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Spiritual Well-Being and Psychological Adjustment: Mediated by Interpersonal Needs?

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Abstract

Spiritual well-being has been shown to reduce suicidal behavior, depressive symptoms, and hopelessness. Thwarted interpersonal needs have been shown to increase risk of suicidal behavior. This paper aims to explore the interrelationships among spiritual well-being, thwarted interpersonal needs, and negative outcomes including suicidal ideation, hopelessness, and depressive symptoms among African American women. Sixty-six African American women (M = 36.18; SD = 11.70), from a larger study of women who had experienced interpersonal violence within the past year, completed self-report questionnaires. Mediation analyses revealed that thwarted belongingness, but not perceived burdensomeness, significantly mediated the relations between spiritual well-being and the three outcomes. This study provides the first examination of the role of thwarted interpersonal needs on the link between spiritual well-being and negative psychological outcomes. Spiritual well-being serves a protective role against feelings of social isolation, which may reduce one’s risk of negative psychological outcomes. Treatments that bolster a sense of spirituality and social connectedness may reduce suicidal ideation, hopelessness, and depressive symptoms.

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References

  • Ando, M., Morita, T., Okamota, T., & Ninosaka, Y. (2008). One-week short-term life review interview can improve spiritual well-being of terminally ill cancer patients. Psycho-Oncology, 17, 885–890. doi:10.1002/pon.1299.

    Article  PubMed  Google Scholar 

  • Anglin, D., Gabriel, K. O. S., & Kaslow, N. J. (2005). Suicide acceptability and religious well-being: A comparative analysis in African American suicide attempters and nonattempters. Journal of Psychology and Theology, 33, 140–150. Retrieved from https://wisdom.biola.edu/jpt/index.cfm.

  • Arnette, N. C., Mascaro, N., Santana, M. C., Davis, S., & Kaslow, N. J. (2007). Enhancing spiritual well-being among suicidal African American female survivors of intimate partner violence (IPV). Journal of Clinical Psychology, 63, 909–924. doi:10.1002/jclp.20403.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Schuyler, D., & Herman, I. (1974a). The development of suicide intent scales. In A. T. Beck, H. L. Resnick, & D. J. Littieri (Eds.), Prediction of suicide (pp. 45–56). Bowie: Charles Press.

    Google Scholar 

  • Beck, A. T., & Steer, R. (1991). Beck scale for suicide ideation manual. San Antonio: Harcourt Brace.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory manual (2nd ed.). San Antonio: Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974b). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 42, 861–865. doi:10.1037/h0037562.

    Article  PubMed  CAS  Google Scholar 

  • Bekelman, D., Dy, S., Becker, D., Wittstein, I., Hendricks, D., Hamashita, T., et al. (2007). Spiriual well-being and depression in patients with heart failure. Journal of General Internal Medicine, 22, 470–477. doi:10.1007/s11606-006-0044-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bekelman, D., Parry, C., Curlin, F. A., Yamashita, T. E., Fairclough, D. L., & Wamboldt, F. S. (2010). A comparison of two spirituality instruments and their relationship with depression and quality of life in chronic heart failure. Journal of Pain and Symptom Management, 39, 515–526. doi:10.1016/j.jpainsymman.2009.08.005.

    Article  PubMed  PubMed Central  Google Scholar 

  • Boykin, A. W., & Toms, F. D. (1985). Black children socialization: A conceptual framework. In H. P. McAdoo & J. L. McAdoo (Eds.), Black children: Social, educational, and parental environments (pp. 33–51). Thousand Oaks: Sage Publications.

    Google Scholar 

  • Bradley, R. H., Schwartz, A., & Kaslow, N. J. (2005). Posttraumatic stress disorder symptoms among low-income, African American women with a history of intimate partner violence and suicidal behaviors: Self-esteem, social support, and religious coping. Journal of Traumatic Stress, 18, 685–696. doi:10.1002/jts.20077.

    Article  PubMed  Google Scholar 

  • Breitbart, W., Rosenfeld, B., Gibson, C., Pessin, H., Poppito, S., Nelson, C., et al. (2010). Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psycho-Oncology, 19, 21–28. doi:10.1002/pon.1556.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bryan, C. J., Morrow, C. E., Anestis, M. D., & Joiner, T. E, Jr. (2010). A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample. Personality and Individual Differences, 48, 347–350. doi:10.1016/j.paid.2009.10.023.

    Article  Google Scholar 

  • Carr, E. R., Woods, A. M., Vahabzadeh, A., Sutton, C., Witteneaur, J., & Kaslow, N. J. (2013). PTSD, depressive symptoms, and suicidal ideation in African American women: A mediated model. Journal of Clinical Psychology in Medical Settings, 20, 37–45. doi:10.1007/s10880-012-9316-1.

    Article  PubMed  Google Scholar 

  • Coleman, C. L. (2004). The contribution of religious and existential well-being to depression among African American heterosexuals with HIV infections. Issues in Mental Health Nursing, 25, 103–110. doi:10.1080/01612840490249019.

    Article  PubMed  Google Scholar 

  • Compton, M. T., Thompson, M. P., & Kaslow, N. J. (2005). Social environment factors associated with suicide attempt among low-income African Americans: The protective role of family relationships and social support. Social Psychiatry and Psychiatric Epidemiology, 40, 175–185. doi:10.1007/s00127-005-0865-6.

    Article  PubMed  Google Scholar 

  • Dalmida, S. G., Holstad, M. M., Dilorio, C., & Laderman, G. (2009). Spiritual well-being, depressive symptoms, and immune status among women living with HIV/AIDS. Women and Health, 49, 119–143. doi:10.1080/03630240902915036.

    Article  PubMed  Google Scholar 

  • Davidson, C. L., & Wingate, L. R. (2011). Racial disparities in risk and protective factors for suicide. Journal of Black Psychology, 37, 499–516. doi:10.1177/0095798410397543.

    Article  Google Scholar 

  • Davidson, C. L., Wingate, L. R., Grant, D. M., Judah, M. R., & Mills, A. C. (2011). Interpersonal suicide risk and ideation: The influence of depression and social anxiety. Journal of Social and Clinical Psychology, 30, 842–855. doi:10.1521/jscp.2011.30.8.842.

    Article  Google Scholar 

  • Davidson, C. L., Wingate, L. R., Slish, M. L., & Rasmussen, K. A. (2010). The great black hope: Hope and its relation to suicide risk among African Americans. Suicide and Life-Threatening Behavior, 40, 170–180. doi:10.1521/suli.2010.40.2.170.

    Article  PubMed  Google Scholar 

  • Davis, S. P., Arnette, N. C., Bethea, K. I., Graves, K. N., Rhodes, M. N., Harp, S. E., et al. (2009). The Grady Nia Project: A culturally competent intervention for low-income, abused and suicidal African American women. Professional Psychology: Research and Practice, 40, 141–147. doi:10.1037/a0014566.

    Article  Google Scholar 

  • Dozois, D. J. A., & Covin, R. (2004). The Beck Depression Inventory-II (BDI-II), beck hopelessness scale (BHS), and beck scale for suicide ideation (BSS). In M. J. Hilsenroth & D. L. Segal (Eds.), Comprehensive handbook of psychological assessment, volume 2: Personality assessment (pp. 50–69). Hoboken: Wiley.

    Google Scholar 

  • Dozois, D. J. A., Dobson, K. S., & Ahnberg, J. L. (1998). A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment, 10, 83–89. doi:10.1037/1040-3590.10.2.83.

    Article  Google Scholar 

  • Dutton, M. A., Mitchell, B., & Haywood, Y. (1996). The emergency department as a violence prevention center. Journal of the American Medical Women’s Association, 51, 92–96. Retrieved from http://www.amwa-doc.org.

  • Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330–340. Retrieved from https://wisdom.biola.edu/jpt/.

  • Folstein, M. F., Folstein, S. E., McHugh, P. R., & Fanjiang, G. (2001). Mini-mental state examination. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Griffin-Fennell, F., & Williams, M. (2006). Examining the complexities of suicidal behavior in the African American community. Journal of Black Psychology, 32, 303–319. doi:10.1177/0095798406290469.

    Article  Google Scholar 

  • Grothe, K. B., Dutton, G. R., Jones, G. N., Bodenlos, J., Ancona, M., & Brantely, P. J. (2005). Validation of the Beck Depression Inventory-II in a low-income African American sample of medical outpatients. Psychological Assessment, 17, 110–114. doi:10.1037/1040-3590.17.1.110.

    Article  PubMed  Google Scholar 

  • Harris, T. L., & Molock, S. D. (2000). Cultural orientation, family cohesion and family support in suicide ideation and depression among African American college students. Suicide and Life Threatening Behavior, 30, 341–353. doi:10.1111/j.1943-278X.2000.tb01100.x.

    Article  PubMed  CAS  Google Scholar 

  • Hill, R. M., & Pettit, J. W. (2012). Suicidal ideation and sexual orientation in college students: The roles of perceived burdensomeness, thwarted belongingness, and perceived rejection due to sexual orientation. Suicide and Life-Threatening Behavior, 42, 567–579. doi:10.1111/j.1943-278X.2012.00113.x.

    Article  PubMed  Google Scholar 

  • Hirsch, J. K., Webb, J. R., & Kaslow, N. J. (2014). Daily hassles and suicide ideation in African American female suicide attempters: Moderating effect of spiritual well-being. Mental Health, Religion, and Culture, 17, 529–541. doi:10.1080/13674676.2013.858682.

    Article  Google Scholar 

  • Houry, D., Kemball, R., Rhodes, K. V., & Kaslow, N. J. (2006). Intimate partner violence and mental health symptoms in African American female ED patients. American Journal of Emergency Medicine, 24, 444–450. doi:10.1016/j.ajem.2005.12.026.

    Article  PubMed  Google Scholar 

  • Jesse, D. E., Walcott-McQuigg, J., Mariella, A., & Swanson, M. S. (2005). Risk and protective factors associated with symptoms of depression in low-income African American and Caucasian women during pregnancy. Journal of Midwifery and Women’s Health, 50, 405–410. doi:10.1016/j.jmwh.2005.05.001.

    Article  PubMed  Google Scholar 

  • Joe, S., Baser, R. E., Breeden, G., Neighbors, H. W., & Jackson, J. S. (2006). Prevalence of and risk factors for lifetime suicide attempts among blacks in the United States. Journal of the American Medical Association, 296, 2112–2123. doi:10.1001/jama.296.17.2112.

    Article  PubMed  CAS  Google Scholar 

  • Joe, S., Woolley, M. E., Brown, G. K., Ghahramanlou-Holloway, M., & Beck, A. T. (2008). Psychometric properties of the Beck Depression Inventory-II in low-income African American suicide attempters. Journal of Personality Assessment, 90, 521–523. doi:10.1080/00223890802248919.

    Article  PubMed  PubMed Central  Google Scholar 

  • Joiner, T. E, Jr. (2005). Why people die by suicide. Cambridge: Harvard University Press.

    Google Scholar 

  • Joiner, T. E, Jr., Van Orden, K. A., & Witte, T. K. (2009). The interpersonal theory of suicide: Guidance for working with suicidal clients. Washington: American Psychological Association.

    Book  Google Scholar 

  • Kaslow, N. J., Leiner, A. S., Reviere, S. L., Jackson, E., Bethea, K., Bhaju, J., et al. (2010). Suicidal, abused African American women’s response to a culturally-informed intervention. Journal of Consulting and Clinical Psychology, 78, 449–458. doi:10.1037/a0019692.

    Article  PubMed  Google Scholar 

  • Kaslow, N. J., Price, A. W., Wyckoff, S., Bender, M., Sherry, A., Young, S., et al. (2004). Person factors associated with suicidal behavior among African American men and women. Cultural Diversity and Ethnic Minority Psychology, 10, 5–22. doi:10.1037/1099-9809.10.1.5.

    Article  PubMed  Google Scholar 

  • Kaslow, N. J., Sherry, A., Bethea, K., Wyckoff, S., Compton, M., Bender, M., et al. (2005). Social risk and protective factors for suicide attempts in low income African American men and women. Suicide and Life Threatening Behavior, 35, 400–412. doi:10.1521/suli.2005.35.4.400.

    Article  PubMed  Google Scholar 

  • Kaslow, N. J., Thompson, M., Meadows, L., Chance, S., Puett, R., Hollins, L., et al. (2000). Risk factors for suicide attempts among African American women. Depression and Anxiety, 12, 13–20. doi:10.1002/1520-6394(2000)12:1<13:AID-DA2>3.0.CO;2-Y.

    Article  PubMed  CAS  Google Scholar 

  • Kaslow, N. J., Thompson, M. P., Okun, A., Price, A., Young, S., Bender, M., et al. (2002). Risk and protective factors for suicidal behavior in abused African American women. Journal of Consulting and Clinical Psychology, 70, 311–319. doi:10.1037/0022-006X.70.2.311.

    Article  PubMed  Google Scholar 

  • Lamis, D. A., & Lester, D. (2012). Risk factors for suicidal ideation among African American and European American college women. Psychology of Women Quarterly, 36, 337–349. doi:10.1177/0361684312439186.

    Article  Google Scholar 

  • Lawler-Row, K. A., & Elliott, J. (2009). The role of religious activity and spirituality in the health and well-being of older adults. Journal of Health Psychology, 14, 43–52. doi:10.1177/1359105308097944.

    Article  PubMed  Google Scholar 

  • Leiner, A. S., Compton, M. T., Houry, D., & Kaslow, N. J. (2008). Intimate partner violence, psychological distress, and suicidality: A path model using data from African American women seeking care at an urban emergency department. Journal of Family Violence, 23, 473–481. doi:10.1007/s10896-008-9174-7.

    Article  Google Scholar 

  • Marion, M. S., & Range, L. M. (2003). African American college women’s suicide buffers. Suicide and Life Threatening Behavior, 33, 33–43. doi:10.1521/suli.33.1.33.22780.

    Article  PubMed  Google Scholar 

  • McClain, C. S., Rosenfeld, B., & Breitbart, W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet, 361, 1603–1607. doi:10.1016/s0140-6736(03)13310-7.

    Article  PubMed  Google Scholar 

  • Meadows, L., & Kaslow, N. J. (2002). Hopelessness as mediator of the link between reports of a history of child maltreatment and suicidality in African American women. Cognitive Therapy and Research, 26, 657–674. doi:10.1023/A:1020361311046.

    Article  Google Scholar 

  • Meadows, L. A., Kaslow, N. J., Thompson, M. P., & Jurkovic, G. J. (2005). Protective factors against suicide attempt risk among African American women experiencing intimate partner violence. American Journal of Community Psychology, 36, 109–121. doi:10.1007/s10464-005-6236-3.

    Article  PubMed  Google Scholar 

  • Mitchell, M. D., Hargrove, G. L., Collins, M. H., Thompson, M. P., Reddick, T. L., & Kaslow, N. J. (2006). Coping variables that mediate the relation between intimate partner violence and mental health outcomes among low-income, African American women. Journal of Clinical Psychology, 62, 1503–1520. doi:10.1002/jclp.20305.

    Article  PubMed  Google Scholar 

  • Molock, S. D., Puri, R., Matlin, S., & Barksdale, C. (2006). Relationship between religious coping and suicidal behavior among African American adolescents. Journal of Black Psychology, 32, 366–389. doi:10.1177/0095798406290466.

    Article  PubMed  Google Scholar 

  • Monod, S., Brennan, M., Rochat, E., Martin, E., Rochat, S., & Büla, C. J. (2011). Instruments measuring spirituality in clinical research: A systematic review. Journal of General Internal Medicine, 26, 1345–1357. doi:10.1007/s11606-011-1769-7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Muldoon, M., & King, N. J. (1995). Spirituality, health care, and bioethics. Journal of Religion and Health, 34, 329–349. doi:10.1007/BF02248742.

    Article  PubMed  Google Scholar 

  • Nad, S., Marcinko, D., Vuksan-Æusa, B., Jakovljevic, M., & Jakovljevic, G. (2008). Spiritual well-being, intrinsic religiosity, and suicidal behavior in predominantly Catholic Croatian war veterans with chronic posttraumatic stress disorder: A case control study. Journal of Nervous and Mental Disease, 196, 79–83. doi:10.1097/NMD.0b013e31815faa5f.

    Article  PubMed  Google Scholar 

  • Nademin, E., Jobes, D. A., Pflanz, S. E., Jacoby, A. M., Ghahramanlou-Holloway, M., Campise, R., et al. (2008). An investigation of interpersonal-psychological variables in air force suicides: A controlled-comparison study. Archives of Suicide Research, 12, 309–326. doi:10.1080/13811110802324847.

    Article  PubMed  Google Scholar 

  • Nsamenang, S. A., Webb, J. R., Cukrowicz, K. C., & Hirsch, J. K. (2013). Depressive symptoms and interpersonal needs as mediators of forgiveness and suicidal behavior among rural primary care patients. Journal of Affective Disorders, 149, 282–290. doi:10.1016/j.jad.2013.01.042.

    Article  PubMed  Google Scholar 

  • O’Keefe, V. M., Wingate, L. R., Tucker, R. P., Rhoades-Kerswill, S., Slish, M. L., & Davidson, C. L. (2014). Interpersonal suicide risk for American Indians: Investigating thwarted belongingness and perceived burdensomeness. Cultural Diversity and Ethnic Minority Psychology, 20, 61–67. doi:10.1037/a0033540.

    Article  PubMed  Google Scholar 

  • Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being and the quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research, and therapy (pp. 224–237). New York: Wiley-Interscience.

    Google Scholar 

  • Paloutzian, R. E., & Ellison, C. W. (1991). Manual for the spiritual well-being scale. Navack: Life Advance.

    Google Scholar 

  • Poussaint, A. F., & Alexander, A. (2000). Lay my burden down: Unraveling suicide and the mental health crisis among African Americans. Boston: Beacon Press.

    Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.3758/BRM.40.3.879.

    Article  PubMed  Google Scholar 

  • Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42, 185–227. doi:10.1080/00273170701341316.

    Article  PubMed  Google Scholar 

  • Prince-Paul, M. (2008). Relationships among communicative acts, social well-being, and spiritual well-being on the quality of life at the end of life in patients with cancer enrolled in hospice. Journal of Palliative Medicine, 11, 20–25. doi:10.1089/jpm.2007.0119.

    Article  PubMed  Google Scholar 

  • Rasmussen, K. A., & Wingate, L. R. (2011). The role of optimism in the interpersonal-psychological theory of suicidal behavior. Suicide and Life-Threatening Behavior, 41, 137–148. doi:10.1111/j.1943-278X.2011.00022.x.

    Article  PubMed  Google Scholar 

  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445. doi:10.1037/1082-989X.7.4.422.

    Article  PubMed  Google Scholar 

  • Siefert, K., Williams, D. R., Finlayson, T. L., Delva, J., & Ismail, A. I. (2007). Modifiable risk and protective factors for depressive symptoms in low-income African American mothers. American Journal of Orthopsychiatry, 77, 113–123. doi:10.1037/0002-9432.77.1.113.

    Article  PubMed  Google Scholar 

  • Steed, L. G. (2001). Further validity and reliability evidence for Beck Hopelessness Scale Scores in a nonclinical samples. Educational and Psychological Measurement, 61, 303–316. doi:10.1177/00131640121971121.

    Article  Google Scholar 

  • Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life. Gerontologist, 42(3), 24–33. doi:10.1093/geront/42.suppl_3.24.

    Article  PubMed  Google Scholar 

  • Taliaferro, L. A., Rienzo, B. A., Pigg, R. M, Jr., Miller, M. B., & Dodd, V. J. (2009). Spiritual well-being and suicidal ideation among college students. Journal of American College Health, 58, 83–90. doi:10.3200/jach.58.1.83-90.

    Article  PubMed  Google Scholar 

  • Tyler, K. M., Boykin, A. W., Boelter, C. M., & Dilihunt, M. L. (2005). Examining mainstream and Afro-cultural value socialization in African American households. Journal of Black Psychology, 31, 291–310. doi:10.1177/0095798405278199.

    Article  Google Scholar 

  • Unterrainer, H.-F., Ladenhauf, K. H., Moazedi, M. L., Wallner-Liebmann, S. J., & Fink, A. (2010). Dimensions of religious/spiritual well-being and their relation to personality and psychological well-being. Personality and Individual Differences, 49, 192–197. doi:10.1016/j.paid.2010.03.032.

    Article  Google Scholar 

  • Utsey, S. O., Bolden, M., Lanier, Y., & Williams, O, I. I. I. (2007). Examining the role of culture-specific coping as a predictor of resilient outcomes in African Americans from high-risk urban communities. Journal of Black Psychology, 33, 75–93. doi:10.1177/0095798406295094.

    Article  Google Scholar 

  • Utsey, S. O., Lee, A., Bolden, M. A., & Lanier, Y. (2005). A confirmatory test of the factor validity of scores on the spiritual well-being scale in a community sample of African Americans. Journal of Psychology and Theology, 33, 251–257. doi:10.1037/1099-9809.12.2.334.

    Article  Google Scholar 

  • Van Orden, K. A., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E, Jr. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24, 197–215. doi:10.1037/a0025358.

    Article  PubMed  Google Scholar 

  • 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. doi:10.1037/a0018697.

    Article  PubMed  PubMed Central  Google Scholar 

  • Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E, Jr. (2008a). Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology, 76, 72–83. doi:10.1037/0022-006X.76.1.72.

    Article  PubMed  Google Scholar 

  • Van Orden, K., Witte, T. K., James, L. M., Castro, Y., Gordon, K. H., Braithwaite, S. R., et al. (2008b). Suicidal ideation in college students varies across semesters: The mediating role of belongingness. Suicide and Life-Threatening Behavior, 38, 427–435. doi:10.1521/suli.2008.38.4.427.

    Article  PubMed  Google Scholar 

  • Wong, Y. J., Koo, K., Tran, K. K., Chiu, Y.-C., & Mok, Y. (2011). Asian American college students’ suicide ideation: A mixed methods study. Journal of Counseling Psychology, 58, 197–209. doi:10.1037/a0023040.

    Article  PubMed  Google Scholar 

  • Woodward, E. N., Wingate, L. R., Gray, T. W., & Pantalone, D. W. (2014). Evaluating thwarted belongingness and perceived burdensomeness as predictors of suicidal ideation in sexual minority adults. Psychology of Sexual Orientation and Gender Diversity, 1, 234–243. doi:10.1037/sgd0000046.

    Article  Google Scholar 

  • Zhang, H., Neelarambam, K., Schwenke, T., Rhodes, M. N., Pittman, D., & Kaslow, N. J. (2013). Mediators of a culturally-sensitive intervention for suicidal African American women. Journal of Clinical Psychology in Medical Settings, 20, 401–414. doi:10.1007/s10880-013-9373-0.

    Article  PubMed  Google Scholar 

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Acknowledgments

This research was supported by grants from the Centers for Disease Control and Prevention National Center for Injury Prevention and Control (R49 CCR421767-01, Group interventions with suicidal African American women) and the National Institute of Mental Health (1R01MH078002-01A2, Group interviews for abused, suicidal Black women) awarded to the last author (Kaslow).

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Gaskin-Wasson, A.L., Walker, K.L., Shin, L.J. et al. Spiritual Well-Being and Psychological Adjustment: Mediated by Interpersonal Needs?. J Relig Health 57, 1376–1391 (2018). https://doi.org/10.1007/s10943-016-0275-y

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