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ure and further examine the impact of catastrophic interpretations of suicidal thoughts. Highlights Created a new measure for sensitivity to thoughts of suicide and wanting to die. Suicidal cognition concerns associated with suicidal ideation in the past two weeks. Suicidal cognition concerns associated with lifetime worst point suicidal ideation. Suicidal cognition concerns moderated AS cognitive concerns and ideation relation.BackgroundImmune checkpoint inhibitors (ICIs) have been increasingly used in cancer treatment, and a subset of patients undergo pse