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Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness about Death: Associations With Suicidal Ideation among Female Veterans Exposed to Military Sexual Trauma.
J Clin Psychol. 2017 Dec; 73(12):1655-1669.JC

Abstract

OBJECTIVE

Military sexual trauma (MST) is prevalent among female Veterans and is associated with increased risk for suicidal self-directed violence. Yet research examining processes which contribute to suicidal ideation and attempts among MST survivors has been sparse, focusing primarily on psychiatric symptoms or diagnoses, rather than employing a theory-driven approach. The interpersonal-psychological theory (Joiner, 2005) is a leading theory of suicide that may be particularly relevant for understanding suicidal ideation among female Veterans who have experienced MST. We examined whether constructs derived from the interpersonal-psychological theory of suicide (perceived burdensomeness, thwarted belongingness, and fearlessness about death; Joiner, 2005) were associated with suicidal ideation among female Veterans who had experienced MST, when adjusting for known risk factors for suicide.

METHOD

Ninety-two female Veterans with a history of MST completed the Interpersonal Needs Questionnaire, Acquired Capability for Suicide Scale - Fearlessness about Death Scale, and Beck Scale for Suicide Ideation.

RESULTS

Perceived burdensomeness, thwarted belongingness, and fearlessness about death were each associated with suicidal ideation in the past week, adjusting for prior suicide attempts, current depressive symptoms, and current symptoms of posttraumatic stress disorder. When including all three interpersonal-psychological constructs in the model, only perceived burdensomeness and fearlessness about death were significantly associated with suicidal ideation.

CONCLUSION

These findings provide knowledge regarding interpersonal processes that may contribute to suicidal ideation among this high-risk, yet understudied, population. These results also underscore the importance of assessing for interpersonal-psychological constructs-particularly perceived burdensomeness and fearlessness about death-when working with female Veterans who have experienced MST.

Authors+Show Affiliations

Rocky Mountain Mental Illness Research, Education and Clinical Center and University of Colorado Anschutz Medical Campus.Rocky Mountain Mental Illness Research, Education and Clinical Center and University of Colorado Anschutz Medical Campus.Michael E. DeBakey Veterans Affairs Medical Center, South Central Mental Illness Research, Education and Clinical Center, and Baylor College of Medicine.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28186637

Citation

Monteith, Lindsey L., et al. "Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness About Death: Associations With Suicidal Ideation Among Female Veterans Exposed to Military Sexual Trauma." Journal of Clinical Psychology, vol. 73, no. 12, 2017, pp. 1655-1669.
Monteith LL, Bahraini NH, Menefee DS. Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness about Death: Associations With Suicidal Ideation among Female Veterans Exposed to Military Sexual Trauma. J Clin Psychol. 2017;73(12):1655-1669.
Monteith, L. L., Bahraini, N. H., & Menefee, D. S. (2017). Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness about Death: Associations With Suicidal Ideation among Female Veterans Exposed to Military Sexual Trauma. Journal of Clinical Psychology, 73(12), 1655-1669. https://doi.org/10.1002/jclp.22462
Monteith LL, Bahraini NH, Menefee DS. Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness About Death: Associations With Suicidal Ideation Among Female Veterans Exposed to Military Sexual Trauma. J Clin Psychol. 2017;73(12):1655-1669. PubMed PMID: 28186637.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived Burdensomeness, Thwarted Belongingness, and Fearlessness about Death: Associations With Suicidal Ideation among Female Veterans Exposed to Military Sexual Trauma. AU - Monteith,Lindsey L, AU - Bahraini,Nazanin H, AU - Menefee,Deleene S, Y1 - 2017/02/10/ PY - 2016/03/02/received PY - 2016/11/10/revised PY - 2017/01/03/accepted PY - 2017/2/12/pubmed PY - 2018/7/7/medline PY - 2017/2/11/entrez KW - Veterans KW - acquired capability for suicide KW - females KW - interpersonal-psychological theory KW - military sexual trauma KW - perceived burdensomeness KW - suicidal ideation KW - thwarted belongingness SP - 1655 EP - 1669 JF - Journal of clinical psychology JO - J Clin Psychol VL - 73 IS - 12 N2 - OBJECTIVE: Military sexual trauma (MST) is prevalent among female Veterans and is associated with increased risk for suicidal self-directed violence. Yet research examining processes which contribute to suicidal ideation and attempts among MST survivors has been sparse, focusing primarily on psychiatric symptoms or diagnoses, rather than employing a theory-driven approach. The interpersonal-psychological theory (Joiner, 2005) is a leading theory of suicide that may be particularly relevant for understanding suicidal ideation among female Veterans who have experienced MST. We examined whether constructs derived from the interpersonal-psychological theory of suicide (perceived burdensomeness, thwarted belongingness, and fearlessness about death; Joiner, 2005) were associated with suicidal ideation among female Veterans who had experienced MST, when adjusting for known risk factors for suicide. METHOD: Ninety-two female Veterans with a history of MST completed the Interpersonal Needs Questionnaire, Acquired Capability for Suicide Scale - Fearlessness about Death Scale, and Beck Scale for Suicide Ideation. RESULTS: Perceived burdensomeness, thwarted belongingness, and fearlessness about death were each associated with suicidal ideation in the past week, adjusting for prior suicide attempts, current depressive symptoms, and current symptoms of posttraumatic stress disorder. When including all three interpersonal-psychological constructs in the model, only perceived burdensomeness and fearlessness about death were significantly associated with suicidal ideation. CONCLUSION: These findings provide knowledge regarding interpersonal processes that may contribute to suicidal ideation among this high-risk, yet understudied, population. These results also underscore the importance of assessing for interpersonal-psychological constructs-particularly perceived burdensomeness and fearlessness about death-when working with female Veterans who have experienced MST. SN - 1097-4679 UR - https://www.unboundmedicine.com/medline/citation/28186637/Perceived_Burdensomeness_Thwarted_Belongingness_and_Fearlessness_about_Death:_Associations_With_Suicidal_Ideation_among_Female_Veterans_Exposed_to_Military_Sexual_Trauma_ L2 - https://doi.org/10.1002/jclp.22462 DB - PRIME DP - Unbound Medicine ER -