The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel

Bryan, Craig J.

doi:10.1002/jclp.20726

Cited by 103 publications

(96 citation statements)

References 29 publications

(17 reference statements)

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“…These constructs, which are part of the Interpersonal Psychological Theory, were measured with the 10-item version of the Interpersonal Needs Questionnaire (INQ; Bryan, 2011;Hill et al, 2014;Van Orden, Witte, Gordon, Bender, & Joiner, 2008). The INQ was designed to measure participants' beliefs about the extent to which they feel connected to others (i.e., belongingness) and the degree to which they feel they are a burden to others (i.e., burdensomeness).…”

Section: Methodsmentioning

confidence: 99%

The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework

Klonsky¹,

May²

2015

International Journal of Cognitive Therapy

1,285

111

1,071

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Klonsky and May (2014) argued that an "ideation-to-action" framework should guide suicide theory, research, and prevention. From this perspective, (a) the development of suicide ideation and (b) the progression from ideation to suicide attempts are distinct processes with distinct explanations. The present article introduces a specific theory of suicide rooted in the ideation-to-action framework: the Three-Step Theory (3ST). First, the theory hypothesizes that suicide ideation results from the combination of pain (usually psychological pain) and hopelessness. Second, among those experiencing both pain and hopelessness, connectedness is a key protective factor against escalating ideation. Third, the theory views the progression from ideation to attempts as facilitated by dispositional, acquired, and practical contributors to the capacity to attempt suicide. To examine the theory, the authors administered self-report measures to 910 U.S. adults utilizing Amazon's Mechanical Turk (oversampling for ideation and attempt histories). Results supported the theory's central tenets. First, an interactive model of pain and hopelessness accounted for substantial variance in suicide ideation. This result replicated in both men and women, and across age groups (i.e., 18-25, 26-35, and 36-70). Also as predicted, connectedness was most protective against ideation in those high on both pain and hopelessness. Finally, dispositional, acquired, and practical aspects of suicide capacity each predicted suicide attempt history over and above current and lifetime suicidal ideation. These initial findings support the 3ST. Implications for suicide prevention and future research are discussed.

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Section: Methodsmentioning

confidence: 99%

The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework

Klonsky¹,

May²

2015

International Journal of Cognitive Therapy

1,285

111

1,071

View full text Add to dashboard Cite

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“…6 Only 1 study included people who were identified as clinically suicidal 7 (29 elderly people who have contemplated suicide recruited from mental health inand outpatient facilities). The other studies have been done using community samples or populations of US college students.…”

Section: Study Populationsmentioning

confidence: 99%

Sense of Belonging and Suicide: A Systematic Review

Hatcher

Stubbersfield

2013

Can J Psychiatry

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Objective: To systematically review the research on the association between sense of belonging and suicide. Method:We systematically reviewed electronic databases for studies that included assessments of suicidality and belonging. Results:We found 16 studies that met our eligibility criteria. They all found an association between belonging and suicidality but nearly all of the studies were in nonclinical populations, and the association was weak and could be taken into account by confounding factors.Conclusions: Low sense of belonging has a weak association with suicidality. However, current concepts make it hard to distinguish from loneliness or other measures of social support. An alternative view of belongingness, as a sense of connectedness to things other than people and in the past as well as the present, may generate alternative ideas about useful clinical interventions that may be especially relevant to indigenous populations. W W W Sentiment d'appartenance et suicide : une revue systématiqueObjectif : Procéder à une revue systématique de la recherche sur l'association entre sentiment d'appartenance et suicide. Méthode :Nous avons recherché systématiquement dans les bases de données électroniques les études qui incluaient des évaluations de la suicidalité et de l'appartenance.Résultats : Nous avons trouvé 16 études qui satisfaisaient à nos critères d'admissibilité. Toutes constataient une association entre appartenance et suicidabilité, mais presque toutes avaient étudié des populations non cliniques, et l'association était faible et pouvait être prise en compte par des facteurs de confusion. Conclusions :Le faible sentiment d'appartenance a une association faible avec la suicidabilité. Toutefois, les concepts actuels font qu'il est difficile de distinguer entre la solitude ou d'autres mesures du soutien social. Un autre point de vue sur l'appartenance, comme sentiment d'une connectivité à des choses autres que des gens et dans le passé comme le présent, pourrait générer de nouvelles idées sur des interventions cliniques utiles qui peuvent être spécialement pertinentes pour les populations autochtones.

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“…Previous studies have found utility for such a brief screening of suicidality as done in this study (Bryan, 2011;, and the findings of the current study suggest that screening military personnel and veterans for facets of IPT in addition to overt suicidal behavior may continue to be important. Further, for those service members or veterans who present in clinical settings and are assessed as having elevated suicide risk, the facets of IPT provide important areas to work on improving for the individual.…”

Section: Discussionmentioning

confidence: 71%

“…Thwarted belongingness is applicable to individuals who genuinely lack social support networks, as well as individuals who have contact with family and friends but feel that they are not genuinely connected to them. Thwarted belongingness has been found to be associated with suicidal ideation in military samples (Bryan, 2011). It has also been found to be a common theme in suicide notes left by military personal who died by suicide (Cox et al, 2011).…”

mentioning

confidence: 98%

Optimizing Screening and Risk Assessment for Suicide Risk in the U.S. Military

Joiner¹,

Lim²,

Bender³

2015

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. REPORT DATEMarch 2015 REPORT TYPE Final Addendum DATES COVERED PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Florida State University AND ADDRESS(ES) PERFORMING ORGANIZATION REPORT NUMBER1107 W Call St Tallahassee Fl, 32306 SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 SPONSOR/MONITOR'S REPORT NUMBER(S) DISTRIBUTION / AVAILABILITY STATEMENTApproved for Public Release; Distribution Unlimited SUPPLEMENTARY NOTES ABSTRACTSuicide rates have been increasing in military personnel in the last several years (Lorge, 2008), and it is a vital goal that suicide screening and risk assessment techniques for members of the military be improved. The current project is an effort to accomplish this goal, by using a parsimonious yet fruitful research design to compare several highly promising risk assessment approaches to one another in the prediction of future suicide-related outcomes. The design has been implemented in a large military sample that has been documented to be at high risk for suicidal behavior, namely, army recruiters. Full access to the sample has been arranged. This project will deliver more efficient, economical, and effective suicide screening measures and risk assessment procedures that can be adapted to any area of the military. Suicide rates have been increasing in military personnel in the last several years (Lorge, 2008), and it is a vital goal that suicide screening and risk assessment techniques for members of the military be improved. The current project is an effort to accomplish this goal, by using a parsimonious yet fruitful research design to compare several highly promising risk assessment approaches to one another in the prediction of future suicide-related outcomes. The design has been implemented in a large military sample that has been documented to be at high risk for suicidal behavior, namely, army recruiters. Full access to the sample has was arranged. This project will deliver more efficient, economical, and effective suicide screening measures and risk assessment pro...

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The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel

Cited by 103 publications

References 29 publications

The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework

The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework

Sense of Belonging and Suicide: A Systematic Review

Optimizing Screening and Risk Assessment for Suicide Risk in the U.S. Military

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