TY  - JOUR
PY  - 2023//
TI  - Targeting perceived burdensomeness to reduce suicide risk
JO  - Behavior therapy
A1  - Lieberman, Amy
A1  - Gai, Anna R.
A1  - Rogers, Megan L.
A1  - Jobes, David A.
A1  - David Rudd, M.
A1  - Chalker, Samantha A.
A1  - Brenner, Joshua T.
A1  - Joiner, Thomas E.
SP  - 696
EP  - 707
VL  - 54
IS  - 4
N2  - Perceived burdensomeness (PB), defined by an intractable perception of burdening others, often reflects a false mental calculation that one's death is worth more than one's life and has been supported as a significant risk factor for suicide. Because PB often reflects a distorted cognition, it may serve as a corrective and promising target for the intervention of suicide. More work on PB is needed in clinically severe and in military populations. Sixty-nine (Study 1) and 181 (Study 2) military participants at high baseline suicide risk engaged in interventions targeting constructs relating to PB. Baseline and follow-up measures (at 1, 6, 12, 18, and 24 months) of suicidal ideation were administered, and various statistical approaches-including repeated-measures ANOVA, mediation analyses, and correlating standardized residuals-explored whether suicidal ideation decreased specifically by way of PB. In addition to utilizing a larger sample size, Study 2 included an active PB-intervention arm (N = 181) and a control arm (N = 121), who received robust care as usual. In both studies, participants improved considerably regarding baseline to follow-up suicidal ideation. The results of Study 2 mirrored those of Study 1, corroborating a potential mediational role for PB in treatment-related improvements in suicidal ideation in military participants. Effect sizes ranged from.07-.25. Interventions tailored at decreasing levels of perceived burdensomeness may be uniquely and significantly effective in reducing suicidal thoughts.<p />  <p>Language: en</p>
LA  - en
SN  - 0005-7894
UR  - http://dx.doi.org/10.1016/j.beth.2022.12.002
ID  - ref1
ER  -