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165. What Happens after Suicidal Ideation: The Emotional Consequences of Suicidal Ideation in an Experience Sampling Study
A recent and growing body of literature has explored suicidal ideation using experience sampling approaches to capture mutable and proximal risk factors that predict day-to-day suicidal thoughts. Yet, only one study has explored the consequences of suicidal ideation using such methods; Kleiman et al. (2018) found that suicidal ideation led to reductions in negative affect 4-8 hours after the onset of the thought, suggesting that suicidal ideation might be negatively reinforced. We explored if suicidal ideation in a separate sample would lead to the same negative reinforcement when examined immediately following a suicidal thought, and 4-8 hours after the thought. A sample of 39 individuals from the community were recruited for this study. All participants were currently suicidal and were followed for two weeks using an experience sampling approach. Preliminary analyses using multilevel modelling found that suicidal ideation led to an increase in negative affect, using both a cross-sectional approach (p < .001) and a longitudinal approach that mimics Kleiman et al.’s (2018) methods (p = .003). Lack of replication suggests that the consequences of suicidal ideation are more complex and need further exploration to better understand the long-term impact of suicidal thoughts.