Relationship Satisfaction and Risk Factors for Suicide
Abstract
Abstract.Background: Previous studies suggest that troubled romantic relationships are associated with higher risk factors for mental health. However, studies examining the role of relationship satisfaction in suicide risk factors are scarce. Aims: We investigated differences in risk factors for suicide between individuals with high relationship satisfaction, individuals with low relationship satisfaction, and singles. Furthermore, we explored patterns of experiencing, and dealing with, conflicts in the relationship and examined associations with suicide risk factors. Method: In this cross-sectional study, we assessed relationship status, relationship satisfaction, specific types of relationship conflicts, and suicide risk factors (i.e., suicidal ideation, hopelessness, depression) with questionnaires among 382 individuals in Austria. Results: Risk factors for suicide were higher among singles than among individuals in happy relationships, but lower among those with low relationship satisfaction. Participants reporting a high number of unsolved conflicts in their relationship had higher levels of suicidal ideation, hopelessness, and depression than individuals who tend to solve issues with their partner amicably or report no conflicts. Conclusion: Relationship satisfaction and relationship conflicts reflect risk factors for suicide, with higher levels of suicidal ideation, hopelessness, and depression reported by individuals who mentioned unsolved conflicts with their partner and experienced low satisfaction with their relationship.
References
2002). Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. British Medical Journal, 325, 74.
(2001). Impact of positive and negative aspects of marital relationships and friendships on well-being of older adults. Applied Developmental Science, 5, 68–75.
(1992). Suicide attempts among Greek and Danish women and the quality of their relationships with husbands or boyfriends. Acta Psychiatrica Scandinavica, 85, 189–195.
(2013). Quantifying the impact of recent negative life events on suicide attempts. Journal of Abnormal Psychology, 122, 359–368.
(2014). Temporal effects of separation on suicidal thoughts and behaviours. Social Science & Medicine, 111, 58–63.
(1998). Marital therapy in the treatment of depression: Toward a third generation of therapy and research. Clinical Psychology Review, 18, 635–661.
(1990). Relationship between hopelessness and ultimate suicide: A replication with psychiatric outpatients. American Journal of Psychiatry, 147, 190–195.
(1988). Manual for the Beck Hopelessness Scale. San Antonio, TX: Psychological Corporation.
(2005). The structure of posttraumatic stress disorder: Latent class analysis in 2 community samples. Archives of General Psychiatry, 62, 1343–1351.
(1992). Differences in the effects of divorce on major depression in men and women. American Journal of Psychiatry, 149, 914–917.
(2014). Happy marriage, happy life? Marital quality and subjective well-being in later life. Journal of Marriage and Family, 76, 930–948.
(2013). Risk and protective factors predicting multiple suicide attempts. Psychiatry Research, 3, 957–961.
(1986). Going beyond social support: The role of social relationships in adaptation. Journal of Consulting and Clinical Psychology, 54, 454–460.
(1988). Suicide Probability Scale (SPS). Los Angeles, CA: WPS.
(2001). Social support in marriage. American Journal of Family Therapy, 29, 307–324.
(1999). Conflict in marriage: Implications for working with couples. Annual Review of Psychology, 50, 47–77.
(2010). Understanding relationship quality: Theoretical challenges and new tools for assessment. Journal of Family Theory & Review, 2, 227–242.
(2003). Marital status and quality in middle-aged women: Associations with levels and trajectories of cardiovascular risk factors. Health Psychology, 22, 453–463.
(2009). Statnotes: Topics in multivariate analysis: Latent class analysis. Retrieved from http://faculty.chass.ncsu.edu/garson/PA765/latclass.htm
(1981). The contribution of marital happiness to global happiness. Journal of Marriage and the Family, 43, 161–168.
(1983). Does marriage have positive effects on the psychological well-being of the individual? Journal of Health and Social Behavior, 24, 122–131.
(2005). Relationship quality: Effects on ambulatory blood pressure and negative affect in a biracial sample of men and women. Blood Pressure Monitoring, 10, 117–124.
(1996). Fragebogen zur Partnerschaftsdiagnostik (FDP). Partnerschaftsbogen PFB, Problemliste PL und Fragebogen zur Lebensgeschichte und Partnerschaft FLP [Inventory for marital assessment (FDP). Partnership Questionnaire PFB, Problem List PL, and Biography and Partnership Questionnaire FLP]. Göttingen, Germany: Hogrefe.
(2002). Dimensions of relationship quality. Personal Relationships, 9, 253–270.
(1988). A generic measure of relationship satisfaction. Journal of Marriage and Family, 50, 93–98.
(2008). Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health. Annals of Behavioral Medicine, 35, 239–244.
(1988). Structures and processes of social support. Annual Review of Sociology, 14, 293–318.
(2015). The association of relationship quality and social networks with depression, anxiety, and suicidal ideation among older married adults: Findings from a cross-sectional analysis of the Irish longitudinal study on aging (TILDA). Journal of Affective Disorders, 179, 134–141.
(1993). Research on couples and couple therapy: What do we know? Where are we going? Journal of Consulting and Clinical Psychology, 61, 85–93.
(2000). Integrative behavioral couple therapy: An acceptance-based, promising new treatment for couple discord. Journal of Consulting and Clinical Psychology, 68, 351–355.
(2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
(2009). Main predictions of the interpersonal–psychological theory of suicidal behavior: Empirical tests in two samples of young adults. Journal of Abnormal Psychology, 118, 634–646.
(2016). The impact of intimate partner relationships on suicidal thoughts and behaviours: A systematic review. Journal of Affective Disorders, 190, 585–598.
(2001). Marriage and health: His and hers. Psychological Bulletin, 127, 472–503.
(2012). Fluctuations of suicidality in the aftermath of a marital separation: 6-Month follow-up observations. Journal of Affective Disorders, 142, 256–263.
(2013). Relationship quality and levels of depression and anxiety in a large population-based survey. Social Psychiatry and Psychiatric Epidemiology, 48, 417–425.
(1983). Erlanger Depressions-Skala EDS
([Erlangen depression scale EDS] . Vaterstetten, Germany: Vless.2011). Suicide categories by patterns of known risk factors: A latent class analysis. Archives of General Psychiatry, 68, 935–941.
(2014). Stressful social relations and mortality: A prospective cohort study. Journal of Epidemiology and Community Health, 68, 720–727.
(2005). Suicide prevention strategies – a systematic review. Journal of the American Medical Association, 294, 2064–2074.
(2007). Romantic relationships and health: An examination of individuals' perceptions of their romantic partners' influences on their health. Sex Roles, 57, 435–445.
(2007). Can we predict suicide and non-fatal self-harm with the Beck Hopelessness Scale? A meta-analysis. Psychological Medicine, 37, 769–778.
(2012). Exposure to parental mortality and markers of morbidity, and the risks of attempted and completed suicide in offspring: An analysis of sensitive life periods. Journal of Epidemiology and Community Health, 66, 233–239.
(2004). Mental health among older adults in Japan: Do sources of social support and negative interaction make a difference? Social Science & Medicine, 59, 2259–2270.
(2003). Does Level of assessment moderate the relation between social support and social negativity?: A meta-analysis. Basic and Applied Social Psychology, 25, 15–35.
(2003). The physiology of marriage: Pathways to health. Physiology & Behavior, 79, 409–416.
(1984). The negative side of social interaction: Impact on psychological well-being. Journal of Personality and Social Psychology, 46, 1097–1108.
(2012). Krisenintervention und Suizidverhütung
. ([Crisis intervention and suicide prevention] . Vienna, Austria: Facultas.1990). New micro-level data on the impact of divorce on suicide, 1959–1980: A test of two theories. Journal of Marriage and Family, 52, 119–127.
(1992).
(Marriage, family, religion, and suicide . In R. W. MarisA. L. BermanJ. T. MaltsbergerR. I. YufitEds., Assessment and prediction of suicide (pp. 540–552). New York, NY: Guilford.2000). Suicide: A 15-year review of the sociological literature part II: Modernization and social integration perspectives. Suicide and Life-Threatening Behavior, 30, 163–176.
(1998). Marital status and happiness: A 17-nation study. Journal of Marriage and Family, 60, 527–536.
(2002). Communication, conflict, and commitment: Insights on the foundations of relationship success from a national survey. Family Process, 41, 659–675.
(2011). Educational attainment of the Austrian population between 25 and 64 years, from 1971 to 2012 [Data file]. Retrieved from http://www.statistik.at/web_de/statistiken/bildung_und_kultur/bildungsstand_der_bevoelkerung/020912.html
. (2013). Social relationships and depression: Ten-year follow-up from a nationally representative study. PLOS ONE, 8, e62396.
(2010). The interpersonal theory of suicide. Psychological Review, 117, 575–600.
(2001). Suicide – an unnecessary death. London, UK: Dunitz.
(2012). Intimate relationships and psychopathology. Clinical Child and Family Psychology Review, 15, 4–13.
(2006). Impairment and distress associated with relationship discord in a national sample of married or cohabiting adults. Journal of Family Psychology, 20, 369–377.
(2009). Prospective associations between marital discord and depressive symptoms in middle-aged and older adults. Psychology and Aging, 24, 184–189.
(2006). Marital discord and well-being in older adults: Is the association confounded by personality? Psychology and Aging, 21, 626–631.
(2009). Separation as a suicide risk factor. Journal of Affective Disorder, 116, 208–213.
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