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Cited by 28Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and Psychopathology

Perceived burdensomeness uniquely accounts for suicidal ideation severity in social anxiety disorder

Duffy, Mary E., Mueller, Nora E., Cougle, Jesse R., Joiner, Thomas E.·2020·Journal of Affective Disorders
DOI 10.1016/j.jad.2020.01.116
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Abstract

Background High rates of suicidal ideation in those with social anxiety disorder (SAD) have been attributed to feelings of thwarted belongingness and perceived burdensomeness, but most work has been in non-clinical samples. We assessed the contributions of thwarted belongingness and perceived burdensomeness to suicidal ideation severity, over clinical covariates, in individuals diagnosed with SAD.Methods Participants were 58 adult outpatients (mean age 25.62 years, 69% female) with SAD. Hierarchical linear regression assessed contributions of thwarted belongingness and perceived burdensomeness to suicidal ideation, before and after covarying other potential explanatory variables (depression, agitation, brooding rumination).Results Perceived burdensomeness was significantly positively related to suicidal ideation severity (p < .001) above thwarted belongingness, which was not incremental (p = .791). The same pattern was found after inclusion of additional covariates (perceived burdensomeness p = .006; thwarted belongingness p = .757). Greater agitation also uniquely accounted for more severe suicidal ideation (p = .001).Limitations This study was cross-sectional, did not assess all potential confounding variables, and utilized a treatment-seeking sample.Conclusions Results suggest perceived burdensomeness is independently related to suicidal ideation severity in SAD, over thwarted belongingness and other clinical features. Future work should seek to replicate these findings and evaluate causal, longitudinal relationships among perceived burdensomeness, agitation, and severity of suicidal ideation in those with SAD in order to determine whether these may be clinically-relevant mechanisms.

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  • The relationship between SAD and SI is theorized to stem from a lack of belongingness and perceived burdensomeness, which are interpersonal factors associated with higher suicide risk.

    “Researchers theorize this relationship stems from a lack of belongingness and perceived burdensomeness that those with SAD often experience, which are interpersonal factors associated with a higher suicide risk (Davidson et al., 2011; Silva et al., 2015; Chu et al., 2016; Buckner et al., 2017; Duffy et al., 2020).”

    From Can dialectical behavior therapy skills group treat social anxiety disorder? A brief integrative review (2024) · cites this paper as Duffy et al., 2020

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Authors
Duffy, M. E., Mueller, N. E., Cougle, J. R., & Joiner, T. E.
Affiliations
Florida State University (US)
Corresponding author
Duffy, Mary E.
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2020-04
Volume
266
Pages
43-48
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2020.01.116
OpenAlex
W3001265176
Cited by
28
References
44
Citations by year
2026: 2 · 2025: 4 · 2024: 5 · 2023: 10 · 2022: 1 · 2021: 4 · 2020: 2
FWCI
1.69
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Science Foundation
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
social anxiety disorder, suicidal ideation, perceived burdensomeness, thwarted belongingness, agitation, brooding, depression, suicide risk factors
MeSH terms
Phobia, Social, Adult, Cross-Sectional Studies, Female, Humans, Interpersonal Relations, Male, Psychological Theory, Surveys and Questionnaires, Risk Factors, Suicidal Ideation

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