@article{ref1,
title="A deeper dive into the relation between psychotic-like experiences and suicidal ideation and behaviors in children across the United States",
journal="Schizophrenia bulletin",
year="2022",
author="Jay, Samantha Y. and Schiffman, Jason and Grattan, Rebecca and O'Hare, Kirstie and Klaunig, Mallory and DeVylder, Jordan and Karcher, Nicole R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND AND HYPOTHESIS: Children who endorse psychotic-like experiences (PLEs) appear to be at a greater risk for suicidal ideation and behavior (SI/SB) compared to their peers who do not endorse PLEs. Despite evidence of differential relations among subtypes of PLEs and SI/SB, the research on which PLE subtypes produce the strongest associations remains mixed. Further, though there is evidence that general psychological distress may help explain the relation between PLEs and SI/SB, no research has investigated the role of distress specific to PLEs in this association. STUDY DESIGN: The present study sought to assess the associations among individual Prodromal Questionnaire-Brief Child Version (PQ-BC) items and SI/SB, as well as to explore the role of distress associated with PLEs as a mediator and/or moderator in a demographically diverse sample of children across the United States (N = 11 875). STUDY RESULTS: Results revealed that individual items of the PQ-BC may be differentially predictive of lifetime SI (ßs = 0.000-0.098) and SB (ßs=0.002-0.059), even when controlling for sociodemographic variables, internalizing symptoms, and traumatic experiences, with particularly strong associations observed among items indexing thought control, auditory hallucinations, suspiciousness, and nihilistic thinking/dissociative experiences. Item 13, nihilistic thinking/dissociative experiences, displayed the strongest effect sizes. <br><br>FINDINGS from moderation and mediation models provided evidence consistent with distress as both a partial mediator and moderator of the relation between total PLEs and individual PQ-BC items with SI and SB. <br><br>CONCLUSIONS: Distress specific to PLEs may be an important modifiable risk factor to target in suicide assessment, prevention, and intervention efforts.<p /> <p>Language: en</p>",
language="en",
issn="0586-7614",
doi="10.1093/schbul/sbac090",
url="http://dx.doi.org/10.1093/schbul/sbac090"
}