Trial reportJournal of affective disorders2018
Investigating the role of hopelessness in the relationship between PTSD symptom change and suicidality.
Trial report in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 34 citations in OpenAlex.
- Differential patterns of daily trauma-related avoidance among suicide attempters and non-attempters.Journal of affective disorders · 2026Article
- Explaining the Link Between PTSD and Suicide: A Meta-Analysis to Introduce the CEASE Framework.Psychological reports · 2026Article
- A 3-step theory informed examination of PTSD, interpersonal challenges, hopelessness, and suicidal ideation in women veterans with military sexual trauma.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2026Article
- Hopelessness in Police Officers and Its Association with Depression and Burnout: A Pilot Study.International journal of environmental research and public health · 2022Article
- War-related quality of life is associated with depressive symptoms and hopelessness among Palestinians: sense of belonging and resilience as mediating variables.Global mental health (Cambridge, England) · 2022Article
- Factors influencing utilization and perception of health care: a qualitative study among traumatized Yazidi refugees in Germany.BMC psychiatry · 2021Article
- Community Violence, PTSD, Hopelessness, Substance Use, and Perpetuation of Violence in an Urban Environment.Community mental health journal · 2021Article
- Examining the interaction of autism spectrum disorder-related traits and unit cohesion on suicide risk among military personnel.Journal of affective disorders · 2020Article
- Occupational stress and suicidality among firefighters: Examining the buffering role of distress tolerance.Psychiatry research · 2018Article
- Anxiety sensitivity and suicide risk among firefighters: A test of the depression-distress amplification model.Comprehensive psychiatry · 2018Article
- Posttraumatic Stress Disorder Symptoms and Suicide Risk in Male Firefighters: The Mediating Role of Anxiety Sensitivity.The Journal of nervous and mental disease · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundThis study served as an initial investigation of the role hopelessness may play in the relationship between PTSD symptom change and suicide intent, among a trauma-exposed, treatment-seeking sample. We explored whether the effect of PTSD symptom change on self-reported likelihood of a future suicide attempt (FSA) varies as a function of pre-treatment hopelessness, and whether reductions in hopelessness serve as a mechanism through which PTSD symptom change influences FSA likelihood.
methodsData was collected from participants (N = 159) in a larger randomized clinical trial of a suicide risk-factor intervention. Self-report questionnaires assessed hopelessness, PTSD symptoms, depression symptoms, and FSA likelihood at pre-treatment and one-month follow-up.
resultsPre-treatment hopelessness emerged as a significant moderator, such that overall PTSD symptom reductions were related to overall decreases in FSA likelihood among those at or above (but not those below) the sample mean of pre-treatment hopelessness. In a subsample of individuals who reported FSA likelihood > 0 and elevated hopelessness at pre-treatment, overall pre-treatment-to-month-one reductions in hopelessness significantly mediated the relationship between overall PTSD symptom reductions and decreased FSA likelihood during this same time period, even after accounting for depression symptom changes. LIMITATIONS: Data were limited to self-report measures (i.e., hopelessness, FSA likelihood). The intervention was not PTSD-specific. Mediation analyses were strictly statistical due to overlapping time-points.
conclusionsThis preliminary investigation suggests pre-treatment hopelessness may serve to identify trauma-exposed individuals for whom PTSD treatment would significantly reduce FSA likelihood. Moreover, reductions in FSA likelihood during treatment may be due in part to reduced hopelessness.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.