Evaluating Thwarted Belongingness and Perceived Burdensomeness as Predictors of Suicidal Ideation in Sexual Minority Adults

Psychology of Sexual Orientation and Gender Diversity

Volumn 1, Issue 3, 2014, Pages 234-243

  Woodward, Eva N ^a   Gray, Taylor W ^b   Wingate, LaRicka ^c   Pantalone, David W ^d  

^a SUFFOLK UNIVERSITY   (United States)

^b SIMMONS COLLEGE   (United States)

^c OKLAHOMA STATE UNIVERSITY   (United States)

^d UNIVERSITY OF MASSACHUSETTS BOSTON   (United States)

Author keywords

Belongingness; Burdensomeness; Interpersonal; SI; Suicidal ideation; Suicide

Indexed keywords

EID: 84928556223     PISSN: 23290382     EISSN: 23290390     Source Type: Journal    
DOI: 10.1037/sgd0000046     Document Type: Article

References (57)

1. Bailey, J. M., Dunne, M. P., & Martin, N. G. (2000). Genetic and environmental influences on sexual orientation and its correlates in an Australian twin sample. Journal of Personality and Social Psychology, 78, 524–536. doi:10.1037/0022-3514.78.3.524
2. Balsam, K. F., & Mohr, J. J. (2007). Adaptation to sexual orientation stigma: A comparison of bisexual and lesbian/gay adults. Journal of Counseling Psychology, 54, 306–319. doi:10.1037/0022-0167.54.3.306
3. Blosnich, J. R., Bossarte, R. M., & Silenzio, V. B. (2012). Suicidal ideation among sexual minority veterans: Results from the 2005–2010 Massachusetts Behavioral Risk Factor Surveillance Survey. American Journal of Public Health, 102, S44 –S47. doi:10.2105/AJPH.2011.300565
4. Bostwick, W. B., Boyd, C. J., Hughes, T. L., West, B. T., & McCabe, S. E. (2014). Discrimination and mental health among lesbian, gay, and bisexual adults in the United States. American Journal of Orthopsychiatry, 84, 35– 45. doi:10.1037/h0098851
5. Bryan, C. J., Morrow, C. E., Anestis, M. D., & Joiner, T. E. (2010). A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample. Personality and Individual Differences, 48, 347–350. doi:10.1016/j.paid.2009.10.023
6. Cochran, S. D., Mays, V. M., Alegria, M., Ortega, A. N., & Takeuchi, D. (2007). Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 75, 785–794. doi:10.1037/0022-006X.75.5 .785
7. Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71, 53– 61. doi:10.1037/0022-006X.71 .1.53
8. Cole, S. W. (2006). Social threat, personal identity, and physical health in closeted gay men. In A. M. Omoto & H. S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people (pp. 245–267). Washington, DC: American Psychological Association.
9. Faul, F., Erdfelder, E., Lang, A., & Buchner, A. (2007). GPower 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. doi: 10.3758/BF03193146
10. Fitzpatrick, K. K., Euton, S. J., Jones, J. N., & Schmidt, N. B. (2005). Gender role, sexual orientation, and suicide risk. Journal of Affective Disorders, 87, 35–42. doi:10.1016/j.jad.2005.02.020
11. Gilman, S. E., Cochran, S. D., Mays, V. M., Hughes, M., Ostrow, D., & Kessler, R. C. (2001). Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the national comorbidity survey. American Journal of Public Health, 91, 933–939. doi:10.2105/AJPH.91 .6.933
12. Grossman, A. H., & D’Augelli, A. R. (2007). Transgender youth and life-threatening behavior. Suicide and Life-Threatening Behavior, 37, 527–537. doi:10.1521/suli.2007.37.5.527
13. Haas, A. P., Eiason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D’Augelli, D. R., . . . Clayton, P. J. (2011). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58, 10–51. doi:10.1080/ 00918369.2011.534038
14. Hatzenbuehler, M. L. (2011). The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics, 127, 896–903. doi: 10.1542/peds.2010-3020
15. Hibbard, L. (2012, June 14). Brandon Elizares, gay teen, commits suicide, writing, “I couldn’t make it. I love you guys.” Huffington Post. Retrieved from http://www.huffingtonpost.com/
16. Hill, R. M., & Pettit, J. W. (2012). Suicidal ideation and sexual orientation in college students: The roles of perceived burdensomeness, thwarted belongingness, and perceived rejection due to sexual orientation. Suicide and Life-Threatening Behavior, 42, 567–579. doi:10.1111/j.1943-278X .2012.00113.x
17. Hilton, A. N., & Szymanski, D. M. (2011). Family dynamics and changes in sibling of origin relationship after lesbian and gay sexual orientation disclosure. Contemporary Family Therapy: An International Journal, 33, 291–309. doi:10.1007/s10591-011-9157-3
18. Hong, J. S., Espelage, D. L., & Kral, M. J. (2011). Understanding suicide among sexual minority youth in America: An ecological systems analysis. Journal of Adolescence, 34, 885–894. doi:10.1016/j.adolescence .2011.01.002
19. Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: The National Academies Press.
20. Irwin, J. A., & Austin, E. L. (2013). Suicide ideation and suicide attempts among White Southern lesbians. Journal of Gay & Lesbian Mental Health, 17, 4–20. doi:10.1080/19359705.2012.711552
21. Jobes, D. A. (2012). The Collaborative Assessment and Management of Suicidality (CAMS): An evolving evidence-based clinical approach to suicidal risk. Suicide and Life-Threatening Behavior, 42, 640–653. doi:10.1111/j.1943-278X.2012.00119.x
22. Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press
23. Joiner, T. E., Pfaff, J. J., & Acres, J. G. (2002). A brief screening tool for suicidal symptoms in adolescents and young adults in general health settings: Reliability and validity data from the Australian national general practice youth suicide prevention project. Behaviour Research and Therapy, 40, 471–481. doi:10.1016/S0005-7967(01)00017-1
24. King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorders, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70–87. doi:10.1186/1471-244X-8-70
25. Koh, H. K. (2010). A 2020 vision for healthy people. New England Journal of Medicine, 362, 1653–1656. doi:10.1056/NEJMp1001601
26. Kurtz, S. P., Buttram, M. E., Surratt, H. L., & Stall, R. D. (2012). Resilience, syndemic factors, and serosorting behaviors among HIV-positive and HIV-negative substance-using MSM. AIDS Education and Prevention, 24, 193–205. doi:10.1521/aeap.2012.24.3.193
27. Lehavot, K., & Simoni, J. M. (2011). The impact of minority stress on mental health and substance use among sexual minority women. Journal of Consulting and Clinical Psychology, 79, 159 –170. doi:10.1037/ a0022839
28. Loosier, P. S., & Dittus, P. J. (2010). Group differences in risk across three domains using an expanded measure of sexual orientation. The Journal of Primary Prevention, 31, 261–272. doi:10.1007/s10935-010-0228-2
29. Marty, M. A., Segal, D. L., Coolidge, F. L., & Klebe, K. J. (2012). Analysis of the psychometric properties of the Interpersonal Needs Questionnaire (INQ) among community-dwelling older adults. Journal of Clinical Psychology, 68, 1008 –1018. doi:10.1002/jclp.21877
30. McBee-Strayer, S. M., & Rogers, J. R. (2002). Lesbian, gay, and bisexual suicidal behavior: Testing a constructivist model. Suicide and Life-Threatening Behavior, 32, 272–283. doi:10.1521/suli.32.3.272.22171
31. McDaniel, J. S., Purcell, D., & D’Augelli, A. R. (2001). The relationship between sexual orientation and risk for suicide: Research findings and future directions for research and prevention. Suicide and Life-Threatening Behavior, 31, 84–105. doi:10.1521/suli.31.1.5.84.24224
32. Metalsky, G. I., & Joiner, T. E. (1997). The Hopelessness Depression Symptom Questionnaire. Cognitive Therapy and Research, 21, 359–384. doi:10.1023/A:1021882717784
33. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. doi:10.1037/0033-2909.129.5 .674
34. Meyers, L. S., Gamst, G. C., & Guarino, A. J. (2012). Applied Multivariate Research: Design and Interpretation. Thousand Oaks, CA: Sage.
35. Miranda, R., Ortin, A., Scott, M. & Shaffer, D. (in press). Characteristics of suicidal ideation that predict the transition to future suicide attempts in adolescents. Journal of Child Psychology and Psychiatry. [Epub ahead of print]. doi:10.1111/jcpp.12245
36. Mustanski, B. S. (2001). Getting wired: Exploiting the Internet for the collection of valid sexuality data. Journal of Sex Research, 38, 292–301. doi:10.1080/00224490109552100
37. Nademin, E., Jobes, D. A., Pflanz, S. E., Jacoby, A. M., Ghahramanlou-Holloway, M., Campise, R., . . . Johnson, L. (2008). An investigation of interpersonal-psychological variables in Air Force suicides: A controlled-comparison study. Archives of Suicide Research, 12, 309–326. doi:10.1080/13811110802324847
38. O’Keefe, V. M., Wingate, L. R., Tucker, R. P., Rhoades-Kerswill, S., Slish, M. L., & Davidson, C. L. (2014). Interpersonal suicide risk for American Indians: Investigating thwarted belongingness and perceived burdensomeness. Cultural Diversity and Ethnic Minority Psychology, 20, 61–67. doi:10.1037/a0033540
39. Oswald, R. F. (1999). Family and friendship relationships after young women come out as bisexual or lesbian. Journal of Homosexuality, 38, 65–83. doi:10.1300/J082v38n03_04
40. Ott, M. Q., Corliss, H. L., Wypij, D., Rosario, M., & Austin, S. B. (2011). Stability and change in self-reported sexual orientation identity in young people: Application of mobility metrics. Archives of Sexual Behavior, 40, 519–532. doi:10.1007/s10508-010-9691-3
41. Pachankis, J. (under review). Developing an evidence-based treatment to address minority stress, mental health, and related health risks among gay and bisexual men. Clinical Psychology: Science and Practice.
42. Plöderl, M., & Fartacek, R. (2005). Suicidality and associated risk factors among lesbian, gay, and bisexual compared to heterosexual Austrian adults. Suicide and Life-Threatening Behavior, 35, 661–670. doi: 10.1521/suli.2005.35.6.661
43. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385– 401. doi:10.1177/014662167700100306
44. Russell, G. M., & Richards, J. A. (2003). Stressor and resilience factors for lesbians, gay men, and bisexuals confronting antigay politics. American Journal of Community Psychology, 31, 313–328. doi:10.1023/A: 1023919022811
45. Russell, S. T., & Joyner, K. (2001). Adolescent sexual orientation and suicide risk: Evidence from a national study. American Journal of Public Health, 91, 1276 –1281. doi:10.2105/AJPH.91.8.1276
46. Ryan, C., Huebner, D., Diaz, R. M., & Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in White and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123, 346 –352. doi:10.1542/ peds.2007-3524
47. Safren, S. A., & Heimberg, R. G. (1999). Depression, hopelessness, suicidality, and related factors in sexual minority and heterosexual adolescents. Journal of Consulting and Clinical Psychology, 67, 859–866. doi:10.1037/0022-006X.67.6.859
48. Savin-Williams, R. C. (2001). Suicide attempts among sexual-minority youths: Population and measurement issues. Journal of Consulting and Clinical Psychology, 69, 983–991. doi:10.1037/0022-006X.69.6.983
49. Schneider, S. G., Taylor, S. E., Hammen, C., Kemney, M. E., & Dudley, J. (1991). Factors influencing suicide intent in gay and bisexual suicide indicators: Differing models of men with and without human immunodeficiency virus. Journal of Personality and Social Psychology, 61, 776–788. doi:10.1037/0022-3514.61.5.776
50. Schrimshaw, E. W., Siegel, K., Downing Jr., M. J., & Parsons, J. T. (2013). Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally bisexual men. Journal of Consulting and Clinical Psychology, 81, 141–153. doi:10.1037/a0031272
51. Scourfield, J., Roen, K., & McDermott, L. (2008). Lesbian, gay, bisexual and transgender young people’s experiences of distress: Resilience, ambivalence and self-destructive behaviour. Health & Social Care in the Community, 16, 329 –336. doi:10.1111/j.1365-2524.2008.00769.x
52. Van Orden, K. A., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24, 197–215. doi:10.1037/a0025358
53. Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E. (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, 72– 83. doi:10.1037/ 0022-006X.76.1.72
54. Willoughby, B. L. B., Malik, N. M., & Lindahl, K. M. (2006). Parental reactions to their sons’ sexual orientation disclosures: The roles of family cohesion, adaptability, and parenting style. Psychology of Men & Masculinity, 7, 14 –26. doi:10.1037/1524-9220.7.1.14
55. Woodward, E. N., Pantalone, D. W., & Bradford, J. (2013). Differences in rates of suicidal ideation and attempts in a sexual minority sample. Journal of Gay and Lesbian Mental Health, Advance online publication. doi:10.1080/19359705.2012.763081
56. Zhao, Y., Montoro, R., Igartua, K., & Thombs, B. D. (2010). Suicidal ideation and attempt among adolescents reporting ‘unsure’ sexual identity or heterosexual identity plus same-sex attraction or behavior: Forgotten groups? Journal of the American Academy of Child & Adolescent Psychiatry, 49, 104 –113. doi:10.1097/00004583-201002000-00004
57. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52, 30–41. doi:10.1207/s15327752jpa5201_2