Suicide-related metacognitions in psychiatric inpatients admitted after suicide attempt or an acute suicidal crisis: a longitudinal mediation analysis

Key Points

• Suicide-specific rumination significantly drives the intensification of suicidal ideation, highlighting its critical role.
• Positive metacognitions may contribute to forming suicidal intent, suggesting a complex relationship.
• Observational analysis of psychiatric inpatients after suicide attempts reveals crucial insights into their mental processes.
• Findings support the need for targeted interventions in high-risk periods following discharge to reduce suicide risk.