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A Brief Mindfulness Intervention Attenuates Desire to Escape Following Experimental Induction of the Interpersonal Adversity Implicated in Suicide Risk

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Abstract

According to the interpersonal theory of suicide, perceived burdensomeness and thwarted belongingness are proximal causal factors underlying suicidal desire. The current study examined whether a brief mindfulness intervention can attenuate the deleterious effects of these interpersonal factors on desire to escape, a potential antecedent to suicide risk. Participants (N = 92) completed a computerized team task designed to manipulate perceived burdensomeness and thwarted belongingness (high or low PB/TB) and were randomly assigned to one of four conditions: (1) low PB/TB without intervention, (2) high PB/TB without intervention, (3) high PB/TB with a brief mindfulness intervention administered at the halfway point, or (4) high PB/TB with a brief unfocused attention intervention administered at the halfway point. As expected, simultaneous induction of perceived burdensomeness and thwarted belongingness increased desire to escape in the initial stages of the task in all three high PB/TB conditions. However, the mindfulness intervention attenuated the effects of the interpersonal factors on desire to escape across the latter stages of the task relative to the unfocused attention intervention and the high PB/TB condition where no intervention was administered. Findings suggest that mindfulness interventions may protect against the type of interpersonal adversity causally implicated in suicidal desire.

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References

  • Anastasiades, M. H., Kapoor, S., Wootten, J., & Lamis, D. A. (2016). Perceived stress, depressive symptoms, and suicidal ideation in undergraduate women with varying levels of mindfulness. Archives of Women’s Mental Health. Advance online publication. doi:10.1007/s00737-016-0686-5.

  • Arch, J. J., & Craske, M. G. (2006). Mechanisms of mindfulness: emotion regulation following a focused breathing induction. Behaviour Research and Therapy, 44(12), 1849–1858. doi:10.1016/j.brat.2005.12.007.

    Article  PubMed  Google Scholar 

  • Barnhofer, T., Crane, C., Brennan, K., Duggan, D. S., Crane, R. S., Eames, C., et al. (2015). Mindfulness-based cognitive therapy (MBCT) reduces the association between depressive symptoms and suicidal cognitions in patients with a history of suicidal depression. Journal of Consulting and Clinical Psychology, 83(6), 1013–1020. doi:10.1037/ccp0000027.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90–113. doi:10.1037/0033-295X.97.1.90.

    Article  PubMed  Google Scholar 

  • Cero, I., Zuromski, K. L., Witte, T. K., Ribeiro, J. D., & Joiner, T. E. (2015). Perceived burdensomeness, thwarted belongingness, and suicide ideation: re-examination of the interpersonal-psychological theory in two samples. Psychiatry Research, 228(3), 544–550. doi:10.1016/j.psychres.2015.05.055.

    Article  PubMed  Google Scholar 

  • Cheavens, J. S., Cukrowicz, K. C., Hansen, R., & Mitchell, S. M. (2016). Incorporating resilience factors into the interpersonal theory of suicide: the role of hope and self-forgiveness in an older adult sample. Journal of Clinical Psychology, 72(1), 58–69. doi:10.1002/jclp.22230.

    Article  PubMed  Google Scholar 

  • Chesin, M. S., & Jeglic, E. L. (2016). Factors associated with recurrent suicidal ideation among racially and ethnically diverse college students with a history of suicide attempt: the role of mindfulness. Archives of Suicide Research, 20(1), 29–44. doi:10.1080/13811118.2015.1004488.

    Article  PubMed  Google Scholar 

  • Chesin, M. S., Sonmez, C. C., Benjamin-Phillips, C. A., Beeler, B., Brodsky, B. S., & Stanley, B. (2015). Preliminary effectiveness of adjunct mindfulness-based cognitive therapy to prevent suicidal behavior in outpatients who are at elevated suicide risk. Mindfulness, 6(6), 1345–1355. doi:10.1007/s12671-015-0405-8.

    Article  Google Scholar 

  • Christensen, H., Batterham, P. J., Soubelet, A., & Mackinnon, A. J. (2013). A test of the interpersonal theory of suicide in a large community-based cohort. Journal of Affective Disorders, 144(3), 225–234. doi:10.1016/j.jad.2012.07.002.

    Article  PubMed  Google Scholar 

  • Collins, K. R., Best, I., Stritzke, W. G. K., & Page, A. C. (2016). Mindfulness and zest for life buffer the negative effects of experimentally-induced perceived burdensomeness and thwarted belongingness: implications for theories of suicide. Journal of Abnormal Psychology, 125(5), 704–714. doi:10.1037/abn0000167.

    Article  PubMed  Google Scholar 

  • Cvetkovski, S., Reavley, N. J., & Jorm, A. F. (2012). The prevalence and correlates of psychological distress in Australian tertiary students compared to their community peers. Australian and New Zealand Journal of Psychiatry, 46(5), 457–467. doi:10.1177/0004867411435290.

    Article  PubMed  Google Scholar 

  • Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268. doi:10.1207/S15327965PLI1104_01.

  • Erisman, S. M., & Roemer, L. (2010). A preliminary investigation of the effects of experimentally induced mindfulness on emotional responding to film clips. Emotion, 10(1), 72–82. doi:10.1037/a0017162.

    Article  PubMed  PubMed Central  Google Scholar 

  • Farb, N. A. S., Anderson, A. K., Mayberg, H., Bean, J., McKeon, D., & Segal, Z. V. (2010). Minding one’s emotions: mindfulness training alters the neural expression of sadness. Emotion, 10(1), 25–33. doi:10.1037/a0017151.

    Article  PubMed  PubMed Central  Google Scholar 

  • Field, A. (2013). Discovering statistics using IBM SPSS statistics (4th ed.). London: SAGE.

  • Forkmann, T., Wichers, M., Geschwind, N., Peeters, F., van Os, J., Mainz, V., & Collip, D. (2014). Effects of mindfulness-based cognitive therapy on self-reported suicidal ideation: results from a randomised controlled trial in patients with residual depressive symptoms. Comprehensive Psychiatry, 55(8), 1883–1890. doi:10.1016/j.comppsych.2014.08.043.

    Article  PubMed  Google Scholar 

  • Garland, E. L., Farb, N. A. S., Goldin, P. R., & Fredrickson, B. L. (2015). Mindfulness broadens awareness and builds Eudaimonic meaning: a process model of mindful positive emotion regulation. Psychological Inquiry, 26(4), 293–314. doi:10.1080/1047840X.2015.1064294.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jahn, D. R., Cukrowicz, K. C., Mitchell, S. M., Poindexter, E. K., & Guidry, E. T. (2015). The mediating role of perceived burdensomeness in relations between domains of cognitive functioning and indicators of suicide risk. Journal of Clinical Psychology, 71(9), 908–919. doi:10.1002/jclp.22190.

    Article  PubMed  Google Scholar 

  • Johnson, J., Wood, A., Gooding, P. A., Taylor, P. J., & Tarrier, N. (2011). Resilience to suicidality: the buffering hypothesis. Clinical Psychology Review, 31(4), 563–591. doi:10.1016/j.cpr.2010.12.007.

    Article  PubMed  Google Scholar 

  • Joiner, T. E., Van Orden, K. A., Witte, T. K., Selby, E. A., Ribeiro, J. D., Lewis, R., & David, M. (2009). Main predictions of the interpersonal–psychological theory of suicidal behavior: empirical tests in two samples of young adults. Journal of Abnormal Psychology, 118(3), 634–646. doi:10.1037/a0016500.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation. New York, NY: Dell Publishing.

  • Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., et al. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(06), 959–976. doi:10.1017/S0033291702006074.

    Article  PubMed  Google Scholar 

  • Kleiman, E. M., & Anestis, M. D. (2015). Introduction to the special issue: recent advances in suicide research: mediators and moderators of risk and resilience. International Journal of Cognitive Therapy, 8(2), 95–98 doi:10.1521/ijct.2015.8.2.95.

  • Kohls, N., Sauer, S., & Walach, H. (2009). Facets of mindfulness—results of an online study investigating the Freiburg mindfulness inventory. Personality and Individual Differences, 46(2), 224–230. doi:10.1016/j.paid.2008.10.009.

    Article  Google Scholar 

  • Lamis, D. A., & Dvorak, R. D. (2013). Mindfulness, nonattachment, and suicide rumination in college students: the mediating role of depressive symptoms. Mindfulness, 5(5), 487–496. doi:10.1007/s12671-013-0203-0.

    Article  Google Scholar 

  • Latimer, S., Meade, T., & Tennant, A. (2013). Measuring engagement in deliberate self-harm behaviours: psychometric evaluation of six scales. BMC Psychiatry, 13(4). doi:10.1186/1471-244X-13-4.

  • Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., et al. (2006). The Toronto mindfulness scale: development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. doi:10.1002/jclp.20326.

    Article  PubMed  Google Scholar 

  • Leary, M. R., Kelly, K. M., Cottrell, C. A., & Schreindorfer, L. S. (2013). Construct validity of the need to belong scale: mapping the Nomological network. Journal of Personality Assessment, 95(6), 610–624. doi:10.1080/00223891.2013.819511.

    Article  PubMed  Google Scholar 

  • Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., et al. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757–766. doi:10.1001/archpsyc.63.7.757.

    Article  PubMed  Google Scholar 

  • Ma, J., Batterham, P. J., Calear, A. L., & Han, J. (2016). A systematic review of the predictions of the interpersonal–psychological theory of suicidal behavior. Clinical Psychology Review, 46, 34–45. doi:10.1016/j.cpr.2016.04.008.

    Article  PubMed  Google Scholar 

  • Mason, M. F., Norton, M. I., Horn, J. D. V., Wegner, D. M., Grafton, S. T., & Macrae, C. N. (2007). Wandering minds: the default network and stimulus-independent thought. Science, 315(5810), 393–395. doi:10.1126/science.1131295.

    Article  PubMed  PubMed Central  Google Scholar 

  • McHugh, L., Procter, J., Herzog, M., Schock, A.-K., & Reed, P. (2012). The effect of mindfulness on extinction and behavioral resurgence. Learning & Behavior, 40(4), 405–415. doi:10.3758/s13420-011-0062-2.

    Article  Google Scholar 

  • Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-injurious thoughts and behaviors interview: development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309–317. doi:10.1037/1040-3590.19.3.309.

    Article  PubMed  Google Scholar 

  • O’Connor, R. C. (2011). Toward an integrated motivational–volitional model of suicidal behavior. In R. C. O’Connor, S. Platt, & J. Gordon (Eds.), International Handbook of Suicide Prevention: Research, Policy and Practice. Chichester: Wiley Blackwell. pp. 181–198

  • O’Connor, R. C., & Nock, M. K. (2014). The psychology of suicidal behaviour. The Lancet Psychiatry, 1(1), 73–85. doi:10.1016/S2215-0366(14)70222-6.

  • Page, A. C., & Stritzke, W. G. K. (2015). Clinical psychology for trainees: foundations of science-informed practice (2nd ed.). Cambridge: Cambridge University Press.

  • Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. doi:10.1037/0003-066X.55.1.68.

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York, NY: Guilford Press.

  • Twenge, J. M., Catanese, K. R., & Baumeister, R. F. (2002). Social exclusion causes self-defeating behavior. Journal of Personality and Social Psychology, 83(3), 606–615. doi:10.1037/0022-3514.83.3.606.

  • 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(1), 197–215. doi:10.1037/a0025358.

    Article  PubMed  Google Scholar 

  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. doi:10.1037/a0018697.

    Article  PubMed  PubMed Central  Google Scholar 

  • Walach, H., Buchheld, N., Buttenmüller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness—the Freiburg mindfulness inventory (FMI). Personality and Individual Differences, 40(8), 1543–1555. doi:10.1016/j.paid.2005.11.025.

    Article  Google Scholar 

  • Williams, J. M. G., & Pollock, L. R. (2000). The psychology of suicidal behaviour. In K. Hawton & K. van Heeringen (Eds.), The International Handbook of Suicide and Attempted Suicide. London: John Wiley. pp.79–94.

  • Williams, J. M. G., & Swales, M. (2004). The use of mindfulness-based approaches for suicidal patients. Archives of Suicide Research, 8(4), 315–329. doi:10.1080/13811110490476671.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2014). Preventing suicide: a global imperative. World Health Organization.

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Correspondence to Werner G. K. Stritzke.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent was obtained from all individual participants included in the study.

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Collins, K.R.L., Stebbing, C., Stritzke, W.G.K. et al. A Brief Mindfulness Intervention Attenuates Desire to Escape Following Experimental Induction of the Interpersonal Adversity Implicated in Suicide Risk. Mindfulness 8, 1096–1105 (2017). https://doi.org/10.1007/s12671-017-0686-1

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