Perceived problem-solving deficits and suicidal ideation: Evidence for the explanatory roles of thwarted belongingness and perceived burdensomeness in five samples.
Perceived problem-solving deficits and suicidal ideation: Evidence for the explanatory roles of thwarted belongingness and perceived burdensomeness in five samples.
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DOI：
10.1037/pspp0000152
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发表时间：
2018-07
影响因子：
7.6
通讯作者：
Joiner TE
中科院分区：
文献类型：
--
作者：
Chu C;Walker KL;Stanley IH;Hirsch JK;Greenberg JH;Rudd MD;Joiner TE
感知的社会问题解决缺陷与自杀风险有关;然而，很少有研究探讨这种关系的机制。自杀的人际关系理论提出了自杀欲望的两种发病机制：顽固的挫败感（TB）和知觉负担感（PB）。本研究测试了TB和PB是否可以解释感知的社会问题解决（SPS）缺陷和自杀相关行为之间的关系，横截面和纵向。TB和PB的特异性通过测试抑郁作为竞争介质进行了评估。自我报告的措施，感知SPS赤字，结核病，PB，自杀意念，抑郁症进行了管理，在五个成年人样本：336和105名大学生从两所大学，53无家可归的人，222名初级保健患者，329名军人。进行了偏倚校正的自举中介和荟萃分析，以检查直接和间接效应的大小，并使用零膨胀负二项回归测试了拟议的中介路径。TB和PB之间的关系感知SPS赤字和跨部门的构思，超越抑郁症的显着平行介质。在纵向上，除了抑郁症，在一项研究中，TB和PB都是重要的解释因素，而在另一项研究中，只有PB是一个重要的中介因素。研究结果支持TB和PB的特异性：抑郁和SPS缺陷不是重要的介质。知觉SPS赤字和构思之间的关系被解释的人际关系理论变量，特别是PB。研究结果支持了一种新的人际关系理论的应用，并支持了越来越多的文献涉及感知SPS赤字自杀风险。
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 two 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 suicide-related 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 five adult samples: 336 and 105 undergraduates from two 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. TB and PB were significant parallel mediators of the relationship between perceived SPS deficits and ideation cross-sectionally, beyond depression. Longitudinally and beyond depression, in one 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.
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影响因子：
4.3
作者：
Bryan, Craig J.;Morrow, Chad E.;Joiner, Thomas E.
通讯作者：
Joiner, Thomas E.
影响因子：
3.2
作者：
Batterham, Philip J.;Calear, Alison L.;van Spijker, Bregje A. J.
通讯作者：
van Spijker, Bregje A. J.
影响因子：
4.3
作者：
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通讯作者：
Hirsch, Jameson K.
DOI：
10.1111/j.1467-8721.2007.00469.x
发表时间：
2007-02-01
影响因子：
7.2
作者：
Blanchard-Fields, Fredda
通讯作者：
Blanchard-Fields, Fredda
影响因子：
9.8
作者：
Cheung, Mike W. -L.;Cheung, Shu Fai
通讯作者：
Cheung, Shu Fai