{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:35:36Z","timestamp":1790793336601,"version":"4.1.0"},"reference-count":45,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"\n Background<\/jats:title>\n Experiential avoidance (EA) has been linked to intensified negative emotions among hospitalized older adults experiencing functional impairment due to physical limitations and the loss of autonomy, and this is linked to elevated suicidal ideation (SI) risk. This study examined the association between EA and SI, proposing depressive symptoms as a mediator and resilience as a moderator.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n 717 hospitalized older adults with functional impairments were recruited from four hospitals. Participants completed validated questionnaires assessing EA, SI, depressive symptoms, and resilience. Mediation and moderation analyses were conducted using Hayes\u2019 PROCESS macro (Model 4, 7 and 14) in SPSS.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The study revealed a significant positive association between EA and SI among hospitalized older adults with functional impairments (\n \u03b2<\/jats:italic>\n =0.164,\n P<\/jats:italic>\n &lt;0.01), with depressive symptoms demonstrating a partial mediating effect in this association (\n \u03b2<\/jats:italic>\n =0.356,\n P<\/jats:italic>\n &lt;0.01). Resilience played a dual moderating role in the associations: the strength of the association between EA and SI is weaker with higher resilience (\n \u03b2<\/jats:italic>\n =-0.003,\n P<\/jats:italic>\n &lt;0.05) and concurrently mitigated the association between depressive symptoms and SI (\n \u03b2<\/jats:italic>\n =-0.012,\n P<\/jats:italic>\n &lt;0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n EA is associated with SI in hospitalized older adults with functional impairments, with depressive symptoms exerting a partial mediating role in this association. Resilience moderated the associations such that it weakened both the direct link between EA and SI, as well as the link between depressive symptoms and SI. Healthcare professionals should implement targeted suicide prevention strategies, including interventions to reduce EA, depressive symptoms, and enhance resilience, thereby mitigating SI in older adults.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1739518","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T06:38:22Z","timestamp":1767940702000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["The association between experiential avoidance, depressive symptoms, and suicidal ideation in hospitalized older adults with functional impairments: the moderating role of resilience"],"prefix":"10.3389","volume":"16","author":[{"given":"Qi","family":"Tang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meiyi","family":"Tao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiahui","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miliang","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.24.3137","article-title":"Recent trends in disability and functioning among older adults in the United States: a systematic review","volume":"288","author":"Freedman","year":"2002","journal-title":"Jama"},{"key":"B2","unstructured":"Aging and Health: A Global Assessment\n \n \n \n 2016"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191711112","article-title":"Study on the measurement and influencing factors of care service demand of disabled elderly in urban and rural China","volume":"19","author":"Jiang","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B4","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1186\/s12877-023-04478-w","article-title":"Exploration of related factors of suicide ideation in hospitalized older adults","volume":"23","author":"Liao","year":"2023","journal-title":"BMC Geriatr"},{"key":"B5","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1016\/j.jad.2017.05.012","article-title":"Effect of exercise augmentation of cognitive behavioural therapy for the treatment of suicidal ideation and depression","volume":"219","author":"Abdollahi","year":"2017","journal-title":"J Affect Disord"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.2147\/prbm.S341768","article-title":"Suicidal behavior among elderly inpatients: its relation to functional disability and pain","volume":"15","author":"Wahab","year":"2022","journal-title":"Psychol Res Behav Manag"},{"key":"B7","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1186\/s12888-024-06010-9","article-title":"Epidemiological features of suicidal ideation among the elderly in China based meta-analysis","volume":"24","author":"Wu","year":"2024","journal-title":"BMC Psychiatry"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e074942","DOI":"10.1136\/bmjopen-2023-074942","article-title":"What do older people who have attempted suicide experience? 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