Predictors of daily life suicidal ideation in adults recently discharged after a serious suicide attempt: a pilot study
Abstract
The aims of the study are to examine the predictive role of fluctuations in daily life mood, social contexts, and behavior on subsequent suicidal ideation (SI); and to identify clinical and psychological factors associated with the general frequency of SI in a high-risk sample. The sample comprised 42 adults (73.8% female) hospitalized for a suicide attempt. Immediately following hospital discharge, they used Ecological Momentary Assessment for seven consecutive days, providing repeated measures of SI, environmental, contextual, and behavioral factors. Controlling for prior SI, a number of contextual variables were associated with subsequent SI. Being at home or at work were both associated with an increased probability of SI, while being in the home of close others, or in a festive or leisure environment decreased SI probability. Working, passive leisure and inactivity all increased the likelihood of SI. Being alone increased SI while being with close others significantly reduced this risk. Finally, no overall effect for stressful events was found but negative family events specifically were associated with increased likelihood of SI (γ = 0.448, t = 2.255, df = 29, p < 0.05). The findings provide preliminary results regarding proximal environmental and behavioral factors associated with the occurrence of suicidal ideation in a high-risk sample.
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Only a limited number of items can be used to cover a certain construct in EMA protocols, sometimes only a single item.
“Further, only a limited number of items can be used to cover a certain construct in EMA protocols (6)–sometimes only a single item is used [see e.g., (42)].”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [42]
Pseudo-random sampling schedules were most frequently used (57%, n = 13), followed by fixed sampling (26%, n = 6), and combined fixed and pseudo-random sampling (13%, n = 3).
“(pseudo)random sampling schedules were most frequently used [57%, n = 13 (42, 47, 51, 58, 61, 65, 69, 71, 79, 83, 85, 86, 88)], followed by fixed sampling [26%, n = 6 (45, 66, 67, 72, 80, 82)], and protocols that combined both fixed and (pseudo)random sampling [13%, n = 3 (47, 56, 60)].”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [42]
Among adults, being alone, at home or at work, and inactivity increased the probability of suicidal ideation, while being with family and friends or engaged in leisure activities decreased the probability of ideation.
“Among adults, being alone, at home or at work, and inactivity increased the probability of suicidal ideation, while being with family and friends or engaged in leisure activities decreased probability of ideation (42).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [42]
Although negative daily life events were generally not associated with suicidal ideation, negative interpersonal events increased the probability of ideation.
“Although negative daily life events were generally not associated with suicidal ideation, negative interpersonal events increased the probability of ideation (42, 64)”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [42]
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References 52 · Cited by 95
- Authors
- Husky, M., Swendsen, J., Ionita, A., Jaussent, I., Genty, C., & Courtet, P.
- Affiliations
- Université de Bordeaux (FR)
- Centre National de la Recherche Scientifique (FR)
- Inserm (FR)
- Corresponding author
- Husky, Mathilde
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2017-10
- Volume
- 256
- Pages
- 79-84
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2625529757
- Cited by
- 95
- References
- 52
- Citations by year
- 2026: 4 · 2025: 18 · 2024: 9 · 2023: 12 · 2022: 11 · 2021: 12 · 2020: 11 · 2019: 8 · 2018: 8 · 2017: 2
- FWCI
- 9.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- HAL (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 › Social Psychology › Mental Health via Writing
- Keywords
- suicidal ideation, suicide attempt survivors, hospital discharge, social environment, social support, environmental factors, being alone, family stress, high-risk adults, ecological momentary assessment
- MeSH terms
- Adult, Affect, Female, Humans, Life Change Events, Male, Middle Aged, Patient Discharge, Pilot Projects, Predictive Value of Tests, Risk Factors, Suicide, Attempted, Young Adult, Suicidal Ideation
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