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.

A Preliminary Test of the Interpersonal-Psychological Theory of Suicide in Women Seeking Shelter From Intimate Partner Violence

2016 ◽  
Vol 34 (12) ◽  
pp. 2476-2497 ◽  
Author(s):  
Caitlin Wolford-Clevenger ◽  
Phillip N. Smith ◽  
Shane Kuhlman ◽  
Darcey D’Amato
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Preliminary Test ◽  
Psychological Theory ◽  
Intimate Partner ◽  
Perceived Burdensomeness ◽  
Violence Perpetration ◽  
Interpersonal Psychological Theory

Women seeking shelter from intimate partner violence (IPV) are at greater risk of suicide ideation and attempts compared with women in the general population. A theoretically grounded understanding of suicide risk in shelter-seeking women is critical to improve assessment and management of suicide risk in this population. The interpersonal-psychological theory of suicide (IPTS) proposes that suicide ideation results from hopelessness about thwarted belongingness and perceived burdensomeness. However, suicide ideation does not progress to death by suicide unless one has acquired the capability for suicide (i.e., pain tolerance and fearlessness about death) via repeated exposure to painful and fearsome events. The present study provides a preliminary test of the IPTS in a sample of 134 women seeking shelter from IPV. First, we examined factors theoretically related to suicide ideation, demonstrating that only at high levels of hopelessness was perceived burdensomeness associated with suicide ideation. The study also examined factors theoretically related to the acquired capability for suicide (ACS), indicating that physical partner violence perpetration was associated with ACS. These findings suggest that perceived burdensomeness, particularly in the context of increased hopelessness, is important in the assessment and treatment of suicide ideation. Furthermore, violence perpetration may indicate greater risk of the capability to die by suicide among women seeking shelter from IPV.

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.

Validity of the MMPI-2 Depression Content Scale with Psychiatric Inpatients

1994 ◽  
Vol 74 (1) ◽  
pp. 159-162 ◽  
Author(s):  
Daniel E. Boone
Keyword(s):  
At Risk ◽  
Construct Validity ◽  
Psychiatric Diagnosis ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Correlation Coefficients ◽  
Psychiatric Inpatients ◽  
Self Esteem ◽  
Content Scale ◽  
Not At Risk

The concurrent and construct validity of the MMPI-2 Depression content scale was examined for a group of 62 psychiatric inpatients. Correlation coefficients with other measures of depression, hopelessness, low self-esteem, and suicide ideation ranged from .58 to .66 and were statistically significant. Also, the Depression content scale successfully differentiated patients according to psychiatric diagnosis (depressed versus nondepressed) and assessed suicide risk (at risk versus not at risk). Thus, the concurrent and construct validities of the scale were supported.

High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality

2021 ◽  
pp. 1-12
Author(s):  
Robert Gregory ◽  
Susan D. Sperry ◽  
Daniel Williamson ◽  
Rachael Kuch-Cecconi ◽  
Garry L. Spink
Keyword(s):  
Health Care ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Inpatient Care ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Care Utilization ◽  
High Prevalence

Borderline personality disorder (BPD) is associated with high risk of suicidality and high rates of health care utilization; however, the prevalence and characteristics of BPD among inpatients admitted for suicidality are unknown. In the present study of 72 adult psychiatric inpatients admitted for suicide risk, BPD was highly prevalent (n = 31; 43.1%), but 68% were misdiagnosed by admitting providers. Compared to patients without BPD, those with BPD were significantly younger, were prescribed more psychiatric medications, were more depressed, and had greater suicide ideation. Patients with BPD were also three times as likely to be readmitted to a psychiatric hospital at 30, 90, and 180 days postdischarge for an average of almost 9 days of inpatient care per patient for the first 180 days. In this sample, BPD was highly prevalent, underdiagnosed, and associated with frequent readmissions, findings that highlight the importance of improved recognition and access to specialized treatments.

High Prevalence of Borderline Personality Disorder Among Psychiatric Inpatients Admitted for Suicidality

2021 ◽  
Vol 35 (5) ◽  
pp. 776-787
Author(s):  
Robert Gregory ◽  
Susan D. Sperry ◽  
Daniel Williamson ◽  
Rachael Kuch-Cecconi ◽  
Garry L. Spink
Keyword(s):  
Health Care ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Inpatient Care ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Care Utilization ◽  
High Prevalence

Borderline personality disorder (BPD) is associated with high risk of suicidality and high rates of health care utilization; however, the prevalence and characteristics of BPD among inpatients admitted for suicidality are unknown. In the present study of 72 adult psychiatric inpatients admitted for suicide risk, BPD was highly prevalent (n = 31; 43.1%), but 68% were misdiagnosed by admitting providers. Compared to patients without BPD, those with BPD were significantly younger, were prescribed more psychiatric medications, were more depressed, and had greater suicide ideation. Patients with BPD were also three times as likely to be readmitted to a psychiatric hospital at 30, 90, and 180 days postdischarge for an average of almost 9 days of inpatient care per patient for the first 180 days. In this sample, BPD was highly prevalent, underdiagnosed, and associated with frequent readmissions, findings that highlight the importance of improved recognition and access to specialized treatments.

scholarly journals Suicidal thoughts among university students: The role of mattering, state self-esteem and depression level

2020 ◽  
Vol 9 (3) ◽  
pp. 494
Author(s):  
Kususanto Ditto Prihadi ◽  
Charon Y.S. Wong ◽  
Erina Y.V. Chong ◽  
Kate Y.X. Chong
Keyword(s):  
University Students ◽  
Suicide Ideation ◽  
Psychological Theory ◽  
Self Esteem ◽  
Protective Role ◽  
Mediating Effects ◽  
Depression Level ◽  
Interpersonal Psychological Theory ◽  
The Relationship

The protective role of mattering on suicide ideation among university students was examined. Our study is grounded in the Interpersonal-Psychological Theory of Suicide, which led to a hypothesis that between depression levels and state self-esteem has significant serial multiple mediating effects on the relationship between mattering and suicide ideation. University students from various nationality who study in Indonesia and Malaysia (n=509) responded to General Mattering Scale, State Self-Esteem Scale, Beck’s Depression Inventory, and Suicide Ideation Attributes Scale, as well as demographic details including their gender, spirituality, education, birth order and nationality. The result of Bootstrap analyses with 95% confident interval from 5000 samples suggested that the serial mediation partially occurred to the link between mattering and suicide ideation.

An Exploration of the Relationship between Interpersonal Needs and Nonsuicidal Self-Injury in Adolescents

2020 ◽  
Vol 32 (3) ◽  
Author(s):  
Ariel Reyneke Reyneke ◽  
Sarojini Naidoo
Keyword(s):  
Sampling Method ◽  
Psychological Theory ◽  
Cross Sectional ◽  
Factors Associated ◽  
Self Injury ◽  
Interpersonal Needs ◽  
Convenience Sampling ◽  
Interpersonal Psychological Theory ◽  
The Relationship ◽  
Nonsuicidal Self Injury

Nonsuicidal self-injury has become a worrying phenomenon among adolescents worldwide, emphasising the need for increasing public health awareness and exploration of the factors associated with this behaviour. This study was framed using Joiner’s Interpersonal–Psychological Theory of Suicide and Nock and Prinstein’s four-function model of nonsuicidal self-injury. The aim of this study was to explore the relationship between the interpersonal needs constructs of Joiner’s theory and nonsuicidal self-injury and is motivated by the need to explore the contagion of self-injury. A cross-sectional convenience sampling method was used to obtain a sample of 216 adolescents, who were recruited from four schools in the greater Durban area, South Africa. Regression analyses were performed to establish whether a relationship exists between the interpersonal needs constructs and nonsuicidal self-injury. The results indicated a positive relationship between perceived burdensomeness and the occurrence of nonsuicidal self-injury in this sample, thereby illuminating thwarted interpersonal needs as a contributor to the occurrence of nonsuicidal self-injury in adolescents.

Perceived Burdensomeness Among Adolescents: A Mixed-Methods Analysis of the Contexts in Which Perceptions of Burdensomeness Occur

2019 ◽  
Vol 38 (7) ◽  
pp. 585-604 ◽  
Author(s):  
Ryan M. Hill ◽  
Quintin A. Hunt ◽  
Benjamin Oosterhoff ◽  
Carlos E. Yeguez ◽  
Jeremy W. Pettit
Keyword(s):  
Mixed Methods ◽  
Emotional Distress ◽  
Suicide Ideation ◽  
Academic Problems ◽  
Perceived Burdensomeness ◽  
Mixed Methods Approach ◽  
Interpersonal Needs ◽  
Quantitative Analyses ◽  
Interpersonal Needs Questionnaire ◽  
Predominantly Female

Introduction: This study explored the contexts in which adolescents report perceptions of being a burden on others, via a mixed-methods approach, to inform the development of interventions targeting perceived burdensomeness as a risk factor for suicide ideation. Method: Participants were 41 adolescents, 13–19 years of age (M = 16.95, SD = 1.61), with elevated perceived burdensomeness on the Interpersonal Needs Questionnaire. Adolescent were predominantly female (70.7%) and Hispanic (73.2%). Adolescents provided up to three examples of times they experienced perceived burdensomeness. Examples (N = 102) were qualitatively coded to identify common themes, followed by quantitative analyses of demographic factors associated with identified themes. Results: Seven main categories emerged from the qualitative analyses of examples: Drain on Resources, Perceptions of Failure and Brokenness, Relationship Conflict/Withdrawal, Misbehavior, Emotional Distress, Academic Problems, and Lack of Belongingness. Adolescent boys reported a greater proportion of burdensomeness attributions related to Misbehavior and a lower proportion related to Emotional Distress, relative to girls. Discussion: Major themes aligned with theorized components of perceived burdensomeness. Adolescent examples focused predominantly on normative experiences, supporting the notion that perceived burdensomeness may represent a distorted cognition. The results may inform the development of interventions targeting perceived burdensomeness.

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