Longitudinal pathways between suicidal ideation and life stress.
Amanda A Uliaszek1, Kevin Hamdullahpur1, Maya E Amestoy1
1Department of Psychology, University of Toronto, 1265 Military Trail, Toronto, ON M1C 1A4, Canada.
Anxiety, Stress, and Coping
|January 11, 2023
Summary
Suicidal ideation can lead to increased stress over time, particularly interpersonal stress. This longitudinal study explored the relationship between stress and suicidal thoughts in adults with borderline personality disorder symptoms.
Area of Science:
- Psychology
- Psychiatry
- Mental Health
Background:
- Limited longitudinal research exists on the interplay between stress and suicidality.
- Suicidal ideation, a precursor to suicidal behavior, is understudied in longitudinal stress models.
- Two theories, stress exposure and stress generation, explain the stress-suicidality link.
Purpose of the Study:
- To investigate the longitudinal relationship between suicidal ideation and chronic/episodic life stress.
- To examine the stress generation hypothesis, where suicidal ideation may cause stress.
- To explore these dynamics in adults with borderline personality disorder symptoms.
Main Methods:
- A three-wave longitudinal design over one year.
- 101 adults with self-reported borderline personality disorder symptoms participated.
- Cross-lagged panel analyses examined suicidal ideation and interpersonal/non-interpersonal stress.
Main Results:
- Evidence supported the stress generation hypothesis for suicidal ideation.
- Both chronic and episodic interpersonal stress were linked to subsequent suicidal ideation.
- These effects were observed across some, but not all, time points.
Conclusions:
- Suicidal ideation may contribute to increased interpersonal stress over time.
- Findings highlight the dynamic, bidirectional relationship between stress and suicidal ideation.
- Further research is needed to understand these temporal dynamics fully.
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