The Relationship Between Negative Cognitive Styles and Lifetime Suicide Attempts is Indirect Through Lifetime Acute Suicidal Affective Disturbance Symptoms
Previous evidence suggests an association between negative cognitive styles and suicide-related outcomes. Recently, Acute Suicidal Affective Disturbance (ASAD) was proposed to characterize the phenomenology of acute suicidal crises, with key features being the rapid onset of suicidal intent, social- or self-alienation, perceptions of intractability, and overarousal. ASAD may account for the association between negative cognitive styles and suicide-related outcomes. Students (N = 177) selectively recruited based on their history of suicidality completed self-report measures. ASAD symptoms explained the association between rumination subtypes (brooding and reflection), as well as anxiety sensitivity cognitive concerns, and lifetime number of suicide attempts. Further, ASAD symptoms significantly accounted for the relationship between a latent negative cognitive styles variable and lifetime number of suicide attempts. Together, these findings are consistent with theoretical conceptions of negative cognitive styles being an associated feature of ASAD, and that ASAD symptoms may account for the relationship between negative cognitive styles and suicidal behavior.
KeywordsRumination Brooding Reflection Anxiety sensitivity Suicide ASAD
This work was in part supported by the Military Suicide Research Consortium, an effort supported by the Department of Defense (W81XWH-10-2-0181; W81XWH-16-2-003). Opinions, interpretations, conclusions, and recommendations are those of the authors and are not necessarily endorsed by the Military Suicide Research Consortium or the Department of Defense.
Compliance with Ethical Standards
Conflict of Interest
Megan Rogers, Raymond Tucker, Keyne Law, Brian Bauer, Caitlin Smith, Daniel Capron, Michael Anestis, and Thomas Joiner declares that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
No animal studies were carried out by the authors for this article.
Informed consent was obtained from all individual participants included in the study.
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