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Impact of Interpersonal Relationships and Acquired Capability for Suicide on Suicide Attempts: A Cross-Sectional Study

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키워드

주제분류정신과학

초록

Objective This study examined the path model predicting suicide attempts (SA) by interpersonal need for suicide desire, acquired capability for suicide, the emotion dysregulation, and depression symptoms in people admitted to hospitals for medical treatment.Methods A total of 344 participants (200 depressed patients with attempted suicide, 144 depressed patients with suicidal ideation) were enrolled for this study. Depression, anxiety, emotion regulation, interpersonal needs, and acquired capability for suicide were evaluated. A model with pathways from emotion regulation difficulties and interpersonal needs to SA was proposed. Participants were divided into two groups according to the presence of SA or suicidal ideation.Results Acquired capability for suicide mediated the path from depression to SA. In the path model, difficulties in emotion regulation and interpersonal needs predicted depression significantly. Although depression itself was not significantly related to acquired capability for suicide, depression was significantly related to acquired capability for suicide in suicide attempter group.Conclusion Interventions with two factors affecting SA will clarify the suicide risk and contribute to finding risk factors.

Abstract

Objective This study examined the path model predicting suicide attempts (SA) by interpersonal need for suicide desire, acquired capability for suicide, the emotion dysregulation, and depression symptoms in people admitted to hospitals for medical treatment.Methods A total of 344 participants (200 depressed patients with attempted suicide, 144 depressed patients with suicidal ideation) were enrolled for this study. Depression, anxiety, emotion regulation, interpersonal needs, and acquired capability for suicide were evaluated. A model with pathways from emotion regulation difficulties and interpersonal needs to SA was proposed. Participants were divided into two groups according to the presence of SA or suicidal ideation.Results Acquired capability for suicide mediated the path from depression to SA. In the path model, difficulties in emotion regulation and interpersonal needs predicted depression significantly. Although depression itself was not significantly related to acquired capability for suicide, depression was significantly related to acquired capability for suicide in suicide attempter group.Conclusion Interventions with two factors affecting SA will clarify the suicide risk and contribute to finding risk factors.

참고문헌 (44)

  1. Korea Statistical Office, "Causes of death statistics in 2019", Korea Statistical Office, ~ (2020)
  2. Bilsen J, "Suicide and youth: risk factors", Front Psychiatry, 9, pp.540~ (2018)
  3. Neeleman J, "The suicidal process; prospective comparison between early and later stages", J Affect Disord, 82, pp.43~52 (2004)
  4. Van Orden KA, "The interpersonal theory of suicide", Psychol Rev, 117, pp.575~600 (2010)
  5. Van Orden KA, "Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire", Psychol Assess, 24, pp.197~215 (2012)
  6. Van Orden KA, "Perceived burdensomeness as an indicator of suicidal symptoms", Cogn Ther Res, 30, pp.457~467 (2006)
  7. Joiner TE, "Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults", J Abnorm Psychol, 118, pp.634~646 (2009)
  8. Gordon KH, "The reinforcing properties of repeated deliberate selfharm", Arch Suicide Res, 14, pp.329~341 (2010)
  9. Van Orden KA, "Suicidal desire and the capability for suicide: tests of the interpersonalpsychological theory of suicidal behavior among adults", J Consult Clin Psychol, 76, pp.72~83 (2008)
  10. Smith AR, "An examination of environmental and genetic contributions to the determinants of suicidal behavior among male twins", Psychiatry Res, 197, pp.60~65 (2012)
  11. Christensen H, "A test of the interpersonal theory of suicide in a large community-based cohort", J Affect Disord, 144, pp.225~234 (2013)
  12. Heffer T, "The role of emotion dysregulation: a longitudinal investigation of the interpersonal theory of suicide", Psychiatry Res, 260, pp.379~383 (2018)
  13. Hatkevich C, "Difficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients", Psychiatry Res, 271, pp.230~238 (2019)
  14. Ong E, "The importance of coping and emotion regulation in the occurrence of suicidal behavior", Psychol Rep, 122, pp.1192~1210 (2019)
  15. Barzilay S, "The interpersonal theory of suicide and adolescent suicidal behavior", J Affect Disord, 183, pp.68~74 (2015)
  16. Forkmann T, "Interpersonal theory of suicide: prospective examination", BJPsych Open, 6, pp.e113~ (2020)
  17. Smith PN, "The acquired capability for suicide: a comparison of suicide attempters, suicide ideators, and non-suicidal controls", Depress Anxiety, 27, pp.871~877 (2010)
  18. Ribeiro JD, "Do suicidal desire and facets of capability for suicide predict future suicidal behavior? A longitudinal test of the desire-capability hypothesis", J Abnorm Psychol, 130, pp.211~222 (2021)
  19. Van Orden KA, "Using the interpersonal theory of suicide to inform interpersonal psychotherapy with a suicidal older adult", Clin Case Stud, 11, pp.333~347 (2012)
  20. Kline T, "Psychological testing: a practical approach to design and evaluation" (2005), Sage
  21. First MB, "Comprehensive handbook of psychological assessment, vol. 2. Personality assessment", pp.134~143 (2004), John Wiley & Sons, Inc
  22. Beck AT, "Manual for the Beck scale for suicide ideation", pp.63~ (1991), Psychological Corporation
  23. Zung WW, "A self-rating depression scale", Arch Gen Psychiatry, 12, pp.63~70 (1965)
  24. Beck AT, "An inventory for measuring clinical anxiety: psychometric properties", J Consult Clin Psychol, 56, pp.893~897 (1988)
  25. Rhee MK, "A standardization study of beck depression inventory I-Korean version (K-BDI):reliability and factor analysis", Korean J Psychopathol, 4, pp.77~95 (1995)
  26. 이소라, "한국판 Barratt Impulsiveness Scale-11-Revised의 신뢰도 및 타당도 연구 ; 일반성인집단을 중심으로", 신경정신의학, 51(6), pp.378~386 (2012), 대한신경정신의학회
  27. Bender TW, "Impulsivity and suicidality:the mediating role of painful and provocative experiences", J Affect Disord, 129, pp.301~307 (2011)
  28. Seo JW, "Preliminary validation of a Korean version of the acquired capability for suicide scale-fearlessness about death", Suicide Life Threat Behav, 48, pp.305~314 (2018)
  29. Gratz KL, "Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale", J Psychopathol Behav Assess, 26, pp.41~54 (2004)
  30. Park Y, "Validation of the Korean version interpersonal needs questionnaire", Suicide Life Threat Behav, 49, pp.739~758 (2019)
  31. Curran PJ, "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis", Psychol Methods, 1, pp.16~29 (1996)
  32. Westfall PH, "On using the bootstrap for multiple comparisons", J Biopharm Stat, 21, pp.1187~1205 (2011)
  33. Arbuckle JL, "IBM SPSS Amos 21 user’s guide", IBM Software Group, ~ (2012)
  34. Kline RB, "Principles and practice of structural equation modeling" (2011), The Guilford Press
  35. Miranda R, "Rumination and hopelessness as mediators of the relation between perceived emotion dysregulation and suicidal ideation", Cogn Ther Res, 37, pp.786~795 (2013)
  36. Joiner TE, "Why people die by suicide" (2007), Harvard University Press
  37. Brent DA, "Psychiatric risk factors for adolescent suicide: a case-control study", J Am Acad Child Adolesc Psychiatry, 32, pp.521~529 (1993)
  38. Nock MK, "Mental disorders, comorbidity and suicidal behavior: results from the National Comorbidity Survey Replication", Mol Psychiatry, 15, pp.868~876 (2010)
  39. Higgins ET, "Motives of the human animal: comprehending, managing, and sharing inner states", Annu Rev Psychol, 59, pp.361~385 (2008)
  40. Eisenberg N, "Dispositional emotionality and regulation: their role in predicting quality of social functioning", J Pers Soc Psychol, 78, pp.136~157 (2000)
  41. Jahn DR, "The mediating effect of perceived burdensomeness on the relation between depressive symptoms and suicide ideation in a community sample of older adults", Aging Ment Health, 15, pp.214~220 (2011)
  42. Cukrowicz KC, "Perceived burdensomeness and suicide ideation in older adults", Psychol Aging, 26, pp.331~338 (2011)
  43. Tucker RP, "Basic need satisfaction and suicidal ideation: a self-determination perspective on interpersonal suicide risk and suicidal thinking", Arch Suicide Res, 18, pp.282~294 (2014)
  44. Sarfati Y, "Cathartic effect of suicide attempts not limited to depression: a short-term prospective study after deliberate self-poisoning", Crisis, 24, pp.73~78 (2003)

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