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Cited by 44Suicide and Self-Harm StudiesDeath Anxiety and Social ExclusionBullying, Victimization, and Aggression

Rejection sensitivity and suicide ideation among psychiatric inpatients: An integration of two theoretical models

Brown, Sarah L., Mitchell, Sean M., Roush, Jared F., La Rosa, Nikki L., Cukrowicz, Kelly C.·2019·Psychiatry Research
DOI 10.1016/j.psychres.2018.12.009
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Abstract

Rejection is a direct threat to an individual's need to belong that has serious consequences for mental health. Rejection sensitivity may explain why some individuals are more likely to perceive rejection in social situations and experience subsequent psychological distress. The current study examined suicide ideation among psychiatric inpatients (N = 103) through the lenses of the rejection sensitivity model and the interpersonal theory of suicide. We hypothesized that rejection sensitivity would be indirectly associated with suicide ideation (i.e., a cognitive-affective reaction to social rejection) through greater perceptions of rejection (i.e., thwarted belongingness and perceived burdensomeness, constructs from the interpersonal theory of suicide), in parallel. Results from bootstrapped parallel mediation regression procedures indicated that the relation between rejection sensitivity and suicide ideation was significantly indirectly associated through the additive effect of thwarted belongingness and perceived burdensomeness, such that greater rejection sensitivity was associated with greater thwarted belongingness and perceived burdensomeness and subsequently greater suicide ideation. Further, rejection sensitivity was significantly indirectly associated with suicide ideation independently through thwarted belongingness, but not perceived burdensomeness. These findings provide support for the rejection sensitivity model and the interpersonal theory of suicide in an effort to advance our conceptualization of suicide risk among psychiatric inpatients.

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  • Thwarted belongingness may deter help-seeking, amplify sensitivity to social rejection, and impair social integration, all of which enhance suicidal ideation and behavior.

    “A perceived lack of reciprocally caring relationships, also known as thwarted belongingness, may deter help-seeking (41), amplify sensitivity to social rejection (42), and impair social integration (43), and all enhance suicidal ideation and behavior.”

    From A brain-centric model of suicidal behavior (2020) · cites this paper as [42]

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Authors
Brown, S. L., Mitchell, S. M., Roush, J. F., La Rosa, N. L., & Cukrowicz, K. C.
Affiliations
Texas Tech University (US)
Corresponding author
Cukrowicz, Kelly C.
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2019-02
Volume
272
Pages
54-60
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2018.12.009
OpenAlex
W2903394645
Semantic Scholar
ee15265e61e9f5503d5876d86f795ca448f95944
Cited by
44
References
58
Citations by year
2026: 1 · 2025: 8 · 2024: 8 · 2023: 10 · 2022: 3 · 2021: 3 · 2020: 8 · 2019: 3
FWCI
4.10
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
  • Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
Keywords
rejection sensitivity, suicidal ideation, psychiatric inpatients, interpersonal theory of suicide, thwarted belongingness, perceived burdensomeness, need to belong, suicide risk, social rejection, mediation
MeSH terms
Adult, Aged, Mental Disorders, Female, Humans, Interpersonal Relations, Male, Middle Aged, Models, Theoretical, Psychological Theory, Risk Factors, Psychological Distance, Young Adult, Suicidal Ideation

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