Naturalistic evaluation of suicidal ideation: variability and relation to attempt status
Abstract
Suicidal ideation has been thought to have a relatively stable course across weeks and months. However, daily changes in levels of ideation have not been adequately examined despite the importance of potential variability clinically and conceptually. For example, it has been suggested that variability in suicidal ideation may become less closely tied to variability in other mood symptoms (e.g., depression, hopelessness) among individuals with multiple suicide attempts. The present report had two related goals: (1) to prospectively evaluate suicidal ideation and related mood symptoms, and (2) to determine whether suicide attempt status predicted a decreased association between ideation and other mood symptoms. Non-clinical participants (N=108) with varying levels of suicidal ideation and number of previous suicide attempts completed the beck hopelessness scale (BHS), beck depression inventory (BDI), and suicide probability scale (SPS) every day for 4 weeks. Findings suggested considerable variability in suicidal ideation, especially for multiple attempters. Multiple attempt status predicted a decreased association between suicidal ideation and depression, although the results were only marginally significant. These findings have implications for conceptual models of suicide risk as well as assessment and treatment of suicidal individuals.
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Both suicidal ideation and its risk factors can fluctuate substantially over short periods of time (days and hours).
“Both suicidal ideation and its risk factors can fluctuate substantially over short periods of time (days and hours) (37).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [37]
Between-day variability in suicidal ideation may be a better predictor of suicide than its intensity or duration.
“it has been suggested that (between-day) variability in suicidal ideation may be a better predictor of suicide than its intensity or duration (37, 38).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [37]
Witte and colleagues have proposed that variability in suicidal ideation may provide a more reliable index of suicide risk than the severity or duration of ideation alone.
“Witte and colleagues (37, 38) have proposed that such variability in suicidal ideation may provide a more reliable index of suicide risk than the severity or duration of ideation alone.”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [37]
Identifying instability in suicidal ideation offers promise in improving the detection of those most at risk of suicide.
“identifying instability in suicidal ideation offers promise in improving the detection of those most at risk of suicide (37, 38)”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [37]
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Development and Pilot Testing of the Mobile Application to Prevent Suicide (MAPS)
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Variations in Suicidal Ideation Among Substance Users
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Concurrent Validation Of Alaska's Juvenile Justice Suicide Risk Screening Measure
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Suicidal Ideation After Hip Fracture in Older Adults
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Sleep Problems as Prospective Predictors of Suicidal Ideation
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- Authors
- Witte, T. K., Fitzpatrick, K. K., Warren, K. L., Schatschneider, C., & Schmidt, N. B.
- Affiliations
- The Ohio State University (US)
- Florida State University (US)
- Corresponding author
- Schmidt, Norman B.
- ORCID
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2006-07
- Volume
- 44
- Issue
- 7
- Pages
- 1029-1040
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2044491800
- Cited by
- 78
- References
- 47
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 11 · 2023: 7 · 2022: 8 · 2021: 6 · 2020: 4 · 2019: 8 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 4 · 2014: 1 · 2013: 3 · 2012: 3
- FWCI
- 1.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- suicidal ideation, daily variability, suicide attempts, depression, hopelessness, suicide risk, mood symptoms, suicide risk assessment
- MeSH terms
- Adolescent, Adult, Affect, Mental Disorders, Depressive Disorder, Female, Humans, Male, Prospective Studies, Psychiatric Status Rating Scales, Psychometrics, Recurrence, Suicide, Attempted
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