The Interpersonal Needs Questionnaire: Statistical Considerations for Improved Clinical Application

Overview

Journal Assessment

Publisher Sage Publications

Specialties Psychiatry
Psychology

Date 2019 Jan 19

PMID 30654631

Citations 15

Authors

Sean M Mitchell

Sarah L Brown

Jared F Roush

Raymond P Tucker

Kelly C Cukrowicz

Thomas E Joiner

Affiliations

Soon will be listed here.

Abstract

The interpersonal theory of suicide (ITS) has accumulated empirical support; however, less research has investigated the clinical utility of ITS constructs in suicide risk assessment. The current study sought to increase the clinical utility of the Interpersonal Needs Questionnaire (INQ), an assessment of thwarted belongingness (TB) and perceived burdensomeness (PB), among 318 adult psychiatric outpatients while considering statistical methodology (i.e., multicollinearity and partialling). Results emphasized PB in the prediction of concurrent desire for death/suicide when TB was simultaneously considered. The interaction between TB and PB did not enhance prediction of concurrent desire for death/suicide. Independently, PB was a stronger predictor than TB of concurrent desire for death/suicide in the total sample and gender subsamples. Estimated probabilities of concurrent desire for death/suicide across INQ scores and preliminary INQ clinical cutoff scores are provided to enhance clinical application. These findings suggest the INQ could provide valuable information for suicide risk assessment and conceptualization.

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References

Hom M, Stanley I, Podlogar M, Joiner Jr T . "Are You Having Thoughts of Suicide?" Examining Experiences With Disclosing and Denying Suicidal Ideation. J Clin Psychol. 2017; 73(10):1382-1392. DOI: 10.1002/jclp.22440. View

Van Orden K, Witte T, Cukrowicz K, Braithwaite S, Selby E, Joiner Jr T . The interpersonal theory of suicide. Psychol Rev. 2010; 117(2):575-600. PMC: 3130348. DOI: 10.1037/a0018697. View

Curtin S, Warner M, Hedegaard H . Increase in Suicide in the United States, 1999-2014. NCHS Data Brief. 2016; (241):1-8. View

Wortzel H, Matarazzo B, Homaifar B . A model for therapeutic risk management of the suicidal patient. J Psychiatr Pract. 2013; 19(4):323-6. DOI: 10.1097/01.pra.0000432603.99211.e8. View

Chessick C . The Interpersonal Theory of Suicide: Guidance for Working With Suicidal Clientsby Joiner Thomas E. Jr. , Van Orden Kimberly A. , Witte Tracy K. , and Rudd M. David . Washington, D.C. , American Psychological Association , 2009 , 246 pp., $59.95. Am J Psychiatry. 2015; 167(1):109-110. DOI: 10.1176/appi.ajp.2009.09050679. View

Millner A, Lee M, Nock M . Single-Item Measurement of Suicidal Behaviors: Validity and Consequences of Misclassification. PLoS One. 2015; 10(10):e0141606. PMC: 4619664. DOI: 10.1371/journal.pone.0141606. View

Canetto S, Sakinofsky I . The gender paradox in suicide. Suicide Life Threat Behav. 1998; 28(1):1-23. View

Rogers M, Joiner Jr T . Borderline Personality Disorder Diagnostic Criteria as Risk Factors for Suicidal Behavior Through the Lens of the Interpersonal Theory of Suicide. Arch Suicide Res. 2016; 20(4):591-604. DOI: 10.1080/13811118.2016.1158681. View

Lesko L, Zineh I, Huang S . What is clinical utility and why should we care?. Clin Pharmacol Ther. 2010; 88(6):729-33. DOI: 10.1038/clpt.2010.229. View

10.

Chu C, Hom M, Rogers M, Stanley I, Ringer-Moberg F, Podlogar M . Insomnia and suicide-related behaviors: A multi-study investigation of thwarted belongingness as a distinct explanatory factor. J Affect Disord. 2016; 208:153-162. PMC: 5154904. DOI: 10.1016/j.jad.2016.08.065. View

11.

Ma J, Batterham P, Calear A, Han J . A systematic review of the predictions of the Interpersonal-Psychological Theory of Suicidal Behavior. Clin Psychol Rev. 2016; 46:34-45. DOI: 10.1016/j.cpr.2016.04.008. View

12.

Silva C, Ribeiro J, Joiner T . Mental disorders and thwarted belongingness, perceived burdensomeness, and acquired capability for suicide. Psychiatry Res. 2015; 226(1):316-27. DOI: 10.1016/j.psychres.2015.01.008. View

13.

Tucker R, Hagan C, Hill R, Slish M, Bagge C, Joiner Jr T . Empirical extension of the interpersonal theory of suicide: Investigating the role of interpersonal hopelessness. Psychiatry Res. 2017; 259:427-432. DOI: 10.1016/j.psychres.2017.11.005. View

14.

Rogers M, Anestis J, Harrop T, Schneider M, Bender T, Ringer F . Examination of MMPI-2-RF Substantive Scales as Indicators of Acute Suicidal Affective Disturbance Components. J Pers Assess. 2016; 99(4):424-434. DOI: 10.1080/00223891.2016.1222393. View

15.

Lynam D, Hoyle R, Newman J . The perils of partialling: cautionary tales from aggression and psychopathy. Assessment. 2006; 13(3):328-41. PMC: 3152746. DOI: 10.1177/1073191106290562. View

16.

Mitchell S, Brown S, Roush J, Bolanos A, Littlefield A, Marshall A . The clinical application of suicide risk assessment: A theory-driven approach. Clin Psychol Psychother. 2017; 24(6):1406-1420. DOI: 10.1002/cpp.2086. View

17.

Hill R, Rey Y, Marin C, Sharp C, Green K, Pettit J . Evaluating the Interpersonal Needs Questionnaire: Comparison of the Reliability, Factor Structure, and Predictive Validity across Five Versions. Suicide Life Threat Behav. 2014; 45(3):302-14. DOI: 10.1111/sltb.12129. View

18.

Rogers M, Chiurliza B, Hagan C, Tzoneva M, Hames J, Michaels M . Acute suicidal affective disturbance: Factorial structure and initial validation across psychiatric outpatient and inpatient samples. J Affect Disord. 2017; 211:1-11. DOI: 10.1016/j.jad.2016.12.057. View

19.

Hawkins K, Hames J, Ribeiro J, Silva C, Joiner T, Cougle J . An examination of the relationship between anger and suicide risk through the lens of the interpersonal theory of suicide. J Psychiatr Res. 2014; 50:59-65. DOI: 10.1016/j.jpsychires.2013.12.005. View

20.

Kleiman E, Turner B, Fedor S, Beale E, Huffman J, Nock M . Examination of real-time fluctuations in suicidal ideation and its risk factors: Results from two ecological momentary assessment studies. J Abnorm Psychol. 2017; 126(6):726-738. DOI: 10.1037/abn0000273. View