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Explicit and Implicit Hopelessness and Self-injury.

Nicola Susan Gray1,2, James Knowles1, Danielle George1

  • 1Psychology, Swansea University, Swansea, UK.

Suicide & Life-Threatening Behavior
|February 26, 2021
PubMed
Summary

Implicit and explicit hopelessness measures predict self-injury. Implicit hopelessness measurement enhances risk assessment for self-harm and suicidal behaviors beyond explicit measures alone.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Mental Health Research

Background:

  • Hopelessness is a significant risk factor for self-injurious behavior.
  • Traditional assessments rely on explicit self-report measures of hopelessness.
  • The role of implicit measures in predicting self-injury requires further investigation.

Purpose of the Study:

  • To investigate the relationship between explicit and implicit measures of hopelessness and self-injurious behavior.
  • To determine if implicit hopelessness measures improve prediction of self-injury.
  • To explore the interaction between explicit and implicit hopelessness in predicting self-injury.

Main Methods:

  • A community sample of 267 participants completed explicit hopelessness scales (Beck's Hopelessness Scale, Feeling Thermometer).
  • An implicit measure of hopelessness (Hopelessness Implicit Association Test) was administered.
  • Participants self-reported their history of self-injurious behavior (actions, thoughts).

Main Results:

  • High levels of both explicit and implicit hopelessness were associated with past and recent self-injury.
  • An interaction effect was observed: explicit hopelessness was a stronger predictor for individuals with high implicit hopelessness.
  • Implicit hopelessness measurement provided predictive value beyond explicit measures alone.

Conclusions:

  • Implicit hopelessness assessment can enhance the prediction of past and recent self-injury.
  • Integrating implicit measures into risk assessments may improve identification of individuals at risk for self-harm and suicidal behaviors.
  • Future research should explore the clinical utility of implicit hopelessness measures in suicide prevention.