Abstract
Abstract.Background: People who feel they have become a burden on others may become susceptible to suicidal ideation. When people no longer feel capable or productive, they may assume that friends and family members would be better off without them. Aim: The present study was designed to assess preliminary psychometric properties of a new measure, the Perceived Burdensomeness (PBS) Scale. Method: Depressed psychiatric patients (N = 173) were recruited from a veterans affairs medical center. Patients were assessed with a structured diagnostic interview and self-report measures assessing perceived burdensomeness, depression severity, hopelessness, and suicidal ideation. Results: The present study supported preliminary evidence of reliability and concurrent validity of the PBS. Additionally, perceived burdensomeness was significantly associated with higher levels of hopelessness and suicidal ideation. Conclusion: It is hoped that with the aid of the PBS clinicians may be able to intervene more specifically in the treatment of suicidality.
References
1995). Hopelessness predicts future depressive symptoms: A prospective analysis of cognitive vulnerability and cognitive content specificity. Journal of Clinical Psychology, 51, 331–339.
(2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Washington, DC: Author.
. (2003). Mean Beck Depression Inventory-II scores of outpatients with dysthymic or recurrent-episode major depressive disorders. Psychological Reports, 93, 507–512.
(1954). A note on the multiplying factors for various chi square approximations. Journal of the Royal Statistical Society, 16, 296–298.
(2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. 10.1037/pas0000053
(1979). Assessment of suicidal intention: The Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 47, 343–352.
(1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corp.
(1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142, 559–563.
(1988). Scale for suicide ideation: Psychometric properties of a self-report version. Journal of Clinical Psychology, 44, 499–505.
(1974). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psychology, 42, 861–865.
(2000). Living with a depressed spouse. Journal of Family Psychology, 14(1), 71–79. 10.1037/0893-3200.14.1.71
(2008). A qualitative study of potential suicide risk factors in returning combat veterans. Journal of Mental Health Counseling, 30(3), 211–225.
(2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68, 371–377.
(2003). The interplay among risk factors for suicidal ideation and suicide: The role of depression, poor health, and loved ones' messages of support and criticism. American Journal of Community Psychology, 32, 131–141.
(2011). The clinical utility of a brief measure of perceived burdensomeness and thwarted belongingness for the detection of suicidal military personnel. Journal of Clinical Psychology, 67(10), 981–992. 10.1002/jclp.20726
(2012). Perceived burdensomeness, fearlessness of death, and suicidality among deployed military personnel. Personality and Individual Differences, 52(3), 374–379. 10.1016/j.paid.2011.10.045
(2010). A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample. Personality and Individual Differences, 48(3), 347–350. 10.1016/j.paid.2009.10.023
(1966). The scree test for number of factors. Multivariate Behavioral Research, 1, 245–276.
(1987). Living with a depressed person. Journal of Consulting and Clinical Psychology, 55, 347–352.
(1984). Suicidal ideation and the residual capacity to promote inclusive fitness: A survey. Suicide and Life-Threatening Behavior, 14, 75–87.
(1995). Reproductive status, family interactions, and suicidal ideation: Surveys of the general public and high-risk groups. Ethology & Sociobiology, 16, 385–394.
(2012). Suicide data report. Retrieved from http://www.va.gov/opa/docs/Suicide-Data-Report-2012-final.pdf
. (1995). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID, Version 2). New York, NY: New York State Psychiatric Institute.
(2011). Evaluation of the psychometric properties of the interpersonal needs Questionnaire-12 in samples of men and women. Journal of Clinical Psychology, 67(6), 609–623. 10.1002/jclp.20782
(2010). The weirdest people in the world? Behavioral and Brain Sciences, 33(2–3), 61–83. 10.1017/S0140525X0999152X
(2006). Use of exploratory factor analysis in published research: Common errors and some comment on improved practice. Educational and Psychological Measurement, 66(3), 393–416. 10.1177/0013164405282485
(2014). Perceived burdensomeness and suicide-related behaviors in clinical samples: Current evidence and future directions. Journal of Clinical Psychology, 70(7), 631–643.
(1996). How the new NIH guidelines on inclusion of women and minorities apply: Efficacy trials, effectiveness trials, and validity. Journal of Consulting and Clinical Psychology, 64, 851–855.
(2011). The mediating effect of perceived burdensomeness on the relation between depressive symptoms and suicide ideation in a community sample of older adults. Aging & Mental Health, 15(2), 214–220. 10.1080/13607863.2010.501064
(2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
(2002). Perceived burdensomeness and suicidality: Two studies on the suicide notes of those attempting and those completing suicide. Journal of Social & Clinical Psychology, 21, 531–545.
(2009). Main predictions of the interpersonal–psychological theory of suicidal behavior: Empirical tests in two samples of young adults. Journal of Abnormal Psychology, 118(3), 634–646. 10.1037/a0016500
(1970). A second generation Little Jiffy. Psychometrika, 35, 401–415.
(1974). An index of factorial simplicity. Psychometrika, 39, 31–36.
(2012). Suicidal ideation and perceived burdensomeness in patients with chronic pain. Pain Practice, 12(8), 602–609. 10.1111/j.1533-2500.2012.00542.x
(2011). Alcohol-related problems and risk of suicide among college students: The mediating roles of belongingness and burdensomeness. Suicide and Life-Threatening Behavior, 41(5), 543–553. 10.1111/j.1943-278X.2011.00052.x
(2013). Examining the interpersonal-psychological theory of suicide in an inpatient veteran sample. Suicide and Life Threatening Behavior, 43(4), 418–428.
(1978). Psychometric theory (2nd ed.). New York, NY: McGraw-Hill.
(2001). On the use of college students in social science research: Insights from a second-order meta-analysis. Journal of Consumer Research, 28(3), 450–461. 10.1086/323732
(2012). Can perceived burdensomeness explain the relationship between suicide and perfectionism? Suicide and Life-Threatening Behavior, 42(2), 121–128. 10.1111/j.1943-278X.2011.00074.x
(2004). Concordance of DSM-IV Axis I and II diagnoses by personal and informant's interview. Psychiatry Research, 127, 121–136.
(2010). Overcoming the fear of lethal injury: Evaluating suicidal behavior in the military through the lens of the interpersonal–psychological theory of suicide. Clinical Psychology Review, 30(3), 298–307. 10.1016/j.cpr.2009.12.004
(2001). Further validity and reliability evidence for Beck Hopelessness Scale scores in a nonclinical sample. Educational and Psychological Measurement, 61, 303–316.
(2001). Mean Beck Depression Inventory-II scores by severity of major depressive disorder. Psychological Reports, 88, 1075–1076.
(2009). Construct validity of the interpersonal needs questionnaire (Doctoral dissertation). Retrieved from http://search.proquest.com/docview/304884339?accountid=39364
(2012). Does perceived burdensomeness erode meaning in life among older adults? Aging Mental Health, 16(7), 855–860.
(2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the interpersonal needs questionnaire. Psychological Assessment, 24(1), 197–215. 10.1037/a0025358; 10.1037/a0025358.supp
(2006). Perceived burdensomeness as an indicator of suicidal symptoms. Cognitive Therapy and Research, 30, 457–467.
(2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. 10.1037/a0018697
(2008). Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology, 76(1), 72–83. 10.1037/0022-006X.76.1.72
(2008). Suicidal ideation in college students varies across semesters: The mediating role of belongingness. Suicide and Life-Threatening Behavior, 38(4), 427–435. 10.1521/suli.2008.38.4.427
(2013). Brief report: Chronic pain and the interpersonal theory of suicide. Rehabilitation Psychology, 58(1), 111–115.
(2011). Social connections and suicidal thoughts and behavior. Psychology of Addictive Behaviors, 25(1), 180–184. 10.1037/a0020936
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