Perceived burdensomeness and thwarted belongingness as mediators of the relation between anxiety and suicidal ideation among adolescents.

IF 2.7 3区医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-05-22 DOI:10.1111/sltb.13094

Lauren Seibel, Katherine M Harris, Roberto López, Jennifer Wolff, Anthony Spirito, Christianne Esposito-Smythers

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Abstract

Introduction: Anxiety and suicidal ideation have been shown to be positively related in adolescents. However, less is known about the strength of this association across different types of anxiety or the mechanisms through which this relation exists. Joiner's interpersonal theory of suicide suggests that thwarted belongingness (TB) and perceived burdensomeness (PB) lead to suicidal ideation; these constructs may explain a pathway through which anxiety and suicidal ideation are related. It was hypothesized that TB would mediate the relation between social anxiety disorder (SAD) symptoms and suicidal ideation, and PB would mediate the relation between generalized anxiety disorder (GAD) symptoms and suicidal ideation.

Methods: These longitudinal mediation models were assessed using data collected from 147 depressed adolescents, who were recently hospitalized for suicidal ideation or behavior, enrolled in a randomized controlled trial (RCT).

Results: Consistent with study hypotheses, PB mediated the relation between GAD symptoms and suicidal ideation severity. However, TB did not mediate the relation between SAD symptoms and suicidal ideation severity.

Conclusion: These results suggest that screening for and addressing PB among youth with GAD may help reduce risk for suicidal behavior.

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感知到的负担和受挫的归属感是青少年焦虑与自杀意念之间关系的中介。

简介研究表明，在青少年中，焦虑与自杀倾向呈正相关。然而，人们对不同类型的焦虑与自杀意念之间的关系强度或这种关系存在的机制却知之甚少。乔伊纳的自杀人际关系理论认为，挫败的归属感（TB）和感知到的负担（PB）会导致自杀意念；这些概念可以解释焦虑和自杀意念之间的关系。研究假设 TB 将调解社交焦虑症（SAD）症状与自杀意念之间的关系，PB 将调解广泛性焦虑症（GAD）症状与自杀意念之间的关系：这些纵向中介模型是利用从 147 名抑郁青少年收集的数据进行评估的，这些青少年最近因自杀意念或行为住院，并参加了一项随机对照试验（RCT）：与研究假设一致，PB 在 GAD 症状与自杀意念严重程度之间起中介作用。然而，TB并不能调节SAD症状与自杀意念严重程度之间的关系：这些结果表明，在患有 GAD 的青少年中筛查并解决 PB 问题可能有助于降低自杀行为的风险。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.