Exploring the relationship between thwarted belongingness and perceived burdensomeness with experiential avoidance in suicide in a sample of Spanish psychiatric outpatients

Introduction: Suicide is a major global health problem. Within the framework of acceptance and commitment theory (ACT) suicide could be understood as an extreme form of experiential avoidance. On the other hand the Interpersonal-Psychological Theory of Suicide proposes perceived burdensomeness and t...

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Detalles Bibliográficos
Autores: Espinosa-Salido, Patricia, Pérez Nieto, Miguel A., Baca-García, Enrique, Provencio, María
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad a Distancia de Madrid (UDIMA)
Repositorio:udiMundus. Repositorio Institucional de la Universidad a Distancia de Madrid
OAI Identifier:oai:udimundus.udima.es:20.500.12226/2967
Acceso en línea:http://hdl.handle.net/20.500.12226/2967
https://doi.org/10.1521/jscp.2025.44.2.111
Access Level:acceso abierto
Palabra clave:experiential avoidance, thwarted belongingness, perceived burden- someness, suicide, interpersonal theory of suicide, ITPS
Descripción
Sumario:Introduction: Suicide is a major global health problem. Within the framework of acceptance and commitment theory (ACT) suicide could be understood as an extreme form of experiential avoidance. On the other hand the Interpersonal-Psychological Theory of Suicide proposes perceived burdensomeness and thwarted belongingness as two indispensable distal variables for an individual to develop suicidal thoughts. This study examines the relation between the variables thwarted belongingness and perceived burdensomeness and experiential avoidance. Methods: A parallel mediation model was carried out in a sample of Spanish outpatients who exhibited suicidal ideation or behavior (N=131) collected from the psychiatric department and the emergency department. Results: Perceived burdensomeness, but not thwarted belongingness, mediated the relation between experiential avoidance and suicidal ideation, in a model with both variables mediating in parallel. In the second step these variables were entered into separate models, thwarted belongingness and perceived burdensomeness were statistically significant. Contrary to expectations, only perceived burdensomeness was found to be statistically significant in a parallel model. Discussion: There might be a therapeutic relation between experiential avoidance patterns and the interpersonal variables proposed in Interpersonal-Psychological Theory of Suicide.