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Cited by 17Suicide and Self-Harm StudiesMental Health Research TopicsMental Health via Writing

Differential time varying associations among affective states and suicidal ideation among adolescents following hospital discharge

Schatten, Heather T., Brick, Leslie A., Holman, Caroline S., Czyz, Ewa·2021·Psychiatry Research
DOI 10.1016/j.psychres.2021.114174
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Abstract

Suicide is a major public health problem among adolescents. Identifying factors that confer increased risk for suicidal ideation, particularly during the high-risk period following psychiatric hospitalization, is essential for preventing suicide in this population. Negative and positive affect are two such important modifiable risk factors. This study examined relationships between specific affective states and suicidal ideation, collected via daily diary, as continuous functions of time among discharged adolescents. Adolescents hospitalized for suicidal ideation and/or behavior responded to daily surveys for four weeks after discharge (N = 34; 952 observations). Time-varying effects models (TVEM) were used to predict same- and next-day suicidal ideation. Examining between-persons effects, adolescents reporting greater misery and less happiness compared to others had a significantly increased likelihood of same-day suicidal ideation; between-person anger was not significantly associated with suicidal ideation. Within-persons effects suggested that elevated same-day, but not previous-day, misery and anger were associated with suicidal ideation. Elevated within-person happiness was protective for same-day suicidal ideation, but was also associated with next-day suicidal ideation. These findings begin to clarify not only which, but when, specific affective processes influence suicidal ideation for discharged adolescents. These dynamic risk factors represent modifiable treatment targets relevant for real-time interventions.

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  • Most reports failed to establish independent temporal predictors of suicidal ideation severity: of twelve articles fitting temporal prediction models, four failed to establish significant predictors after accounting for ideation at the previous time point, and five did not control for prior ideation.

    “Most reports failed to establish independent temporal predictors of suicidal ideation severity: of twelve articles fitting temporal prediction models (47, 51, 52, 55–57, 60, 73, 74, 76, 77), four failed to establish significant predictors after accounting for ideation at the previous time point (47, 52, 55), and five did not control for prior ideation (51, 60, 73, 74, 76).”

    From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [76]

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Authors
Schatten, H. T., Brick, L. A., Holman, C. S., & Czyz, E.
Affiliations
  • Brown University (US)
  • Providence VA Medical Center (US)
  • University of Michigan (US)
Corresponding author
Schatten, Heather T.
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2021-11
Volume
305
Pages
114174
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2021.114174
OpenAlex
W3193640735
Cited by
17
References
57
Citations by year
2026: 6 · 2025: 5 · 2024: 3 · 2023: 2 · 2022: 1
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Michigan Institute for Clinical and Health Research
  • American Foundation for Suicide Prevention (PDF–0–028–14)
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, adolescents, affective states, misery, happiness, anger, psychiatric hospitalization, hospital discharge, time-dependent effects, daily diary, suicide prevention, within-person effects, between-person effects
MeSH terms
Adolescent, Hospitals, Humans, Patient Discharge, Risk Factors, Suicide, Suicide, Attempted, Suicidal Ideation

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