Thwarted Belongingness, Perceived Burdensomeness, and Acquired Capability for Suicide Among University Students of Bangladesh: Scales Validation and Status Assessment

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2022 Oct 31

PMID 36311516

Authors

S M Yasir Arafat

Fahad Hussain

Mir Susmita Zaman

Tamanna Tabassum

Md Khayrul Islam

Farzana Rabin Shormi

Anisur Rahman Khan

Md Rabiul Islam

A S M Redwan

Noor Ahmed Giasuddin

Anila Mubashir

Md Abdullah Saeed Khan

Affiliations

Soon will be listed here.

Abstract

Background: Identification of prior mental events of suicide attempts has immense importance in suicide prevention. However, it has not been studied in Bangladesh as there was no available psychometrically valid instrument measuring it.

Objectives: We aimed to test the psychometric properties of the interpersonal needs questionnaire (INQ-15) and acquired capability for suicide scale-fearlessness about death (ACSS-FAD) in Bangla along with the determination of the level of thwarted belongingness, perceived burdensomeness, and acquired capability for suicide.

Materials And Methods: We collected data between 29 March and 14 April 2022 from 1,207 students of medical colleges and universities in Bangladesh by . We assessed the psychometric properties of Bangla INQ and ACSS-FAD scales and examined factors associated with thwarted belongingness, perceived burdensomeness, and acquired capability for suicide.

Results: The mean age of the participants was 22.82 ± 1.68 (range 18-29) years, 51% were females, 84% were graduate students, and 92% were unmarried. Both of the scales revealed acceptable levels of reliability. Confirmatory factor analysis revealed a two-factor structure of Bangla INQ after dropping three items from thwarted belongingness domain (item 9, 11, and 12) and a single factor structure for Bangla ACSS-FAD after dropping three items (item 1, 4, and 6). Perceived burdensomeness was significantly higher in females, students with a history of mental illness, family history of suicide, and the history of suicidal attempts. Fearlessness about death was significantly higher among females, non-Muslim participants, and history of suicidal attempts.

Conclusion: The current study revealed psychometric properties of two suicide scales (INQ and ACSS-FAD) in Bangla that can be used in subsequent studies. Prevention strategies targeting to females, persons with psychiatric disorder, history of previous attempt(s) should be prioritized specially among the young age group.

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References

Ribeiro J, Witte T, Van Orden K, Selby E, Gordon K, Bender T . Fearlessness about death: the psychometric properties and construct validity of the revision to the acquired capability for suicide scale. Psychol Assess. 2013; 26(1):115-26. PMC: 4093903. DOI: 10.1037/a0034858. View

Beaton D, Bombardier C, Guillemin F, Ferraz M . Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000; 25(24):3186-91. DOI: 10.1097/00007632-200012150-00014. View

Eskin M, Sun J, Abuidhail J, Yoshimasu K, Kujan O, Janghorbani M . Suicidal Behavior and Psychological Distress in University Students: A 12-nation Study. Arch Suicide Res. 2016; 20(3):369-88. DOI: 10.1080/13811118.2015.1054055. View

Gutierrez P, Pease J, Matarazzo B, Monteith L, Hernandez T, Osman A . Evaluating the psychometric properties of the Interpersonal Needs Questionnaire and the Acquired Capability for Suicide Scale in military veterans. Psychol Assess. 2016; 28(12):1684-1694. DOI: 10.1037/pas0000310. View

George S, Page A, Hooke G, Stritzke W . Multifacet assessment of capability for suicide: Development and prospective validation of the Acquired Capability With Rehearsal for Suicide Scale. Psychol Assess. 2016; 28(11):1452-1464. DOI: 10.1037/pas0000276. View

Van Orden K, Witte T, Gordon K, Bender T, Joiner Jr T . Suicidal desire and the capability for suicide: tests of the interpersonal-psychological theory of suicidal behavior among adults. J Consult Clin Psychol. 2008; 76(1):72-83. DOI: 10.1037/0022-006X.76.1.72. View

Hallensleben N, Spangenberg L, Kapusta N, Forkmann T, Glaesmer H . The German version of the Interpersonal Needs Questionnaire (INQ)--Dimensionality, psychometric properties and population-based norms. J Affect Disord. 2016; 195:191-8. DOI: 10.1016/j.jad.2016.01.045. View

Van Orden K, Cukrowicz K, Witte T, Joiner T . Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychol Assess. 2011; 24(1):197-215. PMC: 3377972. DOI: 10.1037/a0025358. View

Maung H . Pluralism and incommensurability in suicide research. Stud Hist Philos Biol Biomed Sci. 2020; 80:101247. DOI: 10.1016/j.shpsc.2019.101247. View

10.

Kramer E, Gaeddert L, Jackson C, Harnke B, Nazem S . Use of the acquired capability for suicide scale (ACSS) among United States military and Veteran samples: A systematic review. J Affect Disord. 2020; 267:229-242. DOI: 10.1016/j.jad.2020.01.153. View

11.

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

12.

Aggarwal P, Ortiz S, Jain A, Velkoff E, George T, Smith A . Examining psychometric properties of the Interpersonal Needs Questionnaire among college students in India. Suicide Life Threat Behav. 2021; 52(1):110-120. DOI: 10.1111/sltb.12809. View

13.

Smith P, Wolford-Clevenger C, Mandracchia J, Jahn D . An exploratory factor analysis of the Acquired Capability for Suicide Scale in male prison inmates. Psychol Serv. 2012; 10(1):97-105. PMC: 4153467. DOI: 10.1037/a0030817. View

14.

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

15.

Bartoli F, Cavaleri D, Moretti F, Bachi B, Calabrese A, Callovini T . Pre-Discharge Predictors of 1-Year Rehospitalization in Adolescents and Young Adults with Severe Mental Disorders: A Retrospective Cohort Study. Medicina (Kaunas). 2020; 56(11). PMC: 7696058. DOI: 10.3390/medicina56110613. View

16.

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

17.

Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M . Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016; 3(7):646-59. DOI: 10.1016/S2215-0366(16)30030-X. View

18.

Teo D, Suarez L, Oei T . Validation of the interpersonal needs questionnaire of young male adults in Singapore. PLoS One. 2018; 13(6):e0198839. PMC: 5991743. DOI: 10.1371/journal.pone.0198839. View

19.

Klonsky E, May A, Saffer B . Suicide, Suicide Attempts, and Suicidal Ideation. Annu Rev Clin Psychol. 2016; 12:307-30. DOI: 10.1146/annurev-clinpsy-021815-093204. View

20.

Arafat S, Hussain F, Hossain M, Islam M, Menon V . Literacy and stigma of suicide in Bangladesh: Scales validation and status assessment among university students. Brain Behav. 2021; 12(1):e2432. PMC: 8785610. DOI: 10.1002/brb3.2432. View