@article{ref1,
title="The Living Ladder: introduction and validity over 6-month follow-up of a one-item measure of readiness to continue living in suicidal patients",
journal="Suicide and life-threatening behavior",
year="2020",
author="Britton, Peter C. and Conner, Kenneth R. and Maisto, Stephen A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: The ability to predict suicide outcomes is limited by the lack of consideration of protective factors. This study examined the validity of the Living Ladder, a measure of readiness to continue living among individuals thinking of suicide. <br><br>METHODS: The Living Ladder consists of one item that assesses an individual's readiness to continue living when thinking about suicide. Participants (N = 130) completed the Living Ladder in-person at baseline and by-phone at 1-, 3-, and 6-month follow-up. The prospective association of the Living Ladder with suicidal ideation and risk for a suicide attempt was examined using models adjusting for baseline ideation and suicide attempts, respectively. <br><br>RESULTS: Each rung on the Living Ladder was associated with 18% lower likelihood of suicidal ideation, OR (95% CI) = 0.82 (0.68, 0.96), and less severe suicidal ideation among those with ideation. Scores >2, indicating contemplation of living, were associated with 64% lower risk for a suicide attempt, HR (95% CI) = 0.36 (0.13, 0.98). <br><br>FINDINGS for suicidal ideation were replicated when administered by-phone. <br><br>CONCLUSIONS: The Living Ladder is a one-item measure that is prospectively associated with suicidal ideation and suicide attempts. <br><br>FINDINGS support the relevance of motivation to live to suicide outcomes.<br><br>© 2020 The American Association of Suicidology.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12635",
url="http://dx.doi.org/10.1111/sltb.12635"
}