Psychological mechanisms of the development of suicidal ideation: Longitudinal cohort study

Author:

Shou Yiyun123ORCID,Gulliver Amelia4ORCID,Farrer Louise M.4ORCID,Dawel Amy1ORCID,Burns Richard5ORCID,Calear Alison L.4ORCID,Cherbuin Nicolas5ORCID,Batterham Philip J.4ORCID

Affiliation:

1. School of Medicine and Psychology The Australian National University Canberra Australia

2. Lloyd's Register Foundation Institute for the Public Understanding of Risk National University of Singapore Singapore Singapore

3. Saw Swee Hock School of Public Health National University of Singapore and National University Health System Singapore Singapore

4. Centre for Mental Health Research, National Centre for Epidemiology and Population Health The Australian National University Canberra Australia

5. Department of Health, Economics, Wellbeing, and Society, National Centre for Epidemiology and Population Health The Australian National University Canberra Australia

Abstract

AbstractIntroductionThis study aimed to investigate the mechanisms of the development of suicidal ideation and its moderating and protective factors. Drawing on the Interpersonal‐psychological theory of suicide, we proposed that disruptions to belongingness, in conjunction with tolerance of health risk, may influence the development of suicidal ideation above and beyond psychosocial changes such as disruptions to finances and work.MethodsThe study involved a longitudinal investigation of an Australian representative sample reporting suicidal ideation fortnightly for 12 weeks between March and June 2020.ResultsThe results indicated that participants who reported higher levels of belongingness, mastery, and intolerance of health risk were less likely to experience suicidal ideation and had lower severity of suicidal ideation. Mastery significantly strengthened the negative link between belongingness and the incidence of suicidal ideation, while agreeableness significantly strengthened the negative link between belongingness and the severity of suicidal ideation over time.ConclusionThe findings suggest that supporting effective social connectedness during times of isolation and promoting self‐efficacy, mastery, and regulation of risk tolerance, may be crucial for suicide prevention and therapeutic intervention.

Publisher

Wiley

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