Formation and Maintenance of Suicide Ideation Following Prolonged Peer Rejection in Young Adults
Keywords:
peer rejection, suicide ideation, thwarted belongingnessAbstract
Peer rejection has a significantly adverse impact on mental health and can lead to the development of suicidal thoughts. The Interpersonal Theory of Suicide states that suicide ideation is formed by feelings of thwarted belongingness and perceived burdensomeness, in which the former manifests from an obstructed need to belong. Prior research has been divided on the role of thwarted belongingness in suicide ideation formation; the current research aims to provide clarity on this matter. Furthermore, this research aims to investigate factors that contribute to persistent suicide ideation. The present research is qualitative with a phenomenological design. Data collection was carried out using semi-structured, inductive interviews with each participant. Participants were young adults with experience in peer rejection and a minimum of 1-year, ongoing suicide ideation. Results show support for the IPTS and role of thwarted belongingness in suicide ideation formation. Additionally, two factors for the maintenance of suicide ideation were identified, namely heightened sensitivity to rejection and habituation to suicidal thinking. Findings contribute to previously inconclusive and minimal research on the IPTS and maintenance of suicide ideation respectively. Future research should be conducted regarding the latter matter as it is a serious risk factor for suicide attempts. Suggestions for future intervention were discussed.
References
Alhazmi, A. A., & Kaufmann, A. (2022). Phenomenological qualitative methods applied to the analysis of cross-cultural experience in novel educational social contexts. Frontiers in Psychology, 13, 785134. https://doi.org/10.3389/fpsyg.2022.785134
Ammar, M. A. A. (2021). Development and initial validation of sense of belonging scale for adolescents (SOBS): Preliminary investigation. ASEAN Journal of Psychiatry, 22(10), 1-22.
Andleeb, S. N., Ahsan, S., & Zaheer, S. (2020). Moderating role of psychological distress on the relationship between suicidal ideation and psychological wellbeing among people with physical disabilities. Pakistan Armed Forces Medical Journal, 70(6), 1728–1733. https://www.pafmj.org/index.php/PAFMJ/article/view/5870
Apostolou, M. & Keramari, D. (2020). What prevents people from making friends: A taxonomy of reasons. Personality and Individual Differences, 163(1), 110043. https://doi.org/10.1016/j.paid.2020.110043
Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529. https://doi.org/10.1037/0033-2909.117.3.497
Becker, S. P., Foster, J. A., & Luebbe, A. M. (2020). A test of the interpersonal theory of suicide in college students. Journal of Affective Disorders, 260, 73–76. https://doi.org/10.1016/j.jad.2019.09.005
Brown, S. L., Mitchell, S. M., Roush, J. F., La Rosa, N. L., & Cukrowicz, K. C. (2019). Rejection sensitivity and suicide ideation among psychiatric inpatients: An integration of two theoretical models. Psychiatry Research, 272(1), 54–60. https://doi.org/10.1016/j.psychres.2018.12.009
Cheek, S. M., Goldston, D. B., Erkanli, A., Massing-Schaffer, M., & Liu, R. T. (2020). social rejection and suicidal ideation and attempts among adolescents following hospitalization: A prospective study. Journal of Abnormal Child Psychology, 48(1), 123–133. https://doi.org/10.1007/s10802-019-00580-z
Chu, C., Buchman-Schmitt, J. M., Stanley, I. H., Hom, M. A., Tucker, R. P., Hagan, C. R., Rogers, M. L., Podlogar, M. C., Chiurliza, B., Ringer, F. B., Michaels, M. S., Patros, C. H. G., & Joiner, T. E. (2017). The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research. Psychological Bulletin, 143(12), 1313–1345. https://doi.org/10.1037/bul0000123
Chung, S., Kim, M., Auh, E. Y. Y., & Park, N. S. S. (2021). WHO's global age-friendly cities guide: Its implications of a discussion on social exclusion among older adults. International Journal Of Environmental Research And Public Health, 18(15), 8027. https://doi.org/10.3390/ijerph18158027
Crane, C., Barnhofer, T., Duggan, D. S., Eames, C., Hepburn, S., Shah, D., & Williams, J. M. (2014). Comfort from suicidal cognition in recurrently depressed patients. Journal of Affective Disorders, 155(100), 241–246. https://doi.org/10.1016/j.jad.2013.11.006
Dendup, T., Zhao, Y., Dorji, T., & Phuntsho, S. (2020). Risk factors associated with suicidal ideation and suicide attempts in Bhutan: An analysis of the 2014 Bhutan STEPS Survey data. PloS one, 15(1), e0225888. https://doi.org/10.1371/journal.pone.0225888
Engward, H. & Goldspink, S. (2020). Lodgers in the house: Living with the data in interpretive phenomenological analysis research. Reflective Practice, 21(2), 1–13. http://dx.doi.org/10.1080/14623943.2019.1708305
Guo, Z., Yang, T., He, Y., Tian, W., Wang, C., Zhang, Y., Liu, J., Liu, X., Zhu, X., & Wu, S. (2023). The relationships between suicidal ideation, meaning in life, and affect: A network analysis. International Journal of Mental Health and Addiction, 1–20. Advanced online publication. https://doi.org/10.1007/s11469-023-01019-9
Harahap, D. R. & Amalia, I. (2021). Pengaruh perceived burdensomeness, thwarted belongingness, dan religiusitas terhadap ideasi bunuh diri pada lansia. TAZKIYA: Journal of Psychology, 9(1), 17–28. https://doi.org/10.15408/tazkiya.v9i1.19272
Hatano, K., Luyckx, K., Hihara, S., Sugimura, K., & Becht, A. (2022). Daily identify processes and emotions in young adulthood: A five-day daily-diary method. Journal of Youth and Adolescence, 51(3), 1815–1828. http://dx.doi.org/10.1007/s10964-022-01629-x
Indonesian Association for Suicide Prevention (2022, May 20). Suicide Stats. https://www.inasp.id/en/suicide-statistics
Joiner, T. (2005). Why people die by suicide. Harvard University Press.
Khullar, T. H., Kirmayer, M. H., & Dirks, M. A. (2021). Relationship dissolution in the friendships of emerging adults: How, when, and why?. Journal of Social and Personal Relationships, 38(11), 3243–3264. https://doi.org/10.1177/02654075211026015
Kivelä, L., Krause-Utz, A., Mouthaan, J., Schoorl, M., de Kleine, R., Elzinga, B., Eikelenboom, M., Penninx, B. W., van der Does, W., & Antypa, N. (2019). Longitudinal course of suicidal ideation and predictors of its persistence – A NESDA study. Journal of Affective Disorders, 257, 365–375. https://doi.org/10.1016/j.jad.2019.07.042
Klonsky, E. D., Saffer, B. Y., & Bryan, C. J. (2018). Ideation-to-action theories of suicide: A conceptual and empirical update. Current Opinion in Psychology, 22, 38–43. https://doi.org/10.1016/j.copsyc.2017.07.020
Landa, A., Fallon, B. A., Wang, Z., Duan, Y., Liu, F., Wager, T. D., Ochsner, K., & Peterson, B. S. (2020). When it hurts even more: The neural dynamics of pain and interpersonal emotions. Journal of Psychosomatic Research, 128, 109881. https://doi.org/10.1016/j.jpsychores.2019.109881
Leary, M. R. (2021). Emotional reactions to threats to acceptance and belonging: A retrospective look at the big picture. Australian Journal of Psychology, 73(1), 4-11. https://doi.org/10.1080/00049530.2021.1883410
Liu, R. T., Bettis, A. H., & Burke, T. A. (2020). Characterizing the phenomenology of passive suicidal ideation: A systematic review and meta-analysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation. Psychological Medicine, 50(3), 367–383. https://doi.org/10.1017/S003329171900391X
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. https://doi.org/10.1016/j.cpr.2016.04.008
Miranda, R. & Jeglic, E. L. (2021). Handbook of youth suicide prevention. Springer, Cham.
Olatunji, O. A., Idemudia, E. S., & Olawa, B. D. (2020). Family support, self-efficacy and suicidal ideation at emerging adulthood: A mediation analysis. International Journal of Adolescence and Youth, 25(1), 920-931. https://doi.org/10.1080/02673843.2020.1779762
Onie, S. & Daswin, A.V. (2022). Suicide in Indonesia in 2022: Underreporting, provincial rates, and means. PsyArXiv. https://doi.org/10.31234/osf.io/amnhw
Rajchert, J., Żółtak, T., Szulawski, M., & Jasielska, D. (2019). Effects of rejection by a friend for someone else on emotions and behavior. Frontiers in Psychology, 10, 764. https://doi.org/10.3389/fpsyg.2019.00764
Ribeiro, J. D., Huang, X., Fox, K. R., Walsh, C. G., & Linthicum, K. P. (2019). Predicting imminent suicidal thoughts and nonfatal attempts: The role of complexity. Clinical Psychological Science, 7(5), 941–957. https://doi.org/10.1177/2167702619838464
Rudert, S. C., Sutter, D., Corrodi, V. C., & Greifeneder, R. (2018). Who's to blame? Dissimilarity as a cue in moral judgments of observed ostracism episodes. Journal of Personality and Social Psychology, 115(1), 31– 53. https://doi.org/10.1037/pspa0000122
Scardera, S., Perret, L. C., Ouellet-Morin, I., et al. (2020). Association of social support during adolescence with depression, anxiety, and suicidal ideation in young adults. JAMA Network Open, 3(12), 2027491. https://doi.org/10.1001/jamanetworkopen.2020.27491
Smith, J. A., & Fieldsend, M. (2021). Interpretative phenomenological analysis. In P. M. Camic (Ed.), Qualitative research in psychology: Expanding perspectives in methodology and design (pp. 147–166). American Psychological Association. https://doi.org/10.1037/0000252-008
Susilawati, D. (2018, Januari 30). Angka bunuh diri di anak muda meningkat. Republica. https://www.republika.co.id/berita/gaya-hidup/info-sehat/18/10/16/pgoqeo328-angka-bunuh-diri-di-anak-muda-meningkat
Timeo, S., Riva, P., & Paladino, M. P. (2019). Dealing with social exclusion: An analysis of psychological strategies. In S. C. Rudert, R. Greifeneder, & K. D. Williams (Eds.), Current directions in ostracism, social exclusion, and rejection research (pp. 65–81). Routledge/Taylor & Francis Group. https://doi.org/10.4324/9781351255912-5
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E., Jr (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697
Vélez-Grau, C., Magan, I. M., & Gwadz, M. (2023). The burden of not belonging: A qualitative study of the applicability of the Interpersonal Theory Of Suicide constructs of belongingness and burdensomeness to ethnocultural minoritized youth. Behavior Theraphy. https://doi.org/10.1016/j.beth.2023.02.004
Wang, X., & Li, M. (2022). Hurting all the way: The emotional antecedent and consequence of social rejection. Frontiers in Psychology, 13, 885384. https://doi.org/10.3389/fpsyg.2022.885384
Wastler, H. M., Khazem, L. R., Ammendola, E., Baker, J. C., Bauder, C. R., Tabares, J., Bryan, A. O., Szeto, E., & Bryan, C. J. (2023). An empirical investigation of the distinction between passive and active ideation: Understanding the latent structure of suicidal thought content. Suicide & Life-Threatening Behavior, 53(2), 219–226. https://doi.org/10.1111/sltb.12935
World Health Organization. (2021, June 11). Suicide. https://www.who.int/news-room/fact-sheets/detail/suicide
Wu, X. Z., Wang, T., Yu, L. X., Duan, W. T., & Wang, W. X. (2020). Relationship between depression and attempted suicide: The mediating effect of psychache and moderating effect of social connectedness. Chinese Journal of Clinical Psychology, 28(1), 679-682. https://doi.org/10.16128/j.cnki.1005-3611.2020.04.006
Yunitasari, E., Yusuf, A., Aditya, R. S., Acob, J. R. U., Solikhah, F. K., & Alrazeeni, D. M. (2023). Nursing students facilitating the transition from suicidal ideation to action in the rural: A qualitative study. Neuropsychiatric Disease and Treatment, 19(1), 171–180. https://doi.org/10.2147/NDT.S387362
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