Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments

Article


Bayliss, Luke T., Hughes, Christopher D., Lamont-Mills, Andrea and du Plessis, Carol. 2024. "Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments." Suicide and Life-Threatening Behavior. 54 (1), pp. 138-153. https://doi.org/10.1111/sltb.13025
Article Title

Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments

ERA Journal ID6685
Article CategoryArticle
AuthorsBayliss, Luke T., Hughes, Christopher D., Lamont-Mills, Andrea and du Plessis, Carol
Journal TitleSuicide and Life-Threatening Behavior
Journal Citation54 (1), pp. 138-153
Number of Pages16
Year2024
PublisherJohn Wiley & Sons
Place of PublicationUnited States
ISSN0363-0234
1943-278X
Digital Object Identifier (DOI)https://doi.org/10.1111/sltb.13025
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/sltb.13025
Abstract

Introduction
Suicide capability is posited to facilitate the movement from ideation-to-action. Emerging evidence suggests capability comprises both trait- and state-like facets. This study examined fluctuations in and associations of acquired, dispositional, practical, and perceived capabilities, and suicidal mental imagery, and suicidal ideation.

Method
Seventy-five adults (48 females, Mage = 36.53 years) with lived experience of suicidal ideation and/or attempt responded to four prompts per day for 2 weeks that assessed suicide capability and suicidal ideation. Mean-squared successive differences and probability of acute change indices and multilevel models were used for analyses.

Results
All facets of suicide capability fluctuated. Acquired and dispositional capabilities were trait-like, with practical and perceived capabilities being state-like. Suicidal mental imagery was the only facet of suicide capability that distinguished participants with a suicide attempt in the past 12 months from participants with a suicide attempt more than 1 year ago and suicide ideators. Suicidal mental imagery was associated with concurrent suicidal ideation and predictive of next assessment suicidal ideation.

Conclusion
Suicidal mental imagery may be uniquely associated with suicide capability. This study suggests there are trait- and state-like facets of capability that can combine to potentially ready an individual to engage in suicidal behaviors.

Keywordsecological momentary assessment; integrated motivational-volitional model; interpersonal theory of suicide; suicidal ideation; suicide; suicide capability; three-step theory of suicide
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420313. Mental health services
520302. Clinical psychology
Byline AffiliationsCentre for Health Research
School of Psychology and Wellbeing
Brown University, United States
Academic Affairs Administration
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