ArticleArchives of suicide research : official journal of the International Academy for Suicide Research2026
Suicidal Cognitions and Suicidal Ideation Severity: The Moderating Effect of Psychological Inflexibility About Suicidal Ideation.
Article in Archives of suicide research : official journal of the International Academy for Suicide Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveMost self-report measures of suicidal ideation (SI) index thoughts or behaviors but broadly fail to contextualize the degree to which SI is perceived to impair quality of life. Theories of suicide propose that psychological inflexibility (i.e., metacognitive distress) about SI may compound suicidal cognitions and impact suicide risk. This study tested whether suicidal cognitions and psychological inflexibility about SI interact to amplify SI severity.
methodsSelf-report measures of suicidal cognitions, psychological inflexibility, and SI severity were collected from U.S. military veterans (
resultsThere was a significant interaction between suicidal cognitions and psychological inflexibility about SI, such that the statistically significant relationship between suicidal cognitions and SI severity increased at each level (-1 SD, mean, and +1 SD) of psychological inflexibility about SI.
conclusionsPsychological inflexibility about SI may amplify SI severity, which has theoretical implications for ideation-to-action frameworks of suicide. In addition to treating underlying suicidal cognitions, patients may benefit from addressing concerns about the meaning and impact of SI itself.
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