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Crisis of Meaning Predicts Suicidality in Youth Independently of Depression

Published Online:https://doi.org/10.1027/0227-5910/a000503

Abstract.Background: At times, the question for meaning comes to nothing and a crisis of meaning ensues. This state is very painful, but difficult to account. Both those who suffer from it and care professionals find themselves at a loss for words. Aims: This study introduces an operationalization of a crisis of meaning. It aims to distinguish the concept from depression, and to investigate whether a crisis of meaning can explain suicidality beyond the known protective and risk factors self-esteem, family functioning, life-event load, and depression. Method: Final-year school pupils in Ecuador (N = 300) completed questionnaires assessing the above variables. Data were analyzed using chi-square, hierarchic multiple regression, serial mediation, and moderator analyses. Results: Crisis of meaning was distinguished from depression. It explained a significant amount of variance in suicidality beyond the mentioned protective and risk factors. For males, crisis of meaning was the only significant risk factor, and the strongest predictor overall. The acute risk factors depression and crisis of meaning mediated the effects of the baseline factors self-esteem, family functioning, and life-event load on suicidality. Limitations: The study was cross-sectional; assessed factors predicted variance in suicidal thoughts, plans, and past suicide attempts, while their relevance cannot be generalized to actual future suicide attempts. Conclusion: A crisis of meaning is an important factor to take into account in further research on the prevention and treatment of people at risk of suicide.

References

  • Allison, S., Roeger, L., Martin, G., & Keeves, L. (2001). Gender differences in the relationship between depression and suicidal ideation in young adolescents. Australian and New Zealand Journal of Psychiatry, 35, 498–503. 10.1046/j.1440-1614.2001.00927.x First citation in articleCrossref MedlineGoogle Scholar

  • Arbuckle, J. (2012). Amos 21 user's guide. Chicago, IL: SPSS. First citation in articleGoogle Scholar

  • Bastian, B. (2006). "Ich will R.A.C.H.E." Retrieved from http://www.heise.de/tp/artikel/24/24032/1.html First citation in articleGoogle Scholar

  • Beautrais, A. L. (2003). Suicide and serious suicide attempts in youth: A multiple-group comparison study. American Journal of Psychiatry, 160, 1093–1099. 10.1176/appi.ajp.160.6.1093 First citation in articleCrossref MedlineGoogle Scholar

  • Bellon, J., Delgado, A., Luna, J., & Lardelli, P. (1996). Validez y fiabilidad del cuestionario de función familiar Apgar-familiar [Validity and reliability of the Apgar-family questionnaire on family function]. Atención Primaria, 186, 289–296. First citation in articleGoogle Scholar

  • Bjerkeset, O., Nordahl, H. M., Romundstad, P. R., & Gunnell, D. (2010). PW01-253 Personality traits, self-esteem and sense of meaning in life as predictors for suicide: The Norwegian hunt cohort. European Psychiatry, 25(Suppl 1), 1681. 10.1016/S0924-9338(10)71660-6 First citation in articleCrossrefGoogle Scholar

  • Black, D. W., & Grant, J. E. (2014). DSM-5® guidebook: The essential companion to the diagnostic and statistical manual of mental disorders. Arlington, VA: American Psychiatric Association Publishing. First citation in articleGoogle Scholar

  • Borowsky, I. W., Ireland, M., & Resnick, M. D. (2001). Adolescent suicide attempts: Risks and protectors. Pediatrics, 107, 485–493. 10.1542/peds.107.3.485 First citation in articleCrossref MedlineGoogle Scholar

  • Breitbart, W., Gibson, C., Poppito, S. R., & Berg, A. (2004). Psychotherapeutic interventions at the end of life: A focus on meaning and spirituality. Canadian Journal of Psychiatry, 49, 366–372. 10.1177/070674370404900605 First citation in articleCrossref MedlineGoogle Scholar

  • Calhoun, L. G., & Tedeschi, R. G. (2014). Handbook of posttraumatic growth: Research and practice. London, UK: Routledge. First citation in articleGoogle Scholar

  • Canetto, S. S., & Sakinofsky, I. (1998). The gender paradox in suicide. Suicide and Life-Threatening Behavior, 28, 1–23. First citation in articleMedlineGoogle Scholar

  • Damásio, B. F., Koller, S. H., & Schnell, T. (2013). Sources of meaning and Meaning in Life Questionnaire (SoMe): Psychometric properties and sociodemographic findings in a large Brazilian sample. Acta de Investigación Psicológica, 3, 1205–1227. 10.1016/S2007-4719(13)70961-X First citation in articleCrossrefGoogle Scholar

  • Edwards, M., & Holden, R. (2001). Coping, meaning in life, and suicidal manifestations: Examining gender differences. Journal of Clinical Psychology, 57, 1517–1534. 10.1002/jclp.1114 First citation in articleCrossref MedlineGoogle Scholar

  • Fortuna, L. R., Perez, D. J., Canino, G., Sribney, W., & Alegria, M. (2007). Prevalence and correlates of lifetime suicidal ideation and attempts among Latino subgroups in the United States. Journal of Clinical Psychiatry, 68, 572. 10.4088/JCP.v68n0413 First citation in articleCrossref MedlineGoogle Scholar

  • Frankl, V. E. (1972). The feeling of meaninglessness: A challenge to psychotherapy. American Journal of Psychoanalysis, 32, 85–89. First citation in articleCrossref MedlineGoogle Scholar

  • García-Alandete, J., Salvador, M., José, H., & Pérez Rodríguez, S. (2014). Predicting role of the meaning in life on depression, hopelessness, and suicide risk among borderline personality disorder patients. Universitas Psychologica, 13, 1545–1555. 10.11144/Javeriana.UPSY13-4.prmi First citation in articleCrossrefGoogle Scholar

  • Gempp Fuentealba, R., Avendano Bravo, C., & Munoz Urrutia, C. (2004). Normas y punto de corte para la Escala de Depresion del Centro Para Estudios Epidemiologicos (CES-D) en poblacion juvenil Chilena [Norms and cutoff point for the Center for Epidemiologic Studies Depression Scale [CES-D] in Chilean youth population]. Terapia Psicologica, 22, 145–156. First citation in articleGoogle Scholar

  • Gerstner, R. (2012). Risikofaktoren und protektive Faktoren für Suizidalität bei ecuadorianischen Jugendlichen in Santo Domingo de los Tsáchilas [Risk and protective factors for suicidality among Ecuadorian youth in Santo Domingo de los Tsáchilas]. Retrieved from http://www.sinnforschung.org/archives/2411 First citation in articleGoogle Scholar

  • González Forteza, C., Ramos Lira, L., Caballero Gutiérrez, M. Á., & Wagner Echeagarray, F. (2003). Correlatos psicosociales de depresión, ideación e intento suicida en adolescentes mexicanos [Psychosocial correlates of depression, ideation, and suicide attempt in Mexican adolescents]. Psicothema, 15, 524–532. First citation in articleGoogle Scholar

  • Hanfstingl, B. (2013). Ego and spiritual transcendence: Relevance to psychological resilience and the role of age. Evidence-Based Complementary and Alternative Medicine 949838. 10.1155/2013/949838 First citation in articleCrossref MedlineGoogle Scholar

  • Haquin, F. C., Larraguibel, Q. M., & Cabezas, A. J. (2004). Factores protectores y de riesgo en salud mental en niños y adolescentes de la ciudad de Calama [Protective and risk factors in mental health in children and adolescents in the city of Calama]. Revista Chilena de Pediatría, 75, 425–433. 10.4067/S0370-41062004000500003 First citation in articleCrossrefGoogle Scholar

  • Harlow, L. L., Newcomb, M. D., & Bentler, P. M. (1986). Depression, self-derogation, substance use, and suicide ideation: Lack of purpose in life as a mediational factor. Journal of Clinical Psychology, 42, 5–21. First citation in articleCrossref MedlineGoogle Scholar

  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press. First citation in articleGoogle Scholar

  • Heidegger, M. (1927). Being and time: A translation of Sein und Zeit (J. Stambaugh, Trans.). Albany, NY: State University of New York Press. First citation in articleGoogle Scholar

  • Heisel, M. J., & Flett, G. L. (2008). Psychological resilience to suicide ideation among older adults. Clinical Gerontologist, 31, 51–70. 10.1080/07317110801947177 First citation in articleCrossrefGoogle Scholar

  • Heisel, M. J., Neufeld, E., & Flett, G. L. (2016). Reasons for living, meaning in life, and suicide ideation: Investigating the roles of key positive psychological factors in reducing suicide risk in community-residing older adults. Aging and Mental Health, 20, 195–207. 10.1080/13607863.2015.1078279 First citation in articleCrossref MedlineGoogle Scholar

  • Jang, J. M., Park, J. I., Oh, K. Y., Lee, K. H., Kim, M. S., Yoon, M. S., … Chung, Y. C. (2014). Predictors of suicidal ideation in a community sample: Roles of anger, self-esteem, and depression. Psychiatry Research, 216, 74–81. 10.1016/j.psychres.2013.12.054 First citation in articleCrossref MedlineGoogle Scholar

  • Janoff-Bulman, R. (1992). Shattered assumptions – towards a new psychology of trauma. New York, NY: The Free Press. First citation in articleGoogle Scholar

  • Kashdan, T. B., & Steger, M. F. (2007). Curiosity and pathways to well-being and meaning in life: Traits, states, and everyday behaviors. Motivation and Emotion, 31, 159–173. 10.1007/s11031-007-9068-7 First citation in articleCrossrefGoogle Scholar

  • King, R. A., Schwab-Stone, M., Flisher, A. J., Greenwald, S., Kramer, R. A., Goodman, S. H., … Gould, M. S. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 837–846. 10.1097/00004583-200107000-00019 First citation in articleCrossref MedlineGoogle Scholar

  • Kleiman, E. M., & Beaver, J. K. (2013). A meaningful life is worth living: Meaning in life as a suicide resiliency factor. Psychiatry Research, 210, 934–939. 10.1016/j.psychres.2013.08.002 First citation in articleCrossref MedlineGoogle Scholar

  • Klinger, E. (1998). The search for meaning in evolutionary perspective and its clinical implications. In P. T. P. WongP. S. FryEds., The human quest for meaning (pp. 27–50). Mahwah, NJ: Erlbaum. First citation in articleGoogle Scholar

  • Kõlves, K., & De Leo, D. (2016). Adolescent suicide rates between 1990 and 2009: Analysis of age group 15–19 years worldwide. Journal of Adolescent Health, 58, 69–77. 10.1016/j.jadohealth.2015.09.014 First citation in articleCrossref MedlineGoogle Scholar

  • MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128. 10.1207/s15327906mbr3901_4 First citation in articleCrossref MedlineGoogle Scholar

  • Marco, J. H., Pérez, S., & García-Alandete, J. (2016). Meaning in life buffers the association between risk factors for suicide and hopelessness in participants with mental disorders. Journal of Clinical Psychology, 72, 689–700. 10.1002/jclp.22285 First citation in articleCrossref MedlineGoogle Scholar

  • Okasha, A., Lotaif, F., & Sadek, A. (1981). Prevalence of suicidal feelings in a sample of non-consulting medical students. Acta Psychiatrica Scandinavica, 63, 409–415. First citation in articleCrossref MedlineGoogle Scholar

  • Oliva, A., Jiménez, J., Parra, Á., & Sánchez-Queija, I. (2008). Acontecimientos vitales estresantes, resiliencia y ajuste adolescente [Stressful life events, resilience and adolescent adjustment]. Revista de Psicopatología y Psicología Clínica, 13, 53–62. 10.5944/rppc.vol.13.num.1.2008.4050 First citation in articleCrossrefGoogle Scholar

  • Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. 10.1177/014662167700100306 First citation in articleCrossrefGoogle Scholar

  • Riveros Quiroz, M. (2004). Características sociodemográficas y niveles de depresión en estudiantes ingresantes a la UNMSM a través de la escala CES-D [Sociodemographic characteristics and levels of depression through the CES-D scale in freshman college students at the UNMSM]. Retrieved from http://www.cybertesis.edu.pe/sisbib/2004/riveros_qm/html/sdx/riveros_qm.html First citation in articleGoogle Scholar

  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press. First citation in articleCrossrefGoogle Scholar

  • Rudd, M. D. (2006). Fluid vulnerability theory: A cognitive approach to understanding the process of acute and chronic suicide risk. In T. E. EllisEd., Cognition and suicide: Theory, research, and therapy (pp. 355–368). Washington, DC: American Psychological Association. First citation in articleGoogle Scholar

  • Salvo, L., Melipillán, R., & Castro, A. (2009). Confiabilidad, validez y punto de corte para escala de screening de suicidalidad en adolescentes [Reliability, validity and cutoff point for scale screening of suicidality in adolescents]. Revista Chilena de Neuro-Psiquiatría, 47, 16–23. 10.4067/S0717-92272009000100003 First citation in articleCrossrefGoogle Scholar

  • Sartre, J. P. (1953). Being and nothingness: an essay on phenomenological ontology. New York, NY: Washington Square Press. First citation in articleGoogle Scholar

  • Schmitt, D. P., & Allik, J. (2005). Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. Journal of Personality and Social Psychology, 89, 623–642. 10.1037/0022-3514.89.4.623 First citation in articleCrossref MedlineGoogle Scholar

  • Schnell, T. (2009). The Sources of Meaning and Meaning in Life Questionnaire (SoMe): Relations to demographics and well-being. The Journal of Positive Psychology, 4, 483–499. 10.1080/17439760903271074 First citation in articleCrossrefGoogle Scholar

  • Schnell, T. (2010). Existential indifference: Another quality of meaning in life. Journal of Humanistic Psychology, 50, 351–373. 10.1177/0022167809360259 First citation in articleCrossrefGoogle Scholar

  • Schnell, T. (2016). Psychologie des Lebenssinns [Psychology of Meaning in Life]. Heidelberg, Germany: Springer-Verlag. First citation in articleCrossrefGoogle Scholar

  • Schnell, T., & Becker, P. (2007). Der Fragebogen zu Lebensbedeutungen und Lebenssinn (LeBe) [The Sources of Meaning and Meaning in Life Questionnaire (SoMe)]. Göttingen, Germany: Hogrefe. First citation in articleGoogle Scholar

  • Schnell, T., & Hoof, M. (2012). Meaningful commitment: Finding meaning in volunteer work. Journal of Beliefs and Values, 33, 35–53. 10.1080/13617672.2012.650029 First citation in articleCrossrefGoogle Scholar

  • Schnell, T., & Pali, S. (2013). Pilgrimage today: The meaning-making potential of ritual. Mental Health, Religion and Culture, 16, 887–902. 10.1080/13674676.2013.766449 First citation in articleCrossrefGoogle Scholar

  • Sinclair, S., Bryan, C. J., & Bryan, A. O. (2016). Meaning in life as a protective factor for the emergence of suicide ideation that leads to suicide attempts among military personnel and veterans with elevated PTSD and depression. International Journal of Cognitive Therapy, 9, 87–98. 10.1521/ijct.2016.9.1.87 First citation in articleCrossrefGoogle Scholar

  • Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its uses by physicians. Journal of Family Practice, 6, 1231–1239. First citation in articleMedlineGoogle Scholar

  • Sone, T., Nakaya, N., Ohmori, K., Shimazu, T., Higashiguchi, M., Kakizaki, M., … Tsuji, I. (2008). Sense of life worth living (ikigai) and mortality in Japan: Ohsaki Study. Psychosomatic Medicine, 70, 709–715. 10.1097/PSY.0b013e31817e7e64 First citation in articleCrossref MedlineGoogle Scholar

  • Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53, 80–93. 10.1037/0022-0167.53.1.80 First citation in articleCrossrefGoogle Scholar

  • Steger, M. F., & Kashdan, T. B. (2007). Stability and specificity of meaning in life and life satisfaction over one year. Journal of Happiness Studies, 8, 161–179. 10.1007/s10902-006-9011-8 First citation in articleCrossrefGoogle Scholar

  • Taylor, S. E., & Brown, J. D. (1988). Illusion and well-being: A social psychological perspective on mental health. Psychological Bulletin, 103, 193–210. First citation in articleCrossref MedlineGoogle Scholar

  • Villalobos-Galvis, F. H. (2010). Estructura factorial y propiedades psicométricas de una escala de depresión en universitarios de Colombia [Factorial structure and psychometric properties of a scale for depression among university students in Colombia]. Revista Panamericana de Salud Pública, 27, 110–116. First citation in articleCrossref MedlineGoogle Scholar

  • Wild, L. G., Flisher, A. J., & Lombard, C. (2004). Suicidal ideation and attempts in adolescents: associations with depression and six domains of self-esteem. Journal of Adolescence, 27, 611–624. 10.1016/j.adolescence.2004.03.001 First citation in articleCrossref MedlineGoogle Scholar