Suicidal ideation with and without intention to act : A transdiagnostic network analysis on the interplay between psychopathology, impulsivity, and childhood maltreatment
De Prisco, Michele (Hospital Clínic i Provincial de Barcelona)
Roberto, Natalia (Hospital Clínic i Provincial de Barcelona)
Andreo-Jover, Jorge (Hospital Universitario La Paz (Madrid))
Ayad-Ahmed, Wala (Universidad Complutense de Madrid)
Bobes-Bascarán, Maria T. (Universidad de Oviedo)
Canal-Rivero, Manuel (Universidad de Sevilla)
Canosa García, Irene (Institut Hospital del Mar d'Investigacions Mèdiques)
Cebrià, Annabel (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Crespo-Facorro, Benedicto (Universidad de Sevilla)
Curto-Ramos, Javier (Hospital Universitario La Paz (Madrid))
Diaz-Marsa, Marina (Universidad Complutense de Madrid)
de la Torre-Luque, Alejandro (Universidad Complutense de Madrid)
Elices, M. (Institut Hospital del Mar d'Investigacions Mèdiques)
Jiménez-Treviño, Luis (Universidad de Oviedo)
Palao-Tarrero, Angela (Universidad Autónoma de Madrid)
Palao, Diego (Universitat Autònoma de Barcelona. Departament de Medicina)
Pemau, Andrés (Universidad Complutense de Madrid)
Lopez-Pena, Maria Purificacion (Hospital Universitario de Alava (Vitòria, País Basc))
Ruiz Veguilla, Miguel (Hospital del Mar (Barcelona, Catalunya))
Sáiz, Pilar Alejandra (Universidad de Oviedo)
Suárez-Soto, Elizabeth (Universitat de Barcelona)
Courtet, Philippe (University of Montpellier (França))
Vieta, Eduard (Hospital Clínic i Provincial de Barcelona)
Grande, Iria (Hospital Clínic i Provincial de Barcelona)
Pérez Solà, Víctor (Institut Hospital del Mar d'Investigacions Mèdiques)

Fecha:	2025
Resumen:	Suicide represents a significant public health concern. Suicide prevention strategies are shifting toward transdiagnostic perspectives examining interrelated risk factors, but their interrelationships remain unclear. This study investigated relationships between psychopathological dimensions, impulsivity, and childhood maltreatment in individuals with suicidal ideation (SI), comparing those with versus without intention to act using network analysis. Data were obtained from the Suicide Prevention and Intervention Study project. Participants were categorized into two groups based on their intention to act according to the Columbia Suicide Severity Rating Scale. Psychological symptoms, impulsivity traits, and childhood maltreatment were assessed. Network analysis was performed, and centrality measures were computed. A total of 1,265 individuals were categorized into the SI without intention to act (n = 345) and SI with intention to act (n = 920) groups. The former showed lower depression and hostility scores, and lower prevalence of major depressive and anxiety disorders. Network analyses revealed that in the SI without intention to act group, obsessive-compulsive symptoms were central, connecting to depression and anxiety, while negatively correlating with non-planning impulsivity. In contrast, the SI with intention to act group showed a more densely interconnected network where emotional abuse served as a bridge between childhood maltreatment and other psychopathological dimensions. This study identifies symptom interaction patterns between individuals with SI without and with intention to act. Understanding these relationships may improve suicide risk assessment and inform personalized interventions, potentially reducing the transition from ideation to action. Trauma-focused approaches addressing emotional abuse may be especially relevant for individuals at high risk.
Ayudas:	Instituto de Salud Carlos III PI19/00236 Instituto de Salud Carlos III PI19/01027 Instituto de Salud Carlos III PI19/01256 Instituto de Salud Carlos III PI19/00569 Instituto de Salud Carlos III PI19/00941 Instituto de Salud Carlos III PI19/01484 Instituto de Salud Carlos III PI19/00954 Instituto de Salud Carlos III PI19/00685 Instituto de Salud Carlos III PI20/00229 Instituto de Salud Carlos III PI23/00085 Instituto de Salud Carlos III PI23/01469 Instituto de Salud Carlos III PI23/01277 Instituto de Salud Carlos III PI23/00822 Ministerio de Sanidad y Consumo CB/07/09/0020 Instituto de Salud Carlos III PI17/00768 Instituto de Salud Carlos III PI20/01113 European Commission 101016127 "la Caixa" Foundation HR23-00421 Instituto de Salud Carlos III PI21/01148 Generalitat de Catalunya 2023/SGR-01431 Instituto de Salud Carlos III PI23/01367 Instituto de Salud Carlos III PI21/00787 Generalitat de Catalunya 2021/SGR-01358 Fundació la Marató de TV3 202234-30 European Commission 945151 European Commission 101057454 Instituto de Salud Carlos III PI22/00261 Generalitat de Catalunya 2021/SGR-01128
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Depression ; Emotional abuse ; Network analysis ; Obsessive-compulsive ; Sucidal attempt ; Suicidal ideation ; Suicide ; Transdiagnostic
Publicado en:	Psychological Medicine, Vol. 55 (October 2025) , art. e312, ISSN 1469-8978

DOI: 10.1017/S0033291725101670
PMID: 41099174

12 p, 1.3 MB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Instituto de Investigación e Innovación Parc Taulí (I3PT)
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