Perceived problem-solving deficits and suicidal ideation: Evidence for the explanatory roles of thwarted belongingness and perceived burdensomeness in five samples.
Open accessAbstract
Perceived social problem-solving deficits are associated with suicide risk; however, little research has examined the mechanisms underlying this relationship. The interpersonal theory of suicide proposes 2 mechanisms in the pathogenesis of suicidal desire: intractable feelings of thwarted belongingness (TB) and perceived burdensomeness (PB). This study tested whether TB and PB serve as explanatory links in the relationship between perceived social problem-solving (SPS) deficits and suicidal thoughts and behaviors cross-sectionally and longitudinally. The specificity of TB and PB was evaluated by testing depression as a rival mediator. Self-report measures of perceived SPS deficits, TB, PB, suicidal ideation, and depression were administered in 5 adult samples: 336 and 105 undergraduates from 2 universities, 53 homeless individuals, 222 primary care patients, and 329 military members. Bias-corrected bootstrap mediation and meta-analyses were conducted to examine the magnitude of the direct and indirect effects, and the proposed mediation paths were tested using zero-inflated negative binomial regressions. Cross-sectionally, TB and PB were significant parallel mediators of the relationship between perceived SPS deficits and ideation, beyond depression. Longitudinally and beyond depression, in 1 study, both TB and PB emerged as significant explanatory factors, and in the other, only PB was a significant mediator. Findings supported the specificity of TB and PB: Depression and SPS deficits were not significant mediators. The relationship between perceived SPS deficits and ideation was explained by interpersonal theory variables, particularly PB. Findings support a novel application of the interpersonal theory, and bolster a growing compendium of literature implicating perceived SPS deficits in suicide risk. (PsycINFO Database Record
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Social problem-solving, autobiographical memory biases, and rumination are threat to self-moderators.
“Given their established relationships with suicidal ideation and behaviour, social problem-solving [37–39], autobiographical memory biases [39–41] and rumination [42,43] are included here as TSMs”
From The integrated motivational–volitional model of suicidal behaviour (2018) · cites this paper as [37]
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Self-citationChu, C., Buchman‐Schmitt, J. M., Joiner, T. E., & Rudd, M. D. (2016) · Journal of Personality Disorders · doi:10.1521/pedi_2016_30_241 · Cited by 21 · see citing works
Self-citationBatterham, P. J., Calear, A. L., & van Spijker, B. A. J. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12140 · Cited by 19 · see citing works
Walker, K. L., Chang, E. C., & Hirsch, J. K. (2016) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-016-9648-4 · Cited by 14 · see citing works
Self-citationChang, E. C., Jilani, Z., Yu, T., Fowler, E. E., Lin, J., Webb, J. R., & Hirsch, J. K. (2014) · Personality and Individual Differences · doi:10.1016/j.paid.2014.11.027 · Cited by 12 · see citing works
Self-citationChang, E. C., Lee, J., Morris, L. E., Lucas, A. G., Chang, O. D., & Hirsch, J. K. (2017) · Journal of Interpersonal Violence · doi:10.1177/0886260517719901 · Cited by 11 · see citing works
Self-citationProblem-Solving and Cognitive Scars in Mood and Anxiety Disorders: the Sting of Mania
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Self-citationChu, C., Buchman‐Schmitt, J. M., & Joiner, T. E. (2015) · Cognitive Therapy and Research · doi:10.1007/s10608-015-9704-6 · Cited by 9 · see citing works
Self-citationPain and Suicidal Behavior in Primary Care Patients: Mediating Role of Interpersonal Needs
Hirsch, J. K., Cukrowicz, K. C., & Walker, K. L. (2016) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-016-9642-x · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
1 of the 112 references couldn’t be matched to a known paper.
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Additional file 1 of Participatory model building for suicide prevention in Canada
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- Authors
- Chu, C., Walker, K. L., Stanley, I. H., Hirsch, J. K., Greenberg, J. H., Rudd, M. D., & Joiner, T. E.
- Affiliations
- Florida State University (US)
- University of California, Los Angeles (US)
- East Tennessee State University (US)
- University of Memphis (US)
- Venue
- Journal of Personality and Social Psychology
- Published
- 2018-07
- Volume
- 115
- Issue
- 1
- Pages
- 137-160
- ISSN
- 0022-3514 (ISSN-L)
- 1939-1315
- PMC
- PMC5743768
- OpenAlex
- W2676038105
- Cited by
- 56
- References
- 112
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 9 · 2022: 7 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 5 · 2017: 2
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Personality and Social Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons - East Tennessee State University (East Tennessee State University) (submittedVersion)
- Funders
- National Institute of Mental Health (T32 MH093311-04)
- Military Suicide Research Consortium (W81XWH-10-2–0181)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Health Professions › Speech and Hearing › Problem Solving Skills Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- suicidal ideation, interpersonal theory of suicide, thwarted belongingness, perceived burdensomeness, suicide risk, depression, mediation, homeless people, military personnel, primary care patients, undergraduate students
- MeSH terms
- Adolescent, Adult, Female, Humans, Interpersonal Relations, Male, Middle Aged, Military Personnel, Problem Solving, Psychological Theory, Psychometrics, Psychosocial Deprivation, Surveys and Questionnaires, Risk Factors, Self Concept, Social Isolation, Stress, Psychological, Students, Suicide, Young Adult, Suicidal Ideation, Social Skills
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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