Evidence map›Paper›PMID 33665891›Full record

ArticleSuicide & life-threatening behavior2021

Distinguishing veterans with suicidal ideation from suicide attempt history: The role of emotion reactivity.

Molly Gromatsky, Emily R Edwards, Sarah R Sullivan, Marianne Goodman, Erin A Hazlett

Abstract read
In one paragraph

Article in Suicide & life-threatening behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

5 authors at 2 institutions in 1 country.

Molly GromatskyVISN 2 Mental Illness Research Education and Clinical Center (MIRECC), Bronx, NY, USA.ORCID 0000-0002-0933-7449
Emily R EdwardsVISN 2 Mental Illness Research Education and Clinical Center (MIRECC), Bronx, NY, USA.
Sarah R SullivanVISN 2 Mental Illness Research Education and Clinical Center (MIRECC), Bronx, NY, USA.
Marianne GoodmanDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Erin A HazlettDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Mental Illness Research, Education and Clinical Centers · USJames J. Peters VA Medical Center · US

Funding

Neurobiology of Affective Instability in Veterans at Low and High Risk for SuicideI01CX001451 · VA · JAMES J PETERS VA MEDICAL CENTER · PI HAZLETT, ERIN A. · 2017 to 2021
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CSR&D Research Career Scientist Award ApplicationIK6CX001738 · VA · JAMES J PETERS VA MEDICAL CENTER · PI HAZLETT, ERIN A. · 2018 to 2022
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CSRD VA I01 CX001451CSRD VA IK6 CX001738CSRD VA IK6 CX002700VA VA 999999
6 · The paper itself

Abstract

introductionGrowing evidence suggests emotion reactivity-sensitivity and intensity of emotional experience-may represent a diathesis for suicide risk. However, our understanding of its ability to differentiate risk for suicidal ideation (SI) from suicide attempt (SA) is limited.

methodThis study compares Veterans with SI (n = 81) to Veterans with SA (n = 177) history on factors relevant to emotion reactivity to determine which variable(s) best differentiate groups. Variables examined are multimodal: (a) self-report: childhood trauma, combat exposure; (b) clinician-assessed: non-suicidal self-injury (NSSI), structured diagnostic interview of psychopathology; and (c) psychophysiological: affect-modulated startle (AMS; proxy for amygdala reactivity and emotion reactivity) to unpleasant pictures was examined in a subset (n = 90).

resultsSA history was independently predicted by NSSI history, MDD, PTSD, and SUD diagnosis. Childhood trauma and combat exposure did not differentiate groups. The composite risk index demonstrated good accuracy (AUC=0.71, sensitivity=0.90, specificity=0.49). Only AMS independently predicted SA history when added to the model and accuracy was improved (AUC=0.82, sensitivity=0.85, specificity=0.56).

conclusionNSSI history, MDD, PTSD, and SUD diagnosis may be salient risk factors for this population. However, emotion reactivity is a more parsimonious predictor of SA history among Veterans suggesting it is an important treatment target among Veterans with SI.

Indexed as

Self-Injurious BehaviorVeteransEmotionsHumansRisk FactorsSuicidal IdeationSuicide, Attemptedaffect-modulated startleemotion reactivitypsychopathologysuicideveteran

Identifiers

PMID33665891
PMCPMC13628896
OpenAlexW3133503261

What OpenQuestion holds

Textmetadata
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.