Engagement of individuals with suicide ideation into mental health treatment is a considerable challenge. Previous studies examining barriers and facilitators to service use among
suicidal individuals have primarily focused on observed correlates (e.g., demographic characteristics). While there is utility in delineating these characteristics, treatment engagement
and retention efforts can be strengthened by assessing belief systems about treatment itself and by determining the association between severity of suicide ideation and views of mental
health treatment. In this regard, the first aim of this study was to determine if greater severity of suicide ideation is associated with elevated negative views of treatment. Further,
understanding modifiable psychological motivational processes that may underlie the association between suicide ideation and beliefs about treatment may provide insight into appropriate
interventions to promote treatment engagement and to retain suicidal individuals who initiate treatment. One useful framework through which to understand these relationships is
Self-Determination Theory (SDT), which posits that humans have three basic psychology needs—autonomy, relatedness, and competence—that, when fulfilled, motivate human behavior. Thus,
guided by SDT, the second aim of this study was to determine if autonomy, relatedness, and competence separately and/or collectively moderate the association between suicide ideation and
negative views of treatment. To test these aims, data were analyzed from a sample of 215 individuals who presented to a community mental health training clinic. Severity of suicide
ideation was assessed via the Beck Scale for Suicidal Ideation (BSS). The psychological needs posited by SDT were assessed via the Basic Psychological Needs Scale (BPNS). The Negative
Treatment Indicators (TRT) content scale of the Minnesota Multiphasic Personality Inventory–2 (MMPI-2) was utilized as an indicator of views of treatment. The Global Assessment of
Functioning (GAF) scale was included as a covariate. A series of regression analyses were employed to test relevant main effects and interactions. As predicted, severity of suicide
ideation was associated with greater negative views of treatment in both an unadjusted model and a model adjusted for GAF score. There were significant main effects of Self-Determination
Theory constructs on negative views of treatment, such that greater psychological needs fulfillment was associated with less negative views of treatment. However, the analyses testing the
interaction between suicide ideation and basic psychological needs in the prediction of negative views of treatment were generally not statistically significant. Thus, our finding that,
among psychiatric outpatients, greater severity of suicide ideation was associated with more negative views of treatment, even after adjusting for overall functioning, underscores the
critical need for further efforts to engage and retain these high-risk individuals into mental health treatment. / A Thesis submitted to the Department of Psychology in partial fulfillment of the requirements for the degree of Master of Science. / Fall Semester 2015. / October 28, 2015. / negative views of treatment, self-determination theory, suicide ideation / Includes bibliographical references. / Thomas E. Joiner, Jr., Professor Co-Directing Thesis; Natalie J. Sachs-Ericsson, Professor Co-Directing Thesis; Roy F. Baumeister, Committee
Member.
| Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_291340 |
| Contributors | Stanley, Ian H. (authoraut), Joiner, Thomas (professor co-directing thesis), Sachs-Ericsson, Natalie J. (professor co-directing thesis), Baumeister, Roy F. (committee member), Florida State University (degree granting institution), College of Arts and Sciences (degree granting college), Department of Psychology (degree granting department) |
| Publisher | Florida State University |
| Source Sets | Florida State University |
| Language | English, English |
| Detected Language | English |
| Type | Text, text |
| Format | 1 online resource (43 pages), computer, application/pdf |
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