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Cited by 7Suicide and Self-Harm StudiesPosttraumatic Stress Disorder ResearchPersonality Disorders and Psychopathology

Emotion dysregulation as a mechanism linking posttraumatic stress disorder to subsequent suicidal thoughts and behaviors following inpatient psychiatric discharge

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Raudales, Alexa M., Carosa, Catarina L., Weiss, Nicole H., Schatten, Heather T., Armey, Michael F.·2023·Journal of Psychiatric Research
DOI 10.1016/j.jpsychires.2023.03.002PMC PMC12931126
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Abstract

Posttraumatic stress disorder (PTSD) is a well-known risk factor for suicidal thoughts and behaviors (STBs). However, there is a scarcity of longitudinal studies exploring underlying pathways. This study sought to examine the mechanistic role of emotion dysregulation in the relations between PTSD and STBs following discharge from psychiatric inpatient treatment, a particularly high-risk period for suicide. Participants were 362 trauma-exposed psychiatric inpatients (45% female, 77% white, M age = 40.37). PTSD was assessed via a clinical interview (Columbia Suicide Severity Rating Scale) during hospitalization, emotion dysregulation was assessed via self-report 3-weeks post-discharge, and STBs were assessed via a clinical interview 6-months post-discharge. St'1ructural equation modeling showed that emotion dysregulation significantly mediated the relation between PTSD and suicidal thoughts (β = 0.10, SE = 0.04, p = .01, 95%CI [0.04, 0.39]) but not suicide attempts (β = 0.04, SE = 0.04, p = .29, 95%CI [-0.03, 0.12]) post-discharge. Findings highlight a potential clinical utility of targeting emotion dysregulation among individuals with PTSD to prevent suicidal thoughts following discharge from psychiatric inpatient treatment.

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  • Emotional dysregulation was found to mediate the relationship between suicidal ideation or attempt and various variables (i.e., childhood trauma, avoidant and anxious attachment, sleep disturbances, depressive symptoms, NSSI, etc.), except in one study [56].

    “In general, emotional dysregulation was found to mediate the relationship between suicidal ideation or attempt and various variables (i.e., childhood trauma, avoidant and anxious attachment, sleep disturbances, depressive symptoms, NSSI, etc.), except in one study [56].”

    From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [56]

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Authors
Raudales, A. M., Carosa, C. L., Weiss, N. H., Schatten, H. T., & Armey, M. F.
Affiliations
  • University of Rhode Island (US)
  • Butler Hospital (US)
  • Brown University (US)
Corresponding author
Armey, Michael F.
ORCID
Venue
Journal of Psychiatric Research
Publisher
Elsevier BV
Published
2023-05
Volume
161
Pages
34-39
ISSN
0022-3956 (ISSN-L)
DOI
10.1016/j.jpsychires.2023.03.002
PMC
PMC12931126
OpenAlex
W4323030624
Cited by
7
References
38
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 1
FWCI
2.03
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Psychiatric Research (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion)
Funders
  • National Institute of Mental Health (R01MH095786, R01MH097741)
  • National Institute on Drug Abuse (K23DA039327)
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, emotional dysregulation, suicidal ideation, suicide attempts, psychiatric hospital discharge, trauma exposure, mediation, suicide prevention, psychiatric inpatient care
MeSH terms
Adult, Aftercare, Emotions, Female, Humans, Inpatients, Male, Patient Discharge, Stress Disorders, Post-Traumatic, Suicidal Ideation

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