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There is a growing literature supporting the idea that those who engage in non-suicidal deliberate self-harm (DSH) have altered pain perception compared to individuals who do not. For example, individuals who report a history of non-suicidal DSH behavior have a decreased sensitivity to transient pain during laboratory-based pain induction (e.g., Glenn et al., 2014). Research suggests that brief manipulations targeting individual beliefs can affect performance on subsequent tasks, including measures of pain sensitivity. To date, however, no study has examined the effects of experimentally manipulated pain perception on DSH behavior. The Self-Aggression Paradigm (SAP: Berman & Walley, 2003; McCloskey & Berman, 2003) allows for the prospective observation of the effects of experimental manipulations on a laboratory analogue of DSH. Therefore, the aim of the current study was to determine if experimentally manipulated false feedback about pain tolerance affects DSH behavior during the SAP, thus potentially providing evidence for a causal linkage between pain perception and DSH. Eighty participants were randomly assigned to one of three feedback groups: High pain tolerance, low pain tolerance, and a control condition with neutral feedback provided after completing the SAP. Participants were provided false feedback regarding their pain tolerance after a pressure algometer task. It was predicted that participants in the high pain tolerance feedback groupwould have the highest DSH on the SAP, with DSH defined as the level of shock self-administered during a series of reaction-time trials. No significant group differences, however, emerged based on group assignment. Men engaged in more DSH than women during the study independent of feedback group assignment. A secondary aim of the current study was to provide further validation for the SAP using multiple pain induction modalities. Implications of the current findings and future research directions are discussed.

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Suicidal thoughts and behaviors are important public health concerns and suicide is the second leading cause of death among adolescents in the United States (CDC, 2019). The months following hospital discharge mark an increased period of risk for recurrence of suicidal thoughts and behaviors. During this elevated risk period, the first month following discharge is a particularly high-risk period for suicide death (Meehan et al., 2006). Despite this known high-risk period, the processes that place an individual at increased risk during this time are not well understood. Emotion intensity and lability are known risk factors for suicidal ideation and are demographically salient risk factors among adolescents. Historic methodologies for assessing emotion intensity and lability rely on long-term retrospective self-report questionnaires and interviews which fail to capture the variability of these risk factors that are known to fluctuate on a daily to hourly basis. The present study implemented ecological momentary assessment (EMA; a methodology for repeatedly assessing variables in real-time), to study both positive and negative emotion intensity and lability among adolescents during the first month following discharge from psychiatric hospitalization. The current study sought to compare the power of traditional baseline assessments of emotions to that of EMA in the prediction of intensity and recurrence of suicidal ideation at 1- and 4-months post-hospitalization. Forty-five adolescents (12-18 years; M= 15.85; SD= 1.58) psychiatrically hospitalized due to a suicide related chief complaint were recruited from an inpatient unit in a larger treatment development study. Adolescents completed interviews and self-reports to assess demographic variables, baseline emotion characteristics, and history of suicidal thoughts and behavior. Following discharge, participants completed one month of daily EMA surveys, in which adolescents were asked to rate the extent to which they felt positive and negative emotions in the moment. Adolescents then completed a follow-up survey at 1-month and 4-months post-discharge to assess recurrence and intensity of suicidal ideation. We found that positive and negative emotions at baseline did not significantly predict suicidal ideation recurrence or intensity at either of the study follow-ups. High intensity of negative emotions as assessed via EMA was significantly associated with more intense suicidal ideation severity at both 1- and 4- months post-discharge, even after controlling for baseline suicidal ideation intensity and depressive symptoms. Assessing emotions on a daily basis provided stronger prediction models of suicidal ideation intensity in the months following hospital discharge compared to traditional methods of assessment. Limitations and future directions are discussed.

Bakgrund: Suicid är ett globalt folkhälsoproblem och sjuksköterskan spelar en viktig roll i det suicidförebyggande arbetet. Det finns olika behandlingar för personer med suicidalt beteende, och hur dessa patienter blir bemötta i vården har en viktig betydelse för deras tillfrisknande. Syfte: Syftet var att beskriva sjuksköterskors upplevelser av att vårda suicidnära patienter. Metod: Litteraturöversikt baserad på elva vetenskapliga artiklar; nio kvalitativa, en kvantitativ och en mixad metod hämtade från databaserna Pubmed och Cinahl Complete. Resultat: Resultatet presenteras utifrån tre huvudteman: Brist på erfarenhet och utbildning, Vårdrelationens betydelse samt Uttryckta känslor hos sjuksköterskor. Slutsats: Litteraturöversikten visar främst på en bristande kompetens hos sjuksköterskorna i vårdandet av suicidnära patienter. Den bristande kompetensen drabbar inte bara patienterna utan påverkar även sjuksköterskornas egna mående då oro och stressrelaterade känslor ofta uppstår. En god vårdrelation är av betydelse för att kunna vårda denna patientgrupp på bästa sätt. / Background: Suicide is a global public health issue, and nurses play a crucial role in suicide prevention efforts. There are various treatments available for individuals with suicidal behavior, and how these patients are treated in healthcare settings is of significant importance for their recovery. Aim: The aim was to describe nurses' experiences of caring for suicidal patients. Method: A literature review based on eleven scientific articles; nine qualitative, one quantitative, and one mixed method collected from the databases Pubmed and Cinahl Complete. Results: The results are presented based on three main themes: Lack of experience and training, Importance of the nurse-patient relationship, and Expressed emotions among nurses. Conclusions: The literature review primarily demonstrates a lack of competence among nurses in caring for patients at risk of suicide. This lack of competence not only affects the patients but also impacts the nurses' own well-being as feelings of anxiety and stress often arise. A strong nurse-patient relationship is of great importance in order to provide optimal care for this patient group.

Suicidal ideation and suicide attempt rates are far higher among gender minority individuals than in the general population. In the wake of an unprecedented number of anti-LGBTQ+ legislation being proposed and passed in 2023 in the United States, this study sought to examine the impact of this legislation on gender minority stress and suicidal desire and intent among gender minority adults. Results indicated that anxiety about the legislation was associated with the desire to die, perceived burdensomeness, thwarted belongingness, and the likelihood of attempting suicide in the future. The perceived impact of the legislation was associated with intent to die and thwarted belongingness. Knowledge of the legislation being proposed or passed in their state was associated with anxiety about legislation and its perceived impact on them. Awareness of laws passed in their state was also associated with distal and proximal factors of gender minority stress. Distal stress factors were also associated with the perceived impact of the legislation. Taken together, these results suggest that the discriminatory legislation is negatively impacting the mental well-being of gender minority individuals across the United States and may put them at greater risk for suicidal thoughts.

Suicidality is an important problem among adolescents. This study compares Durkheim's and Tarde's perspectives on suicide. While the Durkheimian perspective alleges that integration, regulation, and anomie play the major role on adolescent suicidality, Tarde's theory considers imitation as the most important factor affecting suicidality. Durkheim suggests that individuals with higher integration and regulation are less likely to commit suicide. Individuals with less integration and regulation, on the other hand, are more likely to experience anomie and higher suicidality. Tarde claims that individuals with suicidal peers are more likely to commit suicide. In particular, the effects of school integration, family integration, peer integration, religious integration, neighborhood integration, family regulation, anomie, and suicide imitation on adolescent suicidality in Turkey are examined using binary logistics regression in the current attempt. The results indicate that school integration, family integration, and religious integration have significant negative effects on adolescents' suicidality whereas suicide imitation has a positive effect. The results of the study are expected to help to prevention programs purposed at reducing suicidality among adolescents.

Analyses showed that adolescents who were older, had non-intact families, had fathers who were homemakers, had parents of a lower educational level, or had economically disadvantaged families, had a significantly higher level of suicidal ideation. Pearson correlation analyses showed that emotional competence, social problem solving, father-adolescent communication, mother-adolescent communication and family functioning were negatively related to adolescent suicidal ideation, while hopelessness was positively related to it. Regression analyses also showed that the above factors were significant predictors of adolescent suicidal ideation. / Based on a family ecological model, this study investigated personal factors (hopelessness, social problem solving, emotional competence) and family factors (parent-adolescent communication, family functioning) related to suicidal ideation among secondary school students in Hong Kong utilizing a cross-sectional survey design. A total of 5,928 self-administered questionnaires based on convenience sampling (male = 53.1%, female = 46.9%) were collected from 42 secondary schools on Hong Kong Island, in Kowloon and the New Territories. The participants were Form 1 to Form 4 students, with a mean age of 13.87. / The theoretical implications of the findings are that emotional competence, social problem solving, hopelessness, parent-adolescent communication and family functioning can be considered as key building blocks in the models of adolescent suicidal ideation. Practically speaking, enhancing emotional competence, social problem solving skills, sense of hope, quality of parent-adolescent communication and healthy family functioning with reference to the family ecological framework is important for preventing and treating adolescent suicidal ideation. Implications for policy development and social service delivery are further elaborated. In addition, limitations of the study are discussed and recommendations for further study are made. / Three types of causal models were tested in the study. In the direct effects model, hopelessness was the most important predictor among different correlates, followed by mother-adolescent communication, family functioning, social problem solving and father-adolescent communication, while emotional competence was the least important. In the mediating model, path analyses showed that hopelessness mediated the relationship between both personal and family correlates and adolescent suicidal ideation. In the moderating models, hierarchical regression analyses showed that mother-adolescent communication moderated the relationship between hopelessness and adolescent suicidal ideation. / "December 2007." / Adviser: Tan Lei Daniel Shek. / Source: Dissertation Abstracts International, Volume: 69-08, Section: A, page: 3320. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2007. / Includes bibliographical references (p. 235-297). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstract in English and Chionese. / School code: 1307.