Bidirectional associations between negative relationship events and suicidal ideation: an EMA study of stress exposure and generation.

BACKGROUND Ecological momentary assessments (EMA) have recently enabled the examination of near-term associations between interpersonal stressors and suicide risk. Yet, studies have typically considered the impact of negative relationship events (NREs) on subsequent suicidal ideation (SI) (i.e., stress exposure), with little research examining the impact of SI on subsequent NREs (i.e., stress generation). The present study examined next-day bidirectional associations between NREs and SI, as well as between NREs and interpersonal constructs linked to SI (thwarted belongingness, perceived burdensomeness). METHOD Young adults (N = 102; Ages 18-25 (M = 20.9); 67% cisgender women; 75% White) completed EMAs for 2 months following an emergency department visit for suicide risk-related concerns. RESULTS In multi-level models testing bidirectional relationships with next-day outcomes, within-person main effects were not detected, in either direction, for the constructs under consideration. However, between-person associations were present for NREs and perceived burdensomeness, wherein individuals who generally experience greater burdensomeness endured more daily NREs and those with more NREs reported higher daily-level burdensomeness. CONCLUSIONS Results did not suggest that daily fluctuations in SI or NREs correspond to next-day outcomes in this high-risk group. However, person-level differences suggest chronic stressors play a significant role in day-to-day experiences.

• Publication year

  2025

• Venue

  Anxiety, Stress, & Coping

• Publication date

  2025-11-09

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1080/10615806.2025.2584314PMID 41207611PMCID PMC12670516
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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