Interpersonal Needs Research Articles

Assessing the dimensions and structure of thwarted interpersonal needs

IntroductionThe Interpersonal Needs Questionnaire-15 (INQ-15) assesses interpersonal needs comprising suicidal desire based on the Interpersonal Theory of Suicide (IPTS): Thwarted belongingness (TB) and perceived burdensomeness (PB). The IPTS is applied to many psychological-affective states and disorders, collectively showing state-specific pathways to suicidal features. Given the prevalent application of the IPTS, determining how the constructs are comprised and operate is critical. Consistent with the network perspective of psychological constructs, we used network and algorithmic methods to evaluate thwarted interpersonal needs. MethodsA sample (N = 863) aggregated from two independent studies (Sokol & Serper, 2019; Sokol et al., 2023) was used for analysis. ResultsNetwork analysis identified three dimensions that were invariant by suicide-risk status: PB, and two dimensions from the TB items. Accounting for wording effects, one-dimensional structures presented in 9 %–23 % of replicates. The loadings comparison test algorithm suggested that the constructs were consistent with a network composition (over latent), and centrality indices identified meaningful strong and bridge features. LimitationsThe samples were demographically homogeneous, and more diverse samples in terms of sexuality, racial/ethnic identification, culture, and socioeconomic status might yield different findings. ConclusionFindings indicate that thwarted interpersonal needs are comprised of perceived burdensomeness, loneliness, and absence of reciprocal care dimensions and that loneliness-related experiences may be mechanisms by which PB and TB-related experiences co-occur. Additionally, results showed that the INQ-15 may have previously unquantified method effects, but the overall identified dimensions are stable. These results yield a nuanced conceptualization of interpersonal needs and their function.

Examination Structural Model of Suicidal Behaviors and Perfectionism with the Mediation of Hopelessness, Interpersonal Needs and Suicidal Crisis Syndrome in Women from Culture Perspective

Examination Structural Model of Suicidal Behaviors and Perfectionism with the Mediation of Hopelessness, Interpersonal Needs and Suicidal Crisis Syndrome in Women from Culture Perspective

Meaningful Associations Between Motivation for Treatment and Interpersonal Needs Within a Residential Sample of Women With Eating Disorders

ABSTRACTObjectivePerceived burdensomeness (PB) and thwarted belongingness (TB), two proximal risk factors for suicide, may rise during residential eating disorder (ED) treatment when patients are separated from support and face exorbitant costs of care. In this setting, fostering motivation for treatment is challenging, and low motivation for treatment may exacerbate feelings of PB and TB. Simultaneously, PB and TB could reduce motivation for treatment, though no studies have explored this relationship longitudinally. Accordingly, this study examined associations between interpersonal needs (TB, PB) and motivation for treatment across the first 6 weeks of residential ED treatment.MethodsParticipants (n = 98) completed the Interpersonal Needs Questionnaire (INQ) and rated treatment motivation weekly. Pearson bivariate correlations examined the relationship between motivation and interpersonal needs at each timepoint. Two autoregressive cross‐lagged panel models (AR‐CLPMs) tested reciprocal relationships between these constructs longitudinally across the first 6 weeks of treatment.ResultsMotivation was significantly negatively correlated with PB and TB at all timepoints. In AR‐CLPM 1, Week 2 Motivation predicted Weeks 3 PB, then Week 3 PB predicted Week 4 Motivation. In AR‐CLPM 2, Week 2 TB predicted Week 3 Motivation, but Motivation did not predict TB at any timepoint.DiscussionThis study is the first to examine longitudinal relations between interpersonal needs and treatment motivation in residential ED care. PB and TB may influence one's motivation for treatment, although motivation and PB had a stronger reciprocal relationship than motivation and TB. Interpersonal needs should be addressed early in residential treatment to mitigate negative cycling.

Prediction of Suicide Attempt based on Psychological Pain, Interpersonal Needs, and Peer Pressure in Students

Aim: The aim of this study was to predict suicide attempt based on psychological pains, interpersonal needs, and peer pressure in students. Methods: The research method was descriptive-correlational. The statistical population of the study included all students in city of Rasht (Iran), from which 250 people were selected through random sampling. Research instruments included Schneidmann (1993) Psychache Scale, Joiner et al. (2006) Interpersonal Needs, Dehingra, Budoshk, & O'Connor (2016) Suicide Attempt, and a peer pressure researcher-made questionnaire through which data was collected and analyzed using Pearson correlation and regression. Finding: The results showed that there was a significant relationship between psychological pain (psychache), perceived burdensomeness, and peer pressure with suicide attempts (P <0.01). And the results of regression analysis showed that psych ache and neutral belongingness can predict suicide in students (P <0.05). But the role of psychological pain has a higher power of predictability in suicide attempts among students. Conclusion: It can be concluded that psychological painss and neutral belonging are important factors that can predict suicide in students.

Thwarted Belongingness and Depressive Symptoms Among Older Adults: The Moderating Roles of Self-Warmth, Self-Coldness, and Place of Residence

ABSTRACT Objectives This study investigated whether the relationship between thwarted belongingness and depressive symptoms was moderated by self-warmth and self-coldness and whether the moderating effects were conditional on place of residence (urban versus rural). Methods A sample of 236 Australian adults aged 65 to 97 years (M = 73.63, SD = 6.53) completed the Geriatric Depression Scale, Interpersonal Needs Questionnaire, and Self-Compassion Scale. Results The interaction between thwarted belongingness and self-warmth was significant for urban but not rural older adults. For urban older adults, the relationship between thwarted belongingness and depressive symptoms weakened as levels of self-warmth increased. The association between thwarted belongingness and depressive symptoms was significantly stronger for older adults living in rural areas than in urban areas. The relationship between thwarted belongingness and depressive symptoms strengthened as self-coldness levels increased. Conclusions Self-warmth is a protective factor for older adults living in urban areas and experiencing thwarted belongingness. Self-coldness is an additional risk factor for older adults experiencing thwarted belongingness. Clinical Implications Interventions focusing on increasing self-warmth among urban older adults and decreasing self-coldness among older adults might weaken the relationship between thwarted belongingness and depressive symptoms.

Suicide risk, hopelessness, interpersonal needs, and mental health in a sample of migrant psychiatric patients: a case-control study

IntroductionSuicide is a multifactorial phenomenon characterized by many biological, psychological, and social-cultural factors. The study of this phenomenon in migrants is complex, with no theoretical framework that can describe the available heterogeneous data. Although Italy has the fourth largest migrant population of EU, only few studies have assessed suicidal risk in migrants.ObjectivesThe aim of his study is to assess suicide risk factors (hopelessness; interpersonal needs; traumatic experiences) in a sample of migrant patients, and to evaluate the possible application of the Interpersonal Theory of Suicide (ITS). Moreover, suicidal ideation and attempts were compared between migrants and natives. Lastly, a wider psychometric assessment has been conducted (depressive and anxiety symptoms; autistic traits).MethodsIn this case-control study, we included 50 migrants vs. 50 natives. Data were collected during the same period by gender, age, and diagnosis. We collected sociodemographic and clinical characteristics. We administered the following tests: Columbia Suicide Severity Rating Scale, Interpersonal Needs Questionnaire, Beck Hopelessness Scale, Beck Depression Inventory-II, Hamilton Anxiety Scale, Childhood Trauma Questionnaire, and Adult Autism Subthreshold Spectrum.ResultsThere were no differences in sociodemographic characteristics, except for ethnicity. Otherwise, there were significative differences between diagnosis (p:0.013), with native reporting more Mood Disorders, and migrants reporting more Anxiety, Obsessive-Compulsive, Trauma-Related, Eating, and Substance Use Disorders. Migrants were more prone to be on treatment with Mood Stabilizers (p:0.000). There were significative differences for interpersonal needs, trauma, anxiety, and autistic traits. Migrants show more perceived burdensomeness (p:0.05), more physical neglect (p:0.004), physical abuse (p:0.002), and sexual abuse (p:0.016), more anxiety symptoms (p:0.046), and more empathy alterations (p:0.014). No differences were found for suicidal ideation and attempts, hopelessness, and depressive symptoms.ConclusionsDespite there were no differences in suicide risk, migrants showed higher rates of perceived burdensomeness (PB) and childhood traumatic experiences (CTE). Both PB and CTE represent cardinal constructs of the ITS. No differences were found for hopelessness and depressive symptoms. Migrants showed higher rates of anxiety symptoms and empathy alterations. Even if suicide rates between migrants and natives were similar, accurate assessment of suicidal risk in migrants is crucial in improving suicide prevention strategies. Suicide risk evaluation in migrants should consider the application of ITS. For an appropriate clinical evaluation of the migrant patients, anxiety dimensions and autistic traits should be investigated.Disclosure of InterestNone Declared

Interpersonal relationships and suicidal ideation among Chinese youths: A network analysis

BackgroundSuicidal ideation is a noteworthy health problem that requires further study in the field of interpersonal relationships. The main scope of relationships include family, teachers, peers, and the Internet. However, few studies have considered the effects of interpersonal interactions. Based on the Interpersonal Theory of Suicide, this study explores the relation between different interpersonal relationships and suicidal ideation. MethodsA network analysis approach was used to test the relationships. Cross-sectional data (N = 1694; 52.1 % boys; Mage = 11.86 years, SD = 1.59) were collected from primary and secondary students in October–November 2022. Participants completed a survey including demographic part and questionnaires: Positive and Negative Suicide Ideation Inventory (PANSI), Interpersonal Needs Questionnaire (INQ), Family Adaptability and Cohesion Evaluation Scale (FACES II), Inventory of Parent and Peer Attachment (IPPA), Student-Teacher Relationship Scale (STRS) and Facebook Intensity Scale (FIS). ResultsAll variables showed a significant correlation in this inferred network. Family, teacher-student, and peer relationships are protective against suicidal ideation. The closeness of the teacher-student relationship showed the highest strength centrality. However, online interpersonal relationship is a risk factor for suicide. Thwarted belongingness and perceived burdensomeness are proximal factors of suicidal ideation that influenced all interpersonal relationships. LimitationsThe network analysis as a data-driven and exploratory method may be limited to provide exact cause and effect relationship. ConclusionsThis study shows that teacher-student connections may be more important than other relationships of young people. Improper peer and online interpersonal relationship could be risky for suicide. Further studies are needed to examine the role of these relationships elaborately.

Factors Affecting Suicidal Ideation in Early Adults: Verification of the Structural Relationship Model of Childhood Trauma, Depression, Frustrated Interpersonal Needs, Psychache

Factors Affecting Suicidal Ideation in Early Adults: Verification of the Structural Relationship Model of Childhood Trauma, Depression, Frustrated Interpersonal Needs, Psychache

Perceived COVID-19 Stress and Suicidal Ideation Among College Students: Meditation Roles of Family Cohesion and Unmet Interpersonal Needs.

Purpose: Few studies examined variables that might explain the link between perceived COVID-19 stress and suicidal ideation. The present study tested a multiple-sequence mediation model with family cohesion, thwarted belongingness, and perceived burdensomeness as mediators. Methods: The current study surveyed 1098 college students in China using questionnaires concerning perceived COVID-19 stress, family cohesion, unmet interpersonal needs, and suicide ideation. Results: Perceived COVID-19 stress was significantly associated with family cohesion, thwarted belongingness, perceived burdensomeness, and suicidal ideation. Family cohesion, thwarted belongingness, and perceived burdensomeness mediated the relationship between perceived COVID-19 stress and suicidal ideation separately. These factors also had multiple sequence-mediated effects between perceived COVID-19 stress and suicidal ideation. Conclusion: The study revealed pathways from perceived COVID-19 stress to suicidal ideation and suggested that interventions to increase family cohesion and reduce one's unmet interpersonal needs were beneficial in decreasing individuals' suicidal ideation.

Valued Living, Fulfilled at Work: Investigating Job Satisfaction and Associated Psychological Processes Among Physicians

Objective: Job satisfaction of physicians is closely related to patient satisfaction, the quality and efficiency of medical care, and the enhancement of physicians' well-being. While there is a consensus on the global rise in job dissatisfaction among physicians, most studies in this field have primarily concentrated on the association between job satisfaction and depression, burnout, and work productivity. The number of studies examining the relationship between psychological processes and job satisfaction is limited. This study aimed to examine the impact of self-esteem, thwarted belongingness, and values on job satisfaction among medical professionals. Methods: A total of 196 physicians, aged between 18 and 65, who were working in state or private hospitals all over Turkiye at the time of the study (between December 2022 and February 2023), were included in this cross-sectional study. Data were collected using a sociodemographic form, Valuing Questionnaire (VQ), Interpersonal Needs Questionnaire (INQ), Rosenberg self-esteem scale (RSES) and Job satisfaction scale (JSS). Results: A positive correlation was found between job satisfaction (JSS) and valued living (VQ) (r=0.621; p<0.001), while negative correlations were found between thwarted belongingness (INQ-TB) (r=-0.352; p<0.001) and self-esteem (RSES) (r=-0.400; p<0.001). Multiple linear regression analyses demonstrated that VQ and work experience are significant predictors of Job Satisfaction (JSS) (p < 0.001, R² = 0.449). Conclusions: Findings of this study highlight the crucial role of personal values and work experience on job satisfaction. Incorporating personal values into future interventions is vital for enhancing job satisfaction among physicians.

Suicidal ideation and attempts among Nigerian undergraduates: Exploring the relationships with depression, hopelessness, perceived burdensomeness, and thwarted belongingness.

The study investigated the prevalence of suicidal behavior and its association with depression, hopelessness, perceived burdensomeness, and thwarted belongingness in a sample of undergraduates in Nigeria. Suicide is a leading cause of death among young adults globally. However, information about suicidal ideation, attempts, and relationships with psychiatric factors, perceived burdensomeness, and thwarted belongingness is sparse in Nigeria. The study investigated the prevalence of suicidal ideation and attempts and associated factors in a sample of undergraduates in Nigeria. We collected data from a cross-sectional survey of 625 undergraduate students primarily recruited from universities, colleges of education, and polytechnics in Adamawa Central Senatorial Zone, Adamawa State, northeast Nigeria. The Suicidal Behaviors Questionnaire-Revised, the 15-item Interpersonal Needs Questionnaire, the 9-item Patient Health Questionnaire, and the 20-item version of the Beck Hopelessness Scale were administered to the participants. We used descriptive statistics and binary and multivariate logistic regressions for data analysis. A total of 616 students with a mean age of 21.41 ± 4.72 years completed the study. The prevalence of suicidal behavior was 34.9% (215/616). Having a female sex (adjusted odds ratio [AOR] = 8.37, 95% confidence interval (CI): 2.06, 34.03), depression (AOR = 45.15, 95% CI: 0.95, 5.11), hopelessness (AOR = 20.10, 95% CI: 5.56, 72.41), and perceived burdensomeness (AOR = 89.15, 95% CI: 29.63, 268.30) were associated with suicidal ideation. In addition, being a female (AOR = 1.69, 95% CI = 1.02, 2.83), being a 200-level student (AOR = 3.41, 95% CI = 1.46, 7.96), and being a 300-level student (AOR = 0.28, 95% CI = 0.11, 0.74) were associated with suicidal attempt. The study's findings show that suicidal behaviors (ideations and attempts) are prevalent among undergraduate students in northeast Nigeria. The findings underline the need for the development of mental health services and early identification and intervention for at-risk young people in Nigeria.

Connecting the dots between insomnia and suicidal ideation: The mediating roles of depression, emotion dysregulation and thwarted belonging

Abstract Insomnia’s impact on psychological functioning is known to increase suicide risk. The underlying mechanisms of this association are unclear. This study explored psychological factors including depression, emotion dysregulation, perceived burdensomeness and thwarted belongingness as possible mechanisms in the association between insomnia and suicidal ideation in a nationally representative sample for age, sex and race in the United States. Participants (N = 428) completed a Qualtrics survey of demographics, Insomnia Severity Index, Difficulties in Emotion Regulation Scale, Interpersonal Needs Questionnaire, Frequency of Suicidal Ideation Inventory and PROMIS-Depression and PROMIS-Anxiety short forms. Regression analyses and structural equation modeling were used. Insomnia severity was associated with greater suicidality (p < 0.001, CI = 0.19–0.31). When accounting for depression severity, emotion dysregulation and perceived burdensomeness fully mediated insomnia–suicidal ideation frequency association (β = 0.04, p = 0.045; β = 0.24, p < 0.001). Insomnia has major implications on psychological functioning, which may serve as mechanisms through which insomnia confers risk for suicidality. Our model posits that insomnia prevents regional sleep restoration in brain regions involved in psychological functioning, thereby conferring risk for suicidality. Insomnia may be an ideal upstream target for reducing suicidality and its risk factors, including depression, emotion dysregulation and perceived burdensomeness.

Presenting a Causal Model of Suicidal Behavior Based on Early Childhood Trauma the Mediation of Thwarted Belongingness in Suicide Attempters in Tehran

Objective: According to reports, a suicide attempt is made every 40 seconds in the world, some of which have serious consequences for the attempter. The present study investigated the relationship between suicidal behavior in suicide attempters and early childhood trauma, with the mediation of thwarted belongingness. Materials and Methods: The current study is descriptive and correlational. A total of 365 patients who attempted suicide and were hospitalized at Baharloo Hospital in Tehran in 2022 were selected through convenience sampling. The Childhood Trauma Questionnaire (CTQ), Interpersonal Needs Questionnaire (INQ) for thwarted belongingness, and the Suicidal Behaviors Questionnaire-Revised (SBQ-R) were administered to the suicide attempters. The Sobel test was used to examine the mediation hypotheses, and structural equation modeling (SEM) was employed to evaluate the proposed model. Findings: The results showed that there are positive and significant relationships between Childhood trauma score and suicidal behavior (r=0.42, p<0.001), and thwarted belongingness and suicidal behavior (r=0.395, p<0.001). The model fit indices confirmed the path from Childhood trauma to suicidal behavior and the path from Childhood trauma with the mediation of thwarted belongingness. Conclusion: The results of this study showed that Childhood trauma plays a crucial role in suicidal behavior, both directly and indirectly through the mediation of thwarted belongingness. Therefore, teaching families and schools to prevent childhood traumas, as well as providing treatment for individuals with childhood traumas and addressing their interpersonal needs (thwarted belongingness), can effectively prevent and reduce suicidal behavior.

Understanding suicidal ideation-a network analysis of the Interpersonal Needs Questionnaire.

Identifying various interacting risk factors for suicidality is important to develop preventive measures. The Interpersonal-Psychological Theory of Suicidal Behavior (IPTS) postulates suicidal ideation resulting from the occurrence of Perceived Burdensomeness (PB) and Thwarted Belongingness (TB). Suicidal behavior ultimately occurs if people have a Capability for Suicide. In past studies, the validity of TB was often not empirically confirmed, questioning which of the aspects of TB are central and related to suicidal ideation and whether applied measurement methods adequately capture the construct. Using a sample of 3,404 individuals from different clinical and nonclinical settings, 30% (1,023) of whom reported suicidal ideation, two network analyses were conducted on the Interpersonal Needs Questionnaire (INQ) and a variable mapping suicidal ideation. Analyses revealed that some items of the INQ were not related to suicidal ideation and the most central items did not have the strongest associations to suicidal ideation. Based on these results, a shortened version of the INQ with the four items that showed the strongest associations with suicidal ideation in the network analyses was suggested.

A structural test of the three-step theory (3ST) of suicide in the Iranian population: From ideation to action.

Suicide is one of the leading causes of death, especially in adolescents and young adults. This study aimed to perform a structural test of the three-step theory(3ST) of suicide in the Iranian population. The research population included Iranian people over 18 years of age. The participants were 600 persons selected through convenience sampling. The data in this study were collected using the Suicide Attempt Questionnaire, the Suicide Behaviors Questionnaire-Revised, the Interpersonal Needs Questionnaire, the Impulsiveness Scale, the Depressive Symptom-Suicidality Subscale, ACSSACSS-Fearlessness About Death, the Psychache Scale, the Beck Hopelessness Scale, and the Suicide Capacity Scale. Data analysis showed that pain and positive helplessness (β = 0.45; p < 0.05) positively interact with suicidal behavior. Moreover, pain and negative helplessness significantly interact with suicidal ideation (β = 0.65; p < 0.001). The data also showed that the absence of interpersonal needs plays a protective role. A comparison of the three suicidal capacity factors indicated that only the practical capacity differentiates the ideation and action subgroups. The insights from this study provide a clear picture of the underlying causes of suicidal ideation and behavior and can help counselors and other human health professionals working with people with suicidal thoughts and behavior to prevent suicide attempts. Following functional models, they can also make serious efforts to perform therapeutic interventions to eliminate or reduce suicidal thoughts and feelings.

The Influence of Social Exclusion on High School Students' Depression: A Moderated Mediation Model.

High school students face various pressures such as academic and interpersonal relationships, which can easily lead to depression. Social exclusion is one of the important influencing factors for adolescent depression, but there is still limited research on the mechanisms of the impact that social exclusion has on depression. Therefore, this study aimed to explore the effect of social exclusion on depression among high school students, as well as the mediating role of thwarted belongingness and the moderating role of cognitive reappraisal. Researchers assessed 1041 high school students using the Center for Epidemiologic Studies Depression Scale (CES-D), Adolescent Social Exclusion Scale, Interpersonal Needs Scale, and Emotion Regulation Scale. (1) Social exclusion was negatively associated with cognitive reappraisal (r = -0.224, p < 0.001), and positively associated with thwarted belongingness and depression (r = 0.657, 0.490, p <0.001). Thwarted belongingness was positively associated with depression (r = 0.617, p <0.001), and negatively associated with cognitive reappraisal (r = -0.325, p <0.001). Cognitive reappraisal was negatively associated with depression (r = -0.280, p < 0.01). (2) Social exclusion could directly predict depression, 95% CI [0.08, 0.21]. Thwarted belongingness played a partial mediating role between social exclusion and depression, 95% CI [0.30, 0.40]. (3) Cognitive reappraisal moderated the predictive effect of thwarted belongingness on depression. Social exclusion can influence depression through thwarted belongingness and cognitive reappraisal, and educators can reduce depression by decreasing thwarted belongingness and promoting the use of cognitive reappraisal strategies by high school students.

Suisid düşüncelerinde sosyal medya kullanımı ve kişilerarası faktörlerin önemi

Aims: Every year, more than 800. 000 individuals die by suicide as a global public health issue In our study, we aimed to evaluate the relationship between suicidal ideation and interpersonal needs, acquired suicidal efficacy, and social media use in the context of Psychological Suicide Theory. &#x0D; &#x0D; Methods: This cross-sectional study was conducted with 450 individuals. Participants were contacted through online platforms (Whatsapp and e-mail). The sociodemographic form (gender, age, education, income level, which social media platforms they prefer, their daily social media usage time, what kind of news they follow on social media), Interpersonal Needs Questionnaire (INQ), Acquired Suicide Capability – Fear of Death Scale, (ACSS-FAD), Beck Hopelessness Scale (BHS) and Social Media Use Scale were applied to the volunteers who gave consent to participate in the study. The research was approved by the Kırıkkale University Faculty of Medicine Non-Interventional Research Ethics Committee. &#x0D; &#x0D; Results: A total of 450 individuals, 308 (68.4%) women and 142 (31.6%) men, participated in the study, with an average age of 26.19± 7.81. 9.3% (n=42) of the participants had a history of suicide attempt. It was learned that 50.7% of the participants drew their attention to the news of suicide on social media, and 22.4% of them followed the news of suicide. it was observed that those who had suicide attempts had significantly higher scores on the SMUIS and INQ (p= 0.002, p= 0.000). Those who followed suicide news on social media were found to have substantially higher SMUIS, INQ, and ACSS-FAD scores (p= 0.000, p= 0.000, p= 0.029). Hierarchical regression analysis was utilized to evaluate factors assumed to have an effect on acquired suicidal efficacy. According to this; social media use was found to be effective on acquired suicide capability- death fearlessness (β=.295, t(450)=6.01, p

The Interpersonal Psychological Theory of Suicide in Italian University Students: Validation of the INQ-15 and the ACSS-FAD.

In the frame of the interpersonal psychological theory of suicide (IPTS), Interpersonal Needs Questionnaire (INQ-15) assesses thwarted belongingness (TB) and perceived burdensomeness (PB), related to suicidal ideation (SI); Acquired Capability for Suicide Scale-Fearlessness About Death (ACSS-FAD) measures this component which contributes to lethal self-harm. The objective was to evaluate the psychometric properties of INQ-15 and ACSS-FAD in a population of Italian university students. Since the Italian INQ-15 was already validated, we translated ACSS-FAD through a multistage procedure and administered both to 1,665 Italian university students. Factor analysis confirmed a two-factor-related model of INQ-15, one factor of ACSS-FAD, and good reliability for both. We proved the association between INQ-15 and current SI and between ACSS-FAD and lifetime suicidal planning and/or suicide attempt. The convergent and discriminant validities were in line with those of previous studies. Both tools are valid and reliable to assess the constructs associated with suicide outcomes according to IPTS.

Social exclusion and externalizing problem behaviors of adolescents: A moderated mediation model

Adolescents' externalizing problem behaviors have attracted increasing research attention in recent years. We explored the relationship between social exclusion and adolescents' externalizing problem behaviors with a sample of 871 Chinese adolescents, who completed the Ostracism Experience Scale for Adolescents, the Interpersonal Needs Questionnaire, the Deviant Peer Affiliation Scale, and the Externalizing Problem Behavior Questionnaire for Adolescents. The results showed that social exclusion was significantly associated with adolescents' externalizing problem behaviors, and that interpersonal needs mediated this relationship. In addition, deviant peer affiliation moderated the direct effect of social exclusion on externalizing problem behaviors, as well as the indirect effect via interpersonal needs. Our results provide suggestions for teachers and parents to prevent and intervene in the externalizing problem behaviors of adolescents.

Interpersonal Needs, Mental Pain, and Hopelessness in Psychiatric Inpatients with Suicidal Ideation.

Suicide is a leading cause of death worldwide and models may help the understanding of the phenomenon and ultimately reduce its burden through effective suicide prevention strategies. The Interpersonal Theory of Suicide and Shneidman's Model have tried to describe different unmet needs related to suicidal ideation. The study aims to assess the association between thwarted belongingness, perceived burdensomeness, and suicidal ideation in a sample of psychiatric inpatients and the mediating role of hopelessness and mental pain in this association. 112 consecutive adult psychiatric inpatients were administered the Columbia Suicide Severity Rating Scale (C-SSRS), the Italian version of the Interpersonal Needs Questionnaire-15-I (INQ-15-I), the Physical and Psychological Pain Scale, and the Beck Hopelessness Scale (BHS). Mediation models indicated a significant indirect effect of perceived burdensomeness (with thwarted belongingness as covariates) on suicidal ideation intensity with hopelessness as a mediator. When thwarted belongingness (controlling for perceived burdensomeness as a covariate) was included in a model as an independent variable, direct and indirect effects on suicidal ideation intensity were not significant. Psychosocial interventions focusing on identifying and decreasing the perception of being a burden for others and the feeling hopeless could represent a powerful pathway for reducing suicidal ideation. Moreover, the attention toward unmet interpersonal needs may help increase and focus clinical discussions on risk factors, which may help engagement toward psychiatric care and downsize the stigma related to suicide. Raising awareness toward mental health topics is a goal of healthcare services globally.