Problematic Alcohol Use and Suicidal Ideation Among Firefighters: A Multi-Study Investigation of the Explanatory Roles of Perceived Burdensomeness and Thwarted Belongingness

2018 ◽  
Author(s):  
Austin James Gallyer ◽  
Sean Patrick Dougherty ◽  
Anna R. Gai ◽  
Ian H. Stanley ◽  
Melanie A. Hom ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Alcohol Use ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Symptom Index ◽  
Problematic Alcohol ◽  
Increased Risk ◽  
Problematic Alcohol Use ◽  
The Relationship

Background: Firefighters are at increased risk for both problematic alcohol use and suicidality. Research has found that problematic alcohol use is related to suicidality among this population; however, limited data exist regarding what might account for this association. The present two-study investigation (1) examined the association between suicidality and problematic alcohol use among two large samples of current firefighters and (2) tested whether interpersonal theory of suicide constructs—perceived burdensomeness (PB) and thwarted belongingness (TB)—serve as indirect indicators of this relationship. Methods: Participants in Study 1 were 944 U.S. firefighters (12.5% female); participants in Study 2 were 241 U.S. women firefighters. Participants completed the Interpersonal Needs Questionnaire, Alcohol Use Disorders Identification Test, and the Depressive Symptom Index: Suicidality Subscale (Study 1) or the Self-Injurious Thoughts and Behaviors Interview (Study 2). Bias-corrected bootstrap indirect effects path analyses were utilized. Results: In Study 1, more problematic alcohol use was significantly associated with more severe career suicidal ideation via PB but not TB. In Study 2, problematic alcohol use was associated with career suicidal ideation via both PB and TB. PB seems to account for the relationship between problematic alcohol use and career suicidal ideation among male and female firefighters. Limitations: Limitations include use of a cross-sectional design, use of retrospective measures of suicidal ideation, and our findings were derived from subsamples of two existing datasets. Conclusions: Findings suggest that PB and TB may explain the relationship between problematic alcohol use and suicidal ideation, but that this effect is discrepant based on gender.

scholarly journals Role of thwarted belongingness and perceived burdensomeness in the relationship between violent daydreaming and suicidal ideation in two adult samples

2018 ◽  
Vol 10 (1) ◽  
pp. 11-23 ◽  
Author(s):  
Carol Chu ◽  
Megan L. Rogers ◽  
Anna R. Gai ◽  
Thomas E. Joiner
Keyword(s):  
Suicidal Ideation ◽  
Self Report ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Negative Attitudes ◽  
Content Type ◽  
Two Samples ◽  
History Of ◽  
The Relationship

Purpose Despite evidence that violent daydreaming is a correlate of suicidal ideation, no research has examined the mechanisms underlying this association. The interpersonal theory of suicide may provide insight. This theory postulates that individuals with high suicidal desire experience intractable feelings of perceived burdensomeness (PB) and thwarted belongingness (TB). Violent daydreaming may fuel negative attitudes toward others and oneself and turn attention away from loved ones, thereby increasing feelings that one is a burden on others (PB) and socially disconnected (TB). However, no studies have tested TB and PB as explanatory mechanisms. The purpose of this paper is to examine the relationships between violent daydreaming, PB, TB, suicidal ideation, and depression in two samples (n=818). Design/methodology/approach Study 1 was comprised of general undergraduates, and Study 2 selected for undergraduates with a history of ideation. Self-report measures were administered and indirect effects analyses were conducted. Findings In both studies, violent daydreaming was associated with increased feelings of PB, TB, and ideation severity. Consistent with the interpersonal theory, TB and PB were significant parallel mediators of the relationship between violent daydreaming and suicidal ideation, beyond sex and age. In contrast to Study 1, results were no longer significant in Study 2 after accounting for depression. Originality/value This was the first study to test TB and PB as mechanisms underlying the relationship between violent daydreaming and suicide risk. Findings highlight the importance of monitoring and addressing violent daydreams and interpersonal functioning throughout treatment to mitigate risk.

scholarly journals Predicting suicidal ideation in a nationally representative sample of young adults: a 12-month prospective study

2021 ◽  
pp. 1-8
Author(s):  
Karen Wetherall ◽  
Seonaid Cleare ◽  
Sarah Eschle ◽  
Eamonn Ferguson ◽  
Daryl B. O'Connor ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Prospective Study ◽  
Theoretical Models ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Interpersonal Theory Of Suicide ◽  
Nationally Representative ◽  
The Relationship

Abstract Background Evidence-based theoretical models outlining the pathways to the development of suicidal ideation may inform treatment. The current research draws from the Interpersonal Theory of Suicide (IPT) and the Integrated Motivational-Volitional (IMV) Model of suicidal behaviour and aims to test the interaction between perceived burdensomeness and thwarted belongingness as proposed by the IPT model, and the defeat-entrapment pathway as proposed by the IMV model, in the prediction of suicidal ideation at 12-month follow-up. Methods The Scottish Wellbeing Study is a nationally representative prospective study of young people aged 18–34 years (n = 3508) from across Scotland, who completed a baseline interview and a 12-month follow-up (n = 2420). The core factors from both the IPT (perceived burdensomeness and thwarted belongingness) and the IMV model (defeat, internal and external entrapment) were measured alongside demographics, depressive symptoms and suicidal ideation at baseline. At 12-month follow-up, suicidal ideation was assessed again. Results In multiple regression analysis perceived burdensomeness and internal entrapment, with baseline suicidal ideation, predicted 12-month suicidal ideation. No support for the interaction between perceived burdensomeness and thwarted belongingness in predicting 12-month suicidal ideation was found. However, there was evidence that internal, but not external, entrapment mediated the relationship between defeat and 12-month suicidal ideation, but no support was found for the moderation of burdensomeness and belongingness on the entrapment to suicidal ideation pathway. Conclusions The current findings highlight the importance of targeting perceived burdensomeness and internal entrapment to reduce the likelihood that suicidal ideation emerges in at risk individuals.

scholarly journals Stress-related anhedonia is associated with ventral striatum reactivity to reward and transdiagnostic psychiatric symptomatology

2015 ◽  
Vol 45 (12) ◽  
pp. 2605-2617 ◽  
Author(s):  
N. S. Corral-Frías ◽  
Y. S. Nikolova ◽  
L.J. Michalski ◽  
D. A. A. Baranger ◽  
A. R. Hariri ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Alcohol Use ◽  
Structural Equation ◽  
Ventral Striatum ◽  
Structural Equation Models ◽  
Depression Symptoms ◽  
Problematic Alcohol ◽  
Increased Risk ◽  
Problematic Alcohol Use ◽  
The Relationship

BackgroundEarly life stress (ELS) is consistently associated with increased risk for subsequent psychopathology. Individual differences in neural response to reward may confer vulnerability to stress-related psychopathology. Using data from the ongoing Duke Neurogenetics Study, the present study examined whether reward-related ventral striatum (VS) reactivity moderates the relationship between retrospectively reported ELS and anhedonic symptomatology. We further assessed whether individual differences in reward-related VS reactivity were associated with other depressive symptoms and problematic alcohol use via stress-related anhedonic symptoms and substance use-associated coping.MethodBlood oxygen level-dependent functional magnetic resonance imaging (fMRI) was collected while participants (n = 906) completed a card-guessing task, which robustly elicits VS reactivity. ELS, anhedonic symptoms, other depressive symptoms, coping behavior, and alcohol use behavior were assessed with self-report questionnaires. Linear regressions were run to examine whether VS reactivity moderated the relationship between ELS and anhedonic symptoms. Structural equation models examined whether this moderation was indirectly associated with other depression symptoms and problematic alcohol use through its association with anhedonia.ResultsAnalyses of data from 820 participants passing quality control procedures revealed that the VS × ELS interaction was associated with anhedonic symptoms (p = 0.011). Moreover, structural equation models indirectly linked this interaction to non-anhedonic depression symptoms and problematic alcohol use through anhedonic symptoms and substance-related coping.ConclusionsThese findings suggest that reduced VS reactivity to reward is associated with increased risk for anhedonia in individuals exposed to ELS. Such stress-related anhedonia is further associated with other depressive symptoms and problematic alcohol use through substance-related coping.

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.

Disinhibition Mediates the Relationship Between ADHD and Problematic Alcohol Use in College Students

2012 ◽  
Vol 19 (4) ◽  
pp. 313-327 ◽  
Author(s):  
Mary Rooney ◽  
Andrea M. Chronis-Tuscano ◽  
Suzanne Huggins
Keyword(s):  
College Students ◽  
Alcohol Use ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
The Relationship

scholarly journals Drinking Motives Mediate the Relationship Between Facets of Mindfulness and Problematic Alcohol Use

Mindfulness ◽  
2016 ◽  
Vol 7 (3) ◽  
pp. 754-763 ◽  
Author(s):  
Christine Vinci ◽  
Claire A. Spears ◽  
MacKenzie R. Peltier ◽  
Amy L. Copeland
Keyword(s):  
Alcohol Use ◽  
Drinking Motives ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
The Relationship

scholarly journals Perceived control of anxiety as a moderator in the relationship between anxiety sensitivity and problematic alcohol use among adolescents

2018 ◽  
Vol 63 ◽  
pp. 41-50 ◽  
Author(s):  
Nathan T. Kearns ◽  
Deyaun Villarreal ◽  
Renee M. Cloutier ◽  
Catherine Baxley ◽  
Caitlyn Carey ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Anxiety Sensitivity ◽  
Perceived Control ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
The Relationship

Is Violence, Violence no Matter Where it Strikes? Adjudicated Boys, Thwarted Belongingness, Perceived Burdensomeness, and Acquired Capability for Suicide

2021 ◽  
pp. 088626052110550
Author(s):  
Judy A. Van Wyk
Keyword(s):  
Child Abuse ◽  
Suicidal Ideation ◽  
Interpersonal Violence ◽  
Conditional Logistic Regression ◽  
Strong Support ◽  
Interpersonal Theory ◽  
Thwarted Belongingness ◽  
Perceived Burdensomeness ◽  
Acquired Capability ◽  
Suicidal Attempts

This study explores treating violence against others as a precursor to self-directed violence. It tests the utility of including violence against others in the measure of acquired capability to test assumptions from the interpersonal theory of violence. Four theoretical hypotheses are assessed that are consistent with the theory: (1) thwarted belongingness (parental abandonment and rejection) and perceived burdensomeness (exposure to parental interpersonal violence and child abuse) independently increase the likelihood of suicidal ideation; (2) the interaction of thwarted belongingness and perceived burdensomeness increases the likelihood of suicidal ideation controlling for other pertinent variables; (3) the three-way interaction of thwarted belongingness, perceived burdensomeness, and acquired capability (violence against others and prior suicidal attempts) increases the likelihood of suicidal attempts controlling for other pertinent variables; and (4) self-harm responds to the theoretical variables and similarly, to attempts. Subjects are court-adjudicated males (ages 13–18) who were residents for up to 1 year at the Ocean Tides School and rehabilitation center from 1975–2019. The data span 44 years and include 2195 youth. Depression, drug/alcohol use, race, ethnicity, socioeconomic status, and interaction terms between SES and race and SES and ethnicity are also examined. Backward conditional logistic regression analyses find mixed support for the hypotheses, but strong support for including violence against others in the concept of acquired capability. Support is also found for conceptualizing child abuse and exposure to parental interpersonal violence as perceived burdensomeness in tests of this theory as well as measures of depression. Major implications for programming in the treatment and rehabilitation of delinquent boys include conceptualizing and approaching violence against others as a precursor to suicidal attempts and other self-directed harm.

scholarly journals Mechanisms Underlying the Relationship between Negative Affectivity and Problematic Alcohol Use

2013 ◽  
Vol 4 (3) ◽  
pp. 263-278 ◽  
Author(s):  
Ayca Coskunpinar ◽  
Allyson L. Dir ◽  
Kenny A. Karyadi ◽  
ChungSeung Koo ◽  
Melissa A. Cyders
Keyword(s):  
Alcohol Use ◽  
Negative Affectivity ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
The Relationship
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