The Relationship Between Psychological Buffers, Hopelessness, and Suicidal Ideation
Identification of Protective Factors
Abstract
Abstract. In this study we examined the role of psychological buffers (life satisfaction, self-esteem, perception of family cohesion, and perception of social support) in the development of hopelessness and suicidal ideation. The participants were 314 university students, 71 males and 243 females, who were asked to complete a battery of instruments measuring the psychological buffers mentioned above. The results of a set of hierarchical multiple regression analyses suggested that life satisfaction and self-esteem are independent predictors of lower levels of hopelessness, while perception of social support seems to be the major predictor of lower levels of suicidal ideation independent of depression and hopelessness severity. Thus, hopelessness seems to be minimized by the level of life satisfaction and level of self-esteem exhibited by the individuals, while the key factor to the mitigation of suicidal ideas seems to be perception of social support.
References
(1995). Hopelessness predicts future depressive symptoms: A prospective analysis of cognitive vulnerability and cognitive content specificity. Journal of Clinical Psychology, 51, 331–339
(2001). Health risk behaviors and associated risk and protective factors among Brazilian adolescents in Santos, Brazil. Journal of Adolescent Health, 28, 295–302
(1990). Relationship between hopelessness and ultimate suicide: A replication with psychiatric patients. American Journal of Psychiatry, 147, 190–195
(1979). Assessment of suicidal ideation: The scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47, 343–352
(1988). Manual for Beck Hopelessness Inventory. San Antonio: Psychological Corporation
(1991). Manual for Beck Scale for Suicide Ideation. San Antonio: Psychological Corporation
(1990). The Beck Self-Concept Test. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2, 191–197
(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
(1991). Predicting vulnerability to hopelessness: A longitudinal analysis. Journal of Nervous and Mental Disease, 179, 29–32
(2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68, 371–377
(1999). Dysfunctional attitudes and poor problem solving skills predict hopelessness in major depression. Journal of Affective Disorders, 55, 45–49
(2003). Suicide risk in outpatients with specific mood and anxiety disorders. Crisis, 24, 105–112
(2004a). Assessing suicide risk in cluster C personality disorders. Crisis, 25, 128–133
(2004b). Suicide risk in patients with somatization disorder. Crisis, 25, 3–7
(2005). Personality traits and the development of depression, hopelessness, and suicide ideation. Personality and Individual Differences, 38, 1283–1291
(in press). Cognitive factors, engagement in sports, and suicide ideation. Archives of Suicide Research
(in press b). Dimensions of the Dysfunctional Attitude Scale (DAS-A) and the Automatic Thoughts Questionnaire (ATQ-30) as cognitive vulnerability factors in the development of suicide ideation. Behavioural and Cognitive Psychotherapy
(2002). The relationship between level of self-esteem and suicidal ideation with stability of self-esteem as moderator. Canadian Journal of Behavioural Science, 34, 235–238
(1995). Suicidal ideation in high school students: Depression and other correlates. Journal of Clinical Psychology, 51, 173–181
(1985). The measurement of self-esteem: Refining our methods. Journal of Personality and Social Psychology, 48, 1490–1502
(1973). SCL-90: An outpatient psychiatric rating scale - Preliminary report. Psychopharmacology Bulletin, 9, 13–28
(1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75
(2001). The Edinburg Postnatal Depression Scale: Validation in a Norwegian community sample. Nordic Journal of Psychiatry, 55, 113–117
(2003). A new rating scale for adult resilience: What are the central protective resources behind healthy adjustment?. International Journal of Methods in Psychiatric Research, 12, 65–76
(2001). Suicide risk and protective factors in the new millennium. Ljubljana: Cankarjev dom
(2002). Development of the reasons for living inventory for young adults. Journal of Clinical Psychology, 58, 339–357
(2000). Cultural orientation, family cohesion, and family support in suicide ideation and depression among African American college students. Suicide and Life-Threatening Behavior, 30, 341–353
(1987). Subclinical and clinical depression: Are analog studies justifiable?. Personality and Individual Differences, 8, 113–120
(1988). Test-retest reliability of the Hopelessness Scale and its items in a university population. Journal of Clinical Psychology, 43, 597–600
(1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry, 56, 617–626
(2003). Self-reported happiness in life and suicide in ensuing 20 years. Social Psychiatry and Psychological Epidemiology, 38, 244–248
(2001). Life satisfaction and suicide: A 20-year follow-up study. American Journal of Psychiatry, 158, 433–439
(1996). Correlates of life satisfaction among psychiatric patients. Acta Psychiatrica Scandinavica, 94, 372–378
(2000). Why people kill themselves: A 2000 summary of research on suicide. Springfield: CC Thomas
(1994). Psychosocial risk factors for future adolescent suicide attempts. Journal of Consulting and Clinical Psychology, 62, 297–305
(1983). Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory. Journal of Consulting and Clinical Psychology, 51, 276–286
(2000). Protective factors against suicidal acts in major depression: Reasons for living. American Journal of Psychiatry, 157, 1084–1088
(2002). Suicide. The Lancet, 360, 319–326
(1999). Epidemiology of suicide. In D.G. Jacobs (Ed.), The Harvard Medical School guide to suicide assessment and intervention (pp. 44-51). San Francisco: Jossey-Bass
(2003). Predicting hopelessness and psychological distress: The role of perfectionism and coping. Journal of Consulting Psychology, 50, 362–372
(1997). Protecting against hopelessness and suicidality in sexually abused American Indian adolescents. Journal of Adolescent Health, 21, 400–406
(1965). Society and the adolescent self-image. Princeton: Princeton University Press
(2001). Risk factor model for suicide assessment and intervention. Professional Psychology: Research and Practice, 32, 351–358
(2000). Sport and physical activity as possible protective factors in relation to adolescent suicide attempts. International Journal of Sport Psychology, 31, 405–413
(2003). The Hopkins Symptom Checklist-25 in screening DSM-III-R axis-I disorders. Nordic Journal of Psychiatry, 57, 119–123
(1999a). Suicidal ideation and the five-factor model of personality. Personality and Individual Differences, 27, 943–952
(1999b). Personality and negative expectancies: Trait structure of the Beck Hopelessness Scale. Personality and Individual Differences, 26, 913–921
(1993). Analog versus clinical depression: A critical reappraisal. Psychological Bulletin, 113, 327–344
(1990). Cognitive approaches to understanding and treating suicidal behavior. In S.J. Blumenthal & D.J. Kupfer (Eds.), Suicide over the life cycle (pp. 469-498). London: American Psychiatric Press
(1992). Hopelessness and suicide. International Review of Psychiatry, 4, 177–184
(1976). Hopelessness, depression, and suicide intent. Archives of General Psychiatry, 33, 1069–1073
(1994). Life stress, social support, and problem-solving skills predictive of depressive symptoms, hopelessness, and suicide ideation in an Asian student population: A test of a model. Suicide and Life Threatening Behavior, 24, 127–139