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Sparks S, Mitchell SM, LeDuc MK. Association between perceived social support and suicide ideation distress among psychiatric inpatients: The role of thwarted interpersonal needs. J Clin Psychol 2023; 79:1467-1479. [PMID: 36752510 PMCID: PMC10085832 DOI: 10.1002/jclp.23493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 01/02/2023] [Accepted: 01/26/2023] [Indexed: 02/09/2023]
Abstract
INTRODUCTION The interpersonal theory of suicide posits that thwarted belongingness (TB) and perceived burdensomeness (PB) are proximal risk factors for suicide ideation; however, there are mixed results regarding this hypothesis among psychiatric inpatients. OBJECTIVE The current study examined the mediating role of TB and PB in the relationship between perceived social support (i.e., support from family, friends, a significant other, and total) and suicide ideation distress among psychiatric inpatients. METHODS Participants (short-term psychiatric inpatients; N = 139) were administered self-report assessments cross-sectionally. RESULTS Nonparametric mediation results indicated that the total (additive) indirect effects of TB and PB, in parallel, were significant in all models, yet there were only significant specific (unique) indirect effects of PB. CONCLUSION TB and PB, in combination, may be proximal risk factors for suicide ideation distress among psychiatric inpatients with lower perceived social support from family, friends, a significant other, and in total. These findings are congruent with the interpersonal theory of suicide's propositions that the combination of TB and PB increases the risk for suicide ideation. Clinicians may consider using interventions that target increasing perceived social support and decreasing TB and PB (i.e., cognitive behavioral therapy and social skills training) for this population.
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Affiliation(s)
- Sarah Sparks
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX, United States
| | - Sean M. Mitchell
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX, United States
| | - Michael K. LeDuc
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX, United States
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Petrovic J, Mills DJ, Mitchell SM. Integrating the interpersonal theory of suicide and the dualistic model of passion among adults at risk for suicide. MOTIVATION AND EMOTION 2023; 47:193-207. [PMID: 37303583 PMCID: PMC10249666 DOI: 10.1007/s11031-022-09990-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2022] [Indexed: 11/11/2022]
Abstract
The dualistic model of passion proposes two passion types, harmonious and obsessive, representing adaptive and maladaptive passion, respectively. Studies suggest interpersonal experiences explain harmonious passion benefits and obsessive passion negative consequences. However, research has not examined passion among individuals with clinically elevated suicide risk, nor the associations between passion types and suicide-related outcomes. The present study presents a conceptual model linking the dualistic model of passion and the interpersonal theory of suicide constructs [specifically, thwarted belongingness (TB) and perceived burdensomeness (PB)]. U.S. adults with clinically elevated suicide risk (N = 484) completed online, cross-sectional assessments of harmonious and obsessive passion, TB, PB, and future dispositions (i.e., positive focus, negative focus, and suicide orientation). A mediation model indicated the effects of harmonious and obsessive passion on positive and negative focus and suicide orientation were largely explained by TB and PB. The present findings suggest engaging in a passion activity may be meaningfully related to suicide-related interpersonal perceptions (i.e., TB and PB).
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Affiliation(s)
- Julia Petrovic
- Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada
| | - Devin J. Mills
- Department of Community, Family, and Addiction Sciences, Texas Tech University, Lubbock, TX, USA
| | - Sean M. Mitchell
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX, USA
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Wedell E, Tuthill SD, Herchenroeder L, Prince MA, Bravo AJ. Sexual Minority Status, Affect Lability, and Suicide Ideation: Buffering Role of Trait Mindfulness. Arch Suicide Res 2022; 26:1926-1943. [PMID: 34269638 PMCID: PMC9486760 DOI: 10.1080/13811118.2021.1950587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Emotion regulation has been proposed as a mechanism driving sexual orientation disparities in suicide ideation (SI), but little research has examined the role of affect lability in the association of sexual minority identity and SI. As prior research has found trait mindfulness to be associated with lower SI, the objective of the present study was to examine the buffering role of mindfulness in the associations of sexual orientation, affect lability, and SI. METHOD The present study used a moderated mediation model to examine a cross-sectional dataset consisting of heterosexual (n = 1511) and sexual minority (n = 355) U.S. college students (N = 1866), to examine whether five facets of mindfulness moderated the indirect association of sexual minority identity on SI via affect lability. RESULTS As predicted, sexual minority identity was associated with higher affect lability, which in turn was associated with higher SI. Acting with awareness (i.e., attending to the present activities), describing (i.e., the ability to verbalize inner experiences), and non-judging (i.e., refraining from judging inner experiences) buffered the indirect association of sexual minority identity on SI via affect lability, such that the indirect association weakened at higher levels of those mindfulness facets. CONCLUSIONS Our results provide a better understanding of the emotion regulation mechanisms underlying the higher risk of SI among sexual minorities. Future research is needed to examine mindfulness facets as buffers against SI among other communities, and to examine the efficacy of emotion regulation and mindfulness interventions in reducing suicide ideation and other aspects of suicidality (i.e., plans/attempts).HighlightsSexual orientation disparities in suicide ideation (SI) and affect lability.Sexual minority identity linked to higher SI via higher affect lability.Three mindfulness facets attenuated indirect association of identity on SI.
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Affiliation(s)
- Emma Wedell
- Department of Psychological Sciences, William & Mary, USA
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Ooi PB, Khor KS, Tan CC, Ong DLT. Depression, anxiety, stress, and satisfaction with life: Moderating role of interpersonal needs among university students. Front Public Health 2022; 10:958884. [PMID: 36249213 PMCID: PMC9554619 DOI: 10.3389/fpubh.2022.958884] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 09/05/2022] [Indexed: 01/24/2023] Open
Abstract
Depression, anxiety, and stress are ranked among the top mental health concerns faced by university students in recent times perpetuated by the proliferation of digitalization. Thus, this study was performed to assess the relationship between depression, anxiety, stress, and satisfaction with life, with interpersonal needs (perceived burdensomeness and thwarted belongingness) as moderators. A cross-sectional study using a convenient sampling method was conducted among 430 Malaysian private university students (Mean aged= 20.73 years; SD = 1.26 years). A self-administered questionnaire comprising the Depression, Anxiety and Stress Scale (DASS-21), Satisfaction with Life Scale, and Interpersonal Needs Questionnaire were used. Students who experienced lower depression and anxiety reported higher satisfaction with life under the influence of low perceived burdensomeness. Perceived burdensomeness, when coupled with depression (β = 0.76, p < 0.01) and anxiety (β = 0.79, p < 0.01), contributed 15.8% of variance in satisfaction with life. Students who experienced stress reported higher satisfaction with life under the influence of high thwarted belongingness (β = 0.73, p < 0.01), contributing 17.3% of the variance in satisfaction with life. For university students who experienced depression and anxiety symptoms, mental health practitioners may need to be cognizant of how to support students' education and management of their perceived burdensomeness perceptions.
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Affiliation(s)
- Pei Boon Ooi
- Department of Medical Sciences, School of Medical and Life Sciences, Sunway University, Subang Jaya, Malaysia
- Future Cities Research Institute, Sunway University, Subang Jaya, Malaysia
| | - Kuan Siew Khor
- Department of Management, Sunway University Business School, Sunway University, Subang Jaya, Malaysia
| | - Choe Chai Tan
- MOHE General Studies, Sunway College, Subang Jaya, Malaysia
| | - Derek Lai Teik Ong
- Department of Marketing Strategy and Innovation, Sunway University Business School, Sunway University, Subang Jaya, Malaysia
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Dhingra K, Mitchell SM, Davies B, Anestis MD, Anestis JC. Suicide Ideation Among Male Prisoners: Preliminary Evidence That Psychopathic Traits are Indirectly Linked to Suicide Ideation Through Thwarted Interpersonal Needs. Suicide Life Threat Behav 2020; 50:823-837. [PMID: 32175630 PMCID: PMC7483615 DOI: 10.1111/sltb.12632] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Accepted: 01/07/2020] [Indexed: 12/13/2022]
Abstract
BACKGROUND The relation between psychopathic traits and suicide ideation (SI) is frequently discussed but little research has examined potential mechanisms underlying this association. The interpersonal theory of suicide (ITS) proposes two mechanisms in the pathogenesis of suicidal desire: thwarted belongingness (TB) and perceived burdensomeness (PB). This study cross-sectionally tested TB and PB as possible explanatory links in the relation between psychopathic traits and SI. METHOD Archival data from 784 male U.K. prisoners (Mage = 37.21, SD = 9.97) were analyzed using structural equation modeling. RESULTS Psychopathic traits were indirectly associated with SI through more specific suicide-promoting processes - namely TB and PB. More specifically, results indicated that Egocentricity and Stimulus Seeking were indirectly associated with SI through PB and TB in combination. However, results indicated specific indirect effects of TB in the relations between the Antisocial Behavior, Egocentricity, and Stimulus Seeking facets, and SI, whereas specific indirect effects for PB were only significant in the relations between Egocentricity and Stimulus Seeking facets and SI. CONCLUSION Preliminary results are consistent with the ITS and suggest that psychopathic traits may be distal risk markers for SI and provide direction for future research that could inform suicide prevention efforts among male prisoners high in such traits.
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Affiliation(s)
- Katie Dhingra
- School of Social Sciences, Leeds Beckett University, England, LS1 3HE
| | - Sean M. Mitchell
- Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Box Psych, Rochester, NY 14642
- Department of Psychological Sciences, Mail Stop 2051, Texas Tech University, Lubbock, TX 79409-2051
| | - Bill Davies
- School of Social Sciences, Leeds Beckett University, England, LS1 3HE
| | - Michael D. Anestis
- School of Psychology, University of Southern Mississippi, 118 College Drive, Box #5025, Hattiesburg, MS 39406
| | - Joye C. Anestis
- School of Psychology, University of Southern Mississippi, 118 College Drive, Box #5025, Hattiesburg, MS 39406
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Song HS, Bae SM. The Moderating Effects of the Facets of Mindfulness on the Relationship between Daily Life Stress and Suicidal Ideation among Korean College Students. Int J Ment Health Addict 2020. [DOI: 10.1007/s11469-020-00345-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
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Mitchell SM, Brown SL, Roush JF, Tucker RP, Cukrowicz KC, Joiner TE. The Interpersonal Needs Questionnaire: Statistical Considerations for Improved Clinical Application. Assessment 2020; 27:621-637. [PMID: 30654631 PMCID: PMC6640077 DOI: 10.1177/1073191118824660] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The interpersonal theory of suicide (ITS) has accumulated empirical support; however, less research has investigated the clinical utility of ITS constructs in suicide risk assessment. The current study sought to increase the clinical utility of the Interpersonal Needs Questionnaire (INQ), an assessment of thwarted belongingness (TB) and perceived burdensomeness (PB), among 318 adult psychiatric outpatients while considering statistical methodology (i.e., multicollinearity and partialling). Results emphasized PB in the prediction of concurrent desire for death/suicide when TB was simultaneously considered. The interaction between TB and PB did not enhance prediction of concurrent desire for death/suicide. Independently, PB was a stronger predictor than TB of concurrent desire for death/suicide in the total sample and gender subsamples. Estimated probabilities of concurrent desire for death/suicide across INQ scores and preliminary INQ clinical cutoff scores are provided to enhance clinical application. These findings suggest the INQ could provide valuable information for suicide risk assessment and conceptualization.
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Affiliation(s)
- Sean M. Mitchell
- Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Box Psych, Rochester, NY 14642
| | - Sarah L. Brown
- Department of Psychological Sciences, Texas Tech University, Mail Stop 2051, Lubbock, TX 79409-2051
| | - Jared F. Roush
- Department of Psychological Sciences, Texas Tech University, Mail Stop 2051, Lubbock, TX 79409-2051
| | - Raymond P. Tucker
- Department of Psychology, Louisiana State University, 236 Audubon Hall Baton Rouge, LA 70803
| | - Kelly C. Cukrowicz
- Department of Psychological Sciences, Texas Tech University, Mail Stop 2051, Lubbock, TX 79409-2051
| | - Thomas E. Joiner
- Department of Psychology, Florida State University, 1107 W. Call Street, Tallahassee, FL 32306-4301
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Sun S, Pickover AM, Goldberg SB, Bhimji J, Nguyen JK, Evans AE, Patterson B, Kaslow NJ. For Whom Does Cognitively Based Compassion Training (CBCT) Work? An Analysis of Predictors and Moderators among African American Suicide Attempters. Mindfulness (N Y) 2019; 10:2327-2340. [PMID: 33312266 PMCID: PMC7728378 DOI: 10.1007/s12671-019-01207-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Both Cognitively-Based Compassion Training (CBCT) and support-based group intervention have been found to be effective for African American suicide attempters in reducing suicidal ideation and depression, as well as enhancing self-compassion. This study aims to further our understanding of effective interventions by exploring participants' responses to both interventions. METHODS Exploratory analyses were conducted in a sample of low-income African Americans who had attempted suicide (n=82) to determine how baseline demographic and psychological characteristics would (1) predict outcomes (i.e., suicidal ideation, depression, and self-compassion) regardless of intervention conditions, and (2) moderate outcomes in interaction with intervention condition. RESULTS Non-reactivity, a mindfulness facet, was identified as an intervention moderator for suicidal ideation and depressive symptoms, suggesting that CBCT outperformed the support group for African American suicide attempters who had low baseline non-reactivity (or high reactivity). Individuals who had high non-reactivity at baseline appeared to benefit more from both conditions in self-compassion as an outcome. There was a pattern that homeless individuals benefited less in terms of their levels of depressive symptoms and self-compassion as outcomes regardless of the assigned condition. When applying Bonferroni corrections, only non-reactivity as an intervention moderator for depressive symptoms was significant. CONCLUSIONS Findings reveal the relevance of mindfulness and to a lesser extent socioeconomic status in informing compassion-based intervention outcomes with this underserved population and the importance of intervention matching and tailoring to maximize treatment effects. Future large trials are needed to replicate findings and directions indicated from the current pilot study.
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Affiliation(s)
- Shufang Sun
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School
| | | | - Simon B Goldberg
- Department of Counseling Psychology, University of Wisconsin-Madison
| | - Jabeene Bhimji
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
| | - Julie K Nguyen
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine
| | - Anna E Evans
- Department of Psychology, University of Washington
| | | | - Nadine J Kaslow
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine
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Mitchell SM, Cukrowicz KC, Roush JF, Brown SL, Alquist JL, Bolaños AD, Morgan. RD, Poindexter EK. Thwarted Interpersonal Needs and Suicide Ideation Distress Among Psychiatric Inpatients: The Moderating Role of Criminal Associates. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2019; 63:2138-2156. [PMID: 30957603 PMCID: PMC6679915 DOI: 10.1177/0306624x19842027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
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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Affiliation(s)
- Sean M. Mitchell
- Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Box Psych, Rochester, NY 14642
| | - Kelly C. Cukrowicz
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX
| | - Jared F. Roush
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX
| | - Sarah L. Brown
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX
| | - Jessica L. Alquist
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX
| | - Angelea D. Bolaños
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX
| | - Robert D. Morgan.
- Department of Psychological Sciences, Texas Tech University, Lubbock, TX
| | - Erin K. Poindexter
- Rocky Mountain Regional Veterans Affairs Medical Center, Denver, Colorado
- Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, Colorado
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