A Prospective Examination of Perceived Burdensomeness and Thwarted Belongingness As Risk Factors for Suicide Ideation In Adult Outpatients Receiving Cognitive-Behavioral Therapy

作者：Teismann Tobias; Glaesmer Heide; von Brachel Ruth; Siegmann Paula; Forkmann Thomas

来源：Journal of Clinical Psychology, 2017, 73(10): 1393-1402.

DOI：10.1002/jclp.22441

• suicide ideation
• interpersonal-psychological theory of suicide
• perceived burdensomeness
• thwarted belongingness
• cognitive-behavioral therapy

ObjectiveThe interpersonal-psychological theory of suicidal behavior posits that 2 proximal, causal, and interactive risk factors must be present for someone to desire suicide: perceived burdensomeness and thwarted belongingness. The purpose of the present study was to evaluate the predictive power of these 2 risk factors in a prospective study.
MethodA total of 231 adult outpatients (age: mean= 38.1, standard deviation = 12.3) undergoing cognitive-behavioral therapy took part in a pretreatment and a midtreatment assessment after the 10th therapy session.
ResultsPerceived burdensomeness, thwarted belongingness, and the interaction between these 2 risk factors did not add incremental variance to the prediction of midtreatment suicide ideation after controlling for age, gender, depression, hopelessness, impulsivity, lifetime suicide attempts, and pretreatment suicide ideation. The best predictor of midtreatment suicide ideation was pretreatment suicide ideation.
ConclusionResults offer only limited support to the assumptions of the interpersonal theory of suicide.

• 出版日期2017-10