Psychotic experiences, emotion regulation, and suicidal ideation among Chilean adolescents in the general population

Psychotic experiences are associated with increased risk for suicide. Despite this well-established finding, very little is known about factors that contribute to this relationship. The current study investigated the relationship between psychotic experiences, emotion regulation, and suicidal ideation among 1,590 Chilean adolescents in the general population. Participants completed self-report measures of psychotic experiences (Community Assessment of Psychic Experiences), emotion regulation (Emotion Regulation Questionnaire), depression (Patient Health Questionnaire-9), and suicidal ideation (Columbia Suicide Severity Rating Scale). Statistical analyses included Mann-Whitney U tests, point-biserial correlations, logistic regression, and moderation analyses. Results suggest that paranoid ideation, bizarre experiences, and perceptual abnormalities were moderately associated with suicidal ideation. Additionally, greater expressive suppression and cognitive reappraisal were associated with suicidal ideation. Results from the logistic regression indicate that paranoid ideation, perceptual abnormalities, and expressive suppression have the strongest relationship with suicidal ideation, even when controlling for depression and relevant demographic variables. Additionally, paranoid ideation interacted with expressive suppression to predict suicidal ideation, with expressive suppression having the strongest relationship with suicidal ideation when paranoid ideation was low to moderate. Taken together, these findings support the broader literature suggesting that emotion regulation might be a transdiagnostic risk factor for suicidal ideation. Additional longitudinal research is needed to examine whether expressive suppression and other maladaptive emotion regulation strategies serve as a mechanism for suicidal ideation both in the general population and among individuals with psychotic experiences

Environmental health · Medical emergency · Poison control · Population · Psychiatry · Psychotherapist · Suicidal ideation · Suicide ideation · Suicide prevention · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Psychology · Resilience and Mental Health · Suicide and Self-Harm Studies

• Association between self-esteem and suicide risk in adolescents from five schools in northern Peru

  Open Access•Mario J Valladares-Garrido, Mario Valladares Garrido et al.•Cambridge Prisms Global Mental…•2026

  Incluir item

• The development of emotion regulation

  Open Access•Kateri Mcrae, James J Gro et al.•Social Cognitive and Affective…•2012

  Incluir item

• The Three-Step Theory (3ST)

  E David Klonsky, Alexis May et al.•International Journal of…•2015

  Incluir item

• The Columbia–Suicide Severity Rating Scale

  Kelly Posner, Gregory K Brown et al.•American Journal of Psychiatry•2011

  Incluir item

• The Future of Emotion Regulation Research

  Open Access•Amelia Aldao•Perspectives on Psychological…•2013

  Incluir item

• Emotion regulation.

  Open Access•Kateri Mcrae, James J Gross•Emotion•2020

  Incluir item

• Ideation-to-action theories of suicide

  Open Access•E David Klonsky, Boaz Y Saffer et al.•Current Opinion in Psychology•2018

  Incluir item

• Global burden of diseases, injuries, and risk factors for young people's health during 1990–2013

  Open Access•Ali H Mokdad, Mohammad H Forouzanfar et al.•The Lancet•2016

  Incluir item

• Suicide as escape from self.

  Roy F Baumeister•Psychological Review•1990

  Incluir item

• The Integrated Motivational-Volitional Model of Suicidal Behavior

  Rory C O''Connor, Rory C O’connor•Crisis•2011

  Incluir item

• Culture and emotion regulation

  Open Access•Brett Q Ford, Iris B Mau et al.•Current Opinion in Psychology•2015

  Incluir item

• The PHQ-9

  Kurt Kroenke, Robert L Spitzer et al.•Journal of General Internal…•2001

  Incluir item

• The interpersonal theory of suicide.

  Kimberly A Van Orden, Tracy K Witte et al.•Psychological Review•2010

  Incluir item

• Probing Interactions in Fixed and Multilevel Regression

  Daniel J Bauer, Patrick J Curran•Multivariate Behavioral Research•2005

  Incluir item

• A Latent Profile Analysis of Psychotic Experiences, Non-psychotic Symptoms, Suicidal Ideation and Underlying Mechanisms in a Sample of Adolescents From the General Population

  Open Access•Álvaro I Langer, Klaas J Wardenaar et al.•Frontiers in Psychiatry•2022

  Incluir item

• Evidence for Specific Associations Between Depressive Symptoms, Psychotic Experiences, and Suicidal Ideation in Chilean Adolescents From the General Population

  Open Access•Daniel Núñez, Pía Monjes et al.•Frontiers in Psychiatry•2021

  Incluir item

• The social consequences of expressive suppression

  Emily A Butler, Boris Egloff et al.•Emotion•2003

  Incluir item

• Individual differences in two emotion regulation processes

  James J Gro, James J Gross et al.•Journal of Personality and Social…•2003

  Incluir item

• Risk factors for suicidal thoughts and behaviors

  Joseph C Franklin, Jessica D Ribeiro et al.•Psychological Bulletin•2017

  Incluir item

• Comparing nonparallel regression lines

  David Rogosa•Psychological Bulletin•1980

  Incluir item