Volume 22, Issue 9 (12-2023)                   JRUMS 2023, 22(9): 911-928 | Back to browse issues page

Ethics code: IR.MEDILAM.REC.1400.181


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Mahboubi Matboo M, Ahmadi V, Soleimannejad H, Jafari-Mehdiabad A. The Structural Equation Model of Suicidal Behavior Based on Depression with the Mediation of Thwarted Belongingness and Perceived Burdensomeness in Suicide Attempters in Tehran: A Descriptive Study. JRUMS 2023; 22 (9) :911-928
URL: http://journal.rums.ac.ir/article-1-6965-en.html
Islamic Azad University
Abstract:   (1118 Views)
Background and Objectives: Suicide is one of the causes of death worldwide, which causes a long-term impact on the family, society, and economy. The present study investigated suicidal behavior in suicide attempters based on depression with the mediation of thwarted belongingness and perceived burdensomeness.
Materials and Methods: The current study is descriptive and correlational. A total of 365 patients who attempted suicide and were hospitalized at Baharloo Hospital in Tehran in 2022 were selected through convenience sampling. Beck Depression Inventory-II (BDI-II), Interpersonal Needs Questionnaire (INQ) (thwarted belongingness and perceived burdensomeness), and the Suicidal Behaviors Questionnaire-Revised (SBQ-R) were administered to the suicide attempters. The Sobel test was used to examine mediation hypotheses, and structural equation modeling (SEM) was used to evaluate the proposed model.
Results: The results showed that there were positive and significant relationships between depression score and suicidal behavior (r=0.314, p<0.001), thwarted belongingness and suicidal behavior (r=0.395, p<0.001), and perceived burdensomeness and suicidal behavior (r=0.410, p<0.001). The model fit indices confirmed the path of depression to suicidal behavior and depression with the mediation of thwarted belongingness and perceived burdensomeness.
Conclusion: The results of this study showed that depression plays a crucial role in suicidal behavior directly and indirectly through the mediation of thwarted belongingness and perceived burdensomeness. Therefore, identification, diagnosis, and treatment of people suffering from depression and examining interpersonal needs will effectively prevent and reduce suicidal behavior.
Key words: Depression, Thwarted belongingness, Perceived burdensomeness, Suicidal behavior

Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Ilam University of Medical Sciences, approved the study (IR.MEDILAM.REC.1400.181).


How to cite this article: Mahboubi Matboo Mojgan, Ahmadi Vahid, Soleimannejad Homeira, Jafari-Mehdiabad Amirhossein. The tructural Equation Model of Suicidal Behavior Based on Depression with the Mediation of Thwarted Belongingness and Perceived Burdensomeness in Suicide Attempters in Tehran: A Descriptive Study. J Rafsanjan Univ Med Sci 2023; 22 (9): 911-28. [Farsi]
 
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Type of Study: Research | Subject: Psychiatry
Received: 2023/05/6 | Accepted: 2023/08/22 | Published: 2023/12/19

References
0.  
1. World Health Organization. Depressive disorder (depression). 2023. Available at: https://www. who.int/ news-room/fact-sheets/detail/ depre_ ssion. May 02, 2023.
2. Al-Halabí S, García-Haro J, Rodríguez-Muñoz M, Fonseca-Pedrero E. Suicidal behavior and the perinatal period: Taboo and misunderstanding. Pap Psicol 2021; 42(3): 161-9.
3. Bachmann S. Epidemiology of suicide and the psychiatric perspective. Int J Environ Res Public Health 2018; 15(7): 1425.
4. Wetherall K, Robb K, O'connor RC. Social rank theory of depression: A systematic review of self-perceptions of social rank and their relationship with depressive symptoms and suicide risk. J Affect Disord 2019; 246: 300-19.
5. Ribeiro D, Huang X, Fox R, Franklin JC. Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies. BJPsych 2018; 212(5): 279-86.
6. Alqueza L, Pagliaccio D, Durham K, Srinivasan A, Stewart G, Auerbach P. Suicidal thoughts and behaviors among adolescent psychiatric inpatients. Arch Suicide Res 2021: 1-14.
7. Triscoli C, Croy I, Sailer U. Depression predicts interpersonal problems partially through the attitude towards social touch. J Affect Disord 2019; 246: 234-40.
8. May M, Victor E. From ideation to action: recent advances in understanding suicide capability. Curr Opin Psychol 2018; 22: 1-6.
9. Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE. The interpersonal theory of suicide. Psychol Rev 2010; 117(2): 575.
10. Joiner TE. Why people die by suicide. MA, US: Harvard University Press 2005: 30-84.
11. Van Orden KA, Bamonti M, King Deborah A, Duberstein Paul R. Does perceived burdensomeness erode meaning in life among older adults? Aging Ment Health 2012; 16(7): 855-60.
12. Hurtado G, Hovey Joseph D, Dueweke R. Examining proximal risk factors for suicide in a Sample of Mexican adults in rehabilitation centers. Suicide Life Threat Behav 2019; 49(1): 183-92.
13. Silva C, Ribeiro D, Joiner TE. Mental disorders and thwarted belongingness, perceived burdensomeness, and acquired capability for suicide. Psychiatry Res 2015; 226(1): 316-27.
14. O'connor RC, Nock K. The psychology of suicidal behaviour. Lancet Psychiatry 2014; 1(1): 73-85.
15. Osman A, Bagge CL, Gutierrez M, Konick C, Kopper A, Barrios X. The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples. ASMNT 2001; 8(4): 443-54.
16. Haukka J, Suominen K, Partonen T, Lönnqvist J. Determinants and outcomes of serious attempted suicide: a nationwide study in Finland, 1996–2003. Am J Epidemiol 2008; 167(10): 1155-63.
17. Schwake L, Wollenschläger I, Stremmel W, Encke J. Adverse drug reactions and deliberate self-poisoning as cause of admission to the intensive care unit: a 1-year prospective observational cohort study. Intensive Care Med 2009; 35: 266-74.
18. Kline Jb. Psychological testing: A practical approach to design and evaluation. California, US: Sage publications 2005: 1-30.
19. Stefan-Dabson K, Mohammadkhani P, Massah-Choulabi O. Psychometrics Characteristic of Beck Depression Inventory-II in Patients with Major Depressive Disorder. Arch Rehabil 2007; 8(0): 82-0. [Farsi]
20. Beck AT, Steer A, Ball R, Ranieri WF. Comparison of Beck Depression Inventories-IA and-II in psychiatric outpatients. J Pers Assess 1996; 67(3): 588-97.
21. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian‐language version of the Beck Depression Inventory‐Second edition: BDI‐II‐PERSIAN. Depress Anxiety 2005; 21(4): 185-92.
22. Wang Y, Gorenstein C. Psychometric properties of the Beck Depression Inventory-II: a comprehensive review. Braz J Psychiatry 2013; 35: 416-31.
23. Lee K, Kim D, Cho Y. Exploratory factor analysis of the Beck anxiety inventory and the Beck depression inventory-II in a psychiatric outpatient population. J Korean Med Sci 2018; 33(16).
24. Kiani A, Ahmadboukani S, Najafi N, Gorji Z. Validation and Psychometric Properties of the Interpersonal Needs Questionnaire in Students Abstract. Res Cong Behav Sci 2019; 9(2): 65-78. [Farsi]
25. Van Orden KA, Cukrowicz KC, Witte TK, Joiner TE. Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychol Assess 2012; 24(1): 197.
26. Imani M, Zemestani M, Karimi J. The Role of Psychological Disorders, Family Functioning and Occupational Factors on Self-harming Behaviors by the Mediating Role of Depression among Shiraz Military Personnel. J Mil Med 2022; 19(6): 624-33. [Farsi]
27. Garson GD. Testing statistical assumptions. Asheboro, NC: Statistical associates publishing. 2012: 18-20.
28. Meyers LS, Gamast G, Guarino AJ. Applied Multivariate Research (Design and Interpretation). translator: Pasha Sharifi H, Farzad V, Rezakhani SD, Hasababadi HR, Izanlou B, Habibi M Iran: Roshd. 2022: 258-70. [Farsi]
29. Hu LT, Bentler PM. Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychol Methods 1998; 3(4): 424.
30. Habibi A, Sarabadi M. SPSS Application Training. Iran: Naroun. 2022: 108-10. [Farsi]
31. Kang N, You J, Huang J, Ren Y, Lin MP, Xu S. Understanding the pathways from depression to suicidal risk from the perspective of the interpersonal–Psychological theory of suicide. Suicide Life Threat Behav 2019; 49(3): 684-94.
32. Gili M, Castellví P, Vives M, De LA, Almenara J, Blasco MJ, et al. Mental disorders as risk factors for suicidal behavior in young people: A meta-analysis and systematic review of longitudinal studies. J Affect Disord 2019; 245: 152-62.
33. Arsenault-Lapierre G, Kim C, Turecki G. Psychiatric diagnoses in 3275 suicides: a meta-analysis. BMC Psychiatry 2004; 4(1): 1-11.
34. Zhang J, Lester D, Zhao S, Zhou C. Suicidal ideation and its correlates: Testing the interpersonal theory of suicide in Chinese students. Arch Suicide Res 2013; 17(3): 236-41.
35. Brown SL, Mitchell SM, Roush JF, La Rosa NL, Cukrowicz KC. Rejection sensitivity and suicide ideation among psychiatric inpatients: An integration of two theoretical models. Psychiatry Res 2019; 272: 54-60.
36. Peerenboom L, Collard Rm, Naarding P, Comijs Hc. The association between depression and emotional and social loneliness in older persons and the influence of social support, cognitive functioning and personality: A cross-sectional study. J Affect Disord 2015; 182: 26-31.
37. Beck AT. Cognitive therapy of depression. NY, US: Guilford press. 1979: 35-64.
38. Lemoult J, Gotlib IH. Depression: A cognitive perspective. Clin Psychol Rev 2019; 69: 51-66.
39. Beck AT, Bredemeier K. A unified model of depression: Integrating clinical, cognitive, biological, and evolutionary perspectives. Clin Psychol Sci 2016; 4(4): 596-619.
40. Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med 2010; 7(7): e1000316.
41. Hill RM, Pettit JW. The role of autonomy needs in suicidal ideation: Integrating the interpersonal-psychological theory of suicide and self-determination theory. Arch Suicide Res 2013; 17(3): 288-301.
42. Hill RM, Pettit JW. Perceived burdensomeness and suicide‐related behaviors in clinical samples: Current evidence and future directions. J Clin Psychol 2014; 70(7): 631-43.
43. Nock MK, Hwang I, Sampson N, Kessler RC, Angermeyer M, Beautrais A, et al. Cross-national analysis of the associations among mental disorders and suicidal behavior: findings from the WHO World Mental Health Surveys. PLoS Med 2009; 6(8): e1000123.
44. Das S, Mishra MP. Suicide, A Dangerous Multidimensional Epidemic. Suicide 2019; 3(6): 792-807. ‌

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