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Thus, identifying brain regions associated with the S\u2010IAT provides insights into the neural mechanisms underlying suicidality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study measured brain activation during the S\u2010IAT with concurrent fMRI in a post\u20109\/11 trauma\u2010exposed veteran sample. In total, 37 post\u20109\/11 veterans at low risk for suicide participated in this study as part of an ongoing longitudinal study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Behaviorally, participants were slower to categorize words during incongruent (death\u2010me) contexts relative to congruent (life\u2010me) contexts (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Whole\u2010brain voxelwise fMRI contrasts revealed a brain network that was significantly more active during incongruent trials than congruent trials that included the bilateral occipital, posterior parietal, and cerebellum (corrected <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). This increased brain activation corresponded with task performance, suggesting that more brain resources are needed to complete death\u2010me identifications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results suggest that death\u2010me implicit identifications involve resolving conflict between self and death representations in the brain and mark an important step towards characterizing neural mechanisms contributing to suicidality.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.70018","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T06:09:07Z","timestamp":1747894147000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Brain Activation During Suicide\u2010Specific Cognition in Trauma\u2010Exposed Veterans"],"prefix":"10.1111","volume":"55","author":[{"given":"A.","family":"Jagger\u2010Rickels","sequence":"first","affiliation":[{"name":"National Center for PTSD VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts USA"},{"name":"Boston Attention and Learning Lab VA Boston Healthcare System  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9246-9057","authenticated-orcid":false,"given":"J.","family":"Kearns","sequence":"additional","affiliation":[{"name":"National Center for PTSD VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Auburn University  Auburn Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Rothlein","sequence":"additional","affiliation":[{"name":"National Center for PTSD VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts USA"},{"name":"Boston Attention and Learning Lab VA Boston Healthcare System  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9714-0733","authenticated-orcid":false,"given":"C. J.","family":"Bryan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Health The Ohio State University  Columbus Ohio USA"},{"name":"VA Center of Excellence for Suicide Prevention VA Finger Lakes Health Care System  Canandaigua NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. P.","family":"Milberg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts USA"},{"name":"Translational Research Center for TBI and Stress Disorders (TRACTS) VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"},{"name":"Geriatric Research, Education and Clinical Center (GRECC) VA Boston Healthcare System  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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