Comparing the role of perceived burdensomeness and thwarted belongingness in prospectively predicting active suicidal ideation

Abstract

Objective The Interpersonal Theory of Suicide has been foundational in guiding current suicide literature. Despite recent research underscoring fluctuations of suicidal ideation within hours, there have been few studies examining the key constructs of perceived burdensomeness and thwarted belongingness within an intensive framework. Thus, the current study aimed to add cumulative knowledge regarding the within‐person relationship between perceived burdensomeness, thwarted belongingness, and active suicidal ideation as assessed within an ecological momentary assessment design. Method A final sample of 35 individuals with a past‐year history of suicidal thoughts or behaviors completed brief surveys four times per day for 30 days. Results Findings highlighted that the addition of covariates may offer small improvements in modeling subsequent suicidal ideation, while controlling for SI at the prior time. Further, both thwarted belongingness and perceived burdensomeness were associated with next timepoint suicidal ideation, and their interaction added little incremental value. Conclusion Findings demonstrate the potential importance of thwarted belongingness in predicting suicidal ideation. Further, results highlight that the main effects of thwarted belongingness and perceived burdensomeness, rather than their interaction, may be more important to consider in relation to active suicidal ideation.

Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments

“…Mean PAC1 for acquired, dispositional, practical, and perceived capabilities were similar to thwarted belongingness (0.18) and perceived burdensomeness (0.17) reported by Jacobucci et al. (2022).…”

“…It provides an average measure of variance with larger values indicating greater variability (Egbert et al., 2022). In addition to the MSSD average variance, acute increases of change (i.e., 1‐,2‐, and 3‐point changes similar to Jacobucci et al., 2022) using the PAC index (Jahng et al., 2008) were examined. The PAC indicates the probability of an acute increase from one assessment to the next.…”

A Comparative Case Analysis of Passively Collected Smartphone-Based Data in the Days Prior to Psychiatric Hospitalization for a Suicidal Crisis

“…"), along with straightforward processing to derive risk score cutoffs that indicate required follow-up by study staff and the ability to readily access such data (i.e., manually examining responses). As noted above, there are potential issues with relying on active assessment responses (i.e., non-compliance; see Jacobucci et al, 2023;Jiang et al, 2023) However, the use of passively collected data (broadly defined) also presents a number of challenges for utilization in ascertaining risk. The first is the clear lack of published research on which data sources are valid markers of risk.…”

Ecological Momentary Assessment of Self-Harm Thoughts and Behaviors: Systematic Review of Constructs From the Integrated Motivational-Volitional Model (Preprint)

“…Sixteen studies measured perceived burdensomeness in daily diary studies [30,31,33,41,65,76] or with three or more assessments per day [25,36,42,51,54,59,[68][69][70]72]. Operationalisation of perceived burdensomeness was more homogenous across studies than for some of the other constructs.…”