@article{ref1,
title="Near-term predictors of the intensity of suicidal ideation: An examination of the 24h prior to a recent suicide attempt",
journal="Journal of affective disorders",
year="2014",
author="Bagge, Courtney L. and Littlefield, Andrew K. and Conner, Kenneth R. and Schumacher, Julie A. and Lee, Han-Joo",
volume="165",
number="",
pages="53-58",
abstract="BACKGROUND: The extent to which acute exposures such as alcohol use (AU) and negative life events (NLE) are uniquely associated with intensity of suicidal ideation during the hours leading up to a suicide attempt is unknown. The main aim of the current study was to quantify the unique effect of acute exposures on next-hour suicidal ideation when adjusting for previous hour acute exposures and suicidal ideation. An exploratory aim of the current study was to examine the effect of non-alcohol drug use (DU) on suicidal ideation. <br><br>METHODS: Participants included 166 (61.0% female) recent suicide attempters presenting to a Level 1 trauma hospital. A timeline follow-back methodology was used to assess acute exposures and intensity of suicidal ideation within the 24h prior to the suicide attempt. <br><br>RESULTS: Findings indicated that acute AU (b=.20, p<.01) and NLE (b=.58, p<.01) uniquely predicted increases in next-hour suicidal ideation, over and above previous hour suicidal ideation, whereas acute DU did not. LIMITATIONS: The current study׳s methodology provides continuous hourly snapshots prior to the suicide attempt, quite close to when it happened, but is retrospective and causality cannot be inferred. <br><br>CONCLUSIONS: Understanding that, within a patient, AU and NLE predict near-term increases in suicidal ideation has practical utility impacting providers׳ clinical decision-making, safety concerns, and ultimate determination of level of risk for suicide.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2014.04.010",
url="http://dx.doi.org/10.1016/j.jad.2014.04.010"
}