The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research.

Abstract:

:Over the past decade, the interpersonal theory of suicide has contributed to substantial advances in the scientific and clinical understanding of suicide and related conditions. The interpersonal theory of suicide posits that suicidal desire emerges when individuals experience intractable feelings of perceived burdensomeness and thwarted belongingness and near-lethal or lethal suicidal behavior occurs in the presence of suicidal desire and capability for suicide. A growing number of studies have tested these posited pathways in various samples; however, these findings have yet to be evaluated meta-analytically. This paper aimed to (a) conduct a systematic review of the unpublished and published, peer-reviewed literature examining the relationship between interpersonal theory constructs and suicidal thoughts and behaviors, (b) conduct meta-analyses testing the interpersonal theory hypotheses, and (c) evaluate the influence of various moderators on these relationships. Four electronic bibliographic databases were searched through the end of March, 2016: PubMed, Medline, PsycINFO, and Web of Science. Hypothesis-driven meta-analyses using random effects models were conducted using 122 distinct unpublished and published samples. Findings supported the interpersonal theory: the interaction between thwarted belongingness and perceived burdensomeness was significantly associated with suicidal ideation; and the interaction between thwarted belongingness, perceived burdensomeness, and capability for suicide was significantly related to a greater number of prior suicide attempts. However, effect sizes for these interactions were modest. Alternative configurations of theory variables were similarly useful for predicting suicide risk as theory-consistent pathways. We conclude with limitations and recommendations for the interpersonal theory as a framework for understanding the suicidal spectrum. (PsycINFO Database Record

journal_name

Psychol Bull

journal_title

Psychological bulletin

authors

Chu C,Buchman-Schmitt JM,Stanley IH,Hom MA,Tucker RP,Hagan CR,Rogers ML,Podlogar MC,Chiurliza B,Ringer FB,Michaels MS,Patros CHG,Joiner TE

doi

10.1037/bul0000123

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1313-1345

issue

12

eissn

0033-2909

issn

1939-1455

pii

2017-47896-001

journal_volume

143

pub_type

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