Present Status and Future Prospects of the Interpersonal–Psychological Theory of Suicidal Behavior

Hagan, Christopher R.; Ribeiro, Jessica D.; Joiner, Thomas E.

doi:10.1002/9781118903223.ch12

Cited by 11 publications

(14 citation statements)

References 61 publications

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“…serious argument, break-up). According to Joiner's "interpersonal-psychological theory of suicidal behavior", serious suicidal behavior will occur when the main predictors of suicidal behavior-thwarted belongingness, perceived budernsomeness, desire for suicide and capacity for suicide (20,29) co-occur (30). In line with this model, those with co-occurring interpersonal life events (potentially contributing to thwarted belongingness, perceived budernsomeness) and NSSI (potentially contributing to increased capacity for suicide) can be at high risk for suicidal behavior.…”

Section: Discussionmentioning

confidence: 99%

“…It was found in a population-based World Health Organization (WHO) World Mental Health Surveys sample of 102,245 adults that traumatic or stressful life events, particularly sexual and interpersonal violence are related to suicidal behavior (28). According to Joiner's "interpersonalpsychological theory of suicidal behavior", there are four main predictors of suicidal behavior: thwarted belongingness (feeling alienated/alone), perceived burdensomeness (feeling like being a burden), desire for suicide, and capacity for suicide (20,29). Serious (lethal or near lethal) suicidal behavior will occur when these constructs co-occur (30).…”

Section: Introductionmentioning

confidence: 99%

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Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

et al. 2020

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Background: Nonsuicidal self-injury (NSSI) is highly prevalent in clinical and non-clinical populations of adolescents. Several studies have supported both the distinction and the strong association between NSSI and suicidal behavior. Although there is a great deal of data on the role of life events in both suicidal behavior and NSSI, few studies have assessed the role of life events in the NSSI-suicidal behavior relationship. Our aims were to explore the relationship between NSSI and suicidal behavior, and the possible moderating role of stressful life events in a clinical and non-clinical adolescent population. Method: A clinical (n = 202) and a nonclinical (n = 161) population of adolescents, aged 13-18 years were assessed. The Mini International Neuropsychiatric Interview Kid, Deliberate Self-Harm Inventory and the Life Events List were used. Group differences related to suicidal behavior, NSSI, and life events were tested with Wilcoxon tests. Twoand three-way interactions were tested with negative binomial regression models including zero-inflation parameter. Results: The prevalence of suicidal behavior (W = 7,306, p < .001), NSSI (W = 9,652, p < .001) and life events (W = 10,410 p < .001) were significantly higher in the clinical than in the non-clinical group. Between number of life events and NSSI, a moderate effect size (.38, 95%CI [.28,.46]) was found. The main effect of NSSI (c 2 (1) = 109.65, p < .001) and group membership (c 2 (1) = 39.13, p < .001) predicted suicidal behavior; the main effect of quantity of life events did not explain suicidal behavior. The interaction between NSSI and number of life events (c 2 (1) = 10.49, p < .01) was associated with suicidal behavior. Among interpersonal, non-interpersonal events and adverse childhood circumstances, only interpersonal events were associated with both suicidal behavior (c 2 (1) = 6.08, p < .05) and had a moderating effect (c 2 (1) = 8.59, p < .01) on the NSSI-suicidal behavior relationship. Patterns of the effects of life events on the NSSI-suicidal behavior relationship did not differ in the two groups.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

et al. 2020

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“…The findings suggest that suicide attempters believe in the importance of establishing connectedness as an antidote to suicide. The interpersonal-psychological theory specifically identifies the role of ‘thwarted belonging’ in the aetiology of suicide ( Hagan et al, 2016 ). Lack of relationships, social isolation, loneliness, living alone and being single are all recognised risk factors for suicidal behaviour ( Ferreira et al, 2015 ; Holt-Lunstad et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

‘Don’t push me aside, Doctor’: Suicide attempters talk about their support needs, service delivery and suicide prevention in South Africa

Bantjes

2017

Health Psychology Open

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Few studies have explored the expressed support needs of suicide attempters in developing countries. Data, collected via in-depth interviews with suicide attempters admitted to a South African hospital, were analysed using thematic content analysis. Participants explicitly asked for integrated psycho-social services at a primary health care level and say they require assistance with alleviating psychiatric symptoms, establishing connectedness, interpersonal conflict and solving socio-economic problems. Findings highlight the importance for suicide prevention of (1) considering interpersonal and contextual socio-economic factors in addition to the psychiatric causes of suicidal behaviour; and (2) multilevel strategies, intersectoral collaboration and integrated person-centred primary health care.

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“…A theory that could help in understanding farmer suicide is the Interpersonal-Psychological Theory of Suicidal Behaviour (IPT) [ 10 , 11 , 12 ]. This theory posits that individuals have an inherent self-preservation instinct that is difficult to overcome.…”

Section: Introductionmentioning

confidence: 99%

“…This theory posits that individuals have an inherent self-preservation instinct that is difficult to overcome. However, the proximal factors developing the desire for suicide is the presence of two interpersonal and psychological states: thwarted belongingness (feelings of social isolation or disconnection) and perceived burdensomeness (perceived lack of caring relationships, feelings of burden to others) [ 10 , 11 , 12 ]. Acquired capability is a pre-existing vulnerability or reduced fear of death and increased pain tolerance and a capability of suicidal behaviours (e.g., using lethal means) developed over time.…”

Section: Introductionmentioning

confidence: 99%

Pathways to Suicide in Australian Farmers: A Life Chart Analysis

Kunde

Kõlves

Kelly

et al. 2017

IJERPH

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Farmers have been found to be at increased risk of suicide in Australia. The Interpersonal-Psychological Theory of Suicidal Behaviour suggests that the proximal factors leading to the suicidal desire or ideation include an individual’s experiences of both perceived burdensomeness and thwarted belongingness. Suicidal desire with acquired capability to engage in lethal self-injury is predictive of suicidal behaviour. This study investigates the pathways to suicide of 18 Australian male farmers in order to understand the suicidal process and antecedents to suicide in Australian male farmers. The psychological autopsy (PA) method was used to generate life charts. Two pathways with distinct suicidal processes were identified: acute situational (romantic relationship problems and financial concerns/pending retirement) and protracted (long-term psychiatric disorder). Long working hours, interpersonal conflicts, physical illnesses and pain, alcohol abuse, access to firearms, and exposure to drought were additional common factors identified. An understanding of the interrelatedness of diverse distal and proximal risk factors on suicidal pathways in the wider environmental context for male farmers is required when developing and implementing rural suicide prevention activities.

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Present Status and Future Prospects of the Interpersonal–Psychological Theory of Suicidal Behavior

Cited by 11 publications

References 61 publications

Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

Nonsuicidal Self-Injury and Suicide: The Role of Life Events in Clinical and Non-Clinical Populations of Adolescents

‘Don’t push me aside, Doctor’: Suicide attempters talk about their support needs, service delivery and suicide prevention in South Africa

Pathways to Suicide in Australian Farmers: A Life Chart Analysis

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