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Affective\u2013cognitive constructs (ACCs) are salient risk factors for STBs, and intensive longitudinal metrics of these constructs may improve personalized risk detection and intervention. However, limited research has examined how within\u2010person daily levels and between\u2010person dynamic metrics of ACCs relate to STBs after hospital discharge. Adult psychiatric inpatients (<jats:italic>N<\/jats:italic>\u2009=\u200995) completed a 65\u2010day ecological momentary assessment protocol after discharge as part of a 6\u2010month follow\u2010up period. Using dynamic structural equation models, we examined both within\u2010person daily levels and between\u2010person dynamic metrics (intensity, variability and inertia) of positive and negative affect, rumination, distress intolerance and emotion dysregulation as risk factors for STBs. Within\u2010person lower daily levels of positive affect and higher daily levels of negative affect, rumination, distress intolerance and emotion dysregulation were risk factors for next\u2010day suicidal ideation (SI). Same\u2010day within\u2010person higher rumination and negative affect were also risk factors for same\u2010day SI. At the between\u2010person level, higher overall positive affect was protective against active SI and suicidal behaviour over the 6\u2010month follow\u2010up, while greater variability of rumination and distress intolerance increased risk for active SI, suicidal behaviour and suicide attempt. The present study provides the most comprehensive examination to date of intensive longitudinal metrics of ACCs as risk factors for STBs. Results support the continued use of intensive longitudinal methods to improve STB risk detection. Interventions focusing on rumination and distress intolerance may specifically help to prevent suicidal crises during critical transitions in care.<\/jats:p>","DOI":"10.1002\/cpp.2982","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T06:53:01Z","timestamp":1714027981000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Daily Levels and Dynamic Metrics of Affective\u2013Cognitive Constructs Associate With Suicidal Thoughts and Behaviours in Adults After Psychiatric Hospitalization"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9460-8441","authenticated-orcid":false,"given":"Gemma\u00a0T.","family":"Wallace","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University  Providence Rhode Island 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