Open Trial and Pilot Randomized Controlled Trial of a Novel Program to Reduce Perceived Burdensomeness

Hill, Ryan M.

doi:10.25148/etd.fidc000057

Cited by 3 publications

(4 citation statements)

References 120 publications

(134 reference statements)

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“…Surprisingly, we found few interventions developed on the basis of SITB theories. For example, only one article (Hill, 2015) examined interventions derived directly from the Interpersonal Theory of Suicide (Joiner, 2005; Van Orden et al, 2010). The most commonly tested interventions are modified versions of interventions originally intended for something else and are largely disconnected from the most popular SITB theories.…”

Section: Discussionmentioning

confidence: 99%

“…Surprisingly, we found few interventions developed on the basis of SITB theories. For example, only one article (Hill, 2015) examined interventions derived directly from the Interpersonal Theory of Suicide (Joiner, 2005;Van Orden et al, 2010) Dashed line indicates null effect (i.e., Hedges's g ϭ 0); error bars represent 95% confidence intervals. Effects were significant if confidence intervals do not overlap with the dashed line.…”

Section: All Sitb Intervention Types Produce Similarly Small Effectsmentioning

confidence: 99%

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Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research.

Fox

Huang

Guzmán

et al. 2020

Psychological Bulletin

175

151

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Self-injurious thoughts and behaviors (SITBs) are major public health concerns impacting a wide range of individuals and communities. Despite major efforts to develop and refine treatments to reduce SITBs, the efficacy of SITB interventions remains unclear. To provide a comprehensive summary of SITB treatment efficacy, we conducted a meta-analysis of published randomized controlled trials (RCTs) that have attempted to reduce SITBs. A total of 591 published articles from 1,125 unique RCTs with 3,458 effect sizes from the past 50 years were included. The random-effects meta-analysis yielded surprising findings: The overall intervention effects were small across all SITB outcomes; despite a near-exponential increase in the number of RCTs across five decades, intervention efficacy has not improved; all SITB interventions produced similarly small effects, and no intervention appeared significantly and consistently stronger than others; the overall small intervention effects were largely maintained at follow-up assessments; efficacy was similar across age groups, though effects were slightly weaker for child/adolescent populations and few studies focused on older adults; and major sample and study characteristics (e.g., control group type, treatment target, sample size, intervention length) did not consistently moderate treatment efficacy. This meta-analysis suggests that fundamental changes are needed to facilitate progress in SITB intervention efficacy. In particular, powerful interventions target the necessary causes of pathology, but little is known about SITB causes (vs. SITB correlates and risk factors). The field would accordingly benefit from the prioritization of research that aims to identify and target common necessary causes of SITBs.

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Section: Discussionmentioning

confidence: 99%

“…Surprisingly, we found few interventions developed on the basis of SITB theories. For example, only one article (Hill, 2015) examined interventions derived directly from the Interpersonal Theory of Suicide (Joiner, 2005;Van Orden et al, 2010) Dashed line indicates null effect (i.e., Hedges's g ϭ 0); error bars represent 95% confidence intervals. Effects were significant if confidence intervals do not overlap with the dashed line.…”

Section: All Sitb Intervention Types Produce Similarly Small Effectsmentioning

confidence: 99%

Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research.

Fox

Huang

Guzmán

et al. 2020

Psychological Bulletin

175

151

View full text Add to dashboard Cite

show abstract

“…Programs developed for use with adolescent populations, particularly those that target positive interpersonal skills or relationship development, may also be useful for preventive intervention. Programs like the Interpersonal Therapy‐Adolescent Skills Training (IPT‐AST; Young, Mufson, & Gallop, ) or the LEAP intervention (Hill & Pettit, ) address forming and maintaining positive relationships, and may impact adaptive interpersonal trust beliefs.…”

Section: Discussionmentioning

confidence: 99%

Interpersonal Trust and Suicide Ideation Among Adolescent Psychiatric Inpatients: An Indirect Effect via Perceived Burdensomeness

Hill

Penner

Vanwoerden

et al. 2018

Suicide & Life Threat Behav

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The identification of theoretically and empirically supported correlates of suicide ideation is important to improve treatment approaches to suicide. This study sought to examine the association between interpersonal trust (theoretically conceptualized as a distal risk marker) and suicide ideation in adolescence. Specifically, it was hypothesized that interpersonal trust would be negatively associated with suicide ideation via perceived burdensomeness and thwarted belongingness (conceptualized as more proximal risk markers). Data were drawn from a cross-sectional sample of 387 adolescent inpatients between the ages of 12 and 17 years (M = 14.72, SD = 1.49). The sample was 63.6% female, 37.5% Hispanic, 26.9% African American/Black, and 25.8% Caucasian. Adolescents completed a series of self-report measures to assess thwarted belongingness, perceived burdensomeness, interpersonal trust, depressive symptoms, and suicide ideation. A structural equation model was fit to the data, and results demonstrated a significant indirect path from interpersonal trust to suicide ideation via perceived burdensomeness, but not thwarted belongingness. Results suggest that interpersonal trust may be a distal risk marker for suicide ideation and that interventions to increase interpersonal trust may help prevent the development of thwarted belongingness, perceived burdensomeness, and suicide ideation.

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“…Despite extensive validation efforts, previous research has focused largely on adult populations. The INQ has been extended for use in multiple studies of children and adolescents (e.g., Buitron et al, 2016; Hill, Kaplow, Oosterhoff, & Layne, 2019; Opperman et al, 2015), including studies evaluating interventions designed to target perceived burdensomeness (e.g., Hill & Pettit, 2019) and to predict treatment outcomes among youth (Hains et al, 2019). However, scales initially developed for use with adults may not demonstrate equivalent performance when used with adolescents, which could be due to developmental differences in construct validity, reading skills, and/or the ability to interpret reverse‐scored questions (Benson & Hocevar, 1985; Locker et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Performance of the interpersonal needs questionnaire in adolescent clinical samples: Confirmatory factor analyses and evaluation of measurement invariance

Hill

Mellick

Alvis

et al. 2020

Suicide & Life Threat Behav

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Objective This study evaluated the factor structure, internal consistency reliability, construct and criterion validity, and measurement invariance of the Interpersonal Needs Questionnaire (INQ) among adolescents. Method Participants (N = 539) included three distinct samples of youth drawn from two outpatient psychology clinics and an inpatient psychiatric unit. The combined sample was 63.3% female and had a mean age of 14.95 years (SD = 1.31 years). All participants completed the INQ as well as measures of depressive symptoms and suicide ideation. Results Confirmatory factor analyses indicated that the removal of three items from the thwarted belongingness subscale of the INQ was needed to achieve acceptable model fit. The resulting combined 12‐item scale demonstrated good factor structure, internal consistency reliability, construct validity, and criterion validity. The modified 12‐item INQ also demonstrated scalar invariance across subgroups defined by sex, race, and age. Conclusions Findings support the use of this reduced 12‐item version of the INQ among adolescents. Youth may have difficulty accurately responding to changes in item valence; thus, future research with youth should consider using a 12‐item version of the INQ that avoids valence changes within subscales.

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Open Trial and Pilot Randomized Controlled Trial of a Novel Program to Reduce Perceived Burdensomeness

Abstract: Strengths and weaknesses of the present studies are discussed, and considerations for future research directions are noted.

Cited by 3 publications

References 120 publications

Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research.

Interventions for suicide and self-injury: A meta-analysis of randomized controlled trials across nearly 50 years of research.

Interpersonal Trust and Suicide Ideation Among Adolescent Psychiatric Inpatients: An Indirect Effect via Perceived Burdensomeness

Performance of the interpersonal needs questionnaire in adolescent clinical samples: Confirmatory factor analyses and evaluation of measurement invariance

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