Wetherall, K, Cleare, S, Eschle, S et al. (4 more authors) (2022) Predicting suicidal ideation in a nationally representative sample of young adults: a 12-month prospective study. Psychological Medicine, 52 (14). pp. 3168-3175. ISSN 0033-2917
Abstract
Background
Evidence-based theoretical models outlining the pathways to the development of suicidal ideation may inform treatment. The current research draws from the Interpersonal Theory of Suicide (IPT) and the Integrated Motivational-Volitional (IMV) Model of suicidal behaviour and aims to test the interaction between perceived burdensomeness and thwarted belongingness as proposed by the IPT model, and the defeat-entrapment pathway as proposed by the IMV model, in the prediction of suicidal ideation at 12-month follow-up.
Methods
The Scottish Wellbeing Study is a nationally representative prospective study of young people aged 18–34 years (n = 3508) from across Scotland, who completed a baseline interview and a 12-month follow-up (n = 2420). The core factors from both the IPT (perceived burdensomeness and thwarted belongingness) and the IMV model (defeat, internal and external entrapment) were measured alongside demographics, depressive symptoms and suicidal ideation at baseline. At 12-month follow-up, suicidal ideation was assessed again.
Results
In multiple regression analysis perceived burdensomeness and internal entrapment, with baseline suicidal ideation, predicted 12-month suicidal ideation. No support for the interaction between perceived burdensomeness and thwarted belongingness in predicting 12-month suicidal ideation was found. However, there was evidence that internal, but not external, entrapment mediated the relationship between defeat and 12-month suicidal ideation, but no support was found for the moderation of burdensomeness and belongingness on the entrapment to suicidal ideation pathway.
Conclusions
The current findings highlight the importance of targeting perceived burdensomeness and internal entrapment to reduce the likelihood that suicidal ideation emerges in at risk individuals.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s), 2021. This article has been published in a revised form in Psychological Medicine https://doi.org/10.1017/S0033291720005255.This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Defeat; entrapment; Integrated Motivational-Volitional Model of suicidal behaviour (IMV); Interpersonal Theory of Suicide (IPT); perceived burdensomeness; thwarted belongingness |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Funding Information: | Funder Grant number US Army Research Office STEPPS |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 May 2021 15:19 |
Last Modified: | 03 Jan 2023 11:51 |
Status: | Published |
Publisher: | Cambridge University Press (CUP) |
Identification Number: | 10.1017/s0033291720005255 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:174286 |