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Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression.

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  • Additional Information
    • Source:
      Publisher: Cambridge University Press Country of Publication: England NLM ID: 9111820 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1778-3585 (Electronic) Linking ISSN: 09249338 NLM ISO Abbreviation: Eur. Psychiatry Subsets: MEDLINE
    • Publication Information:
      Publication: 2020- : Cambridge : Cambridge University Press
      Original Publication: Paris : Editions scientifiques Elsevier, c1991-
    • Subject Terms:
    • Abstract:
      Objective: To extend evidence on the short-term variability of passive and active suicidal ideation (SI) and the association with suggested proximal risk factors such as interpersonal variables (perceived burdensomeness [PB], thwarted belongingness [TB], hopelessness, and depression) in real-time.
      Methods: This is an observational study using a prospective design applying ecological momentary assessments (EMA). Eligible for study inclusion were inpatients with unipolar depression, current or lifetime suicidal ideation, and fluent German. Over six days, 74 participants rated their momentary level of passive and active SI, PB, TB, depressiveness, and hopelessness up to 10 times per day on smartphones. Data was collected from August 2015 to July 2017. Compliance was excellent (89.7%).
      Results: Mean squared successive differences supported temporal instability for all variables. According intra-class correlations, between 25% and 47% of variance was accounted for by within-person variability. Multilevel analysis demonstrated significant positive associations between hopelessness, depressiveness, PB, and TB with passive SI. Prospectively, hopelessness and PB remained predictors of passive SI. For active SI, hopelessness, depression, PB, and TB were significantly associated cross-sectionally. Prospectively, hopelessness, PB, and the interaction PBxTB predicted active SI. All models were controlled for previous level of SI.
      Conclusions: This study provides further evidence on the short-term variability of SI in very short time frames implying the need of assessing SI repeatedly in clinical and research settings. The associations between interpersonal variables and passive and active SI were only partial in line with assumptions of the Interpersonal Theory of Suicide. Overall, the effects were small warranting further investigation.
      (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)
    • Contributed Indexing:
      Keywords: Ecological momentary assessments*; Hopelessness*; Interpersonal variables*; Risk factors*; Suicidal ideation*
    • Publication Date:
      Date Created: 20181212 Date Completed: 20190417 Latest Revision: 20200109
    • Publication Date:
      20200827
    • Accession Number:
      10.1016/j.eurpsy.2018.11.003
    • Accession Number:
      30530103
  • Citations
    • ABNT:
      HALLENSLEBEN, N. et al. Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression. European psychiatry : the journal of the Association of European Psychiatrists, [s. l.], v. 56, p. 43–50, 2019. DOI 10.1016/j.eurpsy.2018.11.003. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=30530103. Acesso em: 29 set. 2020.
    • AMA:
      Hallensleben N, Glaesmer H, Forkmann T, et al. Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression. European psychiatry : the journal of the Association of European Psychiatrists. 2019;56:43-50. doi:10.1016/j.eurpsy.2018.11.003
    • APA:
      Hallensleben, N., Glaesmer, H., Forkmann, T., Rath, D., Strauss, M., Kersting, A., & Spangenberg, L. (2019). Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression. European Psychiatry : The Journal of the Association of European Psychiatrists, 56, 43–50. https://doi.org/10.1016/j.eurpsy.2018.11.003
    • Chicago/Turabian: Author-Date:
      Hallensleben, N, H Glaesmer, T Forkmann, D Rath, M Strauss, A Kersting, and L Spangenberg. 2019. “Predicting Suicidal Ideation by Interpersonal Variables, Hopelessness and Depression in Real-Time. An Ecological Momentary Assessment Study in Psychiatric Inpatients with Depression.” European Psychiatry : The Journal of the Association of European Psychiatrists 56 (February): 43–50. doi:10.1016/j.eurpsy.2018.11.003.
    • Harvard:
      Hallensleben, N. et al. (2019) ‘Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression’, European psychiatry : the journal of the Association of European Psychiatrists, 56, pp. 43–50. doi: 10.1016/j.eurpsy.2018.11.003.
    • Harvard: Australian:
      Hallensleben, N, Glaesmer, H, Forkmann, T, Rath, D, Strauss, M, Kersting, A & Spangenberg, L 2019, ‘Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression’, European psychiatry : the journal of the Association of European Psychiatrists, vol. 56, pp. 43–50, viewed 29 September 2020, .
    • MLA:
      Hallensleben, N., et al. “Predicting Suicidal Ideation by Interpersonal Variables, Hopelessness and Depression in Real-Time. An Ecological Momentary Assessment Study in Psychiatric Inpatients with Depression.” European Psychiatry : The Journal of the Association of European Psychiatrists, vol. 56, Feb. 2019, pp. 43–50. EBSCOhost, doi:10.1016/j.eurpsy.2018.11.003.
    • Chicago/Turabian: Humanities:
      Hallensleben, N, H Glaesmer, T Forkmann, D Rath, M Strauss, A Kersting, and L Spangenberg. “Predicting Suicidal Ideation by Interpersonal Variables, Hopelessness and Depression in Real-Time. An Ecological Momentary Assessment Study in Psychiatric Inpatients with Depression.” European Psychiatry : The Journal of the Association of European Psychiatrists 56 (February 2019): 43–50. doi:10.1016/j.eurpsy.2018.11.003.
    • Vancouver/ICMJE:
      Hallensleben N, Glaesmer H, Forkmann T, Rath D, Strauss M, Kersting A, et al. Predicting suicidal ideation by interpersonal variables, hopelessness and depression in real-time. An ecological momentary assessment study in psychiatric inpatients with depression. European psychiatry : the journal of the Association of European Psychiatrists [Internet]. 2019 Feb [cited 2020 Sep 29];56:43–50. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=30530103