The Interpersonal-Psychological Theory of Suicide to Explain Suicidal Risk in Eating Disorders: A Mini-Review

Zeppegno, Patrizia; Calati, Raffaella; Madeddu, Fabio; Gramaglia, Carla

doi:10.3389/fpsyt.2021.690903

Cited by 11 publications

(10 citation statements)

References 31 publications

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“…Hopelessness has been strongly linked to a lack of 'belongingness' (i.e., disrupted relationships/isolation) (Lineham & Nielsen, 1981). These conclusions fit relatively well with Klonsky and May's (2015) framework of four key contributors to suicidality: physical and emotional/psychological pain (PTSD), hopelessness (including powerlessness/helplessness), lack of connectedness (disrupted relationships and isolation), and suicide capability (the means to take one's own life) Added to this has been 'burdensomeness' (Zeppegno, 2021), which is associated with self-hatred (Van Ziegler, 2003;Chang et al, 2014). There is a link between individuals having less self-compassion, feeling less belongingness, and experiencing a higher level of burdensomeness; and these factors were associated with increased depressive symptoms (Øverup et al, 2017).…”

Section: Rapid Review Summarysupporting

confidence: 59%

“…This suggests disruption in their relationships, distance (or complete isolation) from supportive others, and a lack of belongingness -a finding reflected throughout a wide range of the literature on the antecedents of suicide. Zeppegno et al (2021) found that feeling burdensome is also significantly correlated with suicidality, including in eating disordered patients, especially those with anorexia (in relation to which symptoms might represent anger and hatred towards the self). In support of the latter perspective, Yen and Siegler (2003) and Chang et al (2014) found that forgiveness of self/ alleviating feelings of self-blame and promoting the motivation to change reduced or eliminated the positive link between domestic abuse and suicidality.…”

Section: Co-morbid Depression and Ptsdmentioning

confidence: 97%

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Domestic Abuse links to Suicide: Rapid Review, Fieldwork, and Quantitative Analysis Report.

Christie¹,

Rockey²,

Bradbury‐Jones³

et al. 2023

Preprint

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Domestic abuse is a widespread problem that has far reaching and grave consequences. To date, very little systematic data have been gathered on the relationship between domestic abuse and victim suicide. To address this gap, we conducted three strands of research, including: 1) Rapid evidence review. The review examined the long- and short-term causes, drivers and aggravating factors of domestic abuse (e.g., physical, emotional, psychological, financial) related suicide, to deliver a strong evidence base for identifying risk factors. 2) Fieldwork. A qualitative study with domestic abuse victims was conducted to better understand the relationship between domestic abuse and risk factors for suicide. 3) Quantitative evaluation. A quantitative study of domestic abuse incidents and suicide to better understand how the incidence of suicide differs amongst the victims and perpetrators of domestic violence, and how this is correlated with its form. Based on our results, we recommend the creation and testing of an assessment tool that aims to identify the predictors of suicide by gathering information from the survivor. Administration of the tool should include gathering information from whether they have experienced life-threatening abuse; sexual assault/rape, coercion and control; multiple abuses and repetition of abuse, as well as information about their feeling states, including feelings of despair, hopelessness and burdensomeness/ isolation/self-hatred. The tool should also take into account the effects of the abuse on the survivor’s self-identity, such as the number of relationships which have been disrupted or terminated. This should also elicit information about a survivor’s perceptions of/relationship with the police (and health services) and may assist in building trust; and any previous or childhood experiences which were trauma or terror-inducing, such as, some form of abuse, disaster (e.g., house fire), accident or medical procedure. Further information should be gathered about the survivor’s coping strategies, such as whether they are using self-harm and/or alcohol and drugs to cope. We also recommend the development of guidelines for police forces and health services to introduce and maintain a domestic abuse survivor suicide prevention/welfare pathway, with local statutory and VCS partners. The framework should contain the information in this report, and any other/up-dated information about how domestic abuse dismantles the survivor’s identity and the link with suicide translated into operational understanding and practice. Additionally, we recommend that a small amount of additional funding is made available to explore the information collected in this research about the contact survivors have had with services other than the police and health services (e.g. children’s social care, schools, housing, immigration services, the Family courts and voluntary and community sector services). Moreover, more nuanced research needs to be undertaken to track the trajectory from abuse to suicidality and, in the process, to differentiate suicide ideation from suicidality. The research should incorporate evaluation of any of the above pilot activities.Finally, given that the quantitative analysis highlights the high rate of suicide amongst male perpetrators of domestic violence, further research is necessary to better understand this relationship and how it is affected by socio-economic factors, mental health, and substance abuse.

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Section: Rapid Review Summarysupporting

confidence: 59%

Section: Co-morbid Depression and Ptsdmentioning

confidence: 97%

Domestic Abuse links to Suicide: Rapid Review, Fieldwork, and Quantitative Analysis Report.

Christie¹,

Rockey²,

Bradbury‐Jones³

et al. 2023

Preprint

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“…Одним из признаков депрессии у больных с ИБС является высокая гипергнозия, то есть повышенная субъективная значимость переживаний телесного неблагополучия. Чаще всего такие больные жалуются на боли в области сердца, которые не соответствуют тяжести объективной соматической патологии, а также с трудом купируются препаратами [11].…”

Section: материалы и методыunclassified

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2023

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“…Consequently, individuals direct anger at themselves through ED symptomatology. Related to this, individuals’ expression of anger toward themselves in the form of non-suicidal self-injury and self-injury attempts are frequent among those with EDs and are indicative of increased eating pathology ( 27 , 28 ). Therefore, inhibited expression of negative emotions is related to cognitive and affective components of body image dissatisfaction ( 21 , 29 ).…”

Section: Introductionmentioning

confidence: 99%

Emotional regulation and body dissatisfaction: the mediating role of anger in young adult women

et al. 2023

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IntroductionEmotion regulation difficulties have an important role in the presence of negative self-image. These problems in the self-regulation of emotion could lead to negative emotional processes (such as anger) that can lead to body dissatisfaction. Therefore, the aim of the present study was to examine emotion regulation difficulties than can negatively impact self-image and to understand if anger acts as mediator in the relationship between emotion regulation and body dissatisfaction.MethodsA cross-sectional study was carried out comprising 565 young adult women aged 18–30 years. The participants were administered the Difficulties in Emotion Regulation Scale (DERS), the State-Trait Anger Expression Inventory 2 (STAXI-2), and the Body Dissatisfaction dimension of the Eating Disorder Inventory-2 (EDI-2). The proposed hypotheses were tested by path analysis in MPlus 8.0.ResultsThe results indicated that anger had a positive significant effect on body dissatisfaction as well as the non-acceptance of emotional responses, the lack of emotional awareness, and the lack of emotional clarity. Of all the dimensions of emotional regulation difficulties, impulse control difficulty was the dimension which had a positive significant indirect effect on body dissatisfaction explained by increased anger.DiscussionThe present study suggests the importance of emotion regulation in the prevention of body dissatisfaction. Impulse control difficulty may be the key emotion regulation emotion in explaining the increments of anger that lead to body dissatisfaction. Among young adults, the promotion of positive body image can be promoted by helping this population to self-regulate their anger impulses.

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The Interpersonal-Psychological Theory of Suicide to Explain Suicidal Risk in Eating Disorders: A Mini-Review

Cited by 11 publications

References 31 publications

Domestic Abuse links to Suicide: Rapid Review, Fieldwork, and Quantitative Analysis Report.

Domestic Abuse links to Suicide: Rapid Review, Fieldwork, and Quantitative Analysis Report.

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Emotional regulation and body dissatisfaction: the mediating role of anger in young adult women

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