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Hopelessness, Interpersonal, and Emotion Dysregulation Perspectives on Suicidal Ideation: Tests in a Clinical Sample
Archives of Suicide Research ( IF 2.833 ) Pub Date : 2020-12-18 , DOI: 10.1080/13811118.2020.1859031
Katherine Musacchio Schafer , Grace Kennedy , Thomas Joiner

Abstract

Objective

The present study directly compared three perspectives of suicidality: Interpersonal Theory of Suicide (IPTS), Hopelessness Theory, and a perspective emphasizing emotion dysregulation.

Method

219 adults seeking outpatient psychological services completed questionnaires during intake between November 2015 and February 2019. Patients were included if they completed surveys related to thwarted belongingness (TB), perceived burdensomeness (PB), hopelessness, depressive symptoms, negative affect, and Borderline Personality Disorder (BPD) symptoms. Analyses tested the ability of TB, PB, depressive symptoms, hopelessness, and emotion dysregulation to relate to total scores on Beck Scale for Suicide Ideation. We employed Pearson’s correlations and linear regressions to investigate these relations.

Results

Constructs related to emotion dysregulation—negative affect (r = 0.161, p < .05) and Borderline Personality Disorder symptoms (r = 0.284, p < .01)—were significantly correlated with suicidal ideation, as were those relevant to Hopelessness Theory—depressive symptoms (r = 0.46, p < .01) and hopelessness (r = 0.45, p < .01)— and IPTS—TB (r = 0.36, p < .01) and PB (r = 0.43, p < .01). Notably the combinations of constructs as proposed by theories were significantly associated with suicidal ideation, but did not improve upon single constructs. This indicated that theoretically relevant constructs alone were strongly associated with suicidal ideation, but were not bested by interactions.

Conclusions

This project compared constructs relevant to three theories of suicidality among a sample of treatment seeking outpatients. Findings indicated that suicidal ideation assessment was similarly informed by Hopelessness Theory and IPTS, and to a lesser degree emotion dysregulation. The cross sectional nature of the data and the reliance upon self-report measures limit the inferences that can be made.



中文翻译:

对自杀意念的绝望、人际关系和情绪失调的观点:临床样本中的测试

摘要

客观的

本研究直接比较了自杀的三个观点:人际自杀理论(IPTS)、绝望理论和强调情绪失调的观点。

方法

219 名寻求门诊心理服务的成年人在 2015 年 11 月至 2019 年 2 月期间完成了问卷调查。如果患者完成了与受挫归属感 (TB)、感知负担感 (PB)、绝望、抑郁症状、负面情绪和边缘性人格障碍相关的调查,则被纳入调查(BPD) 症状。分析测试了结核病、肺结核、抑郁症状、绝望和情绪失调与贝克自杀意念量表总分相关的能力。我们使用 Pearson 的相关性和线性回归来研究这些关系。

结果

与情绪失调相关的结构——消极情绪(r = 0.161,p < .05)和边缘性人格障碍症状(r = 0.284,p < .01)——与自杀意念显着相关,与绝望理论相关的结构——抑郁症状 (r = 0.46, p < .01) 和绝望 (r = 0.45, p < .01) — 以及 IPTS-TB (r = 0.36, p < .01) 和 PB (r = 0.43, p < .01) . 值得注意的是,理论提出的构念组合与自杀意念显着相关,但并没有改善单一构念。这表明仅理论上相关的结构与自杀意念密切相关,但并没有被相互作用打败。

结论

该项目在寻求治疗的门诊患者样本中比较了与三种自杀理论相关的结构。研究结果表明,自杀意念评估同样受到绝望理论和 IPTS 的影响,并且在较小程度上是情绪失调。数据的横截面性质和对自我报告措施的依赖限制了可以做出的推论。

更新日期:2020-12-18
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