Department of Psychology, Florida State University.
Department of Psychology, Louisiana State University.
Psychol Bull. 2017 Dec;143(12):1313-1345. doi: 10.1037/bul0000123. Epub 2017 Oct 26.
Over the past decade, the interpersonal theory of suicide has contributed to substantial advances in the scientific and clinical understanding of suicide and related conditions. The interpersonal theory of suicide posits that suicidal desire emerges when individuals experience intractable feelings of perceived burdensomeness and thwarted belongingness and near-lethal or lethal suicidal behavior occurs in the presence of suicidal desire and capability for suicide. A growing number of studies have tested these posited pathways in various samples; however, these findings have yet to be evaluated meta-analytically. This paper aimed to (a) conduct a systematic review of the unpublished and published, peer-reviewed literature examining the relationship between interpersonal theory constructs and suicidal thoughts and behaviors, (b) conduct meta-analyses testing the interpersonal theory hypotheses, and (c) evaluate the influence of various moderators on these relationships. Four electronic bibliographic databases were searched through the end of March, 2016: PubMed, Medline, PsycINFO, and Web of Science. Hypothesis-driven meta-analyses using random effects models were conducted using 122 distinct unpublished and published samples. Findings supported the interpersonal theory: the interaction between thwarted belongingness and perceived burdensomeness was significantly associated with suicidal ideation; and the interaction between thwarted belongingness, perceived burdensomeness, and capability for suicide was significantly related to a greater number of prior suicide attempts. However, effect sizes for these interactions were modest. Alternative configurations of theory variables were similarly useful for predicting suicide risk as theory-consistent pathways. We conclude with limitations and recommendations for the interpersonal theory as a framework for understanding the suicidal spectrum. (PsycINFO Database Record
在过去的十年中，人际理论对自杀的科学和临床理解做出了重大贡献。人际理论认为，当个体经历无法承受的被人视为累赘的感觉和受挫的归属感时，自杀欲望就会出现，而当自杀欲望和自杀能力存在时，就会发生接近致命或致命的自杀行为。越来越多的研究在各种样本中检验了这些假设的途径；然而，这些发现尚未进行元分析评估。本文旨在：(a) 系统地回顾未发表和已发表的同行评议文献，以检验人际理论结构与自杀念头和行为之间的关系；(b) 进行元分析检验人际理论假设；(c) 评估各种调节因素对这些关系的影响。截至 2016 年 3 月底，我们通过四个电子书目数据库进行了搜索：PubMed、Medline、PsycINFO 和 Web of Science。使用随机效应模型进行了基于假设的荟萃分析，共使用了 122 个不同的未发表和已发表的样本。研究结果支持人际理论：受挫归属感和被视为累赘的感觉之间的相互作用与自杀意念显著相关；受挫归属感、被视为累赘的感觉和自杀能力之间的相互作用与更多的自杀企图显著相关。然而，这些相互作用的效应大小适中。理论变量的替代配置对于预测自杀风险同样有用，因为它们与理论一致的途径有关。最后，我们对人际理论作为理解自杀范围的框架提出了局限性和建议。
