PTSD symptoms among trauma-exposed adults admitted to inpatient psychiatry for suicide-related concerns
Open accessAbstract
Individuals admitted to inpatient psychiatry for suicide-related concerns are at increased risk of suicide post-discharge, necessitating an understanding of factors, such as posttraumatic stress disorder (PTSD), that are associated with suicide-related hospitalizations. In this study, we examined if individuals admitted for suicide-related concerns were more likely than those admitted for other reasons to have elevated PTSD symptoms or a probable PTSD diagnosis. We also examined the moderating role of impulsivity. Participants were 188 trauma-exposed adult psychiatric inpatients (M [SD]age = 33.6 y [11.7 y], 63.3% male, 46.3% white). We used the Life Events Checklist for DSM-5, PTSD Checklist for DSM-5, Beck Scale for Suicide Ideation, and Barratt Impulsiveness Scale-11 to assess trauma exposure, PTSD symptoms, suicidal ideation severity, and impulsivity, respectively. We controlled for trauma load, number of psychiatric diagnoses, and comorbid depressive and substance use disorders. Patients admitted for suicide-related concerns (55.3%; n = 104), compared with those admitted for other reasons (44.7%; n = 84), had more severe PTSD symptoms, corresponding to medium-to-large effect sizes; associations were stronger at higher levels of impulsivity. Additionally, patients admitted for suicide-related concerns were nearly four times more likely than their counterparts to screen positive for a provisional PTSD diagnosis. Among the subset of individuals admitted for suicide-related concerns, greater PTSD symptoms were associated with more severe suicidal ideation. In sum, PTSD symptoms are elevated among psychiatric inpatients admitted for suicide-related concerns, and among this subgroup, greater PTSD symptom severity covaries with suicidal ideation severity. Screening for and treating PTSD, and attending to cooccurring impulsivity, in psychiatric inpatients may reduce suicide risk.
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From Mindful attention training workshop for firefighters: Design and methodology of a pilot randomized clinical trial (2022) · cites this paper as [40]
The Methods > Measures passage reports good internal consistency for the BSS-5 in this sample (α=.87). Its statement about strong psychometric properties, including test–retest reliability and concurrent validity, concerns the full BSS, not specifically the BSS-5; the broader claim about the BSS-5 is therefore not fully supported. (LLM, conf=0.84)
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Cited by
Sorted by citations
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“The BSS-5 has demonstrated strong psychometric properties [39,40].”
BackgroundSelf-citation
- Authors
- Stanley, I. H., Marx, B. P., Keane, T. M., & Vujanovic, A. A.
- Affiliations
- Boston University (US)
- University of Houston (US)
- Corresponding author
- Stanley, Ian H.
- Vujanovic, Anka A.
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 133
- Pages
- 60-66
- ISSN
- 0022-3956 (ISSN-L)
- PMC
- PMC7856162
- OpenAlex
- W3109361126
- Cited by
- 21
- References
- 42
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 3
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Hogg Foundation for Mental Health
- National Institute of Mental Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- post-traumatic stress disorder, posttraumatic stress symptoms, psychiatric inpatients, suicidal ideation, impulsivity, trauma exposure, suicide risk, PTSD screening
- MeSH terms
- Adult, Aftercare, Female, Humans, Inpatients, Male, Patient Discharge, Psychiatry, Stress Disorders, Post-Traumatic, Suicidal Ideation
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