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Cited by 101Suicide and Self-Harm StudiesMental Health Research TopicsMental Health via Writing

The dynamics of social support among suicide attempters: a smartphone-based daily diary study

Coppersmith, Daniel D.L., Kleiman, Evan M., Glenn, Catherine R., Millner, Alexander J., Nock, Matthew K.·2019·Behaviour Research and Therapy
DOI 10.1016/j.brat.2018.11.016
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Abstract

Decades of research suggest that social support is an important factor in predicting suicide risk and resilience. However, no studies have examined dynamic fluctuations in day-by-day levels of perceived social support. We examined such fluctuations over 28 days among a sample of 53 adults who attempted suicide in the past year (992 total observations). Variability in social support was analyzed with between-person intraclass correlations and root mean square of successive differences. Multi-level models were conducted to determine the association between social support and suicidal ideation. Results revealed that social support varies considerably from day to day with 45% of social support ratings differing by at least one standard deviation from the prior assessment. Social support is inversely associated with same-day and next-day suicidal ideation, but not with next-day suicidal ideation after adjusting for same-day suicidal ideation (i.e., not with daily changes in suicidal ideation). These results suggest that social support is a time-varying protective factor for suicidal ideation.

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  • Most reports failed to establish independent temporal predictors of suicidal ideation severity: of twelve articles fitting temporal prediction models, four failed to establish significant predictors after accounting for ideation at the previous time point, and five did not control for prior ideation.

    “Most reports failed to establish independent temporal predictors of suicidal ideation severity: of twelve articles fitting temporal prediction models (47, 51, 52, 55–57, 60, 73, 74, 76, 77), four failed to establish significant predictors after accounting for ideation at the previous time point (47, 52, 55), and five did not control for prior ideation (51, 60, 73, 74, 76).”

    From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [52]

  • Perceived social support decreased the probability of suicidal ideation.

    “whereas perceived social support decreased its probability (52).”

    From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [52]

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Authors
Coppersmith, D. D. L., Kleiman, E. M., Glenn, C. R., Millner, A. J., & Nock, M. K.
Affiliations
  • Harvard University (US)
  • University of Rochester (US)
Corresponding author
Coppersmith, Daniel D.L.
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2019-09
Volume
120
Pages
103348
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2018.11.016
OpenAlex
W2905428526
Cited by
101
References
41
Citations by year
2026: 4 · 2025: 18 · 2024: 16 · 2023: 20 · 2022: 15 · 2021: 17 · 2020: 6 · 2019: 5
FWCI
8.22
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Chet and Will Griswold Suicide Prevention Fund
  • Pershing Square Venture Fund for Research on the Foundations of Human Behavior
  • John T. and Catherine D. MacArthur Foundation
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 › Social Psychology › Mental Health via Writing
Keywords
social support, suicide attempters, suicidal ideation, daily fluctuations, suicide risk, resilience
MeSH terms
Smartphone, Diaries as Topic, Adolescent, Adult, Female, Humans, Male, Risk Factors, Social Support, Suicide, Attempted, Risk Assessment, Multilevel Analysis, Resilience, Psychological, Young Adult, Suicidal Ideation, Protective Factors

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