Perceived responsiveness in suicidal ideation: An experience sampling study in psychiatric patients

Author:

Sels Laura1ORCID,Homan Stephanie A.2,Reis Harry T.3,Horn Andrea B.2,Revol Jordan4,Scholz Urte2,Kowatsch Tobias5,Kleim Birgit2

Affiliation:

1. Ghent University Ghent Belgium

2. University of Zurich Zürich Switzerland

3. University of Rochester Rochester New York USA

4. KU Leuven Leuven Belgium

5. University of Zurich, University of St. Gallen & ETH Zurich Switzerland

Abstract

AbstractIntroductionPerceived responsiveness, or the extent to which one feels understood, validated and cared for by close others, plays a crucial role in people's well‐being. Can this interpersonal process also protect people at risk? We assessed whether fluctuations in suicidal ideation were associated with fluctuations in the degree of perceived responsiveness that psychiatric patients (admitted in the context of suicide or indicating suicidal ideation) experienced in daily interactions immediately after discharge.MethodsFifty‐seven patients reported on suicidal ideation (5 times a day) and perceived responsiveness (daily) for four consecutive weeks. The effects of established risk factors—thwarted belongingness, perceived burdensomeness, and hopelessness—were assessed as well.ResultsThe more patients felt that close others had been responsive to them, the less suicidal ideation they reported. At low levels of thwarted belongingness, perceived burdensomeness, or hopelessness, perceived responsiveness seemed to play a protective role, negatively co‐occurring with suicidal ideation. When thwarted belongingness, perceived burdensomeness, and hopelessness were high, perceived responsiveness did not have an effect.ConclusionPerceived responsiveness could be a protective factor for suicidal ideation for people at risk only when they are experiencing low levels of negative perceptions. When experiencing highly negative perceptions, however, perceived responsiveness seems to matter less.

Publisher

Wiley

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