TY  - JOUR
PY  - 2020//
TI  - The Living Ladder: introduction and validity over 6-month follow-up of a one-item measure of readiness to continue living in suicidal patients
JO  - Suicide and life-threatening behavior
A1  - Britton, Peter C.
A1  - Conner, Kenneth R.
A1  - Maisto, Stephen A.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12635
ID  - ref1
ER  -