TY  - JOUR
PY  - 2023//
TI  - A qualitative assessment and short-term mediation analysis of defeat, entrapment, and suicide
JO  - Suicide and life-threatening behavior
A1  - Rasmussen, Susan
A1  - Cramer, Robert J.
A1  - Nascimbene, Laura
A1  - Robertson, Ryan A.
A1  - Cacace, Sam
A1  - Bowling, Jessamyn
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: The Integrated Motivational-Volitional Model (IMV) of Suicide is growing in empirical support. The present study advances IMV research through two aims: (1) to qualitatively probe the subjective experiences of defeat, internal entrapment, and external entrapment, and (2) conducting a 3-month prospective mediation analysis using quantitative and qualitative metrics of defeat and entrapment. <br><br>METHODS: The study featured an online two-point survey separated by 3 months. Participants were 255 adults living in the United Kingdom. <br><br>RESULTS: Persons endorsing qualitative defeat and internal entrapment in their narratives also showed higher quantitative scores on corresponding IMV and suicide-related self-report scales. Internal entrapment mediated the effect of baseline defeat on 3-month suicidal ideation, whereas external entrapment mediated the association of baseline defeat on 3-month suicide attempt likelihood. Quantitative assessment of entrapment was more significantly associated with suicide attempts and ideation within mediation tests compared to corresponding qualitative variables. <br><br>CONCLUSIONS: IMV model principles are largely supported by findings. Mediation results support further consideration of entrapment and defeat within clinical practice and public health-focused suicide research. Understanding the complexity of entrapment narratives represents an important next step for conducting qualitative IMV-focused research with minoritized and high-risk suicide populations.<p />  <p>Language: en</p>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12990
ID  - ref1
ER  -