Mindfulness Moderates the Association Between Perceived Burdensomeness and Suicide Ideation in Adults With Elevated Depressive Symptoms

Buitron, Victor; Hill, Ryan M.; Pettit, Jeremy W.

doi:10.1111/sltb.12314

Cited by 18 publications

(7 citation statements)

References 31 publications

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“…While IPTS theorizes that perceived burdensomeness and thwarted belonging are sufficient causes for a desire for death, a contextual behavioral science perspective would assert that these negative self-evaluations would only be seen as threatening to the extent that individuals experience them as “needs” for well-being at all, rather than difficult thoughts that one can respond to in many ways. Consistent with this prediction, flexible responses such as mindfulness ( Buitron, Hill, & Pettit, 2017 ; Collins, Best, Strizke, & Page, 2016 ) and pursuing personal values ( Bahraini et al, 2013 ) weaken the impacts of interpersonal need strain on task persistence or suicidal ideation. In contrast, thwarted belongingness demonstrates stronger links to suicidal ideation for those who value interpersonal relationships (i.e., who are failing that value; Monteith, Pease, Forster, Homaifar, & Bahraini, 2015 ).…”

Section: Introductionmentioning

confidence: 80%

Modeling suicide risk among parents during the COVID-19 pandemic: Psychological inflexibility exacerbates the impact of COVID-19 stressors on interpersonal risk factors for suicide

Crasta

Daks

Rogge

2020

Journal of Contextual Behavioral Science

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Public health researchers have raised the concern that both the 2019 coronavirus disease (COVID-19) pandemic and the ensuing public health response will increase interpersonal stressors associated with suicide risk. The Acceptance and Commitment Therapy (ACT) framework conceptualizes psychological flexibility as an important way to reduce the impact of painful and even catastrophic events on psychological suffering. The current study examines psychological flexibility as a potential moderator of the prevailing interpersonal model of suicide risk. METHODS: A sample of 1003 parents (73% female, 82% Caucasian 86% in romantic relationships) were recruited as part of a larger study on the COVID-19 pandemic and family functioning from Mach 27th to the end of April 2020, the height of the United States’ “first wave.” Participants completed measures of psychological flexibility (the Multidimensional Psychological Flexibility inventory; MPFI), interpersonal constructs (perceived burdensomeness and thwarted belongingness), desire for death, COVID-19 related stressors (resource strain and loss due to COVID-19). RESULTS: Moderated-mediation path models highlighted a significant indirect association between COVID-19 stressors and desire for death mediated by perceived burdensomeness to others. This indirect pathway was moderated by psychological inflexibility such that links were strongest at high levels of inflexibility and weak or non-significant at low levels of inflexibility. Results were generally consistent across five of the six facets of inflexibility. DISCUSSION: The findings highlight the value of targeting psychological inflexibility as an important strategy to reduce suicide risk during the COVID-19 pandemic. Implications of patterns of results across different facets for treatment approach are discussed.

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Section: Introductionmentioning

confidence: 80%

Modeling suicide risk among parents during the COVID-19 pandemic: Psychological inflexibility exacerbates the impact of COVID-19 stressors on interpersonal risk factors for suicide

Crasta

Daks

Rogge

2020

Journal of Contextual Behavioral Science

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“…It is thus possible that suicide‐specific care which addresses how individuals are thinking may be more effective than treatments which address what individuals are thinking. Only a handful of studies have been conducted on ACT for treating individuals experiencing SI, but the few that have been conducted show preliminary evidence that ACT might be effective in reducing suicide risk (Buitron, Hill, & Pettit, ; Hayes, Pistorello, & Biglan, ).…”

Section: Discussionmentioning

confidence: 99%

Suicide‐Specific Cognitions, Attentional Fixation, and Worst‐Point Suicidal Ideation

Moscardini

Aboussouan

Bryan

et al. 2020

Suicide & Life Threat Behav

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Objective The fluid vulnerability theory of suicide posits that each person has a baseline risk for suicide, which is comprised of both stable and dynamic factors. The current study investigated the unique involvement of suicide‐specific cognitions and attentional fixation on recent suicidal ideation (SI) and SI at its worst. Method Data were analyzed from a sample of N = 126 undergraduate students with a history of SI. Path analyses were used to analyze the relationship between suicide‐specific cognitions, attentional fixation, and SI (current and worst point). Results Results revealed that suicide‐specific cognitions were directly related to both recent SI and worst‐point SI. Suicide‐specific cognitions had a significant, indirect effect with worst‐point SI through attentional fixation, but this effect was not significant when using recent SI. Conclusion These data support the need for interventions to target cognitive contents and contexts (e.g., fixation) to reduce escalation of SI. Future work would benefit from replicating and extending results in studies that include prospective designs and the assessment of suicidal behaviors.

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“…Studies have found that the search for meaning in life, viewed as a resilience factor, mediates the association between the IPTS variables and suicidal ideation (Kleiman & Beaver, 2013). Both self-forgiveness and mindfulness, also deemed to be resilience factors, have been found to moderate the relation between perceived burdensomeness and suicidal ideation (Buitron, Hill, & Pettit, in press; Cheavens, Cukrowicz, Hansen, & Mitchell, 2016). The current investigation expands upon this body of work by attending to suicide resilience as an outcome variable.…”

Section: Discussionmentioning

confidence: 99%

Child Abuse—Suicide Resilience Link in African American Women: Interpersonal Psychological Mediators

Allbaugh

Flórez

Turmaud

et al. 2017

Journal of Aggression, Maltreatment & Trauma

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The interpersonal-psychological theory of suicidal behavior (IPTS) is an exemplary model for understanding the desire for suicidal behavior. As such, it is important to explore its applicability in ethnoracial minority groups at increasing risk for suicidal behavior, such as low-income African American women. Guided by the IPTS, the current study used five parallel mediation models to examine if there are links between individual types of childhood abuse (physical, sexual, emotional) and suicide resilience and between cumulative abuse (higher levels of abuse inclusive of all three types, more types of severe levels of abuse) and suicide resilience, and whether the three components of the model (thwarted belongingness, perceived burdensomeness, acquired capability for suicide) mediate these associations. In a sample of low-income, African American women (n = 179), higher levels of each of the three types of childhood abuse and cumulative abuse correlated with lower levels of suicide resilience. Parallel mediation analyses using bootstrapping techniques revealed that increased acquired capability for suicide mediated all five associations and perceived burdensomeness mediated three of the links (emotional abuse, cumulative abuse, and cumulative abuse-severe with suicide resilience). Attention is paid to the clinical implications of the findings in terms of attending to the acquired capability for suicide and suicide resilience in the assessment and treatment of low-income, suicidal, African American women.

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Mindfulness Moderates the Association Between Perceived Burdensomeness and Suicide Ideation in Adults With Elevated Depressive Symptoms

Cited by 18 publications

References 31 publications

Modeling suicide risk among parents during the COVID-19 pandemic: Psychological inflexibility exacerbates the impact of COVID-19 stressors on interpersonal risk factors for suicide

Modeling suicide risk among parents during the COVID-19 pandemic: Psychological inflexibility exacerbates the impact of COVID-19 stressors on interpersonal risk factors for suicide

Suicide‐Specific Cognitions, Attentional Fixation, and Worst‐Point Suicidal Ideation

Child Abuse—Suicide Resilience Link in African American Women: Interpersonal Psychological Mediators

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