Premium
A Prospective Examination of Perceived Burdensomeness and Thwarted Belongingness As Risk Factors for Suicide Ideation In Adult Outpatients Receiving Cognitive‐Behavioral Therapy
Author(s) -
Teismann Tobias,
Glaesmer Heide,
Brachel Ruth,
Siegmann Paula,
Forkmann Thomas
Publication year - 2017
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.22441
Subject(s) - suicidal ideation , psychology , interpersonal communication , clinical psychology , impulsivity , suicide prevention , poison control , suicide attempt , cognition , belongingness , psychiatry , psychotherapist , medicine , medical emergency , social psychology
Objective The interpersonal‐psychological theory of suicidal behavior posits that 2 proximal, causal, and interactive risk factors must be present for someone to desire suicide: perceived burdensomeness and thwarted belongingness. The purpose of the present study was to evaluate the predictive power of these 2 risk factors in a prospective study. Method A total of 231 adult outpatients (age: mean = 38.1, standard deviation = 12.3) undergoing cognitive‐behavioral therapy took part in a pretreatment and a midtreatment assessment after the 10th therapy session. Results Perceived burdensomeness, thwarted belongingness, and the interaction between these 2 risk factors did not add incremental variance to the prediction of midtreatment suicide ideation after controlling for age, gender, depression, hopelessness, impulsivity, lifetime suicide attempts, and pretreatment suicide ideation. The best predictor of midtreatment suicide ideation was pretreatment suicide ideation. Conclusion Results offer only limited support to the assumptions of the interpersonal theory of suicide.