{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T16:07:29Z","timestamp":1778947649984,"version":"3.51.4"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["15H01979"],"award-info":[{"award-number":["15H01979"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Psychiatric Research"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.jpsychires.2025.06.030","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T02:37:21Z","timestamp":1750127841000},"page":"280-284","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Maladaptive beliefs, dissociation, and suicidal ideation in people with PTSD: Results from a national survey in Japan"],"prefix":"10.1016","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4606-2173","authenticated-orcid":false,"given":"Hong Wang","family":"Fung","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2061-1059","authenticated-orcid":false,"given":"Chak Hei Ocean","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po-Han","family":"Chou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4703-5430","authenticated-orcid":false,"given":"Grace Wing Ka","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miyuki","family":"Makino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4251-3747","authenticated-orcid":false,"given":"Hironori","family":"Kuga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaru","family":"Horikoshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaya","family":"Ito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1111\/sltb.12931","article-title":"Posttraumatic stress disorder and risk of suicidal behavior: a systematic review and meta-analysis","volume":"53","author":"Akbar","year":"2023","journal-title":"Suicide Life-Threatening Behav."},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib2","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s11121-021-01265-0","article-title":"Protective factors as a unifying framework for strength-based intervention and culturally responsive American Indian and Alaska native suicide prevention","volume":"23","author":"Allen","year":"2022","journal-title":"Prev. Sci."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib3","series-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR","year":"2022"},{"issue":"6","key":"10.1016\/j.jpsychires.2025.06.030_bib4","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1002\/jts.22059","article-title":"The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation","volume":"28","author":"Blevins","year":"2015","journal-title":"J. Trauma Stress"},{"issue":"1\u20133","key":"10.1016\/j.jpsychires.2025.06.030_bib5","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.jad.2007.01.036","article-title":"Risk factors for the incidence and persistence of suicide-related outcomes: a 10-year follow-up study using the national comorbidity surveys","volume":"105","author":"Borges","year":"2008","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib6","series-title":"Finding Solid Ground: Overcoming Obstacles in Trauma Treatment","author":"Brand","year":"2022"},{"key":"10.1016\/j.jpsychires.2025.06.030_bib7","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.jpsychires.2020.06.004","article-title":"Associations between PTSD symptoms and suicide risk: a comparison of 4-factor and 7-factor models","volume":"129","author":"Chou","year":"2020","journal-title":"J. Psychiatr. Res."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib8","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2022.918667","article-title":"A machine-learning model to predict suicide risk in Japan based on national survey data","volume":"13","author":"Chou","year":"2022","journal-title":"Front. Psychiatr."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib9","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2023.1131733","article-title":"Trauma-related guilt as a mediator between post-traumatic stress disorder and suicidal ideation","volume":"14","author":"Chou","year":"2023","journal-title":"Front. Psychiatr."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib10","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2021.680434","article-title":"Associations between PTSD symptom custers and longitudinal changes in suicidal ideation: Comparison between 4-Factor and 7-Factor models of DSM-5 PTSD symptoms","volume":"12","author":"Chu","year":"2021","journal-title":"Front. Psychiatr."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib11","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.jad.2018.09.040","article-title":"Shame as a mediator between posttraumatic stress disorder symptoms and suicidal ideation among veterans","volume":"243","author":"Cunningham","year":"2019","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib12","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1037\/a0033941","article-title":"Posttraumatic stress disorder and suicidal ideation: the role of specific symptoms within the framework of the interpersonal-psychological theory of suicide","volume":"6","author":"Davis","year":"2013","journal-title":"Psychological Trauma: Theory, Research, Practice, and Policy"},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib13","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/NMD.0b013e31815fa4e7","article-title":"Dissociative disorders and suicidality in psychiatric outpatients","volume":"196","author":"Foote","year":"2008","journal-title":"J. Nerv. Ment. Dis."},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib14","first-page":"110","article-title":"The posttraumatic stress disorder (PTSD) checklist for DSM-5: a systematic review of existing psychometric evidence","volume":"30","author":"Forkus","year":"2023","journal-title":"Clin. Psychol."},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib15","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/15299732.2022.2119457","article-title":"The acceptability and potential benefits of a web-based psychoeducation program for people with pathological dissociation: a pilot evaluation study","volume":"24","author":"Fung","year":"2023","journal-title":"J. Trauma & Dissociation"},{"issue":"4","key":"10.1016\/j.jpsychires.2025.06.030_bib16","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1080\/26408066.2020.1760162","article-title":"Validity of A web-based measure of borderline personality disorder: a preliminary study","volume":"17","author":"Fung","year":"2020","journal-title":"J. Evid. Base Soc. Work"},{"issue":"4","key":"10.1016\/j.jpsychires.2025.06.030_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejtd.2024.100448","article-title":"Evaluation of a single-session educational video program for people with PTSD symptoms: results of a pilot randomized controlled trial","volume":"8","author":"Fung","year":"2024","journal-title":"European Journal of Trauma & Dissociation"},{"issue":"4","key":"10.1016\/j.jpsychires.2025.06.030_bib18","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1080\/23761407.2018.1456995","article-title":"Psychometric properties of the pathological dissociation measures among Chinese research participants \u2013 a study using online methods","volume":"15","author":"Fung","year":"2018","journal-title":"Journal of Evidence-Informed Social Work"},{"issue":"6","key":"10.1016\/j.jpsychires.2025.06.030_bib19","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1093\/aje\/kwp456","article-title":"Posttraumatic stress disorder and completed suicide","volume":"171","author":"Gradus","year":"2010","journal-title":"Am. J. Epidemiol."},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib20","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1186\/s12888-021-03639-8","article-title":"Psychometric properties of the suicidal ideation attributes scale (SIDAS) in a longitudinal sample of people experiencing non-affective psychosis","volume":"21","author":"Harris","year":"2021","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.jpsychires.2025.06.030_bib21","doi-asserted-by":"crossref","DOI":"10.1016\/j.newideapsych.2023.101072","article-title":"Clinician-administered interviews should not be considered the \u2018gold standard\u2019 method of assessing psychological distress","volume":"73","author":"Hyland","year":"2024","journal-title":"New Ideas Psychol."},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib22","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s12888-024-06465-w","article-title":"An item response theory analysis of the dissociative experiences scale II: examining psychometric properties and longitudinal stability among Japanese adults","volume":"25","author":"Ikeda","year":"2025","journal-title":"BMC Psychiatry"},{"issue":"6","key":"10.1016\/j.jpsychires.2025.06.030_bib23","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1016\/j.genhosppsych.2013.08.001","article-title":"Validity of the patient health questionnaire (PHQ)-9 and PHQ-2 in general internal medicine primary care at a Japanese rural hospital: a cross-sectional study","volume":"35","author":"Inagaki","year":"2013","journal-title":"Gen. Hosp. Psychiatry"},{"key":"10.1016\/j.jpsychires.2025.06.030_bib24","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.jad.2018.12.086","article-title":"Posttraumatic stress disorder checklist for DSM-5: psychometric properties in a Japanese population","volume":"247","author":"Ito","year":"2019","journal-title":"J. Affect. Disord."},{"issue":"2","key":"10.1016\/j.jpsychires.2025.06.030_bib25","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A guideline of selecting and reporting intraclass correlation coefficients for reliability research","volume":"15","author":"Koo","year":"2016","journal-title":"J Chiropr Med"},{"issue":"3","key":"10.1016\/j.jpsychires.2025.06.030_bib26","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.jad.2012.08.017","article-title":"Comparing the beck depression Inventory-II (BDI-II) and patient health questionnaire (PHQ-9) depression measures in an integrated mood disorders practice","volume":"145","author":"Kung","year":"2013","journal-title":"J. Affect. Disord."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib27","doi-asserted-by":"crossref","DOI":"10.1177\/10497315251340902","article-title":"Effects of an online psychoeducational program for people with dissociative symptoms: a randomized controlled trial","author":"Lam","year":"2025","journal-title":"Res. Soc. Work. Pract."},{"issue":"3","key":"10.1016\/j.jpsychires.2025.06.030_bib28","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1002\/jts.22010","article-title":"Types and number of traumas associated with suicidal ideation and suicide attempts in PTSD: findings from a U.S. nationally representative sample","volume":"28","author":"LeBouthillier","year":"2015","journal-title":"J. Trauma Stress"},{"issue":"3","key":"10.1016\/j.jpsychires.2025.06.030_bib29","doi-asserted-by":"crossref","first-page":"229","DOI":"10.31887\/DCNS.2018.20.3\/rloewenstein","article-title":"Dissociation debates: everything you know is wrong","volume":"20","author":"Loewenstein","year":"2018","journal-title":"Dialogues Clin. Neurosci."},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib30","doi-asserted-by":"crossref","DOI":"10.1080\/20008198.2020.1753938","article-title":"Prevalence and comorbidity of the ICD-11 and DSM-5 for PTSD caseness with previous diagnostic manuals among the Japanese population","volume":"11","author":"Oe","year":"2020","journal-title":"Eur. J. Psychotraumatol."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib31","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1037\/cps0000185","article-title":"The relationship between dissociative experiences and suicide ideation: a meta-analytic review","volume":"31","author":"Pachkowski","year":"2023","journal-title":"Clin. Psychol. Sci. Pract."},{"issue":"7","key":"10.1016\/j.jpsychires.2025.06.030_bib32","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/j.comppsych.2012.02.009","article-title":"A meta-analysis of the association between posttraumatic stress disorder and suicidality: the role of comorbid depression","volume":"53","author":"Panagioti","year":"2012","journal-title":"Compr. Psychiatry"},{"key":"10.1016\/j.jpsychires.2025.06.030_bib33","doi-asserted-by":"crossref","DOI":"10.1016\/j.jadr.2020.100051","article-title":"Early maladaptive schemas, suicidal ideation, and self-harm: a meta-analytic review","volume":"3","author":"Pilkington","year":"2021","journal-title":"Journal of Affective Disorders Reports"},{"key":"10.1016\/j.jpsychires.2025.06.030_bib34","article-title":"The trauma model: a solution to the problem of comorbidity in psychiatry","author":"Ross","year":"2006","journal-title":"Greenleaf Book Group"},{"issue":"1","key":"10.1016\/j.jpsychires.2025.06.030_bib35","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1300\/J229v03n01_02","article-title":"Prevalence, reliability and validity of dissociative disorders in an inpatient setting","volume":"3","author":"Ross","year":"2002","journal-title":"J. Trauma & Dissociation"},{"key":"10.1016\/j.jpsychires.2025.06.030_bib36","series-title":"Department of Psychology","article-title":"Evaluating the general psychopathological factor (p-factor) using the DSM-5 level 1 cross-cutting symptom measure in the general population","author":"Soda","year":"2024"},{"issue":"10","key":"10.1016\/j.jpsychires.2025.06.030_bib37","first-page":"940","article-title":"Posttraumatic stress disorder increases risk for suicide attempt in adults with recurrent major depression","volume":"30","author":"Stevens","year":"2013","journal-title":"Depress. Anxiety"},{"issue":"10","key":"10.1016\/j.jpsychires.2025.06.030_bib38","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1002\/da.22203","article-title":"Anxiety disorders are independently associated with suicide ideation and attempts: propensity score matching in two epidemiological samples","volume":"30","author":"Thibodeau","year":"2013","journal-title":"Depress. Anxiety"},{"issue":"3","key":"10.1016\/j.jpsychires.2025.06.030_bib39","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1037\/pas0000351","article-title":"Psychometric properties of the Japanese CES\u2013D, SDS, and PHQ\u20139 depression scales in university students","volume":"29","author":"Umegaki","year":"2017","journal-title":"Psychol. Assess."},{"key":"10.1016\/j.jpsychires.2025.06.030_bib40","series-title":"Behavioral Neurobiology of PTSD","first-page":"229","article-title":"The dissociative subtype of post-traumatic stress disorder: research update on clinical and neurobiological features","author":"van Huijstee","year":"2018"},{"issue":"4","key":"10.1016\/j.jpsychires.2025.06.030_bib41","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1111\/sltb.12084","article-title":"The suicidal ideation attributes scale (SIDAS): community-based validation study of a new scale for the measurement of suicidal ideation","volume":"44","author":"van Spijker","year":"2014","journal-title":"Suicide Life-Threatening Behav."},{"issue":"3","key":"10.1016\/j.jpsychires.2025.06.030_bib42","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1177\/1073191110376161","article-title":"Posttraumatic maladaptive beliefs scale:evolution of the personal beliefs and reactions scale","volume":"19","author":"Vogt","year":"2012","journal-title":"Assessment"},{"issue":"4","key":"10.1016\/j.jpsychires.2025.06.030_bib43","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1037\/0021-843X.106.4.499","article-title":"The prevalence and biometric structure of pathological dissociation in the general population: taxometric and behavior genetic findings","volume":"106","author":"Waller","year":"1997","journal-title":"J. Abnorm. Psychol."}],"container-title":["Journal of Psychiatric Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022395625004285?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022395625004285?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:13:33Z","timestamp":1778944413000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022395625004285"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":43,"alternative-id":["S0022395625004285"],"URL":"https:\/\/doi.org\/10.1016\/j.jpsychires.2025.06.030","relation":{},"ISSN":["0022-3956"],"issn-type":[{"value":"0022-3956","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Maladaptive beliefs, dissociation, and suicidal ideation in people with PTSD: Results from a national survey in Japan","name":"articletitle","label":"Article Title"},{"value":"Journal of Psychiatric Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpsychires.2025.06.030","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}