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Rumination, Entrapment and Suicide Ideation: A Mediational Model
Tobias Teismann1, Thomas Forkmann2
1Clinical Psychology and Psychotherapy, Ruhr-Universität Bochum, Bochum, Germany.
Clinical Psychology & Psychotherapy
|December 15, 2015
Summary
Perceptions of entrapment fully explain the link between ruminative thinking and suicide ideation. Addressing entrapment may be key in understanding and treating suicidal thoughts, particularly in clinical settings.
Area of Science:
- Psychology
- Clinical Psychology
- Mental Health Research
Background:
- Rumination is linked to suicide ideation.
- Few studies explore mediators of this association.
- Entrapment perceptions are central to suicidality models.
Purpose of the Study:
- Investigate perceptions of entrapment as a mediator.
- Examine the relationship between rumination, entrapment, and suicide ideation.
- Differentiate mediation directions.
Main Methods:
- Online sample (n=142) and clinical sample (n=226).
- Adults receiving outpatient psychotherapy.
- Investigated mediator effects of entrapment perceptions.
Main Results:
- Perceptions of entrapment fully mediated the rumination-suicide ideation link.
- The reverse mediation (entrapment to ideation via rumination) was not supported.
- Findings consistent across online and clinical samples.
Conclusions:
- Entrapment perceptions fully explain the association between rumination and suicide ideation.
- Ruminative thinking and entrapment are linked to suicidal ideation and behavior.
- Clinical assessment of entrapment is recommended for suicide risk evaluation.