Health conditions, physical disabilities, perceived burdensomeness, and depressive symptoms influence suicidal ideation

Abstract. We examined the unique associations among discrimination, suicidal thoughts, suicide attempts, and depressive symptoms in a sample of sexual and gender minority (SGM) youth as well as interpersonal mediators of these associations. Participants included 94 SGM youth ( Mage = 18; SD = 2.88) recruited from SGM-specific drop-in centers. We used mediation analyses to test the mediating effects of perceived burdensomeness and thwarted belongingness on the associations between discrimination and suicidal ideation, suicide attempts, and depressive symptoms, accounting for childhood trauma and sociodemographic variables (age, gender identity, race, and sexual orientation). Within our nonclinical community sample of SGM youth, 49% reported a lifetime suicide attempt, 84% reported current suicide ideation, and 82% reported current depressive symptoms. Experiencing discrimination was associated with greater likelihood of suicide attempts and depressive symptoms, and greater perceived burdensomeness and thwarted belongingness, over and above the effects of childhood trauma and sociodemographic variables. Discrimination was indirectly associated with greater depressive symptoms through perceived burdensomeness and thwarted belongingness, and with greater severity of suicidal ideation through perceived burdensomeness. Findings suggest clinicians should assess for discrimination and include a focus on perceived burdensomeness and thwarted belongingness as targets of intervention for suicide and depression.

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Depressive Symptoms and Perceived Burdensomeness Mediate the Association between Anxiety and Suicidal Ideation in Adolescents

Archives of Suicide Research ◽

10.1080/13811118.2018.1427163 ◽

2018 ◽

Vol 22 (4) ◽

pp. 555-568 ◽

Cited By ~ 12

Author(s):

Ryan M. Hill ◽

Cristina T. del Busto ◽

Victor Buitron ◽

Jeremy W. Pettit

Keyword(s):

Depressive Symptoms ◽

Suicidal Ideation ◽

Perceived Burdensomeness

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Too Much to Bear

Crisis ◽

10.1027/0227-5910/a000355 ◽

2016 ◽

Vol 37 (1) ◽

pp. 59-67 ◽

Cited By ~ 2

Author(s):

Nicole J. Peak ◽

James C. Overholser ◽

Josephine Ridley ◽

Abby Braden ◽

Lauren Fisher ◽

...

Keyword(s):

Suicidal Ideation ◽

Concurrent Validity ◽

Medical Center ◽

Psychiatric Patients ◽

Preliminary Evidence ◽

Diagnostic Interview ◽

Veterans Affairs ◽

Self Report ◽

Perceived Burdensomeness ◽

Scale Method

Abstract. Background: People who feel they have become a burden on others may become susceptible to suicidal ideation. When people no longer feel capable or productive, they may assume that friends and family members would be better off without them. Aim: The present study was designed to assess preliminary psychometric properties of a new measure, the Perceived Burdensomeness (PBS) Scale. Method: Depressed psychiatric patients (N = 173) were recruited from a veterans affairs medical center. Patients were assessed with a structured diagnostic interview and self-report measures assessing perceived burdensomeness, depression severity, hopelessness, and suicidal ideation. Results: The present study supported preliminary evidence of reliability and concurrent validity of the PBS. Additionally, perceived burdensomeness was significantly associated with higher levels of hopelessness and suicidal ideation. Conclusion: It is hoped that with the aid of the PBS clinicians may be able to intervene more specifically in the treatment of suicidality.

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Risk Factors and Mediators of Suicidal Ideation Among Korean Adolescents

Crisis ◽

10.1027/0227-5910/a000438 ◽

2018 ◽

Vol 39 (1) ◽

pp. 4-12 ◽

Cited By ~ 9

Author(s):

Yi Jin Kim ◽

Sung Seek Moon ◽

Jang Hyun Lee ◽

Joon Kyung Kim

Keyword(s):

High School Students ◽

Suicidal Ideation ◽

Structural Equation ◽

Equation Modeling ◽

Outcome Variable ◽

Suicidal Behaviors ◽

Thwarted Belongingness ◽

Perceived Burdensomeness ◽

Korean Adolescents ◽

Related Stress

Abstract. Background: A significant number of Korean adolescents have suicidal ideations and it is more prevalent among adolescents than any other age group in Korea. Aims: This study was conducted to attain a better understanding of the contributing factors to suicidal ideation among Korean adolescents. Method: We recruited 569 high school students in Grades 10 and 11 in Pyeongtaek, Korea. The Beck Scale for Suicidal Ideation was used to measure suicidal ideation as the outcome variable. The Interpersonal Needs Questionnaire, the Beck Hopelessness Scale, the School Related Stress Scale, the Olweus Bully/Victim Questionnaire, and the Youth Risk Behavior Surveillance questions were used to measure thwarted belongingness and perceived burdensomeness, hopelessness, school-related stress, bullying, and previous suicidal behaviors, respectively. Data analyses included descriptive statistics and structural equation modeling. Results: The findings suggest that perceived burdensomeness, hopelessness, school-related stress, and previous suicidal behaviors have significant direct effects on suicidal ideation. Hopelessness fully mediated the relation between thwarted belongingness and suicidal ideation, and partially mediated between perceived burdensomeness, school-related stress, and suicidal ideation. Conclusion: These findings provide more specific directions for a multidimensional suicide prevention program in order to be successful in reducing suicide rates among Korean adolescents.

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Relationship of Self-Compassion, Hope, and Emotional Control to Perceived Burdensomeness, Thwarted Belongingness, and Suicidal Ideation

Crisis ◽

10.1027/0227-5910/a000697 ◽

2020 ◽

pp. 1-7

Author(s):

Laura R. Umphrey ◽

John C. Sherblom ◽

Paulina Swiatkowski

Keyword(s):

College Students ◽

Suicidal Ideation ◽

Emotional Control ◽

Thwarted Belongingness ◽

Perceived Burdensomeness ◽

Cross Sectional ◽

Self Compassion ◽

Positive Feelings ◽

Cross Sectional Design ◽

Relationship Of

Abstract. Background: Cultivating positive feelings of self in relationships with others can affect perceptions of belongingness and burdensomeness. Aims: The present study examines the relationships of self-compassion, hope, and emotional control to thwarted belongingness, perceived burdensomeness, and suicidal ideation. Method: Participants were 481 college students who completed scales measuring self-compassion, hope, emotional control, thwarted belongingness, perceived burdensomeness, and suicidal ideation. Results: Correlation and parallel mediation analysis results show relationships between self-compassion, hope, and emotional control with perceived burdensomeness, thwarted belongingness, and suicidal ideation. Limitations: The study is limited by its cross-sectional design, sample demographics, and inability to distinguish between individuals with suicidal ideation and those who attempt suicide. Conclusion: The results show that the relationships of self-compassion, hope, and emotional control to perceived burdensomeness, thwarted belongingness, and suicidal ideation are worth further investigation.

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Trauma-Related Shame, Sexual Assault Severity, Thwarted Belongingness, and Perceived Burdensomeness Among Female Undergraduate Survivors of Sexual Assault

Crisis ◽

10.1027/0227-5910/a000549 ◽

2019 ◽

Vol 40 (2) ◽

pp. 134-140 ◽

Cited By ~ 2

Author(s):

Christopher R. DeCou ◽

Stephanie P. Kaplan ◽

Julie Spencer ◽

Shannon M. Lynch

Keyword(s):

Risk Factors ◽

Suicidal Ideation ◽

Sexual Assault ◽

Self Report ◽

Psychosocial Risk ◽

Thwarted Belongingness ◽

Female Undergraduate ◽

Perceived Burdensomeness ◽

Cross Sectional ◽

And Behavior

Abstract. Background and Aim: This study evaluated trauma-related shame as a mediator of the association between sexual assault severity and perceived burdensomeness and thwarted belongingness. Method: A total of 164 female undergraduates who reported attempted or completed sexual assault completed self-report measures of sexual assault, trauma-related shame, perceived burdensomeness, and thwarted belongingness. Results: Using path analysis, trauma-related shame mediated the association between sexual assault severity and perceived burdensomeness, and between sexual assault severity and thwarted belongingness. Limitations: The findings of this study are limited by the retrospective, self-report, and cross-sectional nature of these data, and do not allow for causal inference. Conclusion: Trauma-related shame warrants additional investigation as a mechanism that explains the association between sexual assault and psychosocial risk factors for suicidal ideation and behavior.

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