16 research outputs found

    Rumination, Brooding, and Reflection: Prospective Associations with Suicide Ideation and Suicide Attempts

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/151274/1/sltb12507_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/151274/2/sltb12507.pd

    Positive and Negative Expectations of Hopelessness as Longitudinal Predictors of Depression, Suicidal Ideation, and Suicidal Behavior in High‐Risk Adolescents

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136513/1/sltb12273.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136513/2/sltb12273_am.pd

    Short‐term change and prediction of suicidal ideation among adolescents: a daily diary study following psychiatric hospitalization

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    Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149672/1/jcpp12974.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149672/2/jcpp12974_am.pd

    Identifying person-specific coping responses to suicidal urges: A case series analysis and illustration of the idiographic method

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    IntroductionSuicide is a leading cause of death. One challenge to prevention efforts is the wide phenomenological heterogeneity in suicidal urges, thoughts, and behaviors across individuals at risk. Despite this heterogeneity, most suicide research estimates group-level effects by averaging across people as if they were the same, preventing detection of person-specific factors that may modulate risk and be key to effective prevention. The goal of the present study is to illustrate the idiographic (i.e., person-specific) approach and highlight its utility for suicide research.MethodsWe implemented a case series approach using three cases from a subset of psychiatrically hospitalized adolescents who provided intensive longitudinal data on daily urges and coping behavior after discharge following a suicide attempt. For illustration, person-specific, bidirectional links between suicidal urges and coping behavior were modeled across a series of cases using a vector autoregression approach.ResultsThe relationship between suicidal urges and coping differed across the three individuals, who were presented to exhibit the range of this variability in the presence/absence and magnitude of effects.ConclusionsIndividuals who report similar suicidal risk levels likely respond in individualized ways to suicidal urges (e.g., use different coping strategies), necessitating personalized assessment and treatment. We discuss implications for future suicide research.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/173030/1/sltb12841.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/173030/2/sltb12841_am.pd

    The timing of onset of pain and substance use disorders

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    Using data from the National Comorbidity Survey--Replication, this study examined the timing of onset of self-reported comorbid chronic nonarthritis pain and substance use disorders (SUDs) and characteristics associated with different onset patterns. Most individuals (58.2%; N=351/632) report that the SUD preceded the onset of pain. Relative to those with SUDs prior to the onset of chronic pain, those experiencing pain first were less likely to have a drug use disorder, more likely to have head pain, to be younger at the onset of the first condition, and to have a shorter duration between condition onsets.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/78163/1/onset_extracted.pd

    Adaptive intervention for prevention of adolescent suicidal behavior after hospitalization: a pilot sequential multiple assignment randomized trial

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/169319/1/jcpp13383_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/169319/2/jcpp13383.pd
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