I. want you to want me: interpersonal stress and affective experiences as within-person predictors of nonsuicidal self-injury and suicide urges in daily life
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OBJECTIVE: To investigate near-term risk for self-injurious urges, we evaluated how within-person changes in internalizing and externalizing negative affect, as well as interpersonal rejection and criticism, impact subsequent nonsuicidal self-injury (NSSI) and suicide urges in daily life. METHOD: Young adult women (N = 62) from an ongoing community cohort study with past-year self-injurious thoughts completed a 21-day ecological momentary assessment protocol. We used multilevel path analyses to model within-person effects of negative affect and interpersonal stress on subsequent suicide and NSSI urges within several hours. RESULTS: When modeled simultaneously, within-person changes in internalizing, but not externalizing, negative affect predicted later self-injurious urges. Rejection and criticism predicted later self-injurious urges, with rejection showing a unique relationship to NSSI urges specifically. Effects of rejection and criticism on later NSSI and suicide urges were mediated by internalizing negative affect; rejection also retained a significant direct effect on NSSI urges. CONCLUSION: Interpersonal stressors may be potent near-term risk factors for self-injurious urges by increasing internalizing negative affect among vulnerable individuals. The direct role of rejection and criticism on self-injurious urges is less clear, particularly for suicide. These findings have implications for understanding processes underlying self-injurious urges, as well as designing real-time interventions for these experiences in daily life.
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Studies frequently (57%, n = 13) reported that participants could provide input about their daily schedules, allowing EMA prompt windows to be adjusted for each participant.
“Studies frequently (57%, n = 13; (47, 51, 58, 60, 61, 69, 71, 79–81, 85, 86)) reported that participants could provide input about their daily schedules (incl. sleep and wake times), allowing EMA prompt windows to be adjusted for each participant”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [60]
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 [60]
The most consistent evidence for other predictors was found for momentary negative affect, hopelessness and burdensomeness, which predicted increased momentary suicidal ideation within-day.
“Regarding other predictors, the most consistent evidence was found for momentary negative affect, hopelessness and burdensomeness. These variables predicted increased momentary suicidal ideation within-day (47, 56, 57, 60).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [60]
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Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research
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Self-citation
- Authors
- Victor, S. E., Scott, L. N., Stepp, S. D., & Goldstein, T. R.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Scott, Lori N.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2018-08-29
- Volume
- 49
- Issue
- 4
- Pages
- 1157-1177
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- PMC
- PMC6395579
- OpenAlex
- W2888869761
- Cited by
- 111
- References
- 60
- Citations by year
- 2026: 9 · 2025: 26 · 2024: 16 · 2023: 22 · 2022: 13 · 2021: 18 · 2020: 5 · 2019: 2
- FWCI
- 7.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Foundation for Suicide Prevention (YIG‐0‐131‐14 (PI: Dr. Lori N. Scott))
- National Institute of Mental Health (K01 MH101289, R01 MH056630, R01 MH101088, T32 MH018269‐32)
- National Institute on Drug Abuse (R01 DA012237)
- Office of Juvenile Justice and Delinquency Prevention (2013‐JF‐FX‐0058)
- FISA Foundation
- 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
- non-suicidal self-injury, interpersonal stress, interpersonal rejection, criticism, within-person change, young adult women, real-time intervention
- MeSH terms
- Adolescent, Female, Humans, Interpersonal Relations, Longitudinal Studies, Risk Factors, Stress, Psychological, Suicide, Cohort Studies, Self-Injurious Behavior, Young Adult, Suicidal Ideation
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