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Published on: March 1, 2019
Self-concealment and suicidality: Mediating roles of unmet interpersonal needs and attitudes toward help-seeking
Ingrid Hogge1, Paige Blankenship1
1Department of Counseling, Administration, Supervision, and Adult Learning, Cleveland State University, Cleveland, Ohio.
Objective:
We investigated the relationship between self-concealment-a tendency to hide distressing information-and suicidality, via two mediators: (a) unmet interpersonal needs and (b) help-seeking attitudes.
Method:
A sample of young adults (18-25 years) was recruited online to complete a self-report survey questionnaire (n = 245). A parallel multiple mediation model was analyzed using the PROCESS macro (Hayes, 2013, Methodology in the social sciences. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press) in SPSS.
Results:
There was a significant positive relationship between self-concealment and suicidality. This relationship was partially mediated by unmet interpersonal needs. Although self-concealment was associated with more negative attitudes toward seeking professional psychological help, these help-seeking attitudes were not significantly related to suicidality.
Conclusions:
Our results highlight the importance of interpersonal factors in suicide. Unmet interpersonal needs emerged as a mechanism by which self-concealment contributes to increased suicidality. We review implications for research, clinical practice, and prevention.
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