Testing the interpersonal theory of suicide in adolescents: A multi-wave longitudinal study.
Suicide
adolescence
longitudinal studies
risk factors
social factors
Journal
Journal of child psychology and psychiatry, and allied disciplines
ISSN: 1469-7610
Titre abrégé: J Child Psychol Psychiatry
Pays: England
ID NLM: 0375361
Informations de publication
Date de publication:
20 Jul 2023
20 Jul 2023
Historique:
accepted:
19
06
2023
medline:
21
7
2023
pubmed:
21
7
2023
entrez:
20
7
2023
Statut:
aheadofprint
Résumé
Suicide is a major public health crisis among youth. Several prominent theories, including the Interpersonal Theory of Suicide (IPTS), aim to characterize the factors leading from suicide ideation to action. These theories are largely based on findings in adults and require testing and elaboration in adolescents. Data were examined from high-risk 13-18-year-old adolescents (N = 167) participating in a multi-wave, longitudinal study; 63% of the sample exhibited current suicidal thoughts or recent behaviors (n = 105). The study included a 6-month follow-up period with clinical interviews and self-report measures at each of the four assessments as well as weekly smartphone-based assessments of suicidal thoughts and behaviors. Regression and structural equation models were used to probe hypotheses related to the core tenets of the IPTS. Feelings of perceived burdensomeness were associated with more severe self-reported suicidal ideation (b = 0.58, t(158) = 7.64, p < .001). Similarly, burdensomeness was associated with more frequent ideation based on weekly smartphone ratings (b = 0.11, t(1460) = 3.41, p < .001). Contrary to IPTS hypotheses, neither feelings of thwarted belongingness, nor interactions between burdensomeness and thwarted belongingness were significantly associated with ideation (ps > .05). Only elevated depression severity was associated with greater odds of suicide events (i.e., suicide attempts, psychiatric hospitalizations, and/or emergency department visits for suicide concerns) during the follow-up period (OR = 1.83, t(158) = 2.44, p = .01). No effect of acquired capability was found. Perceptions of burdensomeness to others reflect a critical risk factor for suicidal ideation among high-risk adolescents. Null findings with other IPTS constructs may suggest a need to adopt more developmentally sensitive models or measures of interpersonal and acquired capability risk factors for youth. Refining methods and theoretical models of suicide risk may help improve the identification of high-risk cases and inform clinical intervention.
Sections du résumé
BACKGROUND
BACKGROUND
Suicide is a major public health crisis among youth. Several prominent theories, including the Interpersonal Theory of Suicide (IPTS), aim to characterize the factors leading from suicide ideation to action. These theories are largely based on findings in adults and require testing and elaboration in adolescents.
METHODS
METHODS
Data were examined from high-risk 13-18-year-old adolescents (N = 167) participating in a multi-wave, longitudinal study; 63% of the sample exhibited current suicidal thoughts or recent behaviors (n = 105). The study included a 6-month follow-up period with clinical interviews and self-report measures at each of the four assessments as well as weekly smartphone-based assessments of suicidal thoughts and behaviors. Regression and structural equation models were used to probe hypotheses related to the core tenets of the IPTS.
RESULTS
RESULTS
Feelings of perceived burdensomeness were associated with more severe self-reported suicidal ideation (b = 0.58, t(158) = 7.64, p < .001). Similarly, burdensomeness was associated with more frequent ideation based on weekly smartphone ratings (b = 0.11, t(1460) = 3.41, p < .001). Contrary to IPTS hypotheses, neither feelings of thwarted belongingness, nor interactions between burdensomeness and thwarted belongingness were significantly associated with ideation (ps > .05). Only elevated depression severity was associated with greater odds of suicide events (i.e., suicide attempts, psychiatric hospitalizations, and/or emergency department visits for suicide concerns) during the follow-up period (OR = 1.83, t(158) = 2.44, p = .01). No effect of acquired capability was found.
CONCLUSIONS
CONCLUSIONS
Perceptions of burdensomeness to others reflect a critical risk factor for suicidal ideation among high-risk adolescents. Null findings with other IPTS constructs may suggest a need to adopt more developmentally sensitive models or measures of interpersonal and acquired capability risk factors for youth. Refining methods and theoretical models of suicide risk may help improve the identification of high-risk cases and inform clinical intervention.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIMH NIH HHS
ID : T32 MH016434
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH016434-42
Pays : United States
Organisme : NIMH NIH HHS
ID : U01 MH116923
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH126181
Pays : United States
Informations de copyright
© 2023 Association for Child and Adolescent Mental Health.
Références
Al-Dajani, N., & Czyz, E.K. (2022). Suicidal desire in adolescents: An examination of the interpersonal psychological theory using daily diaries. Journal of Clinical Child and Adolescent Psychology, 53, 1-15.
Angold, A., Costello, E.J., Messer, S.C., Pickles, A., Winder, F., & Silver, D. (1995). The development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237-249.
Auerbach, R.P., Kertz, S., & Gardiner, C.K. (2012). Predicting adolescent risky behavior engagement: The role of cognitive vulnerability and anxiety. International Journal of Cognitive Therapy, 5, 300-315.
Barzilay, S., Apter, A., Snir, A., Carli, V., Hoven, C.W., Sarchiapone, M., … & Wasserman, D. (2019). A longitudinal examination of the interpersonal theory of suicide and effects of school-based suicide prevention interventions in a multinational study of adolescents. Journal of Child Psychology and Psychiatry, 60, 1104-1111.
Barzilay, S., Yaseen, Z.S., Hawes, M., Kopeykina, I., Ardalan, F., Rosenfield, P., … & Galynker, I. (2019). Determinants and predictive value of clinician assessment of short-term suicide risk. Suicide & Life-Threatening Behavior, 49, 614-626.
Bates, D., Mächler, M., Bolker, B., & Walker, S. (2014). Fitting linear mixed-effects models using lme4. In arXiv [stat.CO]. arXiv. Available from: http://arxiv.org/abs/1406.5823
Beck, A.T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47, 343-352.
Blakemore, S.-J., & Mills, K.L. (2014). Is adolescence a sensitive period for sociocultural processing? Annual Review of Psychology, 65, 187-207.
Calear, A.L., McCallum, S., Kazan, D., Werner-Seidler, A., Christensen, H., & Batterham, P.J. (2021). Application of the interpersonal psychological theory of suicide in a non-clinical community-based adolescent population. Journal of Affective Disorders, 294, 235-240.
Chang, C.J., Feinstein, B.A., Fulginiti, A., Dyar, C., Selby, E.A., & Goldbach, J.T. (2021). A longitudinal examination of the interpersonal theory of suicide for predicting suicidal ideation among LGBTQ+ youth who utilize crisis services: The moderating effect of gender. Suicide & Life-Threatening Behavior, 51, 1015-1025.
Chu, C., Buchman-Schmitt, J.M., Stanley, I.H., Hom, M.A., Tucker, R.P., Hagan, C.R., … & Joiner, T.E. (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin, 143, 1313-1345.
Curtin, S.C. (2020). State suicide rates among adolescents and young adults aged 10-24: United States, 2000-2018. National Vital Statistics Reports, 69, 1-10.
Curtin, S.C., & Heron, M. (2019). Death rates due to suicide and homicide among persons aged 10-24: United States, 2000-2017. NCHS Data Brief, 352, 1-8.
Czyz, E.K., King, C.A., & Nahum-Shani, I. (2018). Ecological assessment of daily suicidal thoughts and attempts among suicidal teens after psychiatric hospitalization: Lessons about feasibility and acceptability. Psychiatry Research, 267, 566-574.
Czyz, E.K., Koo, H.J., Al-Dajani, N., King, C.A., & Nahum-Shani, I. (2021). Predicting short-term suicidal thoughts in adolescents using machine learning: Developing decision tools to identify daily level risk after hospitalization. Psychological Medicine, 53, 1-10.
Czyz, E.K., Berona, J., & King, C.A. (2015). A prospective examination of the interpersonal-psychological theory of suicidal behavior among psychiatric adolescent inpatients. Suicide & Life-Threatening Behavior, 45, 243-259.
Czyz, E.K., Horwitz, A.G., Arango, A., & King, C.A. (2019). Short-term change and prediction of suicidal ideation among adolescents: A daily diary study following psychiatric hospitalization. Journal of Child Psychology and Psychiatry, 60, 732-741.
Eaddy, M., Zullo, L., Horton, S.E., Hughes, J.L., Kennard, B., Diederich, A., … & Stewart, S.M. (2019). A theory-driven investigation of the association between emotion dysregulation and suicide risk in a clinical adolescent sample. Suicide & Life-Threatening Behavior, 49, 928-940.
Glenn, C.R., Kleiman, E.M., Kandlur, R., Esposito, E.C., & Liu, R.T. (2022). Thwarted belongingness mediates interpersonal stress and suicidal thoughts: An intensive longitudinal study with high-risk adolescents. Journal of Clinical Child and Adolescent Psychology, 51, 295-311.
Glenn, C.R., Kleiman, E.M., Kearns, J.C., Santee, A.C., Esposito, E.C., Conwell, Y., & Alpert-Gillis, L.J. (2022). Feasibility and acceptability of ecological momentary assessment with high-risk suicidal adolescents following acute psychiatric care. Journal of Clinical Child and Adolescent Psychology, 51, 32-48.
Grossman, A.H., Park, J.Y., & Russell, S.T. (2016). Transgender youth and suicidal behaviors: Applying the interpersonal psychological theory of suicide. Journal of Gay & Lesbian Mental Health, 20, 329-349.
Hausmann-Stabile, C., Glenn, C.R., & Kandlur, R. (2021). Theories of suicidal thoughts and behaviors: What exists and what is needed to advance youth suicide research. In R. Miranda & E.L. Jeglic (Eds.), Handbook of youth suicide prevention (pp. 9-29). Cham: Springer.
Holi, M.M., Pelkonen, M., Karlsson, L., Kiviruusu, O., Ruuttu, T., Heilä, H., … & Marttunen, M. (2005). Psychometric properties and clinical utility of the Scale for Suicidal Ideation (SSI) in adolescents. BMC Psychiatry, 5, 8.
Horton, S.E., Hughes, J.L., King, J.D., Kennard, B.D., Westers, N.J., Mayes, T.L., & Stewart, S.M. (2016). Preliminary examination of the interpersonal psychological theory of suicide in an adolescent clinical sample. Journal of Abnormal Child Psychology, 44, 1133-1144.
Hunt, Q.A., Weiler, L.M., McGuire, J., Mendenhall, T., Kobak, R., & Diamond, G.S. (2020). Testing basic assumptions of the interpersonal needs Questionnaire-15 in a sample of clinically depressed and suicidal youth. Suicide & Life-Threatening Behavior, 50, 372-386.
Kang, N., You, J., Huang, J., Ren, Y., Lin, M.P., & Xu, S. (2019). Understanding the pathways from depression to suicidal risk from the perspective of the interpersonal-psychological theory of suicide. Suicide & Life-Threatening Behavior, 49, 684-694.
King, C.A., Grupp-Phelan, J., Brent, D., Dean, J.M., Webb, M., Bridge, J.A., … & Pediatric Emergency Care Applied Research Network. (2019). Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients. Journal of Child Psychology and Psychiatry, 60, 1055-1064.
King, C.A., Joyce, V.W., Kleiman, E.M., Buonopane, R.J., Millner, A.J., & Nash, C.C. (2019). Relevance of the interpersonal theory of suicide in an adolescent psychiatric inpatient population. Psychiatry Research, 281, 112590.
Kirshenbaum, J.S., Pagliaccio, D., Bitran, A., Xu, E., & Auerbach, R.P. (n.d.). Why do adolescents attempt suicide? Insights from leading interpersonal ideation-to-action suicide theories. Translational Psychiatry.
Kivelä, L., van der Does, W.A.J., Riese, H., & Antypa, N. (2022). Don't miss the moment: A systematic review of ecological momentary assessment in suicide research. Frontiers in Digital Health, 4, 876595.
Kleiman, E.M., Glenn, C.R., & Liu, R.T. (2019). Real-time monitoring of suicide risk among adolescents: Potential barriers, possible solutions, and future directions. Journal of Clinical Child and Adolescent Psychology, 48, 934-946.
Kleiman, E.M., Law, K.C., & Anestis, M.D. (2014). Do theories of suicide play well together? Integrating components of the hopelessness and interpersonal psychological theories of suicide. Comprehensive Psychiatry, 55, 431-438.
Klonsky, E.D., Muehlenkamp, J.J., Lewis, S.P., & Walshh, B. (2013). Nonsuicidal self-injury. In Advances in psychotherapy; evidence-based practice. Newburyport, MA: Hogrefe & Huber.
Klonsky, E.D., May, A.M., & Glenn, C.R. (2013). The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples. Journal of Abnormal Psychology, 122, 231-237.
Klonsky, E.D., Saffer, B.Y., & Bryan, C.J. (2018). Ideation-to-action theories of suicide: A conceptual and empirical update. Current Opinion in Psychology, 22, 38-43.
Lester, D. (1994). A comparison of 15 theories of suicide. Suicide & Life-Threatening Behavior, 24, 80-88.
Lind, M.N., Byrne, M.L., Wicks, G., Smidt, A.M., & Allen, N.B. (2018). The Effortless Assessment of Risk States (EARS) tool: An interpersonal approach to mobile sensing. JMIR Mental Health, 5, e10334.
Liu, R.T., Frazier, E.A., Cataldo, A.M., Simon, V.A., Spirito, A., & Prinstein, M.J. (2014). Negative life events and non-suicidal self-injury in an adolescent inpatient sample. Archives of Suicide Research, 18, 251-258.
Lüdecke, D. (2021). sjPlot: Data visualization for statistics in social science. R package version 2.8. Available from: https://CRAN.R-project.org/package=sjPlot
Mars, B., Heron, J., Klonsky, E.D., Moran, P., O'Connor, R.C., Tilling, K., … & Gunnell, D. (2019). Predictors of future suicide attempt among adolescents with suicidal thoughts or non-suicidal self-harm: A population-based birth cohort study. The Lancet. Psychiatry, 6, 327-337.
May, A.M., Klonsky, E.D., & Klein, D.N. (2012). Predicting future suicide attempts among depressed suicide ideators: A 10-year longitudinal study. Journal of Psychiatric Research, 46, 946-952.
Mbroh, H., Zullo, L., Westers, N., Stone, L., King, J., Kennard, B., … & Stewart, S. (2018). Double trouble: Nonsuicidal self-injury and its relationship to suicidal ideation and number of past suicide attempts in clinical adolescents. Journal of Affective Disorders, 238, 579-585.
Miller, A.B., Esposito-Smythers, C., & Leichtweis, R.N. (2016). A short-term, prospective test of the interpersonal-psychological theory of suicidal ideation in an adolescent clinical sample. Suicide & Life-Threatening Behavior, 46, 337-351.
Mitchell, S.M., Jahn, D.R., & Cukrowicz, K.C. (2014). The relation between illegal risk behaviors and the acquired capability for suicide. Crisis, 35, 368-377.
Mokdad, A.H., Forouzanfar, M.H., Daoud, F., Mokdad, A.A., El Bcheraoui, C., Moradi-Lakeh, M., … & Murray, C.J.L. (2016). Global burden of diseases, injuries, and risk factors for young people's health during 1990-2013: A systematic analysis for the global burden of disease study 2013. Lancet, 387, 2383-2401.
Nock, M.K., Green, J.G., Hwang, I., McLaughlin, K.A., Sampson, N.A., Zaslavsky, A.M., & Kessler, R.C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70, 300-310.
Nock, M.K., Holmberg, E.B., Photos, V.I., & Michel, B.D. (2007). Self-injurious thoughts and behaviors interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19, 309-317.
Nock, M.K., Joiner, T.E., Jr., Gordon, K.H., Lloyd-Richardson, E., & Prinstein, M.J. (2006). Non-suicidal self-injury among adolescents: Diagnostic correlates and relation to suicide attempts. Psychiatry Research, 144, 65-72.
Opperman, K., Czyz, E.K., Gipson, P.Y., & King, C.A. (2015). Connectedness and perceived burdensomeness among adolescents at elevated suicide risk: An examination of the interpersonal theory of suicidal behavior. Archives of Suicide Research, 19, 385-400.
Pagliaccio, D. (2021). scipub: Summarize data for scientific publication.
Prinstein, M.J., Nock, M.K., Simon, V., Aikins, J.W., Cheah, C.S.L., & Spirito, A. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76, 92-103.
R Core Team. (2020). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing.
Raifman, J., Charlton, B.M., Arrington-Sanders, R., Chan, P.A., Rusley, J., Mayer, K.H., … & McConnell, M. (2020). Sexual orientation and suicide attempt disparities among US adolescents: 2009-2017. Pediatrics, 145, e20191658.
Revelle, W. (2021). psych: Procedures for psychological, psychometric, and personality research. Available from: https://CRAN.R-project.org/package=psych
Ribeiro, J.D., Witte, T.K., Van Orden, K.A., Selby, E.A., Gordon, K.H., Bender, T.W., & Joiner, T.E., Jr. (2014). Fearlessness about death: The psychometric properties and construct validity of the revision to the acquired capability for suicide scale. Psychological Assessment, 26, 115-126.
Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48, 1-36.
Selby, E.A., Joiner, T.E., & Ribeiro, J.D. (2014). Comprehensive theories of suicidal behaviors. In M.K. Nock (Ed.), The Oxford handbook of suicide and self-injury. Oxford library of psychology (pp. 286-307. New York, NY: Oxford University Press.
Sheehan, D.V. (2016). Mini international neuropsychiatric interview for children and adolescents English version 7.0.2. Jacksonville, FL: Medical Outcome Systems.
Stanley, I.H., Hom, M.A., Rogers, M.L., Hagan, C.R., & Joiner, T.E., Jr. (2016). Understanding suicide among older adults: A review of psychological and sociological theories of suicide. Aging & Mental Health, 20, 113-122.
Stewart, S.M., Eaddy, M., Horton, S.E., Hughes, J., & Kennard, B. (2017). The validity of the interpersonal theory of suicide in adolescence: A review. Journal of Clinical Child and Adolescent Psychology, 46, 437-449.
Therneau, T. (2000). A package for survival analysis in R. R package version 3.2-7. Available from: https://CRAN.R-project.org/package=survival
Therneau, T.M., & Grambsch, P.M. (2000). Estimating the survival and hazard functions. In Statistics for biology and health (pp. 7-37). New York: Springer.
Turner, N., Joinson, C., Peters, T.J., Wiles, N., & Lewis, G. (2014). Validity of the Short Mood and Feelings Questionnaire in late adolescence. Psychological Assessment, 26, 752-762.
Van Kammen, W., & Stouthamer-Loeber, M. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents: Factor composition and structure across development. International Journal of Methods in Psychiatric Research, 5, 251-262.
Van Orden, K.A., Cukrowicz, K.C., Witte, T.K., & Joiner, T.E. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the interpersonal needs questionnaire. Psychological Assessment, 24, 197-215.
Van Orden, K.A., Merrill, K., & Joiner, T., Jr. (2005). Interpersonal-psychological precursors to suicidal behavior: A theory of attempted and completed suicide. Current Psychiatry Reviews, 1, 187-196.
Van Orden, K.A., Witte, T.K., Cukrowicz, K.C., Braithwaite, S.R., Selby, E.A., & Joiner, T.E., Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117, 575-600.
Van Orden, K.A., Witte, T.K., James, L.M., Castro, Y., Gordon, K.H., Braithwaite, S.R., … & Joiner, T.E., Jr. (2008). Suicidal ideation in college students varies across semesters: The mediating role of belongingness. Suicide & Life-Threatening Behavior, 38, 427-435.
Vélez-Grau, C., Romanelli, M., & Lindsey, M.A. (2022). Adolescent suicide attempts in the United States: When suicide ideation and suicide capability interact. Suicide & Life-Threatening Behavior, 52, 549-566.