Suicide risk among rural veterans: Application of the interpersonal theory of suicide.

Attachment Avoidance ◽

Pet Attachment ◽

The Relationship

Objective: Pet ownership is often assumed to have mental health benefits, but the effect of pets on suicide risk has a scant literature. Method: Using the interpersonal theory of suicide, we examined the relationships between perceived burdensomeness, thwarted belongingness, overall attachment to one’s pet (quality of the relationship), pet attachment avoidance (distrustful of the relationship) or anxiety (afraid of abandonment), and suicide risk. Three hypotheses were investigated: 1) higher levels of attachment would be associated with lower suicide risk via lower levels of thwarted belongingness/perceived burdensomeness, 2) lower levels of pet attachment would be associated with higher levels of suicide risk via attachment avoidance/attachment anxiety, and 3) attachment avoidance/anxiety would be associated with higher suicide risk via thwarted belongingness/perceived burdensomeness. Undergraduates (N = 187) completed surveys and indirect effect analyses were utilized. Results: Higher overall attachment was associated with decreased attachment anxiety, which was associated with lower suicide risk. Attachment anxiety was correlated with increased suicide risk. Overall attachment, attachment avoidance and attachment anxiety were not found to indirectly affect suicide risk. Conclusions: Findings suggest that pet ownership may provide both protective and deleterious effects in a nonclinical sample.

Examining the role of stigma and disability-related factors in suicide risk through the lens of the Interpersonal Theory of Suicide

Journal of Psychiatric Research ◽

10.1016/j.jpsychires.2020.11.007 ◽

2020 ◽

Author(s):

Lauren R. Khazem ◽

Michael D. Anestis ◽

Kim L. Gratz ◽

Matthew T. Tull ◽

Craig J. Bryan

Keyword(s):

Suicide Risk ◽

Interpersonal Theory ◽

Related Factors

Weight Stigma, Suicide Risk, and the Interpersonal Theory of Suicide: The Roles of Emotion Dysregulation and Eating Pathology

10.31219/osf.io/bwhzq ◽

2019 ◽

Author(s):

Valerie Jane Douglas ◽

Mun Yee Kwan ◽

Kathryn H. Gordon

Keyword(s):

Indirect Effect ◽

Emotion Dysregulation ◽

Suicide Risk ◽

Weight Stigma ◽

Emotional Dysregulation ◽

Interpersonal Theory ◽

Thwarted Belongingness ◽

Weight Stigmatization

Objective: Using an interpersonal theory of suicide framework, we investigated the relationships between perceived burdensomeness, thwarted belongingness, weight stigmatization, emotion dysregulation, eating disorder symptoms, and suicide risk. Three hypotheses were investigated. First, we predicted a positive linear relationship between stigmatization and risk. Second, an indirect effect of stigmatization on risk via thwarted belongingness and perceived burdensomeness was posited. Third, we hypothesized that weight stigmatization would indirectly affect suicide risk via emotion dysregulation as conditional upon disordered eating. Method: Undergraduates (N = 156) completed surveys online. Linear regressions, indirect effect analyses, and conditional process modeling were conducted to test our hypotheses. Results: Weight stigmatization was associated with suicide risk, where higher levels of stigmatization were associated with higher levels of suicide risk. Weight stigmatization indirectly affected suicide risk via perceived burdensomeness but not thwarted belongingness. Higher stigmatization was associated with higher levels of perceived burdensomeness, which was associated with higher risk. An indirect effect of weight stigmatization on suicide risk through emotional dysregulation emerged. Higher weight stigmatization was associated with higher emotional dysregulation, which was associated with higher suicide risk. Conclusions: Our findings may have clinical and public health implications for suicide prevention efforts targeting weight stigma-related risk factors.

Implications of the Interpersonal Theory of Suicide for the Assessment and Management of Suicide Risk

PsycEXTRA Dataset ◽

10.1037/e500822014-010 ◽

2013 ◽

Cited By ~ 1

Author(s):

J. D. Ribeiro ◽

L. P. Bodell ◽

J. L. Hames ◽

C. R. Hagan ◽

T. E. Joiner

Keyword(s):

Suicide Risk ◽

Interpersonal Theory ◽

Interpersonal Theory Of Suicide

Examining suicide risk in individuals with autism spectrum disorder via the interpersonal theory of suicide: clinical insights and recommendations

Children s Health Care ◽

10.1080/02739615.2020.1741360 ◽

2020 ◽

Vol 49 (4) ◽

pp. 472-492

Author(s):

Ryan M. Hill ◽

Maja Katusic

Keyword(s):

Autism Spectrum Disorder ◽

Suicide Risk ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Interpersonal Theory ◽

Interpersonal Theory Of Suicide

775 The Relationship Between Sleep and Suicidal Ideation in College Students

SLEEP ◽

10.1093/sleep/zsab072.772 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A301-A302

Author(s):

Krishna Taneja ◽

Andrew Tubbs ◽

Fabian-Xosé Fernandez ◽

Michael Perlis ◽

Michael Grandner

Keyword(s):

College Students ◽

Suicidal Ideation ◽

Suicide Risk ◽

Severity Index ◽

Interpersonal Theory ◽

Thwarted Belongingness ◽

Short Sleep ◽

Sleep Control

Abstract Introduction Suicide is the second-leading cause of death for young adults and insomnia increases suicide risk. However, the data on disrupted sleep and suicidal ideation in college students is mixed, including whether disrupted sleep fits into the framework of the Interpersonal Theory of Suicide. Therefore, the present study explored how four different sleep variables influenced recent suicidal ideation in a collegiate sample. Methods Data from N=506 respondents were collected as part of the Assessing Nocturnal Sleep/Wake Effects on Risk of Suicide (ANSWERS) Survey in college students. The primary outcome, active suicidal ideation in the last 3 months, was assessed using several self-report questions derived from the Columbia Suicide Severity Rating Scale. The predictors were weekday short sleep (≤6h; assessed by retrospective sleep diary), Insomnia Severity Index (ISI) score, Brief Inventory of Sleep Control (BRISC) score, and Disturbing Dreams and Nightmares Severity Index (DDNSI) score. Binomial logistic regression models estimated the associations between suicidal ideation and sleep variables in models that were unadjusted, adjusted for age, sex, race, and ethnicity, and additionally adjusted for thwarted belongingness or perceived burdensomeness (constructs from the Interpersonal Theory of Suicide). Results A total of N=121 (23.9%) respondents endorsed suicidal ideation in the last 3 months. Individuals with suicidal ideation were in poorer health (p<0.001) and had more severe depression (p<0.001) and anxiety (p<0.001). In unadjusted models, individuals were more likely to report suicidal ideation if they had short sleep (OR 1.93 [1.23–3.05]), ISI scores of 8 or more (OR 3.01 [1.94–4.74]), and DDNSI scores of 10 or more (OR 2.66 [1.69–4.19]). Higher BRISC scores were associated with lower odds of suicidal ideation (OR 0.53 [0.41–0.68]). Adjusting for age, sex, race, ethnicity, thwarted belongingness, and perceived burdensomeness attenuated but did not eliminate any of these relationships. Conclusion Insomnia, short sleep, nightmares, and less perceived sleep control were all associated with recent suicidal ideation in college students. Moreover, these findings were generally independent of the Interpersonal Theory of Suicide. Further research is needed to understand how sleep affects suicide risk in this population, and whether sleep interventions can reduce this risk. Support (if any):

777 Sleep and non-suicidal self-injury in college students

SLEEP ◽

10.1093/sleep/zsab072.774 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A302-A303

Author(s):

Sierra Hendershot ◽

Andrew Tubbs ◽

Fabian-Xosé Fernandez ◽

Michael Perlis ◽

Michael Grandner

Keyword(s):

College Students ◽

Suicide Risk ◽

Severity Index ◽

Interpersonal Theory ◽

Thwarted Belongingness ◽

Lower Odds ◽

Short Sleep ◽

Self Injury

Abstract Introduction Non-suicidal self-injury (NSSI) can increase suicide risk and is highly prevalent among young adults, including college students. While there is mounting evidence that disrupted sleep increases suicide risk, it is unclear how sleep influences NSSIs. Therefore, the present study explored how sleep variables were associated with NSSIs in a college sample. Methods Data from N=506 respondents were collected as part of the Assessing Nocturnal Sleep/Wake Effects on Risk of Suicide (ANSWERS) Survey of college students. The primary outcome, lifetime NSSI, was assessed using a self-report question derived from the Columbia Suicide Severity Rating Scale. The predictors were weekday short sleep (≤ 6h; assessed by retrospective sleep diary), Insomnia Severity Index (ISI) score, Brief Inventory of Sleep Control (BRISC) score, and Disturbing Dreams and Nightmares Severity Index (DDNSI) score. Binomial logistic regression models estimated the associations between NSSI and sleep variables in models that were unadjusted, adjusted for age, sex, race, and ethnicity, and additionally adjusted for thwarted belongingness or perceived burdensomeness from the Interpersonal Theory of Suicide. Results A total of N=142 (28.1%) respondents endorsed lifetime non-suicidal self-injury. Individuals with NSSI were more likely to be female (p=0.015), in poorer health (p<0.001), and have more severe depression (p<0.001) and anxiety (p<0.001) than those without NSSI. In unadjusted models, higher BRISC scores were associated with lower odds of NSSI (OR 0.55 [0.43–0.71]), DDNSI scores of >=10 increased the odds of NSSI (OR 2.65 [1.70–4.11], and ISI scores of >=8 increased the odds of NSSI (OR 2.05 [1.38–3.08]), while short sleep was not associated with NSSI. Adjusting for age, sex, race, ethnicity, and thwarted belongingness did not eliminate any of these relationships but adjusting for perceived burdensomeness rendered the association between insomnia and NSSI non-significant. Conclusion Individuals with significant insomnia symptoms or nightmares were more likely to report a history of NSSI, while individuals with greater perceived control of sleep had lower odds of NSSI. These findings were generally independent of the Interpersonal Theory of Suicide. Further research is needed regarding the timing of NSSI (i.e., do they occur more often during nocturnal wakefulness) and whether sleep interventions can reduce the risk of NSSI. Support (if any):