A test of the interpersonal-psychological theory of suicidal behaviour in a sample of mental health outpatients

2018 ◽  
Vol 49 (3) ◽  
pp. 430-445 ◽  
Author(s):  
Sarojini Naidoo ◽  
Steven Collings
Keyword(s):  
Mental Health ◽  
Suicidal Behaviour ◽  
Suicide Ideation ◽  
Psychological Theory ◽  
Interactive Effects ◽  
Future Research ◽  
Cross Sectional ◽  
Theoretical Predictions ◽  
Cross Sectional Design ◽  
Interpersonal Psychological Theory

Suicidality is a growing mental health problem, with statistics for South Africa being in line with global estimates. There has, however, been relatively little empirical advancement in the conceptualization of suicidal behaviour in recent years. Joiner’s interpersonal-psychological theory of suicidal behaviour is a relatively new theory that appears to hold promise for advancing our understanding of the mechanisms that underlie suicidal behaviour. The theory proposes that people die by suicide because they want to and because they can. This study sought to test two key hypotheses of the interpersonal-psychological theory of suicidal behaviour using a cross-sectional design and a sample of 239 mental health outpatients. Consistent with theoretical predictions, levels of suicidal ideation were significantly predicted by the interactive effects of high levels of thwarted belongingness and perceived burdensomeness in the presence of high levels of hopelessness in relation to both of these distressing states; with estimates of risk for suicide being most strongly predicted by the interactive effects of suicide ideation and an acquired capability for suicide. These findings are discussed in terms of their implications for theory, practice, and future research.

The Relationship of Specific Demographic Variables to Perceived Burdensomeness, Thwarted Belongingness, and Acquired Suicide Capability in K–12 Students

2020 ◽  
Author(s):  
Lora Hoffman ◽  
Cass Dykeman
Keyword(s):  
Psychological Theory ◽  
Demographic Variables ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
K 12 ◽  
Interpersonal Psychological Theory ◽  
Relationship Of ◽  
The Relationship

This study explores the relationship between specific demographic variables and the three Interpersonal-Psychological Theory (IPT) variables known to influence suicidal ideation and acts. The population was a large sample of K–12 students. Current research regarding demographic variables and the IPT variables in youth has been largely unexplored, leaving many assumptions and untested hypotheses. To address this gap, an archival cross-sectional design employing three multiple regression analyses was completed. For each analysis, the three demographic variables (age, gender, and race/ethnicity) were regressed on one of the IPT variables (perceived burdensomeness, thwarted belongingness, and acquired suicide capability). The overall model for each of the research questions was significant, with R2 ranging from .06 to .07. Reasons for the obtained results as well as implications for researchers and clinicians are discussed.

Suicide Attempters, Suicide Ideators, and Non-Ideators

Crisis ◽  
2019 ◽  
Vol 40 (4) ◽  
pp. 294-297 ◽  
Author(s):  
Tobias Teismann ◽  
Laura Paashaus ◽  
Paula Siegmann ◽  
Peter Nyhuis ◽  
Marcus Wolter ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Protective Factors ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Self Esteem ◽  
Positive Mental Health ◽  
Cross Sectional ◽  
Reasons For Living ◽  
Suicide Attempters

Abstract. Background: Suicide ideation is a prerequisite for suicide attempts. However, the majority of ideators will never act on their thoughts. It is therefore crucial to understand factors that differentiate those who consider suicide from those who make suicide attempts. Aim: Our aim was to investigate the role of protective factors in differentiating non-ideators, suicide ideators, and suicide attempters. Method: Inpatients without suicide ideation ( n = 32) were compared with inpatients with current suicide ideation ( n = 37) and with inpatients with current suicide ideation and a lifetime history of suicide attempts ( n = 26) regarding positive mental health, self-esteem, trust in higher guidance, social support, and reasons for living. Results: Non-ideators reported more positive mental health, social support, reasons for living, and self-esteem than suicide ideators and suicide attempters did. No group differences were found regarding trust in higher guidance. Suicide ideators and suicide attempters did not differ regarding any of the study variables. Limitations: Results stem from a cross-sectional study of suicide attempts; thus, neither directionality nor generalizability to fatal suicide attempts can be determined. Conclusion: Various protective factors are best characterized to distinguish ideators from nonsuicidal inpatients. However, the same variables seem to offer no information about the difference between ideators and attempters.

Rorschach-CS Scores of Six Groups of Patients

2013 ◽  
Vol 34 (1) ◽  
pp. 24-55 ◽  
Author(s):  
Caspar C. Berghout ◽  
Jolien Zevalkink ◽  
Abraham N. J. Pieters ◽  
Gregory J. Meyer
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Organizations ◽  
Total Sample ◽  
Psychoanalytic Psychotherapy ◽  
Cross Sectional ◽  
Treatment Groups ◽  
Treatment Type ◽  
Psychotherapy Groups ◽  
Cross Sectional Design

In this study we used a quasiexperimental, cross-sectional design with six cohorts differing in phase of treatment (pretreatment, posttreatment, 2-year posttreatment) and treatment type (psychoanalysis and psychoanalytic psychotherapy) and investigated scores on 39 Rorschach-CS variables. The total sample consisted of 176 participants from four mental health care organizations in The Netherlands. We first examined pretreatment differences between patients entering psychoanalysis and patients entering psychoanalytic psychotherapy. The two treatment groups did not seem to differ substantially before treatment, with the exception of the level of ideational problems. Next, we studied the outcome of psychoanalysis and psychoanalytic psychotherapy by comparing the Rorschach-CS scores of the six groups of patients. In general, we found significant differences between pretreatment and posttreatment on a relatively small number of Rorschach-CS variables. More pre/post differences were found between the psychoanalytic psychotherapy groups than between the psychoanalysis groups. More research is needed to examine whether analyzing clusters of variables might reveal other results.

scholarly journals Media consumption and mental health during COVID-19 lockdown: a UK cross-sectional study across England, Wales, Scotland and Northern Ireland

2021 ◽  
Author(s):  
Ruth D Neill ◽  
Carolyn Blair ◽  
Paul Best ◽  
Emily McGlinchey ◽  
Cherie Armour
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Media Exposure ◽  
Cross Sectional Study ◽  
Anxiety And Depression ◽  
Future Research ◽  
Media Consumption ◽  
Sectional Study ◽  
Cross Sectional ◽  
Longitudinal Data Collection

Abstract Aim As individuals adjust to new ‘norms’ and ways of living during the COVID-19 lockdown, there is a continuing need for up-to-date information and guidance. Evidence suggests that frequent media exposure is related to a higher prevalence of mental health problems, especially anxiety and depression. The aim of this study was to determine whether COVID-19 related media consumption is associated with changes in mental health outcomes. Methods This paper presents baseline data from the COVID-19 Psychological Wellbeing Study. The cross-sectional study data was collected using an online survey following the Generalised Anxiety Disorder scale (GAD-7) and the Patient Health Questionnaire (PHQ-9), with some other basic information collected. Logistic regression analysis was used to examine the influence of socio-demographic and media specific factors on anxiety and depression. Results The study suggested that media usage is statistically significantly associated with anxiety and depression on the GAD-7 and PHQ-9 scales with excessive media exposure related to higher anxiety and depression scores. Conclusion This study indicated that higher media consumption was associated with higher levels of anxiety and depression. Worldwide it should be acknowledged that excessive media consumption, particularly social media relating to COVID-19, can have an effect on mental health. However, as this was a cross-sectional study we cannot infer any directionality as we cannot infer cause and effect; therefore, future research involving longitudinal data collection and analyses of variables over time is warranted.

scholarly journals The Infinity Formulation: how transdiagnostic behaviours and endeavours for behavioural change serve to maintain co-morbid mental health presentations

2021 ◽  
Vol 14 ◽  
Author(s):  
Alison Bennetts
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Cognitive Biases ◽  
Behavioural Change ◽  
Psychological Theory ◽  
Primary Treatment ◽  
Future Research ◽  
List Type ◽  
Cognitive Behavioural ◽  
Co Morbidity

Abstract Treatment recommendations for mental health are often founded on diagnosis-specific models; however, there are high rates of co-morbidity of mental health presentations and growing recognition of the presence of ‘transdiagnostic processes’ (cognitive, emotional or behavioural features) seen across a range of mental health presentations. This model proposes a novel conceptualisation of how transdiagnostic behaviours may maintain co-morbid mental health presentations by acting as a trigger event for the cognitive biases specific to each presentation. Drawing on existing evidence, psychological theory and the author’s clinical experience, the model organises complex presentations in a theory-driven yet accessible manner for use in clinical practice. The model offers both theoretical and clinical implications for the treatment of mental health presentations using cognitive behavioural approaches, positing that transdiagnostic behaviours be the primary treatment target in co-morbid presentations. Key learning aims (1) To understand the strengths and limitations of existing transdiagnostic CBT formulation models. (2) To learn about a novel, transdiagnostic and behaviourally focused formulation for use in clinical practice. (3) To understand how to use the tool in clinical practice and future research.

scholarly journals Suicide Ideation and Thwarted Interpersonal Needs Among Psychiatric Inpatients: A Network Approach

2021 ◽  
pp. 216770262110006
Author(s):  
Sarah L. Brown ◽  
Andrew J. Marshall ◽  
Sean M. Mitchell ◽  
Jared F. Roush ◽  
Gregory H. Mumma ◽  
...  
Keyword(s):  
Network Analysis ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Inpatients ◽  
Psychological Theory ◽  
Latent Constructs ◽  
Item Level ◽  
Interpersonal Needs ◽  
Interpersonal Needs Questionnaire ◽  
Interpersonal Psychological Theory

We aimed to demonstrate the utility of an item-level network analysis approach to suicide risk by testing the interpersonal psychological theory of suicide (IPTS) among 402 psychiatric inpatients. We hypothesized that specific thwarted belongingness (TB) or perceived burdensomeness (PB; Interpersonal Needs Questionnaire items) facets would positively relate to passive or active suicide ideation and that these facets would positively relate to each other and form distinct clusters. We also tested TB and PB facets central to the networks as predictors of suicide ideation compared with the full TB and PB subscales. Face-valid items congruent with latent constructs proposed by the IPTS (i.e., feelings of burden on society, feeling that one does not belong) were the only two facets uniquely predictive of passive and active suicide ideation. Facets of TB and PB did not form distinct clusters. Item-level network analysis may have important conceptual, assessment, predictive, and clinical implications for understanding suicide risk.

Relationship Between Sexual Satisfaction and Mental Health in Married Older Women

2021 ◽  
Vol 30 (1) ◽  
pp. 14-27
Author(s):  
Elahe Abdollahi ◽  
◽  
Somayyeh Shokrgozar ◽  
Mahboobe Sheerojan ◽  
Mahboobe Golshahi ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Women ◽  
Sexual Satisfaction ◽  
General Health Questionnaire ◽  
Cluster Sampling ◽  
Cross Sectional ◽  
Number Of Children ◽  
Mental Problems ◽  
Rural Health Centers ◽  
Cross Sectional Design

Background: The aging population is increasing rapidly; therefore, paying attention to the needs of older people is necessary. Sexual satisfaction, which is needed to feel happy, is often neglected in older women. Objective: This study aims to evaluate the relationship between sexual satisfaction and mental health in older women. Materials and Methods: In this analytical study with a cross-sectional design, 195 married women aged ≥60 years covered by urban and rural health centers of Guilan, Iran were recruited using a cluster sampling method. A demographic form, the 28-item General Health Questionnaire (GHQ-28) and a Sexual Satisfaction Questionnaire were completed by participants and collected data were analyzed in SPSS v. 22 software using descriptive statistics (frequency, mean, standard deviation, median), and Mann-Whitney U, Kruskal-Wallis and Spearman correlation tests. Results: There was a significant relationship between sexual satisfaction and mental health in older women (P<0.0001). 51.2%, 27.7% and 21.08% of participants had low, moderate and high sexual satisfaction, respectively. Sexual satisfaction was directly related to monthly income (P<0.0001) and women’s and their husbands’ education (P<0.0001 and 0.006) while it was inversely related to physical illness (P=0.030), medication use (P=0.009), age (P<0.0001), number of children (P=0.022), and duration of marriage (P<0.0001). The median score of mental health in participants was 38 (ranging 24-53) and the percentage of participants with mental problems (79.4%) was higher than those without mental problems (20.6%). Conclusion: Mental health and sexual satisfaction in older women are directly related to each other; therefore, providing effective and appropriate sexual care programs is recommended for them.

Can do and reason to: when are proactive employees willing to share negative information?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Laura E. Marler ◽  
Susie S. Cox ◽  
Marcia J. Simmering ◽  
Bryan L. Rogers ◽  
Curtis F. Matherne
Keyword(s):  
Online Survey ◽  
Negative Information ◽  
Proactive Personality ◽  
Interactive Effects ◽  
Personality Factors ◽  
Cross Sectional ◽  
Content Type ◽  
Motivational States ◽  
Final Sample ◽  
Cross Sectional Design

Purpose Information sharing is vital to organizational operations, yet employees are often reluctant to share negative information. This paper aims to gain insight into which employees will be reluctant to share negative information and when by drawing from the proactive motivation literature examining effects of proactive personality and motivational states on individuals’ willingness to share negative information. Design/methodology/approach A cross-sectional design was used, with data collected from a final sample of 393 individuals via an online survey. Hypotheses were tested using correlation and hierarchical multiple regression analyses. Findings Interactive effects indicate proactive individuals with accompanying high levels of role breadth self-efficacy (“can do”) or high levels of felt responsibility for constructive change (“reason to”) were less likely to be reluctant to share negative information. However, findings also suggest proactive individuals with lower levels of proactive motivation avoid sharing negative information. Originality/value The findings extend what is known about personality factors and employee willingness to share information to highlight which employees may be likely to avoid sharing negative information. The authors also examine the moderating influence of proactive motivational states on the relationships between proactive personality and reluctance to share negative information.

scholarly journals Assessing COVID-19-related anxiety and functional impairment amongst nurses in Malawi

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Genesis Chorwe-Sungani
Keyword(s):  
Mental Health ◽  
Functional Impairment ◽  
Area Under The Curve ◽  
Reliability And Validity ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Receiver Operating Curve ◽  
Future Research ◽  
Online Data ◽  
Cross Sectional

Background: Psychological well-being of nurses is crucial for them to effectively discharge their duties. However, coronavirus disease 2019 (COVID-19)-related anxiety can interfere with nurses’ performance and reduce their self-efficacy.Aim: The primary aim of this study was to assess COVID-19-related anxiety and functional impairment amongst nurses in Malawi. The secondary aim of the study was to determine reliability and validity of the Coronavirus Anxiety Scale.Setting: The study was conducted in Malawi.Methods: This was a cross-sectional study that collected quantitative data from 102 nurses in Malawi online. Data were analysed using descriptive statistics and receiver operating curve analysis.Results: This study found that 25.5% (26) of respondents had COVID-19-related anxiety and 48% (49) functional impairment. There were significant differences in the numbers of respondents who had functional impairment in relation to workplace (Χ2 = 8.7, p = 0.03), with many of those working in hospitals (58.6%, n = 34) having highest levels (mean = 20.6 ± 10.4). The Coronavirus Anxiety Scale proved to be an effective instrument (Sensitivity = 73.1%; Specificity = 60.5%; area under the curve = 0.73) for assessing COVID-19-related anxiety amongst nurses.Conclusion: It is necessary to screen nurses for COVID-19-related anxiety and functional impairment and provide them effective psychosocial interventions. Policymakers should place more emphasis on allocation of financial resources to mental health services and staff support programmes targeting nurses during pandemics. There is a need to conduct future research on mental health interventions that might be used to assist nurses with COVID-19-related anxiety and functional impairment.

scholarly journals Perinatal depression screening using smartphone technology: Exploring uptake, engagement and future directions for the MGH Perinatal Depression Scale (MGHPDS)

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257065
Author(s):  
Rachel Vanderkruik ◽  
Edwin Raffi ◽  
Marlene P. Freeman ◽  
Rebecca Wales ◽  
Lee Cohen
Keyword(s):  
Mental Health ◽  
Depressive Disorders ◽  
Perinatal Depression ◽  
Depression Scale ◽  
Perinatal Period ◽  
Health Impact ◽  
Depression Score ◽  
Future Research ◽  
Cross Sectional ◽  
Longitudinal Data Collection

Women may experience new-onset or worsening depressive disorders during pregnancy and the postpartum. If untreated, there may be detrimental consequences to the health and wellbeing of the woman and to her baby. There is a need for improved tools and approaches that can be easily and broadly implemented to effectively detect depression during the perinatal period. Early identification of depression during pregnancy is an important first step towards connecting women to treatment and preventing continued depression into the postpartum or beyond. This report provides preliminary findings from a pilot study of a digital screening app for perinatal depression expiring potential for app reach, engagement, and user demographics and mental health symptoms. With mainly passive recruitment efforts, we collected cross-sectional mental health data on over 700 women during the perinatal period, including women across over 30 countries. We report on mean depression scores among women during pregnancy and the postpartum as well as on constructs that are commonly comorbid with depression, including anxiety, sleep dysregulation, and perceived stress. Over half of the women during pregnancy and over 70% of women in the postpartum had a depression score indicative of clinical depression. Future research directions for this work and potential for public health impact are discussed, including longitudinal data collection and analyses of symptomology over time and embedding evidence-based digital therapeutics into the app as a means to increase access to mental health services.

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