Perceived burdensomeness and suicide-related behaviors in clinical samples: current evidence and future directions

J Clin Psychol. 2014 Jul;70(7):631-43. doi: 10.1002/jclp.22071. Epub 2014 Jan 13.

Abstract

Context: The interpersonal-psychological theory of suicide identifies perceived burdensomeness as a primary component of suicidal desire and a possible point of intervention for suicide prevention. A growing literature has explored the relationship between perceived burdensomeness and suicide-related behaviors.

Objective: The aim of this review is to integrate the evidence, identify critical gaps in the evidence-base, and explore implications for translation to prevention and intervention science.

Methods: Papers published that reported on the association between perceived burdensomeness and suicide-related behaviors were included.

Results: The literature indicates (a) significant cross-sectional associations between perceived burdensomeness and suicidal ideation and suicide attempts and (b) that perceived burdensomeness acts as either a moderator or a mediator of the association between risk and protective factors and suicide-related behaviors.

Conclusion: Research is needed to examine the longitudinal association between perceived burdensomeness and suicide-related behaviors, develop additional measurement approaches, generalize findings to other samples, and begin translating findings to prevention and intervention science.

Keywords: burdensomeness; interpersonal-psychological theory; review; suicidal ideation; suicide.

Publication types

  • Review

MeSH terms

  • Humans
  • Self Concept*
  • Suicide / psychology*