Cited by 876Suicide and Self-Harm StudiesDeath Anxiety and Social ExclusionHomicide, Infanticide, and Child Abuse

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Main predictions of the interpersonal–psychological theory of suicidal behavior: Empirical tests in two samples of young adults

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Joiner, Thomas E., Van Orden, Kimberly A., Witte, Tracy K., Selby, Edward A., Ribeiro, Jessica D., Lewis, Robyn, Rudd, M. David·2009·Journal of Abnormal Psychology

DOI 10.1037/a0016500PMC PMC2846517

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Abstract

The interpersonal-psychological theory of suicidal behavior (T. E. Joiner, 2005) makes 2 overarching predictions: (a) that perceptions of burdening others and of social alienation combine to instill the desire for death and (b) that individuals will not act on the desire for death unless they have developed the capability to do so. This capability develops through exposure and thus habituation to painful and/or fearsome experiences and is posited by the theory to be necessary for overcoming powerful self-preservation pressures. Two studies tested these predictions. In Study 1, the interaction of (low) family social support (cf. social alienation or low belonging) and feeling that one does not matter (cf. perceived burdensomeness) predicted current suicidal ideation, beyond depression indices. In Study 2, the 3-way interaction among a measure of low belonging, a measure of perceived burdensomeness, and lifetime number of suicide attempts (viewed as a strong predictor of the level of acquired capability for suicide) predicted current suicide attempt (vs. ideation) among a clinical sample of suicidal young adults, again beyond depression indices and other key covariates. Implications for the understanding, treatment, and prevention of suicidal behavior are discussed.

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Authors: Joiner, T. E., Van Orden, K. A., Witte, T. K., Selby, E. A., Ribeiro, J. D., Lewis, R., & Rudd, M. D.
Affiliations: Florida State University (US)
Texas Tech University (US)
ORCID: Joiner, Thomas E.
Witte, Tracy K.
Selby, Edward A.
Ribeiro, Jessica D.
Rudd, M. David
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 2009-08
Volume: 118
Issue: 3
Pages: 634-646
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/a0016500
PMC: PMC2846517
OpenAlex: W2021844788
Cited by: 814
References: 62
Citations by year: 2026: 41 · 2025: 53 · 2024: 48 · 2023: 50 · 2022: 64 · 2021: 45 · 2020: 41 · 2019: 61 · 2018: 46 · 2017: 61 · 2016: 74 · 2015: 65 · 2014: 45 · 2013: 53 · 2012: 36
FWCI: 23.04
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Abnormal Psychology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (F31 MH077386, F31 MH081396)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords: suicidal ideation, suicide attempts, perceived burdensomeness, social alienation, family social support, sense of belonging, acquired capability for suicide, young adults, depression, suicide prevention
MeSH terms: Antidepressive Agents, Attitude to Death, Mental Disorders, Female, Humans, Interpersonal Relations, Male, Motivation, Patient Admission, Personality Inventory, Problem Solving, Psychological Theory, Psychometrics, Psychotherapy, Risk Factors, Social Alienation, Social Identification, Social Support, Suicide, Attempted, Comorbidity, Young Adult

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Main predictions of the interpersonal–psychological theory of suicidal behavior: Empirical tests in two samples of young adults

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