STRESS

Original Articles

Internalized Shame Mediates the Relationship between Borderline Personality Traits and Suicidal Ideation: Nanyoung Bae, Hyejeen Lee; STRESS. 2024;32(4):196-203. Published online December 27, 2024; DOI: https://doi.org/10.17547/kjsr.2024.32.4.196

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Abstract PDF: Background
Internalized shame, defined as the enduring incorporation of shame as a trait due to repeated experiences of shame, is considered a core emotion in individuals with borderline personality traits. It is closely related to self-destructive behaviors, such as self-harm and suicidal ideation. This study aimed to investigate whether internalized shame mediates the relationship between borderline personality traits and suicidal ideation.
Methods
Self-report questionnaires were administered to 303 undergraduate and graduate students to assess borderline personality traits, suicidal ideation, internalized shame, depression, impulsivity, and history of suicide attempts.
Results
Internalized shame mediated the relationship between borderline personality traits and suicidal ideation, even after controlling for known predictors of suicidal ideation, including depression, impulsivity, history of suicide attempts, sex, and age. Specifically, higher borderline personality traits were associated with stronger feelings of shame, which in turn increased suicidal ideation.
Conclusions
These findings suggest that addressing internalized shame could be a key target for interventions aimed at reducing suicide risk in individuals with borderline personality traits.

The Effects of Risk-Taking Trait and Thwarted Interpersonal Need on Suicidality of Illicit Drugs Abusers: Focusing on Acquired Capability for Suicide: Ki-Yeon Nam, Young-Sil Kwon; STRESS. 2023;31(4):168-174. Published online December 28, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.4.168

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Abstract PDF: Background
This study aimed to examine the effects of trait and situational factors on suicidality among illicit drugs abusers.
Methods
Data were collected from 185 illicit drugs abusers in Korea who completed a survey to measure the risk-taking trait, impulsive behavior, acquired capability for suicide, thwarted interpersonal need, and suicidality. Multiple regression and hierarchical regression analyses were conducted for data analysis.
Results
The risk-taking trait affected the acquired capability for suicide by partially mediating the impulsive behavior. Additionally, the interaction effect between thwarted interpersonal need and acquired capability for suicide on suicidality was identified.
Conclusions
The higher risk-taking trait of illicit drugs abusers induced higher acquired capability for suicide, which actuates the suicidal desire. Additionally, the repeated exposure of impulsive behavior mediated the path. Furthermore, acquired capability for suicide moderated the relationship between thwarted interpersonal need and suicidality. This study examined the effects of trait and situational factors on suicidality of illicit drugs abusers.

Test Linking of Suicide Risk Assessment Instruments: Comparing Cut-Off Scores for Suicide Risk: Hwajeong Yu, Yuhwa Han, Sungeun You; STRESS. 2023;31(1):25-36. Published online March 31, 2023; DOI: https://doi.org/10.17547/kjsr.2023.31.1.25

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Abstract PDF: Background
Communicating the objective meaning of the cut-off criteria for high-risk among suicide risk assessment tools is challenging because they measure different aspects of suicide risk. This study aimed to provide comparable scores among widely used suicide assessment instruments by using test linking.
Methods
Linking was performed using the equipercentile method with the data of 400 adults. Then, for an independent sample of 165 adults, the validity of linking was tested by providing an overall percent agreement of group classification.
Results
Linking results indicated that the score of 4 on the C-SSRS corresponded to 8 on the DSI-SS and 16 on the SBQ-R, respectively. The overall percent agreement of group classification based on the cutoff score of 4 on the C-SSRS was high in both scales, supporting the validity of linking.
Conclusions
The study results provide comparable criteria for the high-risk group among the three measures. Mental health practitioners could utilize our results in identifying people at high suicide risk.

Relationship between Stop Drinking Controllability, Hopelessness, Social Activity and Suicidality for Alcohol Use Disorder: Hye-Young Lee, Young-Sil Kwon, Myoung-Ho Hyun, Na-Rae Lee; STRESS. 2022;30(3):172-178. Published online September 30, 2022; DOI: https://doi.org/10.17547/kjsr.2022.30.3.172

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Abstract PDF

Background
This study aimed to examine the relationship between suicidality, stop drinking controllability, hopelessness, and social activity in a population sample of individuals with alcohol use disorder (AUD) and to determine how AUD contributes to suicidal behavior.
Methods
A total of 252 participants diagnosed with AUD were surveyed, and multiple regression analysis and hierarchical regression analysis were used to analyze the data.
Results
Hopelessness fully mediated the relationship between the ability to stop drinking and suicidality. At low levels of social engagement, the relationship between hopelessness and suicidality was significantly modified by social activity.
Conclusions
The results of this study suggest that patients with AUD who were unable to successfully address their drinking problem and abstain from drinking were more likely to experience hopelessness. In addition, we concluded that hopelessness can lead to suicidal ideation or suicide attempts.

Citations

Citations to this article as recorded by

The process of losing meaning in life among alcoholics
Seong-Jun Maeng, Jun-Hyeok Kang, Sun Kyung Kang, Dong-Jun Lee
Asia Pacific Journal of Social Work and Development.2024; : 1. CrossRef

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