{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:38:34Z","timestamp":1790109514818,"version":"4.0.1"},"reference-count":86,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T00:00:00Z","timestamp":1737158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T00:00:00Z","timestamp":1737158400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp; Life Threat Behav"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Emptiness and identity pathology are understudied clinical constructs that overlap, co\u2010occur, and predict suicidal ideation (SI). However, specific risk pathways have yet to be formally tested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We examined whether identity pathology was indirectly associated with future SI via emptiness, and tested impulsivity and emotion dysregulation as moderators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009251) completed baseline questionnaires assessing SI, borderline personality disorder symptoms, emotion dysregulation, and impulsivity, and SI 2\u2009months later.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Identity pathology was indirectly associated with future SI via emptiness, controlling for baseline SI (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.15, Bootstrap 95% CI\u2009=\u2009[0.06, 0.24]). There was a two\u2010way interaction between emptiness and both poor use of emotion regulation strategies (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.06,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and impulsive lack of premeditation (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.09,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) predicting SI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Those with greater identity pathology were more likely to experience emptiness, which was in turn associated with future SI. Participants who felt empty were also more likely to experience SI when they also reported an inability to use emotion regulation strategies and a tendency to act without considering the consequences. We provide preliminary support for an untested risk pathway for SI, highlighting the need to further study these important experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/sltb.13164","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T03:10:42Z","timestamp":1737169842000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Identity Pathology and Emptiness as Novel Predictors of Suicidal Ideation"],"prefix":"10.1111","volume":"55","author":[{"given":"Brianna","family":"Meddaoui","sequence":"first","affiliation":[{"name":"Department of Psychology University of Western Ontario  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6927-6871","authenticated-orcid":false,"given":"Jeremy G.","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Psychology Queen's University  Kingston Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin A.","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2010.10.013"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1088868314535988"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010016\u20100146\u20108"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000053"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u2010295x.97.1.90"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2021.1892002"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2011.09.001"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010021\u201000398\u20105"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1431"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.18.3.226.35445"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301749"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12478"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.13063\/2327\u20109214.1015"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.07.086"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811110701801069"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u2010843X.112.4.558"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/10463283.2022.2104987"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000269"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00139"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi_2015_29_193"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/00110000221110847"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000819"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000084"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2021.1901229"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOBA.0000007455.08539.94"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.9389"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1874"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00539"},{"key":"e_1_2_11_31_1","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression\u2010Based Approach","author":"Hayes A. 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