Back to the roots of perceived burdensomeness: The potential role of perceived contribution

Document Type

Article

Publication Date

12-1-2024

Abstract

Background: The Interpersonal-Psychological Theory of Suicide (IPTS), identifies perceived burdensomeness as a critical factor in the development of suicidal ideation. Measurement of perceived burdensomeness using the INQ in research has predominantly focused on liability toward others. Recent studies have demonstrated the role of perceived contribution toward others as an aspect of perceived burdensomeness. This study proposes a hypothesized transactional model of perceived burdensomeness, in which perceived burdensomeness can be viewed as the balance between perceived contributions and perceived liability to others. Method: Participants (n = 1112) were college students (M age = 18.86 years, SD = 1.50) who completed survey measures. Participants were predominantly cisgender women (73.6%), heterosexual (78.8%), and white (58.3%). Results: Perceived contribution was negatively associated with perceived burdensomeness, suicidal ideation, and psychological pain after controlling for perceived liability. Further, the difference between perceived contributions and perceived liability accounted for variability in suicidal ideation after controlling for INQ perceived burdensomeness. Discussion: The inclusion of perceived contribution as an element of perceived burdensomeness may offer new opportunities for clinical formulation and intervention. Future research is needed to further evaluate the proposed transactional model of perceived burdensomeness.

Publication Source (Journal or Book title)

Suicide and Life-Threatening Behavior

First Page

1029

Last Page

1040

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