Authors:
Mentors: Jared Nielsen
Insitution: Brigham Young University
Objective: This study examines the role of positive reframing as a strategy to mitigate suicidality and enhance positive emotions.
Background: Emotional regulation difficulties have been identified in numerous psychiatric populations, potentially leading to stress, incarceration, and tragically, suicide. Amidst the rising rates of suicidality among at-risk populations, this study aims to investigate the pivotal behavioral factors influencing suicidal thoughts and actions in autistic and socially anxious populations.
Methods: Our investigation employed a longitudinal ecological momentary assessment study to explore the impact of various emotional regulation skills on positive emotion, negative emotion, and suicidality. We recruited 95 participants, 72 of which met criteria for inclusion, to answer daily surveys administered through a smartphone app that tracked emotional regulation use, positive emotions, negative emotions, and suicidal tendencies over time.
Results: Our results indicate that for the social anxiety group, enjoying the moment significantly affects positive emotions (E=2.14, p<.05), but this effect is not observed in the autism group. Furthermore, both groups demonstrated that accepting feelings (E=4.40, p<.001; E=2.63, p<.01) and acknowledging that feelings don’t last (E=1.69, p<.05; E=3.13, p<.001) significantly increased daily positive emotions. Conversely, hiding feelings significantly decreased daily positive emotions in the social anxiety group (E=-1.76, p<.05). Self-blame increased negative emotions in both groups by, on average, four points. Regarding the reduction of daily average suicide composite scores, accepting feelings emerged as a significant factor for both groups (E=-1.88, p<.01; E=-2.15, p<.001). On the other hand, using self-blame significantly increased average suicide composite scores for social anxiety, mirroring its effect on negative emotions (E=1.42, p<.01).
Conclusion: Positively reframing one's emotions is associated with increased daily positive feelings and reduced daily suicidal tendencies. This research sheds light on the complex interplay between emotional regulation strategies and their impact on mental health and emotions in these at-risk populations.