Evidence map›Paper›PMID 30246870›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2019

Short-term change and prediction of suicidal ideation among adolescents: a daily diary study following psychiatric hospitalization.

Ewa K Czyz, Adam G Horwitz, Alejandra Arango, Cheryl A King

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04775160 (Smartphone-based Ecological Momentary Intervention for Secondary Prevention of Suicidal Thoughts and Behavior), which is not on this map. Cited by 61 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04775160 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Smartphone-based Ecological Momentary Intervention for Secondary Prevention of Suicidal Thoughts and Behavior: a Randomised Clinical Trial

TypeinterventionalSponsorInstituto de Investigación Sanitaria de la Fundación Jiménez DíazRan2022 to 2025Enrolled220ConditionsSuicideArmsSmartSafe
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Characteristics of Suicidal Ideation: A Systematic Review.Archives of suicide research : official journal of the International Academy for Suicide Research
    Pooled it
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  18. Suicide Prevention in Youth.Current psychiatry reports · 2025
    Review
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ewa K CzyzDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Adam G HorwitzDepartment of Psychiatry, Rush University Medical Center, Chicago, IL, USA.
Alejandra ArangoDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Cheryl A KingDepartment of Psychiatry, University of Michigan, Ann Arbor, MI, USA.

Funding

Developing an Adaptive Intervention for Suicidal Adolescents Following Inpatient Hospitalization: A Pilot SMARTK23MH113776 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CZYZ, EWA KARINA · 2017 to 2020
$773k
NIMH NIH HHS K23 MH113776
6 · The paper itself

Abstract

backgroundOur understanding of suicidal ideation (SI) and its risk precursors is largely informed by studies spanning over wide time intervals (weeks, months, years). Little is known about SI as it occurs in daily lives of individuals at risk for suicide, the extent to which suicidal thoughts are dynamic over short periods of time, and the degree to which theoretically informed risk factors predict near-term SI.

methodsThirty-four adolescents hospitalized due to last-month suicide attempt and/or last-week SI (76% female; ages 13-17) responded to daily surveys sent to their cell phones for four consecutive weeks after discharge (n = 652 observations).

resultsThere was notable variability in day-to-day SI, with half of ideation ratings changing at least one within-person standard deviation from one day to the next. Results of mixed effects models revealed concurrent (same-day), but not short-term prospective (next-day), associations between SI (frequency, duration, urge) and well-established predictors (connectedness, burdensomeness, hopelessness). However, synergistic effects of low connectedness with either high burdensomeness or high hopelessness were reliably associated with more severe same- and next-day suicidal ideation.

conclusionsThis study adds to emerging literature indicating that suicidal thoughts fluctuate considerably among individuals at risk for suicide, further extending it by focusing on adolescents in the critical posthospitalization period. Fostering high-risk adolescents' sense of connectedness to others may be an especially promising intervention target. Frequent assessment of SI and its predictors, independently and in combination, could help identify promising predictors of short-term risk and meaningful intervention targets in high-risk teens.

Indexed as

Hospitals, PsychiatricPatient DischargeSuicidal IdeationSuicide, AttemptedSurveys and QuestionnairesAdolescentFemaleHumansMalePrognosisTime FactorsadolescentsEcological momentary assessmenthopelessnessinterpersonal-psychological theorysuicidal ideation

Identifiers

PMID30246870
PMCPMC6726492

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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.