The Interpersonal Psychological Theory of Suicide has a growing base of empirical support for use with adolescents. Of the two interpersonal constructs that make up the theory, perceived burdensomeness demonstrates a stronger relationship with suicidal ideation and appears more resistant to change over the course of treatment than thwarted belongingness. Despite this, there are few clinical interventions directly informed by theoretical models of suicide. Qualitative methodology is currently underutilized in better understanding the manifestation of theoretical constructs among suicidal youth and may shed light on how to harness this information during intervention development. Qualitative interviews about perceived burdensomeness were conducted with adolescents with a history of suicidality (n = 10), their parents (n = 10), and clinicians administering care to this population (n = 10). Perceived burdensomeness was widely recognized and described as relevant by all participants. Parents and clinicians expressed limited success when trying to directly address these cognitions with adolescents. Results from this exploratory study elucidated a close relationship with thwarted belongingness, especially in regard to how burden cognitions can lead to behaviors that damage social connectedness. An enhanced clinical model of perceived burdensomeness is proposed that identifies possible mechanisms of change when targeting this construct in a clinical setting. Potential interventions informed by these results are also outlined.

自杀的人际心理学理论有越来越多的经验支持与青少年一起使用。在构成该理论的两种人际结构中，感知负担表明与自杀意念有更强的关系，并且似乎比受挫的归属感更能抵抗治疗过程中的变化。尽管如此，很少有临床干预直接受到自杀理论模型的影响。定性方法目前在更好地理解自杀青年中理论结构的表现方面没有得到充分利用，并且可能有助于在干预开发过程中如何利用这些信息。对有自杀史的青少年（n = 10)、他们的父母 ( n  = 10) 以及对该人群进行护理的临床医生 ( n  = 10)。所有参与者都普遍认识到并描述了感知负担的相关性。父母和临床医生在尝试直接解决青少年的这些认知问题时表示成功有限。这项探索性研究的结果阐明了与受挫的归属感的密切关系，特别是关于负担认知如何导致损害社会联系的行为。提出了一种增强的感知负担的临床模型，该模型确定了在临床环境中针对这种结构时可能发生的变化机制。还概述了由这些结果提供的潜在干预措施。