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Magliocca S, Romano D, Joiner TE, Madeddu F, Calati R, Zeppegno P, Gramaglia C. The Interpersonal Psychological Theory of Suicide in Italian University Students: Validation of the INQ-15 and the ACSS-FAD. Assessment 2024; 31:1070-1088. [PMID: 37876149 DOI: 10.1177/10731911231203971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
In the frame of the interpersonal psychological theory of suicide (IPTS), Interpersonal Needs Questionnaire (INQ-15) assesses thwarted belongingness (TB) and perceived burdensomeness (PB), related to suicidal ideation (SI); Acquired Capability for Suicide Scale-Fearlessness About Death (ACSS-FAD) measures this component which contributes to lethal self-harm. The objective was to evaluate the psychometric properties of INQ-15 and ACSS-FAD in a population of Italian university students. Since the Italian INQ-15 was already validated, we translated ACSS-FAD through a multistage procedure and administered both to 1,665 Italian university students. Factor analysis confirmed a two-factor-related model of INQ-15, one factor of ACSS-FAD, and good reliability for both. We proved the association between INQ-15 and current SI and between ACSS-FAD and lifetime suicidal planning and/or suicide attempt. The convergent and discriminant validities were in line with those of previous studies. Both tools are valid and reliable to assess the constructs associated with suicide outcomes according to IPTS.
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Affiliation(s)
| | - Daniele Romano
- University of Milano-Bicocca, Italy
- University of Salento, Lecce, Italy
| | | | | | - Raffaella Calati
- University of Milano-Bicocca, Italy
- Nîmes University Hospital, France
| | - Patrizia Zeppegno
- Università del Piemonte Orientale, Novara, Italy
- Azienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy
| | - Carla Gramaglia
- Università del Piemonte Orientale, Novara, Italy
- Azienda Ospedaliero Universitaria Maggiore della Carità, Novara, Italy
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Iweama CN, Agbaje OS, Lerum NI, Igbokwe CC, Ozoemena LE. Suicidal ideation and attempts among Nigerian undergraduates: Exploring the relationships with depression, hopelessness, perceived burdensomeness, and thwarted belongingness. SAGE Open Med 2024; 12:20503121241236137. [PMID: 38533197 PMCID: PMC10964440 DOI: 10.1177/20503121241236137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Accepted: 02/13/2024] [Indexed: 03/28/2024] Open
Abstract
Objective The study investigated the prevalence of suicidal behavior and its association with depression, hopelessness, perceived burdensomeness, and thwarted belongingness in a sample of undergraduates in Nigeria. Introduction Suicide is a leading cause of death among young adults globally. However, information about suicidal ideation, attempts, and relationships with psychiatric factors, perceived burdensomeness, and thwarted belongingness is sparse in Nigeria. The study investigated the prevalence of suicidal ideation and attempts and associated factors in a sample of undergraduates in Nigeria. Methods We collected data from a cross-sectional survey of 625 undergraduate students primarily recruited from universities, colleges of education, and polytechnics in Adamawa Central Senatorial Zone, Adamawa State, northeast Nigeria. The Suicidal Behaviors Questionnaire-Revised, the 15-item Interpersonal Needs Questionnaire, the 9-item Patient Health Questionnaire, and the 20-item version of the Beck Hopelessness Scale were administered to the participants. We used descriptive statistics and binary and multivariate logistic regressions for data analysis. Results A total of 616 students with a mean age of 21.41 ± 4.72 years completed the study. The prevalence of suicidal behavior was 34.9% (215/616). Having a female sex (adjusted odds ratio [AOR] = 8.37, 95% confidence interval (CI): 2.06, 34.03), depression (AOR = 45.15, 95% CI: 0.95, 5.11), hopelessness (AOR = 20.10, 95% CI: 5.56, 72.41), and perceived burdensomeness (AOR = 89.15, 95% CI: 29.63, 268.30) were associated with suicidal ideation. In addition, being a female (AOR = 1.69, 95% CI = 1.02, 2.83), being a 200-level student (AOR = 3.41, 95% CI = 1.46, 7.96), and being a 300-level student (AOR = 0.28, 95% CI = 0.11, 0.74) were associated with suicidal attempt. Conclusion The study's findings show that suicidal behaviors (ideations and attempts) are prevalent among undergraduate students in northeast Nigeria. The findings underline the need for the development of mental health services and early identification and intervention for at-risk young people in Nigeria.
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Affiliation(s)
- Cylia Nkechi Iweama
- Faculty of Education, Department of Human Kinetics and Health Education, University of Nigeria, Nsukka, Enugu, Nigeria
| | - Olaoluwa Samson Agbaje
- Faculty of Education, Department of Human Kinetics and Health Education, University of Nigeria, Nsukka, Enugu, Nigeria
| | - Namuga Isaiah Lerum
- Faculty of Education, Department of Human Kinetics and Health Education, University of Nigeria, Nsukka, Enugu, Nigeria
| | - Charles Chima Igbokwe
- Faculty of Education, Department of Human Kinetics and Health Education, University of Nigeria, Nsukka, Enugu, Nigeria
| | - Lawretta Eyuche Ozoemena
- Faculty of Education, Department of Human Kinetics and Health Education, University of Nigeria, Nsukka, Enugu, Nigeria
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Ahmadboukani S, Kivi HG, Kiani A, Rezaeisharif A. A structural test of the three-step theory (3ST) of suicide in the Iranian population: From ideation to action. Health Sci Rep 2023; 6:e1697. [PMID: 38028675 PMCID: PMC10654840 DOI: 10.1002/hsr2.1697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 10/05/2023] [Accepted: 10/30/2023] [Indexed: 12/01/2023] Open
Abstract
Background and Aims Suicide is one of the leading causes of death, especially in adolescents and young adults. This study aimed to perform a structural test of the three-step theory (3ST) of suicide in the Iranian population. Methods The research population included Iranian people over 18 years of age. The participants were 600 persons selected through convenience sampling. The data in this study were collected using the Suicide Attempt Questionnaire, the Suicide Behaviors Questionnaire-Revised, the Interpersonal Needs Questionnaire, the Impulsiveness Scale, the Depressive Symptom-Suicidality Subscale, ACSSACSS-Fearlessness About Death, the Psychache Scale, the Beck Hopelessness Scale, and the Suicide Capacity Scale. Results Data analysis showed that pain and positive helplessness (β = 0.45; p < 0.05) positively interact with suicidal behavior. Moreover, pain and negative helplessness significantly interact with suicidal ideation (β = 0.65; p < 0.001). The data also showed that the absence of interpersonal needs plays a protective role. A comparison of the three suicidal capacity factors indicated that only the practical capacity differentiates the ideation and action subgroups. Conclusions The insights from this study provide a clear picture of the underlying causes of suicidal ideation and behavior and can help counselors and other human health professionals working with people with suicidal thoughts and behavior to prevent suicide attempts. Following functional models, they can also make serious efforts to perform therapeutic interventions to eliminate or reduce suicidal thoughts and feelings.
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Affiliation(s)
- Soliman Ahmadboukani
- Department of Counseling, Faculty of Educational Sciences and PsychologyUniversity of Mohaghegh ArdabiliArdabilIran
| | - Hosein Ghamari Kivi
- Department of Counseling, Faculty of Educational Sciences and PsychologyUniversity of Mohaghegh ArdabiliArdabilIran
| | - Ahmadreza Kiani
- Department of Counseling, Faculty of Educational Sciences and PsychologyShahid Beheshti UniversityTehranIran
| | - Ali Rezaeisharif
- Department of Counseling, Faculty of Educational Sciences and PsychologyUniversity of Mohaghegh ArdabiliArdabilIran
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Ji Z, Wu H, Zhu R, Wang L, Wang Y, Zhang L. Trends in Cause-Specific Injury Mortality in China in 2005-2019: Longitudinal Observational Study. JMIR Public Health Surveill 2023; 9:e47902. [PMID: 37713250 PMCID: PMC10541646 DOI: 10.2196/47902] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 06/17/2023] [Accepted: 07/25/2023] [Indexed: 09/16/2023] Open
Abstract
BACKGROUND Over the last few decades, although the age-standardized mortality rate (ASMR) of injury has shown a significant declining trend in China, this pattern has dramatically reversed recently. OBJECTIVE We aimed to elucidate the geographical, demographic, and temporal trends of cause-specific injuries, the reversal phenomenon of these trends, and the fluctuations of injury burden from 2005 to 2019 in China. METHODS A longitudinal observational study was performed using the raw data of injury deaths in the National Cause-of-Death surveillance data provided by the disease surveillance points system in 2005-2019. The cause-specific injuries were divided into disparate subgroups by sex, age, urban/rural region, and eastern/central/western areas of China. The burden of injury was assessed using potential years of life lost (PYLL), average years of life lost (AYLL), and PYLL rate (PYLLR). Temporal trends of mortality rates and burden were evaluated using best-fitting joinpoint models. RESULTS Injury deaths accounted for 7.51% (1,156,504/15,403,835) of all-cause deaths in China in 2005-2019. The crude mortality rate of all-cause injury was 47.74 per 100,000 persons. The top 3 injury types (traffic accident, falls, and suicide) accounted for 70.57% (816,145/1,156,504) of all injury-related deaths. The ASMR of all-cause injury decreased (P=.003), while the crude mortality rate remained unchanged (P=.52) during 2005-2019. A significant reverse trend in ASMR of all-cause injury was observed in urban older adults since 2013, mainly due to the inverted trend in injuries from falls. A reverse trend in ASMR of suicide was observed among individuals aged 10-24 years, with notable increases by 35.18% (annual percentage change 15.4%, 95% CI 4.1%-28.0%) in men since 2017. The AYLL and PYLLR of all-cause injury among older adults showed consistent ascending trends from 2005 to 2019 (average annual percentage change [AAPC] 6.1%, 95% CI 5.4%-6.9%, 129.04% increase for AYLL; AAPC 5.4%, 95% CI 2.4%-8.4%, 105.52% increase for PYLLR). The AYLL due to suicide for individuals aged 10-24 years showed a considerable upswing tendency (AAPC 0.5%, 95% CI 0.4%-0.7%, 8.02% increase). CONCLUSIONS Although the ASMR of all-cause injury decreased in China from 2005 to 2019, the trend in suicide among adolescents and young adults and falls among older adults has been on the rise in recent years. Interventions should be encouraged to mitigate the cause-specific burdens of injury death.
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Affiliation(s)
- Zixiang Ji
- Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Tongji University, Shanghai, China
| | - Hengjing Wu
- Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Tongji University, Shanghai, China
| | - Rongyu Zhu
- Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Tongji University, Shanghai, China
| | - Lu Wang
- Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Tongji University, Shanghai, China
| | - Yuzhu Wang
- Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Tongji University, Shanghai, China
| | - Lijuan Zhang
- Clinical Center for Intelligent Rehabilitation Research, Shanghai YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Tongji University, Shanghai, China
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Vélez-Grau C, Magan IM, Gwadz M. The Burden of Not Belonging: A Qualitative Study of the Applicability of the Interpersonal Theory of Suicide Constructs of Belongingness and Burdensomeness to Ethnocultural Minoritized Youth. Behav Ther 2023; 54:777-793. [PMID: 37597957 DOI: 10.1016/j.beth.2023.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 01/11/2023] [Accepted: 02/14/2023] [Indexed: 08/21/2023]
Abstract
Guided by the Interpersonal Theory of Suicide (IPTS), this study aims to understand the applicability of the constructs of belongingness and burdensomeness and their relevance to suicide risk and mental health among ethnocultural minoritized youth. A qualitative exploratory study was conducted using five focus groups with 29 self-identified Latinx and Black adolescents aged 13-17 years to explore the meaning they ascribed to belongingness and burdensomeness. Views of social media related to these constructs were also explored. Template analysis was used to analyze the data. Themes highlighted dimensions such as caring, self-worth, and liability, congruent with the IPTS dimensions of belongingness and burdensomeness. Notably, new themes emerged reflecting the distinctive experiences of these populations, such as the importance of being true to themselves, the burden of not belonging to families, and cultural aspects of liability, highlighting dimensions not found in the existing IPTS theoretical constructs. Consideration of the diverse experiences of ethnocultural minoritized youth can strengthen theoretical constructs, clinical practice, and aid in developing intervention strategies to increase protective factors and decrease risk factors for suicide behaviors relevant to such youth.
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Affiliation(s)
| | | | - Marya Gwadz
- New York University Silver School of Social Work; Center for Drug Use and HIV Research NYU Global Public Health
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Hovey JD, Roley-Roberts ME, Hurtado G, Seligman LD, Levine JC, Kene P, Gonzalez RN. Coping competence and hopelessness moderate the influence of perceived burdensomeness on suicidal ideation in undergraduate college students. CURRENT PSYCHOLOGY 2022; 42:1-8. [PMID: 36593907 PMCID: PMC9795939 DOI: 10.1007/s12144-022-04190-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2022] [Indexed: 12/29/2022]
Abstract
According to the interpersonal theory of suicide, the perception of imposing a burden on loved ones increases the risk for suicidal ideation. Little research, however, has examined the interaction of burdensomeness with cognitive variables in predicting suicidal ideation in college students even though the relationship between burdensomeness and ideation may be contingent on levels of cognitive risk factors. The present study thus examined the relationships between burdensomeness, hopelessness, coping competence, and suicidal ideation. Questionnaires were administered to 279 undergraduate students from a university in the Midwest United States. After controlling for depression, hopelessness, and coping competence, burdensomeness significantly predicted ideation and accounted for variance above and beyond the control variables. Moreover, the relationship between burdensomeness and suicidal ideation was significantly moderated by coping competence and hopelessness. The findings suggest that perceived burdensomeness plays a critical role in the risk for suicide in college students. More specifically, the findings suggest that coping competence and hopelessness can be ideal targets for interventions as changes in these variables may attenuate the association between perceived burdensomeness and suicidal ideation.
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Affiliation(s)
- Joseph D. Hovey
- Behavioral Health Laboratory, Department of Psychological Science, The University of Texas Rio Grande Valley, 1201 W. University Drive, Edinburg, TX 78539 USA
| | | | | | - Laura D. Seligman
- Behavioral Health Laboratory, Department of Psychological Science, The University of Texas Rio Grande Valley, 1201 W. University Drive, Edinburg, TX 78539 USA
| | - Jason C. Levine
- Department of Psychiatry, The University of Toledo Medical Center, Toledo, OH USA
| | - Prachi Kene
- Counseling, Educational Leadership and School Psychology Department, Rhode Island College, Providence, RI USA
| | - Rebecca N. Gonzalez
- Behavioral Health Laboratory, Department of Psychological Science, The University of Texas Rio Grande Valley, 1201 W. University Drive, Edinburg, TX 78539 USA
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Mournet AM, Kellerman JK, Yeager AL, Rosen RL, Kim JS, Kleiman EM. Daily-level assessment of the contexts under which seeking social support relates to risk of suicidal thinking. Suicide Life Threat Behav 2022; 52:1159-1167. [PMID: 35972392 PMCID: PMC10087217 DOI: 10.1111/sltb.12911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 07/08/2022] [Accepted: 08/03/2022] [Indexed: 12/14/2022]
Abstract
INTRODUCTION Perceived social support is a well-established protective factor against suicidal ideation, yet few studies have examined how actually seeking social support relates to suicidal ideation. We investigated the contexts under which social support seeking may be related to greater, or lesser, suicidal ideation. METHODS Undergraduates completed ecological momentary assessments up to 6 times daily. Multi-level moderated logistic regressions examined interactions between presence of daily-level support seeking with burdensomeness and loneliness as indicators of same-day and next-day suicidal ideation. RESULTS Seeking social support was positively associated with same-day, but not next-day reports of suicidal thinking. On days when participants felt burdensome and sought support, they had greater odds of reporting suicidal ideation (OR = 1.659, 95% CI = [1.420, 1.938]), compared with days they felt burdensome but did not seek support. There was no effect of burdensomeness on next-day ideation. There was no significant interaction effect between support seeking and loneliness on same-day or next-day ideation. CONCLUSIONS Seeking support and feeling like a burden are associated with a greater likelihood of experiencing suicidal ideation. The current results underscore the importance of equipping at-risk individuals with a toolbelt of a variety of coping skills.
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Affiliation(s)
| | - John K Kellerman
- Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
| | - April L Yeager
- Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
| | - Rachel L Rosen
- Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
| | - Joanne S Kim
- Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
| | - Evan M Kleiman
- Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
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Liu Y, Wang R, Chang R, Wang H, Xu L, Xu C, Yu X, Liu S, Chen H, Chen Y, Jin L, Wang Y, Cai Y. Perceived Burdensomeness, Thwarted Belongingness, and Social Exclusion in Transgender Women: Psychometric Properties of the Interpersonal Needs Questionnaire. Front Psychol 2022; 13:787809. [PMID: 35222188 PMCID: PMC8868044 DOI: 10.3389/fpsyg.2022.787809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 01/17/2022] [Indexed: 11/25/2022] Open
Abstract
Transgender women (TGW) experience serious psychiatric problems and high suicide rates. According to the interpersonal theory of suicide, thwarted belongingness and perceived burdensomeness play major roles in suicidality and can be measured by the Interpersonal Needs Questionnaire (INQ). However, no study has validated the use of the INQ in TGW. This study aimed to examine the psychometric properties of the INQ among TGW. We recruited 198 TGW (mean age 38.47 years) from Shenyang, China, using snowball sampling. The construct validity of the INQ was assessed through factor analysis, and convergent and divergent validity were examined through a structural equation model with other psychosocial factors. The construct validation analysis supported a three-factor model (perceived burdensomeness, thwarted belongingness, and social exclusion) with satisfactory fit indices: χ2/df = 1.54, RMSEA = 0.052, CFI = 0.931, TLI = 0.916, SRMR = 0.053. The thwarted belongingness was significantly associated with self-esteem and social support, and the social exclusion was significantly associated with loneliness, depression, entrapment, and defeat, suggesting satisfactory convergent and divergent validity for the three-factor model. The present findings indicate that for TGW, high social exclusion is important in assessing perceived interpersonal needs, while the notable deviation from previous two-factor model warrants further study.
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Affiliation(s)
- Yujie Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Rongxi Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ruijie Chang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Huwen Wang
- Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong, China
| | - Lulu Xu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Chen Xu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaoyue Yu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Shangbin Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Hui Chen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yingjie Chen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Lian Jin
- Ban Song Yuan Road Community Health Service Centre, Shanghai, China
| | - Ying Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yong Cai
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Campos RC, Morujão IS, Martins LC, Lambert CE, Tomás G, Holden RR. Results from Two Countries on How Thwarted Interpersonal Needs Contribute to Understanding Self-Harm. THE JOURNAL OF PSYCHOLOGY 2022; 156:185-199. [DOI: 10.1080/00223980.2021.2015567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Gong R, Wang S, Ji Y, Li Z, Chang R, Zhang S, Yu X, Xu C, Cai Y, Ni Y. Social exclusion, thwarted belongingness, and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire among patients with sexually transmitted infections in Shanghai, China. BMC Psychol 2022; 10:29. [PMID: 35164883 PMCID: PMC8842558 DOI: 10.1186/s40359-022-00726-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 01/26/2022] [Indexed: 12/20/2022] Open
Abstract
Abstract
Background
Sexually transmitted infections (STIs) are a serious public health problem worldwide. Patients with STIs have a high rate of psychosocial problems and may perceive unmet interpersonal needs, which is considered a proximal and sufficient cause of suicidal thoughts and behaviors. The present study examined the construct validity and psychometric properties of the 15-item Interpersonal Needs Questionnaire among patients with STIs in Shanghai, China.
Methods
We recruited 910 patients with STIs (438 males and 472 females; mean age = 38.72, standard deviation [SD] = 13.034) from the Shanghai Skin Disease Hospital using accidental sampling. Baseline descriptive statistics were calculated using R 4.0.0, and a latent variable model was developed using Mplus 7.4.
Results
The construct validity results supported a latent variable measurement model with three distinct but related constructs (thwarted belongingness, perceived burdensomeness, and social exclusion) (p < 0.001, χ2/df = 2.475, root mean square error of approximation = 0.057, comparative fit index = 0.931, Tucker–Lewis index = 0.916, standardized root mean residual = 0.044). The Cronbach’s α and McDonald’s ω values were 0.849 and 0.767 for the total scale, 0.888 and 0.889 for perceived burdensomeness, 0.764 and 0.777 for social exclusion, and 0.892 and 0.893 for thwarted belongingness. Interpersonal needs were significantly associated with low self-esteem (r = 0.539), loneliness (r = 0.573), depression (r = 0.338), entrapment (r = 0.420), defeat (r = 0.579), and low perceived social support (r = 0.424).
Conclusions
This was the first study to highlight social exclusion as a distinct but related dimension of interpersonal needs. This finding indicates that patients with STIs perceive high social exclusion. Therefore, health providers should consider the psychological status of these patients and implement strategies to support their integration into society.
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Bhargav M, Swords L. Role of thwarted belongingness, perceived burdensomeness and psychological distress in the association between adverse childhood experiences and suicidal ideation in college students. BJPsych Open 2022; 8:e39. [PMID: 35109950 PMCID: PMC8867856 DOI: 10.1192/bjo.2021.1087] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Adverse childhood experiences (ACEs) have a detrimental impact on short- and long-term mental and physical health. A growing body of research has indicated that the prevalence of suicidal phenomena is significantly higher among individuals with a history of ACEs. However, there is a lack of understanding about processes that result in ACEs leading to suicidal ideation when testing within a theoretical framework. AIMS To develop and test a multidimensional model that would explain the association between ACEs and suicidal ideation in college students. METHOD Data were obtained from a cross-sectional survey completed by 321 college students primarily recruited from universities in Ireland. Participants were aged 18-21 (n = 176) and 22-25 years (n = 145). An ACEs questionnaire, the Interpersonal Needs Questionnaire, which assessed thwarted belongingness and perceived burdensomeness, the CORE-10, which assessed psychological distress, and the Suicide Ideation Scale (SIS) were administered. RESULTS After controlling for gender and sexual orientation, results revealed a significant direct effect of ACEs on suicidal ideation such that more accumulated ACEs were associated with higher suicidal ideation (effect size 0.30; 95% CI 0.047-0.538). A significant indirect effect of ACEs on suicidal ideation through perceived burdensomeness and psychological distress, and thwarted belongingness and psychological distress, was observed (effect size 0.90; 95% CI 0.558-1.270). CONCLUSIONS Findings suggest that ACEs have a detrimental impact on college students' mental health. Results highlight the potential benefits of ACE-informed interventions that target thwarted belongingness and perceived burdensomeness to countervail suicidal ideation in college students.
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Affiliation(s)
- Madhav Bhargav
- School of Psychology, Trinity College Dublin, University of Dublin, Ireland
| | - Lorraine Swords
- School of Psychology, Trinity College Dublin, University of Dublin, Ireland; and Trinity Research in Childhood Centre, Trinity College Dublin, University of Dublin, Ireland
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Wang R, Chen Y, Hu F, Wang Z, Cao B, Xu C, Yu X, Chang R, Wang H, Chen H, Liu Y, Liu S, Hu T, Chen Y, Zhang K, Zou H, Cai Y. Psychometric Properties of Interpersonal Needs Questionnaire-15 for Predicting Suicidal Ideation among Migrant Industrial Workers in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7583. [PMID: 34300033 PMCID: PMC8306592 DOI: 10.3390/ijerph18147583] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 07/12/2021] [Accepted: 07/14/2021] [Indexed: 11/25/2022]
Abstract
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.
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Affiliation(s)
- Rongxi Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Yexin Chen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Fan Hu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Zixin Wang
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong 999077, China;
| | - Bolin Cao
- School of Media and Communication, Shenzhen University, Shenzhen 518000, China;
| | - Chen Xu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Xiaoyue Yu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Ruijie Chang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Huwen Wang
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Hui Chen
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Yujie Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Shangbin Liu
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
| | - Tian Hu
- Shenzhen Longhua District Center for Disease Control and Prevention, Shenzhen 518000, China; (T.H.); (Y.C.)
| | - Yaqi Chen
- Shenzhen Longhua District Center for Disease Control and Prevention, Shenzhen 518000, China; (T.H.); (Y.C.)
| | - Kechun Zhang
- Shenzhen Longhua District Center for Disease Control and Prevention, Shenzhen 518000, China; (T.H.); (Y.C.)
| | - Huachun Zou
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
- School of Public Health, Sun Yat-sen University, Panyu District, Guangzhou 511431, China
- Kirby Institute, University of New South Wales, Sydney 2052, Australia
| | - Yong Cai
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China; (R.W.); (Y.C.); (F.H.); (C.X.); (X.Y.); (R.C.); (H.W.); (H.C.); (Y.L.); (S.L.)
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Abstract
In spite of the growing awareness on medical students' mental health in recent years, epidemiologic literature about the topic is scarce, particularly for what concerns suicide. Here, we collected cases of suicides among medical students enrolled at a local University in Italy and compared it to the general population of the same age group. Our sample was collected using records of suicides in the city of Pavia, Italy between the years of 2014 and 2019. This record was cross-referenced with enrolment numbers to the Medical Faculty of the city in order to select cases that involved medical students A time-window of 6 years was chosen for the evaluation. The odds ratio of suicide in medical students in comparison to the general population was of 14.58 (p value at the exact Poisson test <0.001). We then differentiated between native Italians and students from abroad. In this case, an odds ratio of 6.81 was observed (p value at the exact Poisson test 0.011). Our estimated suicide rates exceeded what was previously reported for the general population. We call for a closer attention on mental health in medical students, and an increased effort in collecting objective data on the topic.
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14
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Forkmann T, Glaesmer H, Paashaus L, Rath D, Schönfelder A, Juckel G, Gauggel S, Beginn-Göbel U, Teismann T. Testing the Four Main Predictions of the Interpersonal-Psychological Theory of Suicidal Behavior in an Inpatient Sample Admitted Due to Severe Suicidality. Behav Ther 2021; 52:626-638. [PMID: 33990238 DOI: 10.1016/j.beth.2020.08.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 08/06/2020] [Accepted: 08/12/2020] [Indexed: 11/25/2022]
Abstract
This study aimed to evaluate four main predictions of the Interpersonal Psychological Theory of Suicide (IPTS): the importance of perceived burdensomeness (PB), thwarted belongingness (TB), hopelessness (H), and capability for suicide (CS) for (passive/active) suicide ideation, suicide intent and suicide attempts. N = 308 psychiatric inpatients admitted due to severe suicidality (53.6% female: n = 165; age: M = 36.82, SD = 14.30, range: 18-81) completed self-report measures of TB, PB, H, CS and suicide ideation as well as interviews on suicide intent and suicide attempts. TB and PB were associated with (passive/active) suicidal ideation, whereas the three-way interaction PB, TB, and H was not associated with active suicide ideation. Fearlessness about death in conjunction with active suicidal ideation was not associated with suicide intent and the interaction of PB, TB, and CS was neither predictive of recent suicide attempt status nor lifetime number of suicide attempts. Given the cross-sectional nature of the data, conclusions on causality should be handled carefully. The results challenge the theoretical validity of the IPTS and its clinical utility-at least within the methodological limitations of the current study. Yet, findings underscore the importance of PB in understanding suicidality.
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Affiliation(s)
| | | | | | - Dajana Rath
- University of Duisburg-Essen; Institute of Medical Psychology and Medical Sociology, University Hospital of RWTH, Aachen
| | | | - Georg Juckel
- LWL-University Hospital, Ruhr-Universität Bochum
| | - Siegfried Gauggel
- Institute of Medical Psychology and Medical Sociology, University Hospital of RWTH, Aachen
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