Predicting self-injurious thoughts in daily life using ambulatory assessment of state cognition

Le, Thanh P.; Moscardini, Emma H.; Cowan, Tovah; Elvevåg, Brita; Holmlund, Terje B.; Foltz, Peter W.; Tucker, Raymond P.; Schwartz, Elana K.; Cohen, Alex S.

doi:10.1016/j.jpsychires.2021.04.013

Cited by 7 publications

(7 citation statements)

References 80 publications

(88 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It would be expected that those attending a specialist centre would reveal high levels of dysphoria, a factor connected with the presence of suicide ideation. Various studies have specifically emphasised the high rates of suicide ideation among clinical populations (Bryan et al, 2012;Le et al, 2021;Nock et al, 2009), which is consistent with the evidence revealed by this work. However, most of the reference literature focuses on populations with acute autolytic attempts or patients that come from specialist units; perhaps this last factor provides a potential reason behind the fact that ideation found was nonspecific/ mild and not severe: because of the type of generalist psychological assistance service received, oriented to the general non-hospitalized population rather than the psychiatric or hospitalized population.…”

Section: Discussionsupporting

confidence: 90%

Presence and predictors of suicide ideation in a clinical outpatient context

Cuadrado¹,

Fernández-Arias²,

García³

2023

Ansiedad y Estrés

View full text Add to dashboard Cite

Background: It is of vital importance to study the risk factors associated with suicidal behaviour. The purpose of this study is to analyse the presence of suicide ideation and related factors in an applied clinical environment. Method: A correlative-predictive study is conducted with a sample of 180 adult patients, 64% women, with an average age of 31.88 (SD = 14.473) at University Psychology Clinic of Complutense University of Madrid (CUP-UCM). Suicide ideation is analysed (measured by Item 9 of the BDI-II), together with its relationship with clinical diagnosis, symptoms of depression, hopelessness and a range of sociodemographic variables. Results: 31.7% of the sample had shown suicide ideation. Significant differences were found depending on: cohabitation unit, symptoms of depression, presence of hopelessness, personal history and being under pharmacological treatment. Living alone is postulated as a stable predictor of suicide ideation (with an OR of 0.403). Together with personal history, symptoms of depression and hopelessness, these factors explain 42.5% of the presence of suicide ideation (χ2(13) = 65.056; p < .001; R2 = 0.425). Conclusions: The high prevalence of suicide ideation in the clinical population and the risk factors found, confirm the importance of focusing on this phenomenon, in particular taking into account its presence within different problems beyond the diagnostic label and the significance in certain contextual factors (e.g., living alone).

show abstract

Section: Discussionsupporting

confidence: 90%

Presence and predictors of suicide ideation in a clinical outpatient context

Cuadrado¹,

Fernández-Arias²,

García³

2023

Ansiedad y Estrés

View full text Add to dashboard Cite

show abstract

“…Nonetheless, preliminary evidence suggests that the association between cognitive flexibility and self-injurious thoughts may be state-dependent. One research group used ambulatory assessment methods to examine the relation between real-time self-injurious thoughts/urges and TMT performance among males receiving inpatient substance use treatment (Le et al, 2021). 3 The researchers reported that worse between-subjects state TMT performances 4 were concurrently associated with greater intensity of state self-injurious thoughts, even when controlling for state hope and social connectedness.…”

Section: Resultsmentioning

confidence: 99%

“…Participants completed a modified version of the TMT and online surveys on smartphones 3-4 times per week during their residency (up to 28 days;Le et al, 2021). Researchers did not assess intent to die by suicide.4 Researchers calculated an average TMT score from three trials (i.e., words-only, numbers-only, words-numbers in alternating circles).…”

mentioning

confidence: 99%

The role of cognitive flexibility in self-injurious thoughts and behaviors: A systematic review.

Chung,

Heakes,

Kaufman

2024

Clinical Psychology: Science and Practice

View full text Add to dashboard Cite

Cognitive inflexibility is theorized to be an etiological and maintenance factor for self-injurious thoughts and behaviors (SITBs). The vast literature on cognitive flexibility and SITB is rife with conflicting results, and thus, is challenging to interpret. We conducted a systematic review to synthesize the available evidence on cognitive flexibility and SITB (n = 126 studies). Results indicate most laboratory paradigms we reviewed have poor ecological validity, and many studies use inadequate measures of cognitive flexibility. Evidence suggests cognitive flexibility, as currently measured, is not robustly associated with SITB history above and beyond certain psychopathology presentations (e.g., depression). Cognitive reappraisal appears to be more cognitively demanding for persons with (vs. without) suicidal ideation (SI) and/or nonsuicidal self-injury history. Higher cognitive flexibility may have a distal protective influence on SITB by buffering the effects of perceived stress and psychological pain. Preliminary evidence indicates that state cognitive flexibility may have a proximal association with concurrent state SI. Nonetheless, cognitive flexibility does not appear to be a primary mechanism of change in many SITB interventions, however, further research is warranted. We discuss several notable limitations in the current literature and make suggestions to guide future research in this area.

show abstract

“…Regarding the latter, it is of course of primary importance to determine what outcomes are most important and theoretically desired. Although some might argue that reductions in the frequency or severity of SI should be the primary outcome variable subsequent to VHB use, other factors such as coping self‐efficacy (e.g., Bush et al., 2017), improvements in emotion regulation (e.g., Brausch & Woods, 2019), and decreases in suicide‐related experiences such as hopelessness (e.g., Ribeiro et al., 2018), negative thinking styles (e.g., Law & Tucker, 2018), and cognitive problems/biases (e.g., Le et al., 2021) may be relevant. It will also be of importance to research VHB use in such a way that allows for the examination of the highly temporal and dynamic nature of SI ( see Kleiman & Nock, 2018).…”

Section: Discussionmentioning

confidence: 99%

Frequency and predictors of virtual hope box use in individuals experiencing suicidal ideation: An ecological momentary assessment investigation

Moscardini,

Le,

Cowan

et al. 2023

Suicide & Life Threat Behav

Self Cite

View full text Add to dashboard Cite

IntroductionThe Virtual Hope Box (VHB) is a smartphone application designed to support emotion regulation when one is distressed, in a crisis, or experiencing suicidal ideation (SI). Initial proof of concept studies indicate that individuals are more likely to use the VHB than traditional hope boxes, and find it both easy to setup and helpful. To our knowledge, no studies have harnessed ambulatory assessment methodology to assess VHB use as it relates to incidence of suicidal thinking.MethodsAs such, we recruited N = 50 undergraduates who endorsed SI either the past year or past 2 weeks to complete a 10‐day investigation. At baseline, participants were oriented to the VHB and instructed on how to use the application. Over the next 10 days, participants responded to prompts five times per day on their personal smartphones regarding their current experiences of SI and stress as well as VHB usage.ResultsResults found that most participants used the VHB at least once, rated its usefulness as high, and rated their perceived likelihood of future use as high. In addition, increases in state SI severity were related to subsequent VHB use.ConclusionThe VHB may be a useful tool for managing crises in undergraduates experiencing suicidal thoughts.

show abstract

Predicting self-injurious thoughts in daily life using ambulatory assessment of state cognition

Cited by 7 publications

References 80 publications

Presence and predictors of suicide ideation in a clinical outpatient context

Presence and predictors of suicide ideation in a clinical outpatient context

The role of cognitive flexibility in self-injurious thoughts and behaviors: A systematic review.

Frequency and predictors of virtual hope box use in individuals experiencing suicidal ideation: An ecological momentary assessment investigation

Contact Info

Product

Resources

About