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Association of real-time assessed mood, affect and suicidal ideation in psychiatric inpatients with unipolar depression

Previous research provided preliminary support of a potential reinforcing effect of
suicidal ideation demonstrating reduced negative affect and increased positive affect
after thinking about suicide. The present study therefore sought to investigate the
role of mood and affect as a proximal risk factor of suicidal ideation in a high-risk
sample. Seventy-four psychiatric inpatients (72% female) with unipolar depression
and current and/or lifetime suicidal ideation aged 18 to 85 years (M = 37.6,
SD = 14.3) took part in an ecological momentary assessment (EMA) over 6 days.
Multilevel analyses were calculated. Analyses revealed negative valence of mood and
low positive affect to be predictors of subsequent intensity of suicidal ideation
(active, passive) as well as predictors of change in suicidal ideation (active, passive)
since the last measurement. High negative affect only predicted intensity of passive
suicidal ideation. Suicidal ideation (active, passive) was prospectively associated with
subsequent negative valence of mood and lower positive affect as well as with higher
intensity of negative affect. Suicidal ideation (active, passive) also predicted the
change in valence of mood, positive affect and negative affect since the last measurement.
Mood and affect should be taken into account as important proximal risk factors
of active and passive suicidal ideation. The results do not support the idea of a
reinforcing effect of suicidal ideation. In fact, they show a pattern of reduced subsequent
positive affect, negative valence of mood and increased negative affect. Replication
studies with larger samples and longer EMA follow-ups are needed

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:91362
Date14 May 2024
CreatorsLucht, Luise, Spangenberg, Lena, Forkmann, Thomas, Hallensleben, Nina, Rath, Dajana, Strauss, Maria, Glaesmer, Heide
PublisherWiley
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, doc-type:article, info:eu-repo/semantics/article, doc-type:Text
Rightsinfo:eu-repo/semantics/openAccess

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