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Understanding Intentions to Disclose Suicidal Thoughts and Intent.

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Social network quality, like closeness and emotional support, predicts the likelihood of disclosing suicidal thoughts. Depression severity can reduce the impact of support on disclosure, highlighting the need to increase perceived benefits for suicide prevention.

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Area of Science:

  • Psychiatry
  • Social Psychology
  • Public Health

Background:

  • Nondisclosure of suicidal thoughts is a significant barrier to suicide prevention.
  • Predictors of suicide disclosure remain unclear, particularly the role of depression and social network characteristics.
  • Existing research often overlooks the structural, quality, and functional aspects of social networks in relation to disclosure.

Purpose of the Study:

  • To investigate whether social network characteristics predict the likelihood of individuals disclosing suicidal thoughts and intent.
  • To examine the influence of relationship features, perceived benefits, and risks on suicide disclosure.
  • To understand how depression severity moderates the relationship between social support and disclosure likelihood.

Main Methods:

  • An egocentric social network measure was administered to 87 adults experiencing suicidal ideation or other psychological symptoms.
  • Participants reported on relationship features, likelihood of disclosure, and perceived benefits/risks for each network member.
  • Statistical analyses, including generalized estimating equations and Spearman's correlations, assessed associations between network characteristics, depression, and disclosure likelihood.

Main Results:

  • Higher levels of relationship closeness and emotional support were associated with a greater likelihood of disclosing suicidal thoughts and intent.
  • Network size did not predict disclosure likelihood.
  • Depression severity negatively correlated with disclosure likelihood and attenuated the positive effect of emotional support.

Conclusions:

  • Social network quality and functional aspects are crucial for understanding suicide disclosure, potentially more so than structural factors.
  • Depression severity can diminish the protective effect of emotional support on disclosure.
  • Enhancing the perceived benefits of disclosure may represent a novel suicide prevention strategy.