Trial reportJournal of affective disorders2026
Momentary emotion-related distress, negative emotions, and suicidal ideation: Findings from an RCT among adults in inpatient psychiatric care.
Trial report in Journal of affective disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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8 authors.
Funding
Abstract
objectiveExamine the moderating role of distress about emotions (i.e., emotion-related distress) in the relationship between specific negative emotions and suicidal ideation (SI) among adults hospitalized for psychiatric reasons in an RCT of a brief cognitive-behavioral therapy (CBT)-based intervention. Specifically, we investigate how randomization to the study intervention versus control condition impacts these relationships.
methodParticipants (N = 64) were recruited from psychiatric inpatient units at two hospitals as part of a larger RCT. Participants in the treatment group completed three 1:1 structured therapy sessions focused on CBT skills for managing emotions and a 28-day ecological momentary assessment/intervention (EMA/EMI) protocol facilitating skills practice after discharge. Participants in the control condition completed post-discharge EMA only. Both groups received treatment as usual. Multi-level modeling examined the relationships between each emotion assessed via EMA (i.e., anxious, sad, overall negative emotion) with SI, moderated by emotion-related distress and study condition.
resultsThe three-way interactions between study condition, emotion-related distress, and emotion predicting contemporaneous SI were significant (anxiety: b = 0.05 [95% CI = 0.02-0.09], p = .006; sadness: b = 0.05 [95% CI = 0.02-0.09], p = .006; negative affect: b = 0.05 [95% CI = 0.02-0.09], p = .006). Among intervention condition participants, emotion-related distress was a significant moderator between each emotion and SI, with stronger associations at higher levels of emotion-related distress, compared to average and low levels of emotion-related distress. DISCUSSION: Emotion-related distress moderated associations between negative emotions and SI in an intervention-specific manner, suggesting CBT-based EMI may target proximal risk processes for SI among individuals with high emotion-related distress.
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