Does unstable mood increase risk of suicide? Theory, research and practice

Palmier-Claus, J.E.; Taylor, P.J.; Varese, F.; Pratt, D.

doi:10.1016/j.jad.2012.05.030

Cited by 57Suicide and Self-Harm StudiesMental Health Research TopicsPersonality Disorders and Psychopathology

Does unstable mood increase risk of suicide? Theory, research and practice

Palmier-Claus, J.E., Taylor, P.J., Varese, F., Pratt, D.·2012·Journal of Affective Disorders

DOI 10.1016/j.jad.2012.05.030

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Abstract

Background Suicide represents a substantial problem, with significant societal and personal impact. The identification of factors influencing suicide risk is an important step in preventing self-harming behaviour. In this article the authors explore whether emotional instability increases risk of suicide, beyond that of mood intensity.Method This article provides a summary of existing theory and indirect evidence in support of an association between emotional instability and suicidality. A systematic literature search (Embase, Medline, PsychInfo) was carried out on literature conducted up to October, 2011. Meta-analysis was used to assess the strength of the proposed association.Results The systematic search identified 20 journal articles meeting the inclusion criteria, including retrospective questionnaire design studies and research conducted across several time-points. Meta-analysis revealed a moderate association, which remained statistically significant even when only including studies conducted over multiple time-points. This effect was attenuated, but remained significant, when controlling for study selection bias.Limitations Retrospective questionnaire studies failed to adequately control for mood level. Little is still currently understood about the types of emotional instability (e.g., dysoria, anxiety) most associated with suicidality.Conclusions Future avenues of investigation include micro- to macro-longitudinal research and the differentiation of emotion subtypes and instability metrics. Momentary assessment techniques may help to detect subtle fluctuations in mood leading to more effective and immediate intervention. Psychosocial intervention strategies for treating unstable emotions are discussed.

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DBT combines principles from behaviorism, Zen, and dialectics that aim to help clients improve their emotional and cognitive regulation to overcome problems, including intense mood change, impulsivity, and loneliness.
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From A mobile health intervention (LifeBuoy App) to help young people manage suicidal thoughts: protocol for a mixed-methods randomized controlled trial (2020) · cites this paper as [11]

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Self-citation
Rapid Switching of Mood in Families With Multiple Cases of Bipolar Disorder
MacKinnon, D. F., Zandi, P. P., Gershon, E. S., Nürnberger, J. I., Reich, T., & DePaulo, J. R. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.9.921 · Cited by 92 · see citing works
Prospective Predictors of Suicidality: Defeat and Entrapment Lead to Changes in Suicidal Ideation over Time
Taylor, P. J., Gooding, P. A., Wood, A. M., Johnson, J., & Tarrier, N. (2011) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2011.00029.x · Cited by 81 · see citing works
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Appraisals and Suicidality: The Mediating Role of Defeat and Entrapment
Taylor, P. J., Wood, A. M., Gooding, P., & Tarrier, N. (2010) · Archives of Suicide Research · doi:10.1080/13811118.2010.494138 · Cited by 79 · cited 1× · see citing works
“Many psychological models have focussed on the role of particular cognitive constructs, such as hopelessness, defeat and entrapment, or burdensomeness and belongingness, in explaining the occurrence of suicide (Cornette et al., 2000; Joiner, 2005; Taylor et al., 2010; Williams, 1997).”
BackgroundSelf-citation
Naturalistic evaluation of suicidal ideation: variability and relation to attempt status
Witte, T. K., Fitzpatrick, K. K., Warren, K. L., Schatschneider, C., & Schmidt, N. B. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.08.004 · Cited by 78 · see citing works
Self-destructiveness and serotonin function in bulimia nervosa
Steiger, H., Koerner, N., Engelberg, M. J., Israël, M., Kin, N. M. K. N. Y., & Young, S. N. (2001) · Psychiatry Research · doi:10.1016/s0165-1781(01)00264-5 · Cited by 78 · see citing works
Bias in meta-analysis
Kiene, H., Kienle, G. S., & von Schoen-Angerer, T. (2006) · Homeopathy · doi:10.1016/j.homp.2005.11.006 · Cited by 75 · see citing works
Self‐mutilation in antisocial personality (disorder)
Virkkunen, M. (1976) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1976.tb00130.x · Cited by 74 · see citing works
Intelligent real-time therapy: Harnessing the power of machine learning to optimise the delivery of momentary cognitive–behavioural interventions
Kelly, J., Gooding, P., Pratt, D., Ainsworth, J., Welford, M., & Tarrier, N. (2012) · Journal of Mental Health · doi:10.3109/09638237.2011.638001 · Cited by 73 · see citing works
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Comparison of Rapid-Cycling and Non–Rapid-Cycling Bipolar I Manic Patients During Treatment With Olanzapine
Vieta, E., Calabrese, J. R., Hennen, J. A., Colom, F., Martínez‐Arán, A., Sánchez‐Moreno, J., Yatham, L. N., Tohen, M. F., & Baldessarini, R. J. (2004) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v65n1019 · Cited by 72 · see citing works
Elements of Affective Instability Associated with Suicidal Behaviour in Patients with Borderline Personality Disorder
Links, P. S., Eynan, R., Heisel, M. J., & Nisenbaum, R. A. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805300206 · Cited by 58 · see citing works
A short form of the Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ): The DAPP-SF
van Kampen, D., de Beurs, E., & Andrea, H. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2007.05.002 · Cited by 57 · see citing works
On the stability of instability: Optimising the reliability of intra-subject variability of reaction times
Saville, C. W. N., Pawling, R., Trullinger, M., Daley, D., Intriligator, J. M., & Klein, C. (2011) · Personality and Individual Differences · doi:10.1016/j.paid.2011.03.034 · Cited by 55 · see citing works
The effect of a negative mood priming challenge on dysfunctional attitudes, explanatory style, and explanatory flexibility
Fresco, D. M., Heimberg, R. G., Abramowitz, A., & Bertram, T. L. (2006) · British Journal of Clinical Psychology · doi:10.1348/014466505x35137 · Cited by 53 · see citing works
Use of mobile phones in the behavioral treatment of driving phobias
Flynn, T. M., Taylor, P., & Pollard, C. A. (1992) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(92)90052-k · Cited by 47 · see citing works
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Parental representation in eating disorder patients with suicide
Yamaguchi, N., Kobayashi, J., Tachikawa, H., Sato, S., Hori, M., Suzuki, T., & Shiraishi, H. (2000) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(00)00146-x · Cited by 45 · see citing works
Suicide schema in schizophrenia: The effect of emotional reactivity, negative symptoms and schema elaboration
Tarrier, N., Gooding, P. A., Gregg, L., Johnson, J., & Drake, R. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.03.007 · Cited by 45 · see citing works
Broad and narrow personality traits as markers of one-time and repeated suicide attempts: A population-based study
Brezo, J., Paris, J., Hébert, M., Vitaro, F., Tremblay, R., & Turecki, G. (2008) · BMC Psychiatry · doi:10.1186/1471-244x-8-15 · Cited by 44 · see citing works
Structure of Personality Pathology in Normal and Clinical Samples: Spanish Validation of the DAPP-BQ
Gutiérrez-Zotes, J. A., Gutiérrez, F., Valero, J., Gallego, E. D. F., Baillés, E., Torres, X., Labad, A., & Livesley, W. J. (2008) · Journal of Personality Disorders · doi:10.1521/pedi.2008.22.4.389 · Cited by 43 · see citing works
Prevalence and correlates of lifetime deliberate self-harm and suicidal ideation in naturalistic outpatients: The Leiden Routine Outcome Monitoring study
de Klerk, S., van Noorden, M. S., van Giezen, A. E., Spinhoven, P., den Hollander-Gijsman, M. E., Giltay, E. J., Speckens, A. E. M., & Zitman, F. G. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.03.021 · Cited by 42 · see citing works
Dimensions of Personality Pathology in Adolescents: Psychometric Properties of the DAPP-BQ-A
Tromp, N. B., & Koot, H. M. (2008) · Journal of Personality Disorders · doi:10.1521/pedi.2008.22.6.623 · Cited by 42 · see citing works
Social and Economic Burden of Suicides in Hong Kong SAR
Yip, P. S. F., Liu, K., Law, C. K., & Law, Y. W. (2005) · Crisis · doi:10.1027/0227-5910.26.4.156 · Cited by 40 · see citing works
Impact on suicidality of the Borderline Personality Traits Impulsivity and Affective Instability
Rihmer, Z., & Benazzi, F. (2010) · Annals of Clinical Psychiatry · doi:10.1177/104012371002200207 · Cited by 39 · see citing works
Suicide schemas in non-affective psychosis: An empirical investigation
Pratt, D., Gooding, P. A., Johnson, J., Taylor, P. J., & Tarrier, N. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.08.005 · Cited by 38 · see citing works
Self-citation
Reliability and Validity of the Dutch Dimensional Assessment of Personality Pathology-Short Form (DAPP-SF), A Shortened Version of the DAPP-Basic Questionnaire
de Beurs, E., Rinne, T., van Kampen, D., Verheul, R., & Andrea, H. (2009) · Journal of Personality Disorders · doi:10.1521/pedi.2009.23.3.308 · Cited by 38 · see citing works
The diagnostic interview
STEVENSON, I. P. (1971) · Cited by 37 · see citing works
Predictors of suicidal thoughts: Mood instability versus neuroticism
Bowen, R., Baetz, M., Leuschen, C., & Kalynchuk, L. E. (2011) · Personality and Individual Differences · doi:10.1016/j.paid.2011.08.015 · Cited by 36 · see citing works
Suicidal Ideation and Correlates in Taiwanese Adolescent Methamphetamine Users
Yen, C., & Shieh, B.-L. (2005) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000168243.59956.dd · Cited by 34 · see citing works
Variability and predictors of negative mood intensity in patients with borderline personality disorder and recurrent suicidal behavior: Multilevel analyses applied to experience sampling methodology.
Nisenbaum, R. A., Links, P. S., Eynan, R., & Heisel, M. J. (2010) · Journal of Abnormal Psychology · doi:10.1037/a0018696 · Cited by 33 · see citing works
Bulimia nervosa with co-morbid avoidant personality disorder: behavioural characteristics and serotonergic function
BRUCE, K. R., Steiger, H., Koerner, N., Israël, M., & Young, S. N. (2004) · Psychological Medicine · doi:10.1017/s003329170300864x · Cited by 30 · see citing works
Affective lability: Separable from neuroticism and the other big four?
Kamen, C. S., Pryor, L. R., Gaughan, E. T., & Miller, J. D. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2008.08.002 · Cited by 29 · see citing works
Toward an Integrated Theory of Suicidal Behaviors: Merging the Hopelessness, Self-Discrepancy, and Escape Theories
Cornette, M. M., Abramson, L. Y., & Bardone, A. M. (2006) · Kluwer Academic Publishers eBooks · doi:10.1007/0-306-47233-3_5 · Cited by 28 · see citing works
Mood variability predicts the course of suicidal ideation in individuals with first and second episode psychosis
Palmier‐Claus, J. E., Shryane, N. M., Taylor, P. J., Lewis, S. W., & Drake, R. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.11.014 · Cited by 27 · see citing works
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Predictors of Outcome Following Brief Psychodynamic-Interpersonal Therapy for Deliberate Self-Poisoning
Guthrie, E., Kapur, N., Mackway-Jones, K. C., Chew-Graham, C. A., Moorey, J., Mendel, E., Francis, F. M., Sanderson, S., Turpin, C., & Boddy, G. (2003) · Australian & New Zealand Journal of Psychiatry · doi:10.1046/j.1440-1614.2003.01197.x · Cited by 25 · see citing works
Mobile phone computing for in-situ cognitive behavioral therapy.
Bång, M., Timpka, T., Eriksson, H., Holm, E., & Nordin, C. (2007) · PubMed · Cited by 24 · see citing works
History of deliberate self-harm and its association with mood fluctuation
Sampson, E. L., Mukherjee, S., Ukoumunne, O. C., Mullan, N., & Bullock, T. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00337-3 · Cited by 20 · see citing works
A General Factor of Personality (GFP) in the Personality Disorders: Three Studies of the Dimensional Assessment of Personality Pathology — Basic Questionnaire (DAPP-BQ)
Rushton, J. P., Paul Irwing, B., & Booth, T. (2010) · Twin Research and Human Genetics · doi:10.1375/twin.13.4.301 · Cited by 20 · see citing works
Suicidal ideation, affective lability, and religion in depressed adults
Baetz, M., & Bowen, R. (2010) · Mental Health Religion & Culture · doi:10.1080/13674676.2010.504202 · Cited by 18 · see citing works
Limitations and Future Research
Grösser, S. N. (2012) · Contributions to management science · doi:10.1007/978-3-7908-2858-0_10 · Cited by 16 · see citing works
The clinical uses of momentary assessment
Palmier‐Claus, J. E. (2011) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2011.01761.x · Cited by 15 · see citing works
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Predictors of Suicide
Gordon, R. E. (1988) · Psychiatric Services · doi:10.1176/ps.39.9.996-a · Cited by 14 · see citing works
Carcinogenicity and teratogenicity vs. psychogenicity: Psychological characteristics associated with self-reported agent orange exposure among Vietnam combat veterans who seek treatment for substance abuse
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Suicide and Cognition in Schizophrenia.
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It's a funny thing about suicide: A personal experience
Walen, S. R. (2002) · British Journal of Guidance and Counselling · doi:10.1080/0306988021000025628 · Cited by 6 · see citing works
The Burden of Suicide and . . . Have We Forgotten the Open Verdicts?
Šešok, J., Roškar, S., & Marušič, A. (2004) · Crisis · doi:10.1027/0227-5910.25.2.47 · Cited by 5 · see citing works

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A Time-Aware Transformer Based Model for Suicide Ideation Detection on Social Media
Sawhney, R., Joshi, H., Gandhi, S., & Shah, R. R. (2020) · Conference on Empirical Methods in Natural Language Processing (EMNLP) · doi:10.18653/v1/2020.emnlp-main.619 · Cited by 115 · see citing works
Differences and similarities of risk factors for suicidal ideation and attempts among patients with depressive or bipolar disorders
Aaltonen, K. I., Näätänen, P., Heikkinen, M. E., Koivisto, M., Baryshnikov, I., Karpov, B., Oksanen, J., Melartin, T. K., Suominen, K. H., Joffe, G., et al. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.12.033 · Cited by 85 · see citing works
Variability in Suicidal Ideation is Associated with Affective Instability in Suicide Attempters with Borderline Personality Disorder
Rizk, M. M., Choo, T.-H., Galfalvy, H., Biggs, E., Brodsky, B. S., Oquendo, M. A., Mann, J. J., & Stanley, B. (2019) · Psychiatry · doi:10.1080/00332747.2019.1600219 · Cited by 74 · see citing works
Examining Accumulated Emotional Traits in Suicide Blogs With an Emotion Topic Model
Ren, F., Kang, X., & Quan, C. (2015) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2015.2459683 · Cited by 77 · see citing works
Inaccuracy of regression results in replacing bivariate correlations
Aloe, A. M. (2014) · Research Synthesis Methods · doi:10.1002/jrsm.1126 · Cited by 79 · see citing works
Affective lability in patients with bipolar disorders is associated with high levels of childhood trauma
Aas, M., Aminoff, S. R., Vik Lagerberg, T., Etain, B., Agartz, I., Andreassen, O. A., & Melle, I. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.03.046 · Cited by 64 · see citing works
PHASE: Learning Emotional Phase-aware Representations for Suicide Ideation Detection on Social Media
Sawhney, R., Joshi, H., Flek, L., & Shah, R. R. (2021) · Conference of the European Chapter of the Association for Computational Linguistics · doi:10.18653/v1/2021.eacl-main.205 · Cited by 57 · see citing works
The relationship between rumination and NSSI: A systematic review and meta-analysis.
Coleman, S. E., Dunlop, B., Hartley, S., & Taylor, P. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12350 · Cited by 50 · see citing works
Self-citation
Suicide Ideation Detection via Social and Temporal User Representations using Hyperbolic Learning
Sawhney, R., Joshi, H., Shah, R. R., & Flek, L. (2021) · Conference of the North American Chapter of the Association for Computational Linguistics: Human Language Technologies (NAACL-HLT) · doi:10.18653/v1/2021.naacl-main.176 · Cited by 49 · see citing works
Do Patterns and Types of Negative Affect During Hospitalization Predict Short-Term Post-Discharge Suicidal Thoughts and Behaviors?
Bentley, K. H., Coppersmith, D. D. L., Kleiman, E. M., Nook, E. C., Mair, P., Millner, A. J., Reid-Russell, A., Wang, S. B., Fortgang, R. G., Stein, M. B., et al. (2021) · Affective Science · doi:10.1007/s42761-021-00058-6 · Cited by 43 · see citing works
Mood Instability and Irritability as Core Symptoms of Major Depression: An Exploration Using Rasch Analysis
Balbuena, L., Bowen, R., Baetz, M., & Marwaha, S. (2016) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2016.00174 · Cited by 42 · see citing works
Mood instability and impulsivity as trait predictors of suicidal thoughts
Peters, E. M., Balbuena, L., Marwaha, S., Baetz, M., & Bowen, R. (2015) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12088 · Cited by 36 · see citing works
Detecting Suicidal Ideation in Social Media: An Ensemble Method Based on Feature Fusion
Liu, J., Shi, M., & Jiang, H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19138197 · Cited by 35 · see citing works
Instability of suicidal ideation in patients hospitalized for depression: an exploratory study using smartphone ecological momentary assessment
Peters, E. M., Dong, L. Y., Thomas, T., Khalaj, S., Balbuena, L., Baetz, M., Osgood, N., & Bowen, R. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2020.1783410 · Cited by 34 · see citing works
The Relationship between Mood Instability and Suicidal Thoughts
Bowen, R., Balbuena, L., Peters, E. M., Leuschen-Mewis, C., & Baetz, M. (2015) · Archives of Suicide Research · doi:10.1080/13811118.2015.1004474 · Cited by 33 · see citing works
Self-Reported Emotion Reactivity Among Early-Adolescent Girls: Evidence for Convergent and Discriminant Validity in an Urban Community Sample
Evans, S. C., Blossom, J. B., Canter, K. S., Cordts, K. M. P., Kanine, R. M., Garcia, A. M., & Roberts, M. C. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.01.003 · Cited by 31 · see citing works
Neuroticism and suicide in a general population cohort: results from the UK Biobank Project
Peters, E. M., John, A. M., Bowen, R., Baetz, M., & Balbuena, L. (2018) · BJPsych Open · doi:10.1192/bjo.2017.12 · Cited by 30 · see citing works
Risk Factors for Suicide and Suicidal Behavior Relevant to Emergency Health Care Settings: A Systematic Review of Post‐2007 Reviews
McClatchey, K., Murray, J., Rowat, A. M., & Chouliara, Z. (2017) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12336 · Cited by 28 · see citing works
Aberrant functional connectivity between the suprachiasmatic nucleus and the superior temporal gyrus: Bridging RORA gene polymorphism with diurnal mood variation in major depressive disorder
Chen, Z., Tao, S., Zhu, R., Tian, S., Sun, Y., Wang, H., Yan, R., Shao, J., Zhang, Y., Zhang, J., et al. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.09.037 · Cited by 24 · see citing works
Anxiety disorders and childhood maltreatment as predictors of outcome in bipolar disorder
Pavlová, B., Perroud, N. A., Cordera, P., Uher, R., Alda, M., Dayer, A. G., & Aubry, J. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.08.048 · Cited by 24 · see citing works
Role of affective instability on suicidal risk in complex regional pain syndrome: a diary approach (preliminary report)
Jeong, S., An, J., & Cho, S. (2020) · The Korean journal of pain · doi:10.3344/kjp.2021.34.1.94 · Cited by 22 · see citing works
A mobile health intervention (LifeBuoy App) to help young people manage suicidal thoughts: protocol for a mixed-methods randomized controlled trial
Han, J., McGillivray, L., Wong, Q. J., Werner-Seidler, A., Wong, I., Calear, A., Christensen, H., & Torok, M. (2020) · JMIR Research Protocols · doi:10.2196/23655 · Cited by 17 · see citing works
“DBT combines principles from behaviorism, Zen, and dialectics [10] that aim to help clients improve their emotional and cognitive regulation to overcome problems, including intense mood change [11,12], impulsivity [13,14], and loneliness [15].”
Background
Prospective and concurrent affective dynamics in self-injurious thoughts and behaviors: an examination in young adult women
Victor, S. E., Brown, S. L., & Scott, L. N. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.01.003 · Cited by 20 · see citing works
Protective Factors Associated with Daily Affective Reactivity and Instability During Adolescence
Vannucci, A., Finan, L. J., Ohannessian, C. M., Tennen, H. A., Reyes, A. D. L., & Liu, S. (2018) · Journal of Youth and Adolescence · doi:10.1007/s10964-018-0943-1 · Cited by 22 · see citing works
A systematic review of the relationship between momentary emotional states and nonsuicidal self‐injurious thoughts and behaviours
Brown, A. C., Dhingra, K., Brown, T. D., Danquah, A., & Taylor, P. J. (2022) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12397 · Cited by 20 · see citing works
Self-citation
Association between the mood stabilizing treatment of bipolar disorder and risk of suicide attempts: A self-controlled case series study
Ng, V. W. S., Leung, M. T. Y., Chan, E. W., Lee, E. H. M., Hayes, J., Osborn, D., Wing, Y. K., Lau, W. C. Y., Man, K. K. C., & Wong, I. C. K. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115236 · Cited by 17 · see citing works
Suicide and self-harm in older adults
Connors, M. H., Draper, B., Wand, A. P. F., Leo, D. D., & Reppermund, S. (2025) · Nature Reviews Psychology · doi:10.1038/s44159-025-00454-w · Cited by 17 · see citing works
Escala Abreviada de Personalidad y Acontecimientos Vitales para la detección de los intentos de suicidio
Artieda-Urrutia, P., Delgado‐Gómez, D., Ruiz-Hernández, D., García-Vega, J. M., Berenguer, N., Oquendo, M. A., & Blasco-Fontecilla, H. (2015) · Revista de Psiquiatría y Salud Mental · doi:10.1016/j.rpsm.2015.02.004 · Cited by 14 · see citing works
Adolescents’ Bipolar Experiences and Suicide Risk: Well-being and Mental Health Difficulties as Mediators
Fumero, A., Marrero, R. J., Pérez‐Albéniz, A., & Fonseca‐Pedrero, E. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18063024 · Cited by 14 · see citing works
Towards Higher Psychometric Properties: Testing the Psychological Strain Scales with Larger Samples
Zhang, J., Wang, W., Huen, J. M. Y., Lyu, J., & Lew, B. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2020.1847707 · Cited by 12 · see citing works
How is cybervictimization associated with Chinese adolescent suicidal ideation? A moderated mediation analysis
He, D., Liu, Q., & Jiang, F. (2022) · Current Psychology · doi:10.1007/s12144-022-03044-8 · Cited by 12 · see citing works
Potential Therapeutic Targets in People with Emotional Dependency
Lemos, M., Vásquez, A., & Román-Calderón, J. P. (2019) · International journal of psychological research · doi:10.21500/20112084.3627 · Cited by 12 · see citing works
Short Personality and Life Event scale for detection of suicide attempters
Artieda-Urrutia, P., Delgado‐Gómez, D., Ruiz-Hernández, D., García-Vega, J. M., Berenguer, N., Oquendo, M. A., & Blasco-Fontecilla, H. (2015) · Revista de Psiquiatría y Salud Mental (English Edition) · doi:10.1016/j.rpsmen.2015.10.001 · Cited by 12 · see citing works
Prevalence of Suicidal Ideation and Its Association with Positive Affect in Working Women: A Day Reconstruction Study
Tian, L., Yang, Y., Yang, H., & Huebner, E. S. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00285 · Cited by 12 · see citing works
Systemization of Knowledge (SoK): Creating a Research Agenda for Human-Centered Real-Time Risk Detection on Social Media Platforms
Alsoubai, A., Park, J., Qadir, S., Stringhini, G., Razi, A., & Wiśniewski, P. (2024) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3613904.3642315 · Cited by 12 · see citing works
The relationship between childhood adversity and affective instability across psychiatric disorders: A meta‐analysis
Palmier‐Claus, J. E., Golby, R., Stokes, L.-J. G., Saville, C. W. N., Velemis, K., Varese, F., Marwaha, S., Tyler, E., & Taylor, P. J. (2024) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13745 · Cited by 12 · see citing works
Self-citation
The Mental Imagery for Suicidality in Students Trial (MISST): study protocol for a feasibility randomised controlled trial of broad-minded affective coping (BMAC) plus risk assessment and signposting versus risk assessment and signposting alone
Taylor, P. J., Duxbury, P. J., Moorhouse, J., Russell, C., Pratt, D., Parker, S., Sutton, C., Lobban, F. A., Drake, R., Eccles, S., et al. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-023-01273-7 · Cited by 8 · see citing works
Self-citation
Suicidal ideation and behavior: Psychological assessment measures
Pianowski, G., Fernandes, E. S. D. O., & Baptista, M. N. (2015) · psicología desde el caribe · doi:10.14482/psdc.32.1.5872 · Cited by 6 · see citing works
Cognitive disengagement syndrome and attention deficit hyperactivity disorder: An examination of relationships with alexithymia and emotion regulation difficulties
Yılmaz, Y., & Bahadır, E. (2026) · Applied Neuropsychology: Adult · doi:10.1080/23279095.2024.2385444 · Cited by 5 · see citing works
Towards Emotion- and Time-Aware Classification of Tweets to Assist Human Moderation for Suicide Prevention
Sawhney, R., Joshi, H., Nobles, A. L., & Shah, R. R. (2021) · Proceedings of the International AAAI Conference on Web and Social Media · doi:10.1609/icwsm.v15i1.18088 · Cited by 5 · see citing works
Suicidal risks in rural versus urban populations in Sardinia
Azcueta, R., Pinna, M., Manchia, M., Simbula, S., Tondo, L., & Baldessarini, R. J. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.09.024 · Cited by 5 · see citing works
Tweet Classification to Assist Human Moderation for Suicide Prevention.
Sawhney, R., Joshi, H., Nobles, A. L., & Shah, R. R. (2021) · PubMed · Cited by 4 · see citing works
Understanding Prevalence and Association of Suicidal Ideation, Deliberate Self-Harm, Stress, Anxiety Depression, and Mood Swings in Pakistan University Students: A Multilevel Analysis
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Authors: Palmier-Claus, J. E., Taylor, P. J., Varese, F., & Pratt, D.
Affiliations: University of Manchester (GB)
ORCID: Taylor, P.J.
Varese, F.
Pratt, D.
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2012-12
Volume: 143
Issue: 1-3
Pages: 5-15
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2012.05.030
OpenAlex: W1965659825
Cited by: 57
References: 140
Citations by year: 2026: 4 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 5 · 2021: 10 · 2020: 6 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 3
FWCI: 0.47
Type: journal article
Language: en
Open access: closed
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
Lancaster EPrints (Lancaster University) (submittedVersion)
Research Explorer (The University of Manchester) (submittedVersion)
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 › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: neuroticism, suicide risk, suicidality, dysphoric mood, anxiety, self-harm prevention, psychosocial interventions, emotion regulation
MeSH terms: Anxiety, Anxiety Disorders, Female, Humans, Middle Aged, Retrospective Studies, Suicide, Mood Disorders

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Does unstable mood increase risk of suicide? Theory, research and practice

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