Cited by 123Suicide and Self-Harm StudiesMental Health Research TopicsMental Health via Writing

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Real-time predictors of suicidal ideation: Mobile assessment of hospitalized depressed patients

Ben-Zeev, Dror, Young, Michael A., Depp, Colin A.·2012·Psychiatry Research

DOI 10.1016/j.psychres.2011.11.025

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Abstract

Suicidal ideation is a risk factor for suicide attempt and completion. Cross-sectional or retrospective studies cannot capture the dynamic course and possible predictors of suicidal ideation as it occurs in daily life. This study utilizes an experience sampling paradigm to identify real-time predictors of suicidal ideation in inpatients with major depressive disorder. Thirty-one depressed patients admitted to a psychiatric unit were signaled by a mobile device to record suicidal ideation, affect, and other symptoms, multiple times a day over 1 week. Participants completed a total of 1350 questionnaires. Seventy-four percent of the sample reported suicidal ideation during the week. Time-lagged analyses revealed that momentary ratings of Sadness, Tension, and Boredom (as well as suicidal ideation itself) predicted subsequent suicidal thoughts in the following hours. Baseline severity of depression and past suicide attempts were both correlated with mean ideation severity during the week. A number of predictors identified in prior research (e.g. hopelessness) were unrelated to subsequent suicidal ideation in the current study. Momentary interventions that guide individuals through activities designed to reduce levels of Sadness, Tension, and Boredom in real-time (e.g., thought challenging, relaxation, behavioral activation) may be especially warranted.

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Authors: Ben-Zeev, D., Young, M. A., & Depp, C. A.
Affiliations: Illinois Institute of Technology (US)
University of California San Diego (US)
ORCID: Young, Michael A.
Depp, Colin A.
Venue: Psychiatry Research
Publisher: Elsevier BV
Published: 2012-05
Volume: 197
Issue: 1-2
Pages: 55-59
ISSN: 0165-1781 (ISSN-L)
DOI: 10.1016/j.psychres.2011.11.025
OpenAlex: W2043884660
Cited by: 122
References: 43
Citations by year: 2026: 6 · 2025: 10 · 2024: 12 · 2023: 8 · 2022: 12 · 2021: 13 · 2020: 8 · 2019: 6 · 2018: 9 · 2017: 8 · 2016: 8 · 2015: 12 · 2014: 6 · 2013: 2 · 2012: 2
FWCI: 7.99
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Psychiatry Research (publishedVersion)
PubMed (publishedVersion)
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: suicidal ideation, major depressive disorder, hospitalized patients, mobile assessment, ecological momentary assessment, sadness, tension, boredom, hopelessness, suicide attempts, depression severity, behavioral activation, relaxation
MeSH terms: Adult, Depression, Female, Hospitalization, Humans, Longitudinal Studies, Male, Middle Aged, Predictive Value of Tests, Psychiatric Status Rating Scales, Surveys and Questionnaires, Regression Analysis, Suicide, Attempted, Suicidal Ideation

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Real-time predictors of suicidal ideation: Mobile assessment of hospitalized depressed patients

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