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

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.

2021 ◽  
Vol 9 (1) ◽  
pp. 16-28
Author(s):  
Desy Ramadhani Harahap ◽  
Ilmi Amalia

Suicidal ideation in elderly is rarely a society’s concern even though elderly is the age group most vulnerable to suicide. This study was conducted to prove the effect of perceived burdensomeness, thwarted belongingness, religiosity, and demographic factors (gender and education level) on suicidal ideation in the elderly. The subjects of this study were 230 respondents aged 60 years and over who were obtained using accidental non-probability sampling techniques. The measuring instrument used were the adaptation and modification of the Geriatric Suicide Ideation Scale, the Interpersonal Needs Questionnaire, and the Centrality of Religiosity Scale. The validity test of the instrument was carried out using Confirmatory Factor Analysis (CFA), while the hypothesis testing was carried out using multiple regression analysis. The results showed that there was a significant effect of perceived burdensomeness and the ideological dimensions of religiosity. The results of this study are expected to be an input for readers to pay more attention to the perceived burdensomeness and ideology of religiosity in the elderly as factors that can influence suicidal ideation. Subsequent researchers can also develop this research by adding other independent variables to be analyzed, such as health conditions and living arrangements.


2021 ◽  
pp. 174462952110221
Author(s):  
Darren McCausland ◽  
Esther Murphy ◽  
Mary McCarron ◽  
Philip McCallion

Person-centred planning (PCP) puts individuals with an intellectual disability at the centre of service and support planning, identifying how individuals wish to live their lives and what is needed to make that possible. PCP has been identified as having the potential to facilitate improved social inclusion and community participation. A mixed-methods approach combined quantitative analyses with qualitative case studies of individuals with severe-profound intellectual disability to assess the impact of PCP on community participation for adults with an intellectual disability at a disability service in Dublin. We conclude that PCP may provide a good basis to plan community participation and, with the right supports in place, may provide opportunities for people with complex needs to improve their community participation. Supports including familiar staff and family are critical to the success of PCP for people with complex needs, and their absence may undermine the best intentions of PCP for this population.


2021 ◽  
pp. 216770262110006
Author(s):  
Sarah L. Brown ◽  
Andrew J. Marshall ◽  
Sean M. Mitchell ◽  
Jared F. Roush ◽  
Gregory H. Mumma ◽  
...  

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.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jiaxin Quan ◽  
Xiaofang Yu ◽  
Yan Cai ◽  
Dongbo Tu

Interpersonal Needs Questionnaire (INQ) is a self-report measure of perceived burdensomeness and thwarted belongingness with five versions in recent studies. There are five versions of INQ. But results from studies using different versions are quite different. Current suicide behavior among teenagers has attracted much attention. But which version is more suitable for teenage samples is still uncertain. It is important to compare the potential differences in different versions of INQ to identify the most psychometrically available version to predict teenagers' acquired capability for suicide and provide them with timely help to reduce teenagers' suicide rates. This study compared the construct validity, internal consistency, validity, and average test information of each version in the sample of teenagers. Results showed the 10-item version provided the most average test information in both thwarted belongingness subscale and perceived burdensomeness subscale, and the INQ-10 is more suitable for teenage samples.


Author(s):  
Rongxi Wang ◽  
Yexin Chen ◽  
Fan Hu ◽  
Zixin Wang ◽  
Bolin Cao ◽  
...  

Objective: Interpersonal theories of suicide suggest that the Interpersonal Needs Questionnaire (INQ) can be used to measure suicidal ideation, but few studies have focused on migrant people, a group with a high prevalence of suicidal ideation. The aim of this study was to validate the psychometric properties of the INQ-15 and its prediction of suicidal ideation among migrant industrial workers in China. Method: A stratified multi-stage sample of 2023 industrial workers was recruited from 16 factories in Shenzhen, China. There were 1805 nonlocal workers, which we defined as migrant workers with a mean age of 32.50 ± 8.43 years old who were 67.3% male. The structure of the Chinese version of the INQ-15 and its correlation and predictive utility for suicidal ideation were examined through factor analysis, the Item Response Theory, the M2 test, logistic regression, and receiver operating characteristic (ROC) analysis. Results: Different from studies among various samples in which a two-factor solution is identified, results within this sample indicated three factors: perceived burdensomeness, thwarted belongingness, and social isolation. The model fit statistics of three-factor INQ were 0.075 for RMSEA, 0.945 for CFI, 0.932 for TLI, and 0.067 for SRMR. The model standard estimated factor loadings ranged from 0.366 to 0.869. The summed scores of INQ and perceived burdensomeness predicted suicidal ideation after controlling for sociodemographic characteristics such as age, gender, and income with AUC of 0.733 (95% CI: 0.712/0.754) and 0.786 (95% CI: 0.766/0.804). In the meantime, the comparison of the predictive ability between INQ total scores and PB scores was significant with p < 0.05. Conclusion: The INQ has good psychometric properties and can be used to assess how migrant workers living in the Shenzhen perceive meeting interpersonal psychological needs and shows good predictive ability of suicidal ideation. Perceived burdensomeness appears to play a role in suicide and may be a point of intervention, yet the notable deviation from previous findings and the relative weakness of two of the other factors warrant further study.


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

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.


2016 ◽  
Vol 74 (2) ◽  
pp. 119-137 ◽  
Author(s):  
Rui C. Campos ◽  
Ronald R. Holden

The aim of the present study is to test a theory-based model of suicide in a low-risk nonclinical sample. A community sample of convenience of 200 adults, 102 men and 98 women, responded to the Depressive Experiences Questionnaire, the Center for the Epidemiologic Studies of Depression Scale, the Psychache Scale, the Interpersonal Needs Questionnaire, and the Suicide Behaviors Questionnaire Revised. The hypothesized structural equation model, including trait dimensions of self-criticism and neediness, and state dimensions of depression, psychache, perceived burdensomeness, and thwarted belongingness, fit the observed data well and significantly explained 49% of the variance of suicidality.


2019 ◽  
Vol 63 (12) ◽  
pp. 2138-2156
Author(s):  
Sean M. Mitchell ◽  
Kelly C. Cukrowicz ◽  
Jared F. Roush ◽  
Sarah L. Brown ◽  
Jessica L. Alquist ◽  
...  

Psychiatric inpatients are at elevated risk of suicide, and approximately half are criminal justice-involved. Their involvement with criminal associates may be linked to increased suicide ideation distress; however, this has not been examined. This study tested main effects of, and interactions between, thwarted belongingness (TB) or perceived burdensomeness (PB), time spent with associates, and associates’ criminal involvement predicting suicide ideation distress. In our study, psychiatric inpatients ( n = 139) completed assessments cross-sectionally. Results indicated that TB, PB, and associates’ criminal involvement were significantly related to greater suicide ideation distress. A significant three-way interaction indicated participants who endorsed high TB, spent more time with associates, and had associates high in criminal involvement had the greatest probability of “Extreme” suicide ideation distress. These findings suggest that spending time with criminal associates may increase suicide ideation distress more than not having social interactions. Implications and limitations of this study are discussed.


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