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

SLEEP ◽  
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 ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
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):

775 The Relationship Between Sleep and Suicidal Ideation in College Students

SLEEP ◽  
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 ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
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):

Pet Attachment and the Interpersonal Theory of Suicide

2020 ◽  
Author(s):  
Valerie Jane Douglas ◽  
Mun Yee Kwan ◽  
Kathryn H. Gordon
Keyword(s):  
Suicide Risk ◽  
Attachment Anxiety ◽  
Interpersonal Theory ◽  
Pet Ownership ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Attachment Avoidance ◽  
Interpersonal Theory Of Suicide ◽  
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.

776 Perceived sleep control and nightmares distinguish college students with suicidal ideation from past attempters

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A302-A302
Author(s):  
Krishna Bodicherla ◽  
Andrew Tubbs ◽  
Fabian-Xosé Fernandez ◽  
Michael Perlis ◽  
Michael Grandner
Keyword(s):  
College Students ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Severity Index ◽  
Poor Sleep ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Short Sleep ◽  
History Of ◽  
Sleep Control

Abstract Introduction Suicidal ideation is common in college-aged students, but this is limited as a risk factor because ideation rarely leads to suicide attempts. Disrupted sleep increases suicide risk, but it is unclear whether this relationship applies equally to both ideators and attempters. Therefore, the present study explored four different sleep variables as discriminators between past suicidal ideation and a past suicide attempt. 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 outcomes, lifetime history of suicidal ideation or a suicide attempt, were assessed using self-report questions derived from the Columbia Suicide Severity Rating Scale. Predictors were weekday short sleep (≤ 6h; from a 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 tested whether these predictors distinguished ideators from attempters. Models 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=182 (36%) respondents endorsed lifetime suicidal ideation, while N=61 (12%) reported a prior suicide attempt. Attempters tended to be slightly older (p=0.016), in worse health (p<0.001), and have more severe depression (p<0.001) and anxiety (p<0.001) than ideators. In unadjusted models, higher BRISC scores were associated with reduced odds of a suicide attempt (OR: 0.62 [0.42, 0.90]) while DDNSI scores of >=10 were associated with greater odds of a suicide attempt (OR: 4.24 [1.28, 4.24]). Adjusting for age, sex, race, ethnicity, thwarted belongingness, and perceived burdensomeness attenuated but did not eliminate these relationships. Short sleep and ISI scores did not distinguish ideators from attempters. Conclusion Perceived sleep control and severity of nightmares, but not insomnia or short sleep, distinguished individuals with a history of suicidal ideation from those with a history of a suicide attempt. However, longitudinal research is needed to determine if poor sleep control or nightmares are proximal predictors of a suicide attempt. Support (if any):

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

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 ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
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.

The Relation Between Illegal Risk Behaviors and the Acquired Capability for Suicide

Crisis ◽  
2014 ◽  
Vol 35 (6) ◽  
pp. 368-377 ◽  
Author(s):  
Sean M. Mitchell ◽  
Danielle R. Jahn ◽  
Kelly C. Cukrowicz
Keyword(s):  
College Students ◽  
Risk Behaviors ◽  
Risky Behaviors ◽  
Interpersonal Theory ◽  
Interpersonal Theory Of Suicide ◽  
Acquired Capability ◽  
Self Injury ◽  
Partial Correlations ◽  
History Of ◽  
Explained Variance

Background: Suicide is the third leading cause of death among college students. The interpersonal theory of suicide may provide a way to conceptualize suicide risk in this population. Aims: We sought to examine relations between illegal behaviors that may act as risk factors for suicide and the acquired capability for suicide. Method: College students (N = 758) completed assessments of acquired capability and previous exposure to painful and provocative events, including illegal risk behaviors (IRBs). Linear regression, a nonparametric bootstrapping procedure, and two-tailed partial correlations were employed to test our hypotheses. Results: There was no significant relation between IRBs and acquired capability after controlling for legal painful and provocative experiences. A significant positive relation was identified between IRBs and fear/anxiety, contradicting the expected relation between increased painful and provocative experiences and lower fear/anxiety. Acquired capability explained variance in the relation between IRBs and history of suicide attempt or self-injury history. Conclusion: Further research is needed to examine links between IRBs and painful and provocative events, particularly to identify the point at which habituation begins to increase acquired capability, as our unexpected results may be due to a lack of habituation to risky behaviors or low variability of scores in the sample.

How does someone who weighs so little feel like a burden to everyone?

2016 ◽  
Vol 33 (S1) ◽  
pp. S598-S598
Author(s):  
F. Coutinho ◽  
I. Brandão ◽  
E. Pereira
Keyword(s):  
Anorexia Nervosa ◽  
Case Report ◽  
Suicide Attempts ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
Her Family ◽  
Completed Suicide ◽  
Competing Interest

IntroductionAnorexia nervosa (AN) is one of the most lethal psychiatric disorders, which is explained partially by starvation related health problems, but also because of high suicide rates. One of the proposed theories to explain a suicide attempt is the interpersonal theory of suicide (IPTS), with its three essential variables: feelings of thwarted belongingness, perceived burdensomeness and the acquired capacity for suicide.ObjectiveTo review the literature about suicidality in AN and to present a case report of a patient with restrictive AN who has committed suicide.MethodsTo review of the literature using the database Medline, through PubMed, with the keywords “anorexia nervosa”, “eating disorders” and “suicide”.ResultsSuicide attempts and completed suicide are highly prevalent among patients with AN, and some authors suggest that 20–40% of deaths in AN are due to suicide. Recently, the IPTS has been proposed as a mean to explain increased suicidality in AN patients.ConclusionWe present a case report about a patient with a long standing AN who has committed suicide after leaving a goodbye note describing strong feelings of perceived burdensomeness directed to her family. It is of utmost importance to continue the study about the phenomenon of suicide in AN to be able to prevent this tragic outcome.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals An Experimental Test of the ‘Interpersonal’ in the Interpersonal Theory of Suicide

2017 ◽  
Vol 8 (4) ◽  
pp. 332-346 ◽  
Author(s):  
Sarah E. George ◽  
Khan R. L. Collins ◽  
Temily Cao ◽  
Werner G. K. Stritzke ◽  
Andrew C. Page
Keyword(s):  
Suicide Ideation ◽  
Poor Performance ◽  
Interpersonal Theory ◽  
Experimental Paradigm ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
Interpersonal Factors ◽  
Interpersonal Needs ◽  
Team Task

The interpersonal theory of suicide posits that failed interpersonal needs for efficacy and belongingness cause suicide ideation (Joiner, 2005). To distinguish whether their mechanism of action is interpersonal or via failure per se, an experimental paradigm was used. In Study 1 (n = 98), participants were randomly allocated to high or low perceived burdensomeness and thwarted belongingness conditions. Those who experienced high levels of the interpersonal factors expressed a heightened desire to disengage from the interactive computerized team task. To test whether disengagement was caused by interpersonal factors or just poor performance, participants in Study 2 (n = 63) were randomly allocated to complete the task in collaborative (i.e., interpersonal) or competitive (i.e., intrapersonal) conditions. The deficits in persistence were greater among participants in the interpersonal condition, indicating that the interpersonal nature of perceived burdensomeness and thwarted belongingness makes these factors particularly pernicious, supporting the emphasis of the interpersonal theory of suicide.

scholarly journals Suicide Risk in Older Adulthood: Differential Pathways Based on Race

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 308-309
Author(s):  
Matthew Fullen ◽  
Mary Mize ◽  
Jihee Hong ◽  
Laura Shannonhouse ◽  
Jordan Westcott
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Suicide Risk ◽  
Late Life ◽  
Interpersonal Theory ◽  
Public Health Issue ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Older Adulthood ◽  
Black And White

Abstract Late-life suicide is a complex public health issue, and older adults have a higher risk threshold than the national average (Drapeau & McIntosh, 2020). Most late-life suicide research focuses on elevated risk of older white males, and less is known about risk factors among Black older adults (Joe et al., 2014). Although fewer Black older adults die by suicide than White older adults, forms of suicidality do not differ between Black and White older adults (Cohen et al., 2008). Suicide risk factors, such as psychological distress (Watkins & Johnson, 2018) and chronic pain (Bazargan et al., 2016), are prevalent among Black older adults. According to the Interpersonal Theory of Suicide (IPTS; Van Orden et al., 2016), thwarted belongingness and perceived burdensomeness inform the development of suicidal desire. These findings have been corroborated among older adult samples, though lacking racial diversity. To better understand how the IPTS functions for older adults, and probe whether suicide risk pathways operate differently depending on race, we used data from over 400 homebound older adults residing in a U.S. metropolitan area to clarify if this suicide risk pathway is similar for Black and White older adults. Race moderated the relationship between physical and psychological pain and thwarted belongingness and perceived burdensomeness, with pain among Black older adults having a greater impact on their sense of belonging and burdensomeness. Findings illuminate the need for culturally nuanced understandings of suicidality in older adulthood. The presenters will demonstrate these results and discuss implications for cross-cultural suicide prevention frameworks.

scholarly journals Shame and Suicidal Ideation among Undergraduates in China: The Mediating Effect of Thwarted Belongingness and Perceived Burdensomeness

2020 ◽  
Vol 17 (7) ◽  
pp. 2360 ◽  
Author(s):  
Jingjing Zhao ◽  
Yanna Chi ◽  
Yanli Ju ◽  
Xiyao Liu ◽  
Jingjing Wang ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Undergraduate Students ◽  
Psychological Intervention ◽  
Mediating Effect ◽  
Interpersonal Theory ◽  
Mediating Effects ◽  
Suicide Risk Assessment ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide

Undergraduate students with shame are more likely to experience suicidal ideation, but there remains a lack of research investigating the factors underlying this relationship. The interpersonal theory of suicide posits that suicidal ideation is influenced by the simultaneous presence of thwarted belongingness and perceived burdensomeness. We examined the prevalence of suicidal ideation among undergraduate students in China and examined the association between shame and suicidal ideation mediated by perceived burdensomeness and thwarted belongingness. A survey was conducted in July 2018 involving 2320 undergraduate students, and the twelve-month prevalence of suicidal ideation was 8.95%. Shame played a crucial role in predicting suicidal ideation, and the mediating effects of perceived burdensomeness and thwarted belongingness between shame and suicidal ideation were significant. Suicidal ideation is common among undergraduate students in China and merits greater attention. Shame, perceived burdensomeness, and thwarted belongingness may be important factors to assess among undergraduate students in suicide risk assessment and psychological intervention.

Thwarted Belongingness and Perceived Burdensomeness in Suicide Notes

Crisis ◽  
2012 ◽  
Vol 33 (3) ◽  
pp. 178-181 ◽  
Author(s):  
John F. Gunn ◽  
David Lester ◽  
Janet Haines ◽  
Christopher L. Williams
Keyword(s):  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
Suicide Notes

Background: Joiner’s interpersonal theory of suicide postulates that suicide occurs because of thwarted belongingness and perceived burdensomeness, combined with a capability for committing suicide. Aims: The present study examines the frequency of the presence of the themes of thwarted belongingness and perceived burdensomeness in suicide notes. Methods: A total of 261 suicide notes from 1091 consecutive completed suicides in Tasmania were rated for the presence of thwarted belongingness and perceived burdensomeness. Results: Contrary to the theory, few suicide notes were found to include perceived burdensomeness (10.3%) and thwarted belongingness (30.7%), and only 4.2% had both themes. The notes of women more often contained the theme of perceived burdensomeness, while the notes of younger suicides more often contained the theme of thwarted belongingness. Conclusions: Joiner’s theory of suicide may apply to only a small percentage of suicides who leave suicide notes.

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