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19-08-2015 | Original Article

Thwarted Belongingness Mediates the Relationship Between Fear of Negative Evaluation and Suicidal Ideation

Auteurs: Carol Chu, Jennifer M. Buchman-Schmitt, Fallon B. Moberg, Thomas E. Joiner

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2016

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Abstract

Fear of negative evaluation has been documented as a mechanism that explains variations in feelings of belongingness. According to the interpersonal theory of suicide (Joiner 2005), feelings of thwarted belongingness, that one does not belong, can significantly increase desire and risk for suicide. We proposed that differences in thwarted belongingness may explain variations in suicidal ideation and behavior as a function of levels of fear of negative evaluation. This hypothesis was tested by examining self-reported fears of negative evaluation, thwarted belongingness, and suicidal ideation in 107 young adults, many who were explicitly targeted for recruitment due to a history of suicidal ideation and behavior [13.1 % had thoughts about suicide without a previous attempt; 15.9 % reported at least one previous attempt (max = 5 attempts)]. Mediation analyses were conducted with suicidal ideation entered as the outcome variable. Results indicated that greater fears of negative evaluation were significantly and positively associated with levels of suicidal ideation. Differences in thwarted belongingness fully accounted for the relationship between fears of negative evaluation and suicidal ideation. We conclude with clinical implications and future directions.
Voetnoten
1
In order to internally replicate the DSI-SS findings, the bootstrapping resampling procedure was used to test the significance of the indirect effects of fear of negative evaluation on self-reported suicide attempt history (0 = controls, 1 = current ideators with no history of suicide attempts, 2 = current ideators with a history of at least one suicide attempt) via the mediator, thwarted belongingness. The indirect effect of fears of negative evaluation on self-reported suicide attempt history through thwarted belongingness was significant (.0085); the 95 % CI ranged from .0024 to .0186. As predicted, the direct effect of fear of negative evaluation on self-reported suicide attempt history was no longer significant after accounting for the effects of thwarted belongingness (p = .59), indicating that thwarted belongingness fully mediated the relationship between fear of negative evaluation and self-reported suicide attempt history.
 
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Metagegevens
Titel
Thwarted Belongingness Mediates the Relationship Between Fear of Negative Evaluation and Suicidal Ideation
Auteurs
Carol Chu
Jennifer M. Buchman-Schmitt
Fallon B. Moberg
Thomas E. Joiner
Publicatiedatum
19-08-2015
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-015-9715-3

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