{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T04:43:06Z","timestamp":1766983386038,"version":"3.48.0"},"reference-count":58,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Suicide &amp;amp; Life Threat Behav"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Method<\/jats:title>\n                    <jats:p>Suicide is a major public health problem in the United States. This retrospective exploratory study examined clinician\u2010identified state\u2010related risk factors observed within 30\u2009days prior to death by suicide, comparing 24 decedents with psychosis\u2010related suicide and 133 non\u2010psychosis\u2010related suicide. A secondary descriptive analysis was conducted for 47 patients who were evaluated and denied suicidal ideation within 48 h of death by suicide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Demographic factors being single and unemployed increased risk across both cohorts. While reporting similar SI histories, decedents with psychosis had higher rates of suicide attempts (67% vs. 38%), anxiety and agitation (83% vs. 77%), substance abuse (79% vs. 40%), comorbid diagnosis (71% vs. 54%), social isolation (71% vs. 54%), and treatment non\u2010adherence (58% vs. 4%). In contrast, decedents without psychosis reported sleep problems (80% vs. 54%), and acquired capability for suicide (96% vs. 46%). Among psychotic patients who denied having SI, 83% died by suicide within two days of evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Suicide risk assessment that places strong reliance on verbalized SI as a gateway to determine risk is insufficient in practice. For optimal clinical management and suicide prevention clinicians need a better understanding of near\u2010term risk for suicide and to focus assessment and clinical care accordingly.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/sltb.70062","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T10:25:40Z","timestamp":1762856740000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Near\u2010Term Risk for Psychosis and Non\u2010Psychosis\u2010Related Suicide: A Retrospective Examination of the Last 30\u2009Days of Life"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8058-6392","authenticated-orcid":false,"given":"Mary Beth","family":"Cogan","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2479-703X","authenticated-orcid":false,"given":"Paul S.","family":"Nestadt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Major Lewis","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Weckstein","sequence":"additional","affiliation":[{"name":"Sheppard Pratt Health System  Towson Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Berman","sequence":"additional","affiliation":[{"name":"Department of Mental Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"issue":"11","key":"e_1_2_10_2_1","first-page":"1","article-title":"Practice Guidelines for the Assessment and Treatment of Patients With Suicidal Behaviors","volume":"160","author":"American Psychiatric Association","year":"2003","journal-title":"American Journal of Psychiatry"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u2010244X\u20104\u201037"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1943-278X.1999.tb00758.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12351"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2022.07.012"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12067"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.5665\/SLEEP.1228"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2024.116185"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2020.09.019"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v64n0105"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291702006943"},{"volume-title":"Vital Statistics Rapid Release: Provisional 2022 Suicide Mortality Data (Report No. 034)","year":"2023","author":"Centers for Disease Control and Prevention","key":"e_1_2_10_13_1"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2001.tb05800.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.147.9.1189"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.8145co0c"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2015.10.021"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21229"},{"key":"e_1_2_10_19_1","first-page":"126","article-title":"A Methodology for Conducting Retrospective Chart Review Research in Child and Adolescent Psychiatry","volume":"15","author":"Gearing R. 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