{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T05:29:54Z","timestamp":1765430994197,"version":"3.46.0"},"reference-count":32,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["ISCIII JR22\/00011"],"award-info":[{"award-number":["ISCIII JR22\/00011"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008061","name":"Fundaci\u00f3n Mutua Madrile\u00f1a","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008061","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Suicide is a leading cause of death among adolescents. Emotion dysregulation, impulsivity, and childhood trauma are key factors underlying Self-Injurious Thoughts and Behaviors (SITB), yet reliable short-term predictors are limited, especially in at-risk clinical populations. This study prospectively examined the association between SITB and clinical (psychological pain, impulsivity, childhood trauma) and cognitive measures (Implicit Association Tests, IATs). Methods: A prospective, observational study was conducted in adolescents (12\u201317) admitted to a university hospital psychiatry unit following recent SITB. Participants completed the Death\/Suicide IAT (D\/S-IAT), Self-Injury IAT (SI-IAT), and standardized instruments including the Columbia Suicide Severity Rating Scale (C-SSRS), Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsiveness Scale (BIS-11), and Childhood Trauma Questionnaire (CTQ-SF). SITB recurrence was assessed at six months. Results: Within six months, 28.9% of 38 participants reported suicidal thoughts, 15.8% engaged in self-injury, and 2.6% attempted suicide. The SI-IAT showed a small but significant correlation with C-SSRS, whereas D\/S-IAT showed none. Neither IAT predicted SITB recurrence. Higher levels of emotion dysregulation and impulsivity were significantly associated with SITB. Specific DERS dimensions\u2014emotional rejection, interference, and confusion\u2014predicted future SITB, highlighting emotional dysregulation as a vulnerability factor. Conclusions: In high-risk adolescents, psychological pain and impulsivity predicted SITB more reliably than IATs. Unlike adult populations, explicit measures outperform implicit ones in suicide risk prediction. These findings emphasize emotion dysregulation as a key clinical construct that may intensify psychological pain and contribute to suicidal vulnerability.<\/jats:p>","DOI":"10.3390\/jcm14248705","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T12:42:43Z","timestamp":1765284163000},"page":"8705","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Emotion Dysregulation, Impulsivity, and Implicit Cognition in Adolescent with Self-Injurious Thoughts and Behaviors: A Six-Month Prospective Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4093-1312","authenticated-orcid":false,"given":"Inmaculada","family":"Pe\u00f1uelas-Calvo","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"},{"name":"Health Research Institute Hospital 12 de Octubre (i+12 Institute), 28041 Madrid, Spain"},{"name":"Department of Psychiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain"},{"name":"CIBERSAM-ISCIII (Biomedical Research Networking Centre for Mental Health\/Carlos III Health Institute), 28029 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9772-427X","authenticated-orcid":false,"given":"Mar\u00eda","family":"Taracena-Cuerda","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"},{"name":"Health Research Institute Hospital 12 de Octubre (i+12 Institute), 28041 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8613-5886","authenticated-orcid":false,"given":"Manon","family":"Moreno","sequence":"additional","affiliation":[{"name":"Department of Psychology, Universidad of Villanueva, 28039 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Cabrera-Redondo","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera","family":"\u00c1lvarez-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"},{"name":"Health Research Institute Hospital 12 de Octubre (i+12 Institute), 28041 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Puente-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"},{"name":"Health Research Institute Hospital 12 de Octubre (i+12 Institute), 28041 Madrid, Spain"},{"name":"Department of Psychiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blanca","family":"Quintana-Saiz","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"},{"name":"Health Research Institute Hospital 12 de Octubre (i+12 Institute), 28041 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Jim\u00e9nez-Bid\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain"},{"name":"Health Research Institute Hospital 12 de Octubre (i+12 Institute), 28041 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2019-9099","authenticated-orcid":false,"given":"Alejandro","family":"Porras-Segovia","sequence":"additional","affiliation":[{"name":"Mental Health Research Group, Health Research Institute Jim\u00e9nez D\u00edaz Foundation, 28040 Madrid, Spain"},{"name":"Department of Psychiatry, Hospital Universitario Rey Juan Carlos, 28933 M\u00f3stoles, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"ref_1","unstructured":"World Health Organitation (2025, August 14). 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