{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T07:02:25Z","timestamp":1780038145882,"version":"3.53.1"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"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":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The metacognitive model of suicidality proposes that positive metacognitions about suicide activate suicide-specific rumination, which in turn leads to the activation of negative metacognitions about suicide and an escalating aggravation of suicidal ideation\/behavior. Initial studies support the model assumptions. However, investigations in highly burdened inpatient samples as well as studies in non-Western samples are missing by now.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 209 Iranian psychiatric inpatients (56.9% female; age\n                      <jats:italic>M<\/jats:italic>\n                      \u00a0=\u00a031.14,\n                      <jats:italic>SD<\/jats:italic>\n                      \u00a0=\u00a011.04) took part in a cross-sectional assessment. Self-report measures to assess suicidal ideation\/behavior, depressive symptoms, suicide-specific rumination, and metacognitions about suicide were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Positive metacognitions about suicide were associated with suicide-specific rumination. Suicide-specific rumination was associated with negative metacognitions about suicide. Suicidal thoughts were positively and positive metacognitions about suicide were negatively associated with lifetime suicide attempts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results support assumptions of the metacognitive model of suicidality and underscore the importance of metacognitions about suicide and suicide-specific rumination in understanding the suicidal process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1766691","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T06:10:33Z","timestamp":1780035033000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Metacognitive model of suicidality: a study of Iranian 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Sciences","place":["Sanandaj, Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena Marie","family":"Hensel","sequence":"additional","affiliation":[{"name":"Mental Health Research and Treatment Center, Ruhr-Universit\u00e4t Bochum","place":["Bochum, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Teismann","sequence":"additional","affiliation":[{"name":"Mental Health Research and Treatment Center, Ruhr-Universit\u00e4t Bochum","place":["Bochum, Germany"]},{"name":"DZPG (German Center for Mental Health), partner site Bochum\/Marburg","place":["Bochum, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1001\/jamapsychiatry.2017.1044","article-title":"Suicide rates after discharge from psychiatric facilities: a systematic review and 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