presenting to a Level 1 trauma hospital. A timeline follow-back methodology was used to assess acute exposures and intensity of suicidal ideation within the 24h prior to the suicide attempt. RESULTS: Findings indicated that acute AU (b=.20, p<.01) and NLE (b=.58, p<.01) uniquely predicted increases in next-hour suicidal ideation, over and above previous hour suicidal ideation, whereas acute DU did not. LIMITATIONS: The current study׳s methodology provides continuous hourly snapshots prior to the suicide attempt, quite close to when it happened, but is retrospective and causality cannot be inferred. CONCLUSIONS: Understanding that, within a patient, AU and NLE predict near-term increases in suicidal ideation has practical utility impacting providers׳ clinical decision-making, safety concerns, and ultimate determination of level of risk for suicide. Published by Elsevier B.V.
Authors: Adam Bryant Miller; Tory Eisenlohr-Moul; Matteo Giletta; Paul D Hastings; Karen D Rudolph; Matthew K Nock; Mitchell J Prinstein Journal: J Consult Clin Psychol Date: 2017-04-20
Authors: Craig J Bryan; Jonathan E Butner; Alexis M May; Kelsi F Rugo; Julia Harris; D Nicolas Oakey; David C Rozek; AnnaBelle O Bryan Journal: New Ideas Psychol Date: 2020-04
Authors: Ziming Xuan; Timothy S Naimi; Mark S Kaplan; Courtney L Bagge; Lauren R Few; Stephen Maisto; Richard Saitz; Robert Freeman Journal: Alcohol Clin Exp Res Date: 2016-09-12 Impact factor: 3.455