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Article
Publication date: 17 June 2013

Ashley B. Cole, LaRicka R. Wingate, Meredith L. Slish, Raymond P. Tucker, David W. Hollingsworth and Victoria M. O’Keefe

The interpersonal theory of suicide (ITS; Joiner, 2005) has gained empirical support as a framework for understanding why people die by suicide in the general population, and more…

Abstract

Purpose

The interpersonal theory of suicide (ITS; Joiner, 2005) has gained empirical support as a framework for understanding why people die by suicide in the general population, and more recently, among American Indians (AIs). The purpose of this paper is to examine two key constructs of the theory, perceived burdensomeness and thwarted belongingness as mediators of depression and suicidal ideation within an AI sample.

Design/methodology/approach

In all, 156 self-identified AI students completed measures of depression symptoms, thwarted belongingness, perceived burdensomeness, and suicidal ideation online. Non-parametric bootstrapping procedures were conducted.

Findings

Results of bootstrapping analyses indicated that perceived burdensomeness had an indirect effect on the relationship between symptoms of depression and suicidal ideation; however, thwarted belongingness did not demonstrate an indirect effect between symptoms of depression and suicidal ideation. Findings suggest that the ITS construct of perceived burdensomeness may be relevant for the study of AI suicide. Implications for targeting perceptions of burdensomeness in preventative efforts against suicide among AIs are discussed.

Originality/value

This is the first study to examine perceived burdensomeness and thwarted belongingness as mediators of symptoms of depression and suicidal ideation in a sample of AI participants.

Details

Ethnicity and Inequalities in Health and Social Care, vol. 6 no. 2/3
Type: Research Article
ISSN: 1757-0980

Keywords

Article
Publication date: 30 June 2023

Ryan M. Hill, Sarah Pardue-Bourgeois, Kaylee Myichell Perkins and Zain Hussain

Suicidal ideation (SI) is a serious public health concern among youth and young adults in the USA. It is critical to evaluate potential risk and protective factors associated with…

Abstract

Purpose

Suicidal ideation (SI) is a serious public health concern among youth and young adults in the USA. It is critical to evaluate potential risk and protective factors associated with SI among young adults to develop prevention strategies that target novel mechanistic outcomes.

Design/methodology/approach

This study sought to evaluate the association between negative social exchange (NSE) and SI via the framework of the interpersonal theory of suicide. Participants were a diverse sample of N = 243 college students, with a mean age of 19.98 years (SD = 3.15). Participants were predominantly female (68.3%) and Hispanic/Latinx (39.5%), white (21.4%) or multiracial/multiethnic (24.3%). Participants completed survey measures to assess each of the constructs of interest.

Findings

Results indicated a significant indirect effect from NSE to SI via perceived burdensomeness, but not thwarted belongingness.

Originality/value

While individual-level interventions target emotional reactivity and managing emotional responses, larger public health–focused interventions on campus may wish to target reductions in NSE on campus. Future work should evaluate these associations using longitudinal study designs to further evaluate the statistical models.

Details

Journal of Aggression, Conflict and Peace Research, vol. 15 no. 4
Type: Research Article
ISSN: 1759-6599

Keywords

Article
Publication date: 18 January 2022

China Mills

This article aims to focus on deaths by suicide in relation to UK welfare reform as a case study to question one of suicidology’s most dominant theories – the Interpersonal Theory…

Abstract

Purpose

This article aims to focus on deaths by suicide in relation to UK welfare reform as a case study to question one of suicidology’s most dominant theories – the Interpersonal Theory of Suicide (Joiner, 2005) and its influential ideas on “perceived burdensomeness” – as well as wider ideologies on suicide and mental health reflected in this approach.

Design/methodology/approach

This article draws on evidence from disabled people’s campaigning groups (primary sources) and research literature (secondary sources), which shows the negative psychological impact of burden discourse and how this shows up in people’s accounts of feeling suicidal, in suicide notes and in family accounts of those who have died by suicide. It uses this evidence to problematise the Interpersonal Theory of Suicide (Joiner, 2005), specifically its ideas about “burden” as an individual misperception, and the assumption that suicide is always the outcome of mental health problems.

Findings

The findings highlight the systemic, intersectional and cumulative production of suicidality by governmental “welfare reform” in the UK, through positioning welfare claimants as “burdens” on society. They show that by locating the problem of burdensomeness in individual “misperceptions”, the Interpersonal Theory allows the government’s role in crafting stigmatisation and conditions of suicidality to be overlooked and to be reproduced.

Originality/value

The article raises urgent ethical questions about the application of approaches, such as the Interpersonal Theory of Suicide, to benefits-related suicides and calls for approaches to benefits-related harm and suicide to be rooted in social and disability justice.

Article
Publication date: 5 September 2023

Elizabeth A. Jach and Anthony P. Rinaldi

The purpose of this paper is to highlight suicide risk factors experienced by graduate students and postdoctoral scholars, and then outline suicide prevention strategies for these…

Abstract

Purpose

The purpose of this paper is to highlight suicide risk factors experienced by graduate students and postdoctoral scholars, and then outline suicide prevention strategies for these populations.

Design/methodology/approach

Through analysis of literature and application of theory, the authors use the diathesis-stress model and Joiner’s (2005) interpersonal theory of suicidality to outline suicide prevention strategies specific to graduate students and postdoctoral scholars.

Findings

The authors’ review of the literature and application of theory suggest that both individuals and groups can engage in suicide prevention strategies, specifically pertaining to reducing stressors unique to graduate students and postdoctoral scholars, as well as addressing feelings of thwarted belongingness and perceived burdensomeness that can lead to the development of suicidality within these populations.

Practical implications

Engaging in suicide prevention strategies can save lives and address the mental health conditions exhibited among graduate student and postdoctoral scholars.

Originality/value

The authors offer a synthesis of good practices addressing suicide risk factors and prevention with attention to the stress-diathesis model and Joiner’s (2005) interpersonal theory of suicidality toward reducing suicidality among graduate students and postdoctoral scholars.

Details

Studies in Graduate and Postdoctoral Education, vol. 15 no. 1
Type: Research Article
ISSN: 2398-4686

Keywords

Article
Publication date: 14 August 2017

Carol Chu, Megan L. Rogers, Anna R. Gai and Thomas E. Joiner

Despite evidence that violent daydreaming is a correlate of suicidal ideation, no research has examined the mechanisms underlying this association. The interpersonal theory of…

Abstract

Purpose

Despite evidence that violent daydreaming is a correlate of suicidal ideation, no research has examined the mechanisms underlying this association. The interpersonal theory of suicide may provide insight. This theory postulates that individuals with high suicidal desire experience intractable feelings of perceived burdensomeness (PB) and thwarted belongingness (TB). Violent daydreaming may fuel negative attitudes toward others and oneself and turn attention away from loved ones, thereby increasing feelings that one is a burden on others (PB) and socially disconnected (TB). However, no studies have tested TB and PB as explanatory mechanisms. The purpose of this paper is to examine the relationships between violent daydreaming, PB, TB, suicidal ideation, and depression in two samples (n=818).

Design/methodology/approach

Study 1 was comprised of general undergraduates, and Study 2 selected for undergraduates with a history of ideation. Self-report measures were administered and indirect effects analyses were conducted.

Findings

In both studies, violent daydreaming was associated with increased feelings of PB, TB, and ideation severity. Consistent with the interpersonal theory, TB and PB were significant parallel mediators of the relationship between violent daydreaming and suicidal ideation, beyond sex and age. In contrast to Study 1, results were no longer significant in Study 2 after accounting for depression.

Originality/value

This was the first study to test TB and PB as mechanisms underlying the relationship between violent daydreaming and suicide risk. Findings highlight the importance of monitoring and addressing violent daydreams and interpersonal functioning throughout treatment to mitigate risk.

Details

Journal of Aggression, Conflict and Peace Research, vol. 10 no. 1
Type: Research Article
ISSN: 1759-6599

Keywords

Article
Publication date: 10 October 2022

Shakeela Asif, Soulat Khan, Tayyab Ali Butt, Anisa Mehmood, Aimen Zulfiqar and Tahira Mubashar

This study aims to probe the relationship of facial disfigurement, stigmatization, burdensome, hopelessness and suicidal ideation in acid attack survivors and to scrutinize the…

Abstract

Purpose

This study aims to probe the relationship of facial disfigurement, stigmatization, burdensome, hopelessness and suicidal ideation in acid attack survivors and to scrutinize the mediating role of perceived burdensome and hopelessness in connection between facial disfigurement, social stigmatization and suicidal ideation among acid attack survivors.

Design/methodology/approach

Data was collected from Holy Family Hospital which is located in Rawalpindi, Pakistan, Acid Survivors Foundation and social media sites. Purposive sampling technique was used to collect the sample. Sample comprised of N = 74 acid attack survivors. English version of discrimination and stigma scale, interpersonal needs questionnaire perceived burdensome scale, suicidal ideation attributes scale, Beck hopelessness scale and observer-rated facial disfigurement scale were used for the assessment. Statistical analysis includes correlation and mediation analysis through process macro.

Findings

Results indicated significant positive relationship between facial disfigurements, unfair treatment, stopping self and perceived burdensome with suicidal ideation, whereas overcoming stigma, hopelessness and positive treatment present a negative relationship with suicidal ideation. Results of the current study also showed that burdensome and hopelessness appear as significant mediator in association between facial disfigurement, social discrimination and suicidal ideation. This study provides the awareness about how by decreasing the hopelessness and perceived burdensome and resolving social stigmatization can minimize suicidal ideation and risks accompanying it.

Originality/value

This research covers a topic that violates human rights, it is a topic that never gets old and people are still facing its effects.

Details

International Journal of Human Rights in Healthcare, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 4 October 2017

Sarah N. Keller and Timothy Wilkinson

This study aims to examine whether a community-based suicide prevention project could increase willingness to seek professional help for suicidal ideation among young people.

Abstract

Purpose

This study aims to examine whether a community-based suicide prevention project could increase willingness to seek professional help for suicidal ideation among young people.

Design/methodology/approach

Online surveys were administered at baseline (n = 224) and six months post-test (n = 217), consisting of the Risk Behavior Diagnosis scale; self-report questions on suicidality; willingness to engage with suicide prevention resources; and willingness to communicate with peers, family members, teachers or counselors about suicide.

Findings

A comparison of means within groups from pre- to post-test showed increases in self-efficacy for communicating about suicidal concerns with a teacher, school counselor or social worker; increases in self-efficacy for helping others; and increases in response-efficacy of interpersonal communication about suicide with a teacher, school counselor or social worker.

Practical implications

Young adults need to be willing and able to intervene in life-threatening situations affecting their peers. In step with narrative empowerment education, personal experiences can be used to communicatively reduce peer resistance to behavior change.

Originality/value

Health communicators tend to rely on overly didactic education and awareness-raising when addressing suicide prevention. This research shows the importance of direct and personal forms of influence advocated by social marketing professionals.

Article
Publication date: 6 March 2017

Jurgita Rimkeviciene, John O’Gorman and Diego De Leo

Recent reports raise suicidality among asylum seekers as a pertinent issue in current Australian offshore detention centres. However, knowledge on the nature of the suicidality in…

Abstract

Purpose

Recent reports raise suicidality among asylum seekers as a pertinent issue in current Australian offshore detention centres. However, knowledge on the nature of the suicidality in these centres is very limited. The purpose of this paper is to explore in depth how suicidality arises and develops in offshore detention centres.

Design/methodology/approach

A single case study approach was used.

Findings

This case study presents the findings on the suicidal process of an asylum seeker who attempted suicide three times while in Nauru Regional Processing Centre, the last of which being a near-lethal one. The prolonged mandatory detention, together with lack of clarity about the timeframes of detention and constant postponing of the legal processes were identified as the main factors driving the suicidal intent. The suicidal behaviour escalated from an interrupted attempt to a near lethal one within two years, which signals lack of adequate suicide prevention within detention.

Practical implications

The resources for mental health being limited in Nauru, it is likely overall changes in refugee status processing may be a more effective suicide prevention strategy rather than implementation of other additional measures.

Originality/value

Studies in offshore processing facilities have been scarce due to barriers for researchers to access the detention centres. This study offers a unique insight into suicidality in this hard to reach population.

Details

International Journal of Migration, Health and Social Care, vol. 13 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 4 February 2014

Angus J. Duff and Chris C.A. Chan

– To empirically consider work and career as potential influences of suicide.

1350

Abstract

Purpose

To empirically consider work and career as potential influences of suicide.

Design/methodology/approach

In this qualitative study we conducted in-depth semi-structured interviews with 16 individuals who were survivors (i.e. family members or intimates) of individuals who had committed suicide. Data was analyzed using a grounded theory methodology.

Findings

This exploratory study used purposive self-determination as the theoretical framework for analyzing their life histories. Factors of purposive self-determination, including lack of purpose, feeling controlled, experiencing failure, and social exclusion all figured prominently but differentially according to life-stage. Distinct work and career themes for early-career, mid-career and late-career suicides emerged. Early-career suicides were attributed to educational or work-related contexts, leading to a sense of hopelessness. Mid-career suicides emphasized despair based in failure. Finally, an attempt to escape from challenges associated with transitioning roles in retirements emerged as a key theme in late-career suicides.

Originality/value

Although suicide has been studied extensively from medical, psychopathological, sociological, anthropological, philosophical and religious perspectives, there is a dearth of research considering why certain individuals choose to end their own lives as a result of work and career related reasons. This study sought to contribute to our understanding of this under-researched phenomenon. Additionally, while extant careers theory and research has considered positive notions of career such as career success or careers as a calling, this work presents an alternate lens, the consideration of career failure and careers as a sentence.

Details

Career Development International, vol. 19 no. 1
Type: Research Article
ISSN: 1362-0436

Keywords

Article
Publication date: 24 June 2019

Lindsay Sheehan, Nathalie Oexle, Michael Bushman, Anthony Fulginiti and Laura M. Frey

People who have lived experiences with suicide often struggle with concealable stigmatized identities that threaten their inclusion and recovery. While disclosure of a stigmatized…

Abstract

Purpose

People who have lived experiences with suicide often struggle with concealable stigmatized identities that threaten their inclusion and recovery. While disclosure of a stigmatized identity can promote support and recovery and therefore prevent suicide, it may also present distinct risks. The purpose of this paper is to summarize key issues in suicide-related disclosure, suggest theoretical models for describing suicide-related disclosure and identify research needs.

Design/methodology/approach

This conceptual paper discusses the existing literature on disclosure of concealable stigmatized identities, then explores research on disclosure of suicidal ideation, suicide attempt and suicide loss. Theoretical models (disclosure processes model and interpersonal theory of suicide) that can be employed in understanding suicide-related disclosure are explored. Finally, the paper suggests areas for future research, including longitudinal research to identify strategic disclosure practices that can lead to greater inclusion and recovery.

Findings

Research on suicide-related disclosure should differentiate between disclosure of past and current suicidality, incorporate theoretical frameworks and examine approaches for preparing potential confidants and disclosers for the disclosure process.

Originality/value

This paper highlights issues unique to the disclosure of suicidal thoughts and behaviors, and to suicide loss.

Details

Journal of Public Mental Health, vol. 18 no. 3
Type: Research Article
ISSN: 1746-5729

Keywords

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