Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-19T05:50:39.121Z Has data issue: false hasContentIssue false
  • English
  • Français

Correlations between interpersonal and cognitive difficulties: Relationship to suicidal ideation in military suicide attempters

Published online by Cambridge University Press:  15 April 2020

L. Shelef ,
E. Fruchter ,
J.J. Mann  and
A. Yacobi
L. Shelef
Affiliation:
Mental Health Unit, Medical Corps, Israel Defense Force, Israel
E. Fruchter
Affiliation:
Mental Health Unit, Medical Corps, Israel Defense Force, Israel
J.J. Mann
Affiliation:
Division of Molecular Imaging and Neuropathology, Department of Psychiatry Columbia University, New York, NY, USA
A. Yacobi*
Affiliation:
Mental Health Unit, Medical Corps, Israel Defense Force, Israel Geha Mental Health Center and Sackler School of Medicine, Tel Aviv University 7 Ha’avoda Street, POB 323, Givea’t Shemuel, Tel AvivIsrael
*
*Corresponding author at: Geha Mental Health Center and Sackler School of Medicine, Tel Aviv University, 7 Ha’avoda Street, POB 323, Givea’t Shemuel, Tel Aviv, Israel. Tel.: +972 54 20876549.
Get access

Abstract

Background

Understanding suicidal ideation may help develop more effective suicide screening and intervention programs. The interpersonal and the cognitive-deficit theories seek to describe the factors leading to suicidal behavior. In the military setting it is common to find over- and under-reporting of suicidal ideation. This study sought to determine the relationship between these two models and determine to what degree their components can indirectly predict suicidal ideation.

Methods

Suicide attempters (n = 32) were compared with non-suicidal psychologically treated peers (n = 38) and controls (n = 33), matched for sex and age (mean 19.7 years). Pearson's analysis was used to quantify the relationship between the variables from the two models and hierarchal regression analysis was used to determine the explanation of suicidal ideation variance by these variables.

Results

Suicide attempters have more difficulties in problem-solving, negative emotion regulation and burdensomeness compared with their peers (P < .001). These variables are all closely correlated with each other and to suicide ideation (r > ± 0.5; P < .001). Prior suicide attempt, loneliness and burdensomeness together explain 65% (P < .001) of the variance in suicidal ideation.

Conclusions

Suicidal ideation is strongly correlated with components of interpersonal and cognitive difficulties. In addition to assessing current suicidal ideation, clinicians should assess past suicide attempt, loneliness and burdensomeness.

Keywords

BurdensomenessLonelinessHabituationProblem-solving abilitySuicide ideationMilitary
Type
Original article
Information
European Psychiatry , Volume 29 , Issue 8 , October 2014 , pp. 498 - 502
Copyright
Copyright © Elsevier Masson SAS 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allen, J.P., Cross, G., Swanner, J.Suicide in the army: a review of current information. Mil Med 2005;170(7):580–584. [Epub 2005/09/01].CrossRefGoogle ScholarPubMed
Anestis, M.D., Bagge, C.L., Tull, M.T., Joiner, T.E.Clarifying the role of emotion dysregulation in the interpersonal-psychological theory of suicidal behavior in an undergraduate sample. J Psychiatr Res 2011;45(5):603–611. [Epub 2010/11/26].CrossRefGoogle Scholar
Baumeister, R.F.Suicide as escape from self. Psychol Rev 1990;97(1):90–113. [Epub 1990/01/01].CrossRefGoogle ScholarPubMed
Baumeister, R.F., DeWall, C.N., Ciarocco, N.J., Twenge, J.M.Social exclusion impairs self-regulation. J Pers Soc Psychol 2005;88(4):589–604. [Epub 2005/03/31].CrossRefGoogle ScholarPubMed
Beck, A.T., Steer, R.A., Ranieri, W.F.Scale for Suicide Ideation: psychometric properties of a self-report version. J Clin Psychol 1988;44(4):499–505. [Epub 1988/07/01].3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Bryan, C.J., Morrow, C.E., Anestis, M.D., Joiner, T.E.A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample. Pers Individual Differ 2010;48:347–350.CrossRefGoogle Scholar
Catanzaro, S.J., Mearns, J.Measuring generalized expectancies for negative mood regulation: initial scale development and implications. J Pers Assess 1990;54(3–4):546–563. [Epub 1990/01/01].CrossRefGoogle ScholarPubMed
Conner, K.R., Britton, P.C., Sworts, L.M., Joiner, T.E. Jr.Suicide attempts among individuals with opiate dependence: the critical role of belonging. Addict Behav 2007;32(7):1395–1404. [Epub 2006/11/14].CrossRefGoogle ScholarPubMed
Cukrowicz, K.C., Cheavens, J.S., Van Orden, K.A., Ragain, R.M., Cook, R.L.Perceived burdensomeness and suicide ideation in older adults. Psychol Aging 2011;26(2):331–338. [Epub 2011/03/16].CrossRefGoogle ScholarPubMed
Dour, H.J., Cha, C.B., Nock, M.K.Evidence for an emotion-cognition interaction in the statistical prediction of suicide attempts. Behav Res Ther 2011;49(4):294–298. [Epub 2011/03/01].CrossRefGoogle ScholarPubMed
D’Zurilla, T.J., Chang, E.C., Nottingham, E.J.T., Faccini, L.Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. J Clin Psychol 1998;54(8):1091–1107. [Epub 1998/12/05].3.0.CO;2-J>CrossRefGoogle ScholarPubMed
Esposito, C., Spirito, A., Boergers, J., Donaldson, D.Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. Suicide Life Threat Behav 2003;33(4):389–399. [Epub 2003/12/26].CrossRefGoogle ScholarPubMed
Heppner, P.P.P.The development and implication of a personal problem-solving inventory. J Couns Psychol 1982;29(1):66–75.CrossRefGoogle Scholar
Joiner, T.E. Jr., Conwell, Y., Fitzpatrick, K.K., Witte, T.K., Schmidt, N.B., Berlim, M.T.et al.Four studies on how past and current suicidality relate even when “everything but the kitchen sink” is covaried. J Abnorm Psychol 2005;114(2):291–303. [Epub 2005/05/05].CrossRefGoogle Scholar
Joiner, T.E. Jr., Van Orden, K.A., Witte, T.K., Selby, E.A., Ribeiro, J.D., Lewis, R.et al.Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults. J Abnorm Psychol 2009;118(3):634–646. [Epub 2009/08/19].CrossRefGoogle ScholarPubMed
Labelle, R., Breton, J.J., Pouliot, L., Dufresne, M.J., Berthiaume, C.Cognitive correlates of serious suicidal ideation in a community sample of adolescents. J Affect Disord 2013;145(3):370–37710.1016/j.jad.2012.08.027 [Epub 2012 Oct 24].CrossRefGoogle Scholar
Mann, J.J.A current perspective of suicide and attempted suicide. Ann Intern Med 2002;136(4):302–311. [Epub 2002/02/19].CrossRefGoogle ScholarPubMed
Deaths by suicide while on active duty, active and reserve components, US Armed Forces, 1998–2011. MSMR 2012;19(6):7–10. http://www.ncbi.nlm.nih.gov/pubmed/?term=Deaths+by+suicide+while+on+active+duty%2C+active+and+reserve+components%2C+US+Armed+454+Forces. [Epub 2012/07/12].Google Scholar
Nademin, E., Jobes, D.A., Pflanz, S.E., Jacoby, A.M., Ghahramanlou-Holloway, M., Campise, R.et al.An investigation of interpersonal-psychological variables in air force suicides: a controlled-comparison study. Arch Suicide Res 2008;12(4):309–326. [Epub 2008/10/02].CrossRefGoogle ScholarPubMed
Nock, M.K., Joiner, T.E. Jr., Gordon, K.H., Lloyd-Richardson, E., Prinstein, M.J.Non-suicidal self-injury among adolescents: diagnostic correlates and relation to suicide attempts. Psychiatry Res 2006;144(1):65–72. [Epub 2006/08/05].CrossRefGoogle ScholarPubMed
Orbach, I.Mental pain and suicide. Isr J Psychiatry Relat Sci 2003;40(3):191–201. [Epub 2003/11/19].Google ScholarPubMed
Orbach, I.B., Mikulincer, R., Gilboa-Schechtman, M., Rogolsky, E., Retzoni, M.Perceiving a problem-solving task as a threat and suicidal behavior in adolescents. J Soc Clin Psychol 2007;26(9):1010–1034.CrossRefGoogle Scholar
Posner, K., Oquendo, M.A., Gould, M., Stanley, B., Davies, M.Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA's pediatric suicidal risk analysis of antidepressants. Am J Psychiatry 2007;164(7):1035–1043. [Epub 2007/07/04].CrossRefGoogle ScholarPubMed
Prinstein, M.J., Boergers, J., Spirito, A., Little, T.D., Grapentine, W.L.Peer functioning, family dysfunction, and psychological symptoms in a risk factor model for adolescent inpatients’ suicidal ideation severity. J Clin Child Psychol 2000;29(3):392–405. [Epub 2000/09/02].CrossRefGoogle Scholar
Russell, D., Peplau, L.A., Cutrona, C.E.The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. J Pers Soc Psychol 1980;39(3):472–480. [Epub 1980/09/01].CrossRefGoogle ScholarPubMed
Selby, E.A., Anestis, M.D., Bender, T.W., Ribeiro, J.D., Nock, M.K., Rudd, M.D.et al.Overcoming the fear of lethal injury: evaluating suicidal behavior in the military through the lens of the Interpersonal-Psychological Theory of Suicide. Clin Psychol Rev 2010;30(3):298–307. [Epub 2010/01/07].CrossRefGoogle ScholarPubMed
Van Orden, K.A., Witte, T.K., Gordon, K.H., Bender, T.W., Joiner, T.E. Jr.Suicidal desire and the capability for suicide: tests of the interpersonal-psychological theory of suicidal behavior among adults. J Consult Clin Psychol 2008;76(1):72–83. [Epub 2008/01/31].CrossRefGoogle ScholarPubMed
Velting, O.N., Albano, A.M.Current trends in the understanding and treatment of social phobia in youth. J Child Psychol Psychiatry 2001;42(1):127–140. [Epub 2001/02/24].CrossRefGoogle ScholarPubMed
Yacobi, A., Fruchter, E., Mann, J.J., Shelef, L.Differentiating army suicide attempters from psychologically treated and untreated soldiers: a demographic, psychological and stress-reaction characterization. J Affect Disord 2013;150(2):300–305. http://dx.doi.org/10.1016/j.jad.2013.04.009. [Epub 2013 May 10].CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.