Implicit Cognitions as a Behavioral Marker of Suicide Attempts in Adolescents

Archives of Suicide Research : Official Journal of the International Academy for Suicide Research
Alexander J MillnerMatthew K Nock

Abstract

Using self-harm Implicit Association Tests (IATs), we sought to test whether (1) suicidal adolescents show implicit identification with self-harm and whether (2) IATs are reliable and sensitive to psychiatric change and (3) predict future suicide attempts. We administered 6 self-harm IATs to 71 adolescents from a psychiatric inpatient unit and assessed suicidal behaviors at admission, discharge and 3 months after discharge. Results were in the expected direction for each IAT but not statistically significant. After aggregating trials across IATs, suicide attempters showed increased implicit identification with self-harm, compared with non-suicidal controls. IATs showed good reliability and sensitivity to psychiatric change but did not prospectively predict suicide attempts. Adolescent suicide attempters may have stronger implicit associations with self-harm than non-suicidal controls.

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Citations

Jan 12, 2019·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Catherine R GlennMatthew K Nock
Oct 2, 2020·The American Journal of Psychiatry·J John Mann, Mina M Rizk
May 11, 2020·European Child & Adolescent Psychiatry·Anthony J GifuniJohanne Renaud
Dec 10, 2020·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Amy M BrauschRebekah B Clapham
Feb 18, 2021·Development and Psychopathology·Azure Reid-RussellKatie A McLaughlin
Apr 22, 2021·Journal of Psychiatric Research·Johan DenolletNina Kupper
Jun 2, 2021·Suicide & Life-threatening Behavior·Katherine M TezanosChristine B Cha

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