(In)stability of Capability for Suicide in Psychiatric Inpatients: Longitudinal Assessment Using Ecological Momentary Assessments
Abstract
Objective: The study examines the temporal stability of capability for suicide (i.e., its state‐like component), because it has been recently discussed that capability for suicide may be subject to shift over time. Method: Seventy‐four psychiatric inpatients with an unipolar depressive disorder were included in the study (mean age 37.9 years, 71.6% female, 32.4% with a history of suicide attempt). After a baseline assessment with several self‐report questionnaires, ecological momentary assessments were applied over six consecutive days using smartphones. Capability for suicide was rated with three items once a day. For daily capability for suicide, descriptive and variability statistics and associations with baseline clinical characteristics (depression, suicidal ideation, childhood maltreatment, and history of suicide attempt) were analyzed. The prospective association of daily level of active suicidal ideation and daily capability was investigated by multilevel analysis. Results: Indicators of within‐person variability and temporal instability supported considerable fluctuation in daily capability for suicide. Yet the degree of temporal instability showed individual differences. Baseline and daily suicidal ideation were positively associated with daily fearlessness about death and perceived capability. Conclusion: The results provide first evidence that capability for suicide includes a dynamic short‐term component that is linked to clinical variables such as suicidal ideation.
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These acquired capability characteristics can also fluctuate substantially from day to day.
“These latter characteristics can also fluctuate substantially from day to day (59).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [59]
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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
- Spangenberg, L., Glaesmer, H., Hallensleben, N., Rath, D., & Forkmann, T.
- Affiliations
- Leipzig University (DE)
- Universitätsklinikum Aachen (DE)
- Corresponding author
- Spangenberg, Lena
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2019-03-04
- Volume
- 49
- Issue
- 6
- Pages
- 1560-1572
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W2920217241
- Cited by
- 57
- References
- 47
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 7 · 2023: 9 · 2022: 8 · 2021: 7 · 2020: 16
- FWCI
- 9.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Deutsche Forschungsgemeinschaft (Grant No. SP 1556/1‐1, GL 818/1‐1 and FO 784/1‐1)
- 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
- temporal stability, within-person variability, suicidal ideation, major depressive disorder, psychiatric inpatients, fearlessness about death, child abuse, suicide attempt history
- MeSH terms
- Ecological Momentary Assessment, Adult, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Inpatients, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Self Report, Suicidal Ideation
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