The Suicidal Narrative and Its Relationship to the Suicide Crisis Syndrome and Recent Suicidal Behavior

In this study, we introduce the construct of the suicidal narrative, a hypothetical personal narrative linked to imminent suicide, and explore its relationship to near‐term suicidal risk and the suicide crisis syndrome (SCS). Psychiatric outpatients (N = 289) were administered the Columbia Suicide‐Severity Rating Scale (C‐SSRS), Suicide Crisis Inventory (SCI), and Suicide Narrative Inventory (SNI), a novel instrument combining the documented risk factors of Thwarted Belongingness, Perceived Burdensomeness, Humiliation, Social Defeat, Goal Disengagement, and Goal Reengagement. Dimensional measures of past month, lifetime, and past suicidal phenomena, incorporating ideation and behavior, were calculated from the C‐SSRS. Structural equation modeling was used to explore the interaction among variables. Factor analysis of the SNI yielded two orthogonal factors, termed Interpersonal and Goal Orientation. The former factor was comprised of Perceived Burdensomeness, Social Defeat, Humiliation, and Thwarted Belongingness, the latter of Goal Disengagement and Goal Reengagement. The Interpersonal factor correlated with both SCS severity and suicidal phenomena in each time frame and the Goal Orientation factor with no other variable. As hypothesized, the proposed model was significant for the past month only. Our findings support the construct of the suicidal narrative and its function as a near‐term suicidal risk factor.     

Unilateral Facial Contractions Produce Mood Effects on Social Cognitive Judgements

Abstract

This study demonstrates that left and right unilateral facial contractions have similar effects on the expression of ethnic stereotypes as do negative and positive moods induced by more conventional means. Subjects who con tracted the left side of their face (negative mood inducer) were more likely to express negative stereotypes of ethnic groups than were subjects who contracted the right side of their face (positive mood inducer). This parallels previous findings obtained using two standard mood inductions: the Veltens mood induction procedure; and a musical mood induction procedure. Given that unilateral facial contractions manipulate mood without cognitive involvement, this mood induction may have advantages over previously used procedures, the effects of which are subject to cognitive mediation explanations. In addition, these results suggest that, at least for the expression of ethnic stereotypes, mood's influence on cognition does not depend on a cognitive component of mood induction.