The Indirect Association Between Alcohol Use and Suicide Ideation Through Perceived Burdensomeness and Thwarted Belonging in a High-Risk USA Sample.

IF 1.7 4区医学 Q3 PSYCHIATRY

Crisis-The Journal of Crisis Intervention and Suicide Prevention Pub Date : 2025-06-25 DOI:10.1027/0227-5910/a001013

Cole Marvin, Michael LeDuc, Sean Mitchell, Devin Mills

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Abstract

Background: The interpersonal theory of suicide (ITS) may explain the link between alcohol use severity and suicidal ideation (SI) through interpersonal stressors at elevated alcohol use levels. Aims: This study aimed to clarify the indirect effects of perceived burdensomeness (PB) and thwarted belongingness (TB) in this relationship. Method: Cross-sectional data on SI, ITS, and alcohol use severity variables were collected via an online sample (N = 299) screened for lifetime suicidal thoughts or behaviors, nonsuicidal self-injury, and alcohol use. Associations were tested using linear regression with parallel mediators. Results: Alcohol use severity was indirectly linked to SI through the unique indirect effect of PB, and the total indirect effect of both TB and PB. Limitations: Limitations include the cross-sectional design and use of an online sample, which limit causal inferences and generalizability to other high-risk populations. Conclusion: PB and the additive indirect effect of TB and PB may explain the positive relation between alcohol use and SI; implications are discussed.

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在美国一个高风险样本中，通过感知负担和挫败归属感，酒精使用与自杀意念之间的间接关联。

背景：人际自杀理论（ITS）可以通过酒精使用水平升高时的人际压力源解释酒精使用严重程度与自杀意念（SI）之间的联系。目的：本研究旨在阐明感知负担感（PB）和受挫归属感（TB）在这一关系中的间接影响。方法：通过在线样本（N = 299）收集SI、ITS和酒精使用严重程度变量的横断面数据，筛选终生自杀念头或行为、非自杀性自残和酒精使用。使用平行介质的线性回归检验关联。结果：酒精使用严重程度通过PB的独特间接效应与SI间接相关，并且TB和PB的总间接效应与SI间接相关。局限性：局限性包括横断面设计和在线样本的使用，这限制了因果推论和对其他高危人群的推广。结论：铅及结核和铅的间接作用可解释酒精使用与SI呈正相关；讨论了影响。

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来源期刊

Crisis-The Journal of Crisis Intervention and Suicide Prevention Multiple-

CiteScore

5.10

自引率

6.70%

发文量

期刊介绍： A must for all who need to keep up on the latest findings from both basic research and practical experience in the fields of suicide prevention and crisis intervention! This well-established periodical’s reputation for publishing important articles on suicidology and crisis intervention from around the world is being further enhanced with the move to 6 issues per year (previously 4) in 2010. But over and above its scientific reputation, Crisis also publishes potentially life-saving information for all those involved in crisis intervention and suicide prevention, making it important reading for clinicians, counselors, hotlines, and crisis intervention centers.