TY  - JOUR
PY  - 2024//
TI  - Perseveration on suicidal thoughts and images in daily life: an examination of the cognitive model of suicide through a dynamic systems lens
JO  - Behaviour research and therapy
A1  - Rogers, Megan L.
A1  - Law, Keyne C.
A1  - Lawrence, Olivia C.
A1  - Mandel, Abby A.
SP  - e104524
EP  - e104524
VL  - 177
IS  - 
N2  - According to the cognitive model of suicide, interactions between hopelessness and attentional biases toward suicidal information create a narrowed attentional focus on suicide as a viable solution, particularly in the presence of life stress, leading to increased suicide risk. This study used a dynamic systems approach to examine the short-term temporal patterns between stress, hopelessness, suicide-specific rumination, and suicidal intent. Adults (N = 237; M = 27.12 years; 62% cisgender women; 87% White/European American) with elevated suicidal ideation completed ecological momentary assessments six times a day for 14 days. A multilevel model approach informed by dynamic systems theory was used to simultaneously assess stable and dynamic temporal processes underlying perceived stress, hopelessness, suicide-specific rumination, and suicidal intent. Each variable demonstrated temporal stability. In support of the cognitive model of suicide, we observed (1) a reciprocal relationship between stress and hopelessness such that stress and hopelessness amplified each other (early-stage processes), and (2) reinforcing loops such that hopelessness, suicide-specific rumination, and suicidal intent amplified each other (later-stage processes). A dynamic systems modeling approach underscored the negative impact of a perpetuating cycle of suicide-specific rumination, deepening hopelessness, and escalating suicidal intent on increasing suicide risk, which may be targets for intervention.<p />  <p>Language: en</p>
LA  - en
SN  - 0005-7967
UR  - http://dx.doi.org/10.1016/j.brat.2024.104524
ID  - ref1
ER  -