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Cited by 32Suicide and Self-Harm StudiesBipolar Disorder and TreatmentPersonality Disorders and Psychopathology

Mediators in the association between affective temperaments and suicide risk among psychiatric inpatients

Erbuto, Denise, Innamorati, Marco, Lamis, Dorian A., Berardelli, Isabella, Forte, Alberto, De Pisa, Eleonora, Migliorati, Monica, Serafini, Gianluca +6 more·2018·Psychiatry
DOI 10.1080/00332747.2018.1480251
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Abstract

BACKGROUND: Affective temperaments have been shown to be related to psychiatric disorders and suicidal behaviors. Less is known about the potential contributory role of affective temperaments on suicide risk factors. In the present study, we investigated whether the effect of affective temperaments on suicide risk was mediated by other variables, such as hopelessness, mentalization deficits, dissociation, psychological pain, and depressive symptoms. METHODS: Several assessment instruments, including the Mini International Neuropsychiatric Interview (MINI); the Temperament Evaluation of Memphis, Pisa, and San Diego Autoquestionnaire (TEMPS-A); the Beck Hopelessness Scale (BHS); the Gotland Male Depression Scale (GMDS); the Dissociative Experiences Scale (DES); the Psychological Pain Assessment Scale (PPAS); and the Mentalization Questionnaire (MZQ), were administered to 189 psychiatrically hospitalized patients (103 women, 86 men) in Rome, Italy. RESULTS: In single-mediator models, hopelessness, depressive symptoms, and mentalization, but not psychological pain or dissociation, were significant mediators in the association between prevalent temperament and suicide risk. In a multiple-mediator model, a significant indirect effect was found only for depression. Results demonstrated that patients with negative temperaments reported higher suicide risk, psychological pain, hopelessness, and depression, and less mentalization than patients with no prevalent temperament or hyperthymic temperaments. CONCLUSIONS: Hopelessness, depression, and mentalization are all factors that mediate the relation between affective temperaments and suicide risk. Identifying factors that mediate the effects of affective temperamental makeup on suicide risk should enhance screening and intervention efforts.

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  1. Bateman, A.W., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of Personality Disorders 18(1), 36 -51.
  2. Beck, A. T., & Steer, R. A. (1993). Manual for the Beck Hopelessness Scale (2nd ed.). San Antonio, TX: Psychological Corporation.
  3. Liu, R. T., Kleiman, E. M., Nestor, B. A., & Cheek, S. M. (2015). The hopelessness theory of depression: A quarter century in review. Clinical Psychology: A Publication of the Division of Clinical Psychology of the American Psychological Association, NIH Public Access , 22 (4), 345 -365.
  4. Pössel, P., & Thomas, S. D. (2011). Cognitive triad as mediator in the hopelessness model? A threewave longitudinal study. Journal of Clinical Psychology , 67 (3), 224 -240. doi:10.1002/jclp.v67.3 · DOI
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  6. World Health Organization. (2014). Preventing suicide: A global imperative . Geneva, Switzerland: WHO Press, World Health Organization.

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Authors
Erbuto, D., Innamorati, M., Lamis, D. A., Berardelli, I., Forte, A., De Pisa, E., Migliorati, M., Serafini, G., Gonda, X., Rihmer, Z., Fiorillo, A., Amore, M., Girardi, P., & Pompili, M.
Affiliations
  • Azienda Ospedaliera Sant'Andrea (IT)
  • European University of Rome (IT)
  • Emory University (US)
  • Department of Neurosciences, Mental Health, and Sensory Organs, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
  • University of Genoa (IT)
  • Department of Psychiatry and Psychotherapy, Kútvölgyi Clinical Center, Semmelweis University, Budapest, Hungary
  • University of Campania "Luigi Vanvitelli" (IT)
Corresponding author
Erbuto, Denise
ORCID
Venue
Psychiatry
Publisher
Informa UK Limited
Published
2018-07-03
Volume
81
Issue
3
Pages
240-257
ISSN
  • 0033-2747 (ISSN-L)
  • 1943-281X
DOI
10.1080/00332747.2018.1480251
OpenAlex
W2891084198
Cited by
32
References
66
Citations by year
2026: 1 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 8 · 2021: 2 · 2020: 6 · 2019: 5 · 2018: 1
FWCI
4.11
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
  • Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
  • CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
  • Semmelweis University Repository (Semmelweis University) (submittedVersion)
Funders
Fondazione Internazionale Menarini
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
affective temperament, suicide risk, psychiatric inpatients, hopelessness, mentalization, depressive symptoms, psychological suffering, dissociation, hyperthymic temperament, mediation, suicide risk screening
MeSH terms
Mentalization, Adult, Affect, Mental Disorders, Depression, Female, Humans, Inpatients, Male, Middle Aged, Psychiatric Department, Hospital, Risk Factors, Suicide, Temperament, Hope

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