ArticleProceedings of the National Academy of Sciences of the United States of America2023
Mapping the timescale of suicidal thinking.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
50 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Assessment of suicidal thoughts and behaviors in adults: A systematic review of measure psychometric properties and implications for clinical and research utility.Clinical psychology review · 2024Pooled it
- Mental imagery of suicide and non-suicidal self-injury: A meta-analysis and systematic review.Clinical psychology review · 2023Pooled it
- Neural Correlates Involved in Behavioral Metrics of Emotion Regulation and Suicidal Thoughts and Behaviors.Archives of suicide research : official journal of the International Academy for Suicide ResearchPooled it
- Feasibility, Acceptability, and Impact of the Couples Crisis Response Plan (CCRP) to Reduce Post-Discharge Suicide Risk: A Randomized Controlled Trial.Suicide & life-threatening behavior · 2026Trial
- Comparing the Impacts of Crisis Response Plan and Self-Administered Safety Plan Use in Real Life on Key Clinical Outcomes.Suicide & life-threatening behavior · 2025Trial
- Pilot microrandomized trial of a brief digital intervention for suicidal thoughts.Journal of consulting and clinical psychology · 2025Trial
- Next generation of big data in psychiatry: more theory, more within-person data, and better integration of artificial intelligence.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Using smartphone surveys to predict next-week suicide attempts.Journal of psychopathology and clinical science · 2026Article
- Who and what retrospective risk assessments miss: Examining retrospective denial of momentary suicidal ideation in adolescents.JCPP advances · 2026Article
- Suicide safety plan engagement: Temporal dynamics and momentary predictors.Journal of affective disorders · 2026Article
- Conceptualization From the Sensors to Suicide-Related Outcomes: Scoping Review Based on Layered Hierarchical Sensemaking Framework.JMIR mHealth and uHealth · 2026Article
- Examining the role of suicide crisis syndrome between nonsuicidal self-injury and suicidal ideation in adolescents.European child & adolescent psychiatry · 2026Article
- Temporal Dynamics of Internal vs External Entrapment in Suicidal Ideation in Psychotherapy Outpatients: Prospective Longitudinal Cohort Study Using Ecological Momentary Assessment.Journal of medical Internet research · 2026Article
- Daily Meaning in Life Buffers the Within-Person Relationships Between Perceived Burdensomeness and Thwarted Belongingness With Next-Day Suicidal Ideation: An Ecological Momentary Assessment Study.Suicide & life-threatening behavior · 2026Article
- A real-time examination and comparison of differentiation among suicidal thinking and affect items in an adolescent sample.Psychological assessment · 2026Article
- Expanding the Measurement of Suicidal Desire: The Creation and Evaluation of the Suicidal Desire Variability Scale in Three Adult Samples.Journal of psychopathology and behavioral assessment · 2026Article
- AI-driven complex systems redefine cognitive science.Innovation (Cambridge (Mass.)) · 2026Review
- Predicting Momentary Suicidal Ideation From Smartphone Screenshots Using Vision-Language Models: Prospective Machine Learning Study.JMIR mental health · 2026Article
- Integrating Dimensional Personality and Autistic Traits to Predict Suicidal Ideation, Suicide Attempts, and Nonsuicidal Self-Injury in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026Article
- In their own words: case studies of adolescent smartphone language preceding suicide-related hospitalizations.NPP - digital psychiatry and neuroscience · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
This study aims to identify the timescale of suicidal thinking, leveraging real-time monitoring data and a number of different analytic approaches. Participants were 105 adults with past week suicidal thoughts who completed a 42-d real-time monitoring study (total number of observations = 20,255). Participants completed two forms of real-time assessments: traditional real-time assessments (spaced hours apart each day) and high-frequency assessments (spaced 10 min apart over 1 h). We found that suicidal thinking changes rapidly. Both descriptive statistics and Markov-switching models indicated that elevated states of suicidal thinking lasted on average 1 to 3 h. Individuals exhibited heterogeneity in how often and for how long they reported elevated suicidal thinking, and our analyses suggest that different aspects of suicidal thinking operated on different timescales. Continuous-time autoregressive models suggest that current suicidal intent is predictive of future intent levels for 2 to 3 h, while current suicidal desire is predictive of future suicidal desire levels for 20 h. Multiple models found that elevated suicidal intent has on average shorter duration than elevated suicidal desire. Finally, inferences about the within-person dynamics of suicidal thinking on the basis of statistical modeling were shown to depend on the frequency at which data was sampled. For example, traditional real-time assessments estimated the duration of severe suicidal states of suicidal desire as 9.5 h, whereas the high-frequency assessments shifted the estimated duration to 1.4 h.
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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.