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Anger predicts suicidal ideation in a sample of veterans with nonsuicidal self-injury: An ecological momentary assessment study.

Publication ,  Journal Article
Crowe, ML; Halverson, TF; Kimbrel, NA; Beckham, JC; Calhoun, PS; Dillon, KH
Published in: J Affect Disord
April 15, 2026

Suicide remains a critical concern within the United States, particularly among U.S. veterans. Anger is a known correlate of suicidal ideation (SI) but little is understood about their moment-to-moment relationship. This short communication uses ecological momentary assessment (EMA) data collected over a 28-day period to investigate the temporal association between anger and SI in 40 veterans diagnosed with nonsuicidal self-injury (NSSI) disorder. Using a multilevel cross-lagged design, we found that angry/hostile affect predicted subsequent SI; however, SI did not predict subsequent angry/hostile affect. These findings highlight anger as a potential trigger for suicidal thoughts and underscore the importance of addressing anger-related problems, especially among individuals at increased risk of suicide.

Duke Scholars

Published In

J Affect Disord

DOI

EISSN

1573-2517

Publication Date

April 15, 2026

Volume

399

Start / End Page

121136

Location

Netherlands

Related Subject Headings

  • Veterans
  • Suicidal Ideation
  • Self-Injurious Behavior
  • Psychiatry
  • Middle Aged
  • Male
  • Humans
  • Female
  • Ecological Momentary Assessment
  • Anger
 

Citation

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ICMJE
MLA
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Crowe, M. L., Halverson, T. F., Kimbrel, N. A., Beckham, J. C., Calhoun, P. S., & Dillon, K. H. (2026). Anger predicts suicidal ideation in a sample of veterans with nonsuicidal self-injury: An ecological momentary assessment study. J Affect Disord, 399, 121136. https://doi.org/10.1016/j.jad.2025.121136
Crowe, Michael L., Tate F. Halverson, Nathan A. Kimbrel, Jean C. Beckham, Patrick S. Calhoun, and Kirsten H. Dillon. “Anger predicts suicidal ideation in a sample of veterans with nonsuicidal self-injury: An ecological momentary assessment study.J Affect Disord 399 (April 15, 2026): 121136. https://doi.org/10.1016/j.jad.2025.121136.
Crowe ML, Halverson TF, Kimbrel NA, Beckham JC, Calhoun PS, Dillon KH. Anger predicts suicidal ideation in a sample of veterans with nonsuicidal self-injury: An ecological momentary assessment study. J Affect Disord. 2026 Apr 15;399:121136.
Crowe, Michael L., et al. “Anger predicts suicidal ideation in a sample of veterans with nonsuicidal self-injury: An ecological momentary assessment study.J Affect Disord, vol. 399, Apr. 2026, p. 121136. Pubmed, doi:10.1016/j.jad.2025.121136.
Crowe ML, Halverson TF, Kimbrel NA, Beckham JC, Calhoun PS, Dillon KH. Anger predicts suicidal ideation in a sample of veterans with nonsuicidal self-injury: An ecological momentary assessment study. J Affect Disord. 2026 Apr 15;399:121136.
Journal cover image

Published In

J Affect Disord

DOI

EISSN

1573-2517

Publication Date

April 15, 2026

Volume

399

Start / End Page

121136

Location

Netherlands

Related Subject Headings

  • Veterans
  • Suicidal Ideation
  • Self-Injurious Behavior
  • Psychiatry
  • Middle Aged
  • Male
  • Humans
  • Female
  • Ecological Momentary Assessment
  • Anger