Perceived burdensomeness, thwarted belongingness and suicidal ideation among individuals with <scp>first‐episode</scp> psychosis

Wastler, Heather M.; Moe, Aubrey M.; Pine, Jacob G.; Breitborde, Nicholas J. K.

doi:10.1111/eip.13023

Cited by 8 publications

(6 citation statements)

References 34 publications

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“…Another finding showed that a combination of thwarted belongingness and perceived burdensomeness was associated with suicidal ideation, consistent with the findings of Wastler et al (2021). Their results showed that thwarted belongingness and perceived burdensomeness can distinguish between people who have suicidal ideation and people who do not have suicidal ideation.…”

Section: Discussionsupporting

confidence: 72%

Understanding Suicidal Behavior Using a Comprehensive Approach

Kiani

Rashid

Dadfar

et al. 2021

Illness, Crisis & Loss

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A comprehensive understanding of how suicidal risk factors interact with one another to increase the frequency of suicide ideation and attempted suicide is critical for improving theoretical models of suicide and prevention efforts. The aim of the present study was to explore the prediction of suicide ideation formation and its transition to suicide attempt through the interactions of the constructs suggested by the IPTS, IMV and 3ST theories, as well as other clinical factors. The core constructs of several theoretical models were assessed using a battery of scales administered to 909 Iranian college students. The results supported Klonsky's 3ST and O’Connor's IMV models and, in addition, the relevance of non-suicidal self-injury, the acquired capacity for self-harm, sexual abuse, and exposure to family self-harm for the transition from suicide ideation to a suicide attempt. Depression and PTSD were background factors rather than risk factors for suicide ideation or suicide attempt. Limitations were that the information provided by students may have been biased due to the stigma surrounding suicide in Iranian culture, and the proportion of female students was high.

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Section: Discussionsupporting

confidence: 72%

Understanding Suicidal Behavior Using a Comprehensive Approach

Kiani

Rashid

Dadfar

et al. 2021

Illness, Crisis & Loss

View full text Add to dashboard Cite

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“…Thwarted belonging relates to the fundamental need to belong and when this need is compromised it can underpin SI and behaviour. 50 Indeed, Wastler et al 60 found that in a sample of people with first episode psychosis, perceived burdensome and thwarted belonging were elevated in people with recent SI compared with individuals without recent SI. Joiner's 50 theory may explain the increased risk of SI from minority status groups such as identifying as LGBTQ or being from an ethnic minority background, as demonstrated within previous research 61 and by the results from this study.…”

Section: Principal Findingsmentioning

confidence: 99%

Investigation to identify individual socioeconomic and health determinants of suicidal ideation using responses to a cross-sectional, community-based public health survey

et al. 2021

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ObjectivesTo address a gap in knowledge by simultaneously assessing a broad spectrum of individual socioeconomic and potential health determinants of suicidal ideation (SI) using validated measures in a large UK representative community sample.DesignIn this cross-sectional design, participants were recruited via random area probability sampling to participate in a comprehensive public health survey. The questionnaire examined demographic, health and socioeconomic factors. Logistic regression analysis was employed to identify predictors of SI.SettingCommunity setting from high (n=20) and low (n=8) deprivation neighbourhoods across the North West of England, UK.Participants4319 people were recruited between August 2015 and January 2016. There were 809 participants from low-deprivation neighbourhoods and 3510 from high-deprivation neighbourhoods. The sample comprised 1854 (43%) men and 2465 (57%) women.Primary outcome measuresSI was the dependent variable which was assessed using item 9 of the Patient Health Questionnaire-9 instrument.Results454 (11%) participants reported having SI within the last 2 weeks. Model 1 (excluding mental health variables) identified younger age, black and minority ethnic (BME) background, lower housing quality and current smoker status as key predictors of SI. Higher self-esteem, empathy and neighbourhood belonging, alcohol abstinence and having arthritis were protective against SI. Model 2 (including mental health variables) found depression and having cancer as key health predictors for SI, while identifying as lesbian, gay, bisexual, transgender or queer (LGBTQ) and BME were significant demographic predictors. Alcohol abstinence, having arthritis and higher empathy levels were protective against SI.ConclusionsThis study suggests that it could be useful to increase community support and sense of belonging using a public health approach for vulnerable groups (e.g. those with cancer) and peer support for people who identify as LGBTQ and/or BME. Also, interventions aimed at increasing empathic functioning may prove effective for reducing SI.

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“…A previous study revealed that lower help-seeking from friends plays a unique role in increasing suicide risk among individuals with schizophrenia compared with individuals without schizophrenia [ 39 ]. Social isolation is also associated with suicide risk among individuals with schizophrenia and first-episode psychosis [ 56 , 57 ]. According to the interpersonal–psychological theory of suicide [ 58 ], support from friends can relieve the feeling of being a burden to others, increase the feeling of belonging with others, and reduce hopelessness; therefore, suicide risk can be ameliorated.…”

Section: Discussionmentioning

confidence: 99%

Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends

Jian

Wang

Lin

et al. 2022

IJERPH

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This cross-sectional study assessed the moderating effects of self-esteem and perceived support from friends on the association between self-stigma and suicide risk in individuals with schizophrenia. We included 300 participants (267 with schizophrenia and 33 with schizoaffective disorder). Suicide risk was assessed using items adopted from the suicide module of the Mini-International Neuropsychiatric Interview; self-stigma was assessed using the Self-Stigma Scale–Short; perceived support from friends was assessed using the Friend Adaptation, Partnership, Growth, Affection, and Resolve Index; and self-esteem was assessed using the Rosenberg Self-Esteem Scale. A moderation analysis was performed to examine the moderating effects of self-esteem and perceived support from friends on the association between self-stigma and suicide risk. The results indicated that self-stigma was positively associated with suicide risk after the effects of other factors were controlled for. Both perceived support from friends and self-esteem significantly reduced the magnitude of suicide risk in participants with self-stigma. Our findings highlight the value of interventions geared toward ameliorating self-stigma and enhancing self-esteem in order to reduce suicide risk in individuals with schizophrenia.

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Perceived burdensomeness, thwarted belongingness and suicidal ideation among individuals with first‐episode psychosis

Cited by 8 publications

References 34 publications

Understanding Suicidal Behavior Using a Comprehensive Approach

Understanding Suicidal Behavior Using a Comprehensive Approach

Investigation to identify individual socioeconomic and health determinants of suicidal ideation using responses to a cross-sectional, community-based public health survey

Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends

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