Differentiating suicide attempts and suicidal ideation using neural markers of emotion regulation

Albanese, Brian J.; Macatee, Richard J.; Stanley, Ian H.; Bauer, Brian W.; Capron, Daniel W.; Bernat, Edward M.; Joiner, Thomas E.; Schmidt, Norman B.

doi:10.1016/j.jad.2019.07.014

Cited by 28 publications

(17 citation statements)

References 49 publications

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“…A similar study was conducted by Albanese and colleagues (2019) that included three conditions: passive viewing, where participants were given no instructions; a decrease condition, where participants were instructed to decrease their emotional response; and an increase condition, where participants were told to increase their emotional response to the stimuli. Albanese et al (2019) showed that suicide attempt survivors with multiple previous suicide attempts had a significantly reduced response to threat and mutilation images during the emotion decrease condition. Together, these two studies suggest that suicide attempt survivors' neural reactivity to threat is diminished, which is in line with what would be expected for those high in fearlessness about death.…”

Section: Current Evidencementioning

confidence: 96%

What is Capability for Suicide? A Review of the Current Evidence

Gallyer¹,

Hajcak²,

Te³

2020

Preprint

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It is well known that most people who think about suicide do not attempt or die by suicide. Capability for suicide, a construct proposed by Joiner (2005) within the interpersonal theory of suicide, was relatively novel in that it explained a potential mechanism by which individuals move from thinking about suicide to engaging in suicidal behavior. In this paper, we examine Joiner’s (2005) original conceptualization of the nature of capability for suicide, and review the evidence for and against this conceptualization. We examine the evidence for specific constructs that comprise capability for suicide, how capability for suicide develops, whether it can change, and possibilities regarding the functional neural correlates of capability for suicide. We then end our review proposing future directions in the study of capability for suicide, which include research across disciplines and countries.

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Section: Current Evidencementioning

confidence: 96%

What is Capability for Suicide? A Review of the Current Evidence

Gallyer¹,

Hajcak²,

Te³

2020

Preprint

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“…Improving affect‐regulation and reflective functioning emerged as a broad theme. Difficulties in self‐regulation are evident across diagnostic categories (Cuthbert & Insel, 2010, 2013; Cuthbert & Kozak, 2013; Hayes et al, 2019; Hofmann & Hayes, 2019; Kotov et al, 2017; Ruggero et al, 2019) and are well documented in suicidal youth (Albanese et al, 2019a, 2019b; Miller et al, 2017; Turecki et al, 2019). Compared to adults, adolescents are more likely to react to situations based on their emotional state (Arain et al, 2013; Choudhury, Blakemore, & Charman, 2006; Peper, van den Heuvel, Mandl, Pol, & van Honk, 2011; Sales & Irwin, 2009; Somerville, Fani, & McClure‐Tone, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…For example, most of the supported interventions include nonsuicidal self‐injury, suicidal ideation and suicide attempts as a unitary construct; although when outcomes are partitioned for these different behaviours, interventions are not statistically significant at reducing suicide attempts (Calati & Courtet, 2016; Glenn, Esposito, Porter, & Robinson, 2019; Ougrin et al, 2015). Although suicidal behaviours may exist along a continuum (Rossouw & Fonagy, 2012; Vrouva, Fonagy, Fearon, & Roussow, 2010), there may be differences between the clinical profiles of people who engage in one type of behaviour versus another, which could have important implications for treatment (Albanese et al, 2019a, 2019b; Dougherty et al, 2009; Liu, Trout, Hernandez, Cheek, & Gerlus, 2017; Nagra, Lin, & Upthegrove, 2016). Understanding the mechanisms of change in therapy may clarify why interventions are effective or ineffective (Carper, Makover, & Kendall, 2017; Kazdin & Nock, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Clinician's experiences and observations of therapeutic processes could add to the evidence base and help improve clinical outcomes (Kazdin, 2007; Matua & Van Der Wal, 2015; McWilliams, Grenyer, & Shedler, 2018; Shedler, 2017; Smith, Flowers, & Larkin, 2009). Suicidal people are heterogeneous (Albanese et al, 2019a, 2019b; Dougherty et al, 2009; Liu et al, 2017; Nagra et al, 2016), and young people experiencing suicidality in particular are both less likely to seek help and have poorer clinical and functional outcomes than their nonsuicidal counterparts (Borges et al, 2010; Hom, Stanley, & Joiner, 2015; Iorfino et al, 2018). A more idiographic and contextually based approach to research would contribute to a better understanding of the causal processes of change in interventions (Carper et al, 2017; Hjelmeland & Knizek, 2019) and help improve clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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Psychotherapy and youth suicide prevention: An interpretative phenomenological analysis of specialist clinicians' experiences

Janackovski

Deane

Hains

2020

Clin Psychology and Psychoth

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The study explored psychologists' experiences in delivering short‐term psychotherapy for suicidal adolescents and sought to clarify how these experiences fit with empirically supported interventions and the interpersonal psychological theory of suicide. Semistructured interviews were conducted with 12 psychologists' who provided short‐term psychotherapy in a suicide prevention programme for youth (12‐ to 25‐year‐olds). Interview transcripts were analysed using interpretative phenomenological analysis. Three superordinate themes were identified: (i) understand the experience and context of the suicidality and the importance of a formulation‐based approach to engagement and individualized treatment planning; (ii) involve broad support systems, and in particular families, to help the young person reduce feelings of burdensomeness and increase safety, connectedness and belonging; and (iii) improve affect regulation and reflective functioning, important not only for the young person but also for the support system to maximize the positive impact of supports via emotional coregulation and effective problem‐solving. Interventions and approaches as well as the potential underlying processes of change being targeted are discussed in light of these findings. As an example, the development of a suicide safety plan was an intervention that traversed these themes. When used as a process tool, it helped foster a collaborative, formulation, dimensional and biopsychosocial approach to treat psychopathology and suicidality and extended beyond the therapist–client dyad. Moreover, treatment needs to be extended beyond the therapist–client dyad to allow therapists to facilitate a systemic treatment response, as this was seen as a major component of interventions for suicidal youth.

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“…Moreover, the present study provided more empirical evidence for the theory of suicidal ideation, leading the “emotion-impulsivity framework” of suicidal ideation to an ERP experiment. Based on previous studies only involving the impact of one of impulsivity or emotion on suicidal ideation ( Albanese et al, 2019 ; Sarkisian et al, 2019 ; Wang et al, 2019 ), the ERP activities related to impulsivity–emotion interaction and suicidal ideation were explored in this study. The present findings could lay the foundation for further research on the etiological pathways of suicidal ideation employing fMRI.…”

Section: Discussionmentioning

confidence: 99%

Differences in Behavioral Inhibitory Control in Response to Angry and Happy Emotions Among College Students With and Without Suicidal Ideation: An ERP Study

Lin

Wang

et al. 2020

Front. Psychol.

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Suicidal ideation is one of the strongest predictors of suicide. A large number of studies have illustrated the important effect of impulsivity on suicidal ideation, and behavioral inhibitory control (BIC) is a specific manifestation of impulsivity. The goal of the present study is to evaluate the difference in BIC in response to happy and angry emotions between individuals with or without suicidal ideation to reveal the underlying mechanism of the effect of impulsivity on suicidal ideation when accounting for the effect of emotion. Combining the ERP technique and the two-choice oddball paradigm, a total of 70 college students were recruited to participate in this study. The Beck Scale for Suicidal Ideation–Chinese Version was used to identify whether the participants had suicidal ideation. There were 30 participants in the risky-suicidal ideation (SI) group and 19 participants in the non-suicidal ideation (NSI) group. The results showed that the reaction time of the SI group was longer than that of the NSI group for happy emotions. At the electrophysiological level, the P3 amplitude of the NSI group was larger than that of the SI group regardless of the electrode sites and valence, and the P3 component elicited by angry faces was larger than those elicited by happy faces in the SI group. These findings suggest that individuals without suicidal ideation have better BIC, and the SI group has more difficulty controlling their responses to happy emotions than their responses to angry emotions.

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Differentiating suicide attempts and suicidal ideation using neural markers of emotion regulation

Cited by 28 publications

References 49 publications

What is Capability for Suicide? A Review of the Current Evidence

What is Capability for Suicide? A Review of the Current Evidence

Psychotherapy and youth suicide prevention: An interpretative phenomenological analysis of specialist clinicians' experiences

Differences in Behavioral Inhibitory Control in Response to Angry and Happy Emotions Among College Students With and Without Suicidal Ideation: An ERP Study

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