Evidence map›Paper›PMID 30253320›Full record

ArticlePsychiatry research2018

Risk-taking behaviors and stressors differentially predict suicidal preparation, non-fatal suicide attempts, and suicide deaths.

Alison Athey, James Overholser, Courtney Bagge, Lesa Dieter, Eric Vallender, Craig A Stockmeier

Abstract read
In one paragraph

Article in Psychiatry research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Delineating impulsivity-based pathways to suicide deaths: A cluster analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
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  6. Influences of sleep, cortisol reactivity, and risk/reward-based decision-making on suicide.Journal of behavior therapy and experimental psychiatry · 2024
    Article
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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

6 authors at 3 institutions in 1 country.

Alison AtheyDepartment of Psychological Sciences, Case Western Reserve University, 11220 Bellflower Road Cleveland, OH 44106-7123, USA. Electronic address: aja92@case.edu.
James OverholserDepartment of Psychological Sciences, Case Western Reserve University, 11220 Bellflower Road Cleveland, OH 44106-7123, USA. Electronic address: overholser@case.edu.
Courtney BaggeDepartment of Psychiatry and Human Behavior, Center for Psychiatric Neuroscience, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, USA. Electronic address: cbagge@umc.edu.
Lesa DieterDepartment of Psychological Sciences, Case Western Reserve University, 11220 Bellflower Road Cleveland, OH 44106-7123, USA. Electronic address: ldd2@case.edu.
Eric VallenderDepartment of Psychiatry and Human Behavior, Center for Psychiatric Neuroscience, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, USA. Electronic address: evallender@umc.edu.
Craig A StockmeierDepartment of Psychological Sciences, Case Western Reserve University, 11220 Bellflower Road Cleveland, OH 44106-7123, USA; Department of Psychiatry and Human Behavior, Center for Psychiatric Neuroscience, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, USA. Electronic address: cstockmeier@umc.edu.
Case Western Reserve University · USState Street (United States) · USUniversity of Mississippi Medical Center · US

Funding

Center for Psychiatric NeuroscienceP30GM103328 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI STOCKMEIER, CRAIG ALLEN · 2013 to 2017
$5.5M
Postmortem Human Brain Collection (Supplement to MH67996)R01MH067996 · NIMH · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI STOCKMEIER, CRAIG ALLEN · 2004 to 2007
$1.2M
NIGMS NIH HHS P30 GM103328NIMH NIH HHS R01 MH067996
6 · The paper itself

Abstract

Negative life events are elevated in suicidal populations. Diathesis-stress and kindling effects models suggest different mechanisms by which negative life events increase suicide risk. Different forms of negative life events - risk-taking behaviors and stressors - may have different effects on non-fatal suicide attempts and suicide. We assessed the effects of risk-taking behaviors and stressors on suicide, history of non-fatal suicide attempts, and active preparation for suicide in a sample of adults who died by suicide or other causes (N = 377). Psychological autopsy procedures using family member interviews and collateral record review were used to complete a risk-taking behaviors composite measure from the Structured Interview for DSM-IV Personality Disorders, the Modified Life Experiences Scale, and the planning subscale of the Suicide Intent Scale. Stressors were significantly associated with death by suicide, even when accounting for demographic and diagnostic characteristics. Risk-taking behaviors were significantly associated with non-fatal suicide attempts, even when accounting for demographic and diagnostic characteristics. Suicide decedents who did not actively prepare for suicide showed significantly higher risk-taking scores than suicide decedents who actively planned for suicide. Our results suggest that risk-taking behaviors and stressors impact suicide risk through separate mechanisms. Risk-taking behaviors may represent a longstanding vulnerability to act impulsively on suicidal thoughts. Stressors may impact risk for fatal suicidal behaviors in mood disordered populations.

Indexed as

Risk-TakingAdultAgedFemaleHumansMaleMiddle AgedStress, PsychologicalSuicideSuicide, AttemptedDangerous behaviorHazardous behaviorRisk-takingStress, psychologicalSuicideSuicide, attempted

Identifiers

PMID30253320
PMCPMC6292776
OpenAlexW2890765255

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.