Volume 4, Issue 2 (Winter 2019)                   HDQ 2019, 4(2): 85-92 | Back to browse issues page


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1- Department of Counseling, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. , araz_sadri@yahoo.com
2- Department of Psychology, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
3- Department of Counseling, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
Abstract:   (293 Views)
Background: More than a million people worldwide die by suicide every year, the risk of committing suicide in healthcare related occupations, especially nursing, is much higher than other occupations. The current study aimed at investigating the role of the Thwarted Belongingness (TB), Perceived Burdensomeness (PB), Self-Efficacy (SE), and Ego Strength (ES) in predicating Suicidal Ideation (SI) in nurses.
Materials and Methods: In the current descriptive-correlational study, convenience sampling method was employed to select 120 nurses of hospitals in Ardabil, Iran. The participants completed the Interpersonal Needs Questionnaire (INQ), General Self-Efficacy Scale (GSES), Psychology Inventory Ego Strengths (PIES), and Beck Scale for Suicide Ideation (BSSI). The collected data were analyzed by descriptive statistics indices, Pearson correlation analysis, and multivariate regression with SPSS V. 23.
Results: The obtained result showed a significant and positive relationship between Thwarted Belongingness and Perceived Burdensomeness, and Suicidal Ideation as well as a significant and negative relationship between Self-Efficacy and Ego Strength, and Suicidal Ideation. Also, the result of the multivariate regression showed that Thwarted Belongingness, Perceived Burdensomeness, Self-Efficacy, and Ego Strength predictability can account for 46% of Suicidal Ideation. Also, the result showed that Perceived Burdensomeness could explain and predict Suicidal Ideation better than other variables.
Conclusion: Generally, Thwarted Belongingness and Perceived Burdensomeness, as two interpersonal factors, and Self-Efficacy and Ego Strength, as two intrapersonal factors, can predict Suicidal Ideation of nurses. Possession of the sense of Thwarted Belongingness leads to a feeling of loneliness, and perceiving burdensomeness leads to a feeling of self-hatred, and ultimately, the combination of these two structures leads to the formation of Suicidal Ideation. Also, poor Self-Efficacy leads to negative judgment of abilities and the low Ego Strength uses inappropriate defense mechanisms such as denial and suppression, and ultimately, the combination of these two forms Suicidal Ideation. Therefore, providing the training to improve interpersonal relationships in order to reduce the felling of Thwarted Belongingness and Perceived Burdensomeness as well as individual counseling to improve Self-Efficacy and Ego Strength can be effective in reducing Suicidal Ideation and suicide attempt in nurses.
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Type of Study: Research | Subject: Special
Received: 2018/08/10 | Accepted: 2018/12/5 | Published: 2019/01/1

References
1. Rashid S, Kiani A, Khorramdel K. [The relationship between perceived social support, Perceived Burdensomeness and Thwarted Belongingness with suicidal behavior in college students (Persian)]. Pajoohande. 2016; 21(4):192-8.
2. Odom-Forren J. Suicide and nurses. Journal of Perianesthesia Nursing. 2018; 33(4):363-5. [DOI:10.1016/j.jopan.2018.06.097] [PMID] [DOI:10.1016/j.jopan.2018.06.097]
3. Ceniti AK, Heinecke N, McInerney SJ. Examining suicide-related presentations to the emergency department. General Hospital Psychiatry. 2018; pii:S0163-8343(18):30072-0. [DOI:10.1016/j.genhosppsych.2018.09.006] [PMID] [DOI:10.1016/j.genhosppsych.2018.09.006]
4. Leavey G, Rosato M, Galway K, Hughes L, Mallon S, Rondon J. Patterns and predictors of help-seeking contacts with health services and general practitioner detection of suicidality prior to suicide: A cohort analysis of suicides occurring over a two-year period. BMC Psychiatry. 2016; 16:120. [DOI:10.1186/s12888-016-0824-7] [PMID] [PMCID] [DOI:10.1186/s12888-016-0824-7]
5. Alderson M, Parent-Rocheleau X, Mishara B. Critical review on suicide among nurses. Crisis. 2015; 36(2):91-101. [DOI:10.1027/0227-5910/a000305] [PMID] [DOI:10.1027/0227-5910/a000305]
6. Davidson JE, Stuck AR, Zisook S, Proudfoot J. Testing a strategy to identify incidence of nurse suicide in the United States. Journal of Nursing Administration. 2018; 48(5):259-65. [DOI:10.1097/NNA.0000000000000610] [PMID] [DOI:10.1097/NNA.0000000000000610]
7. Hawton K, Vislisel L. Suicide in nurses. Suicide and Life Threatening Behavior. 1999; 29(1):86-95. [PMID] [PMID]
8. Kõlves K, De Leo D. Suicide in medical doctors and nurses: An analysis of the queens land suicide register. The Journal of Nervous and Mental Disease. 2013; 201(11):987-90. [DOI:10.1097/NMD.0000000000000047] [PMID] [DOI:10.1097/NMD.0000000000000047]
9. Osafo J, Akotia CS, Boakye KE, Dickon E. Between moral infraction and existential crisis: Exploring physicians and nurses' attitudes to suicide and the suicidal patient in Ghana. International Journal of Nursing Studies. 2018; 36(2):91-101. [DOI:10.1016/j.ijnurstu.2018.05.017] [PMID] [DOI:10.1016/j.ijnurstu.2018.05.017]
10. Hawton K, Agerbo E, Simkin S, Platt B, Mellanby RJ. Risk of suicide in medical and related occupational groups: A national study based on Danish case population-based registers. Journal of Affective Disorders. 2011; 134(1-3):320-6. [DOI:10.1016/j.jad.2011.05.044] [PMID] [DOI:10.1016/j.jad.2011.05.044]
11. Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner Jr TE. The interpersonal theory of suicide. Psychological Review. 2010; 117(2):575-600. [DOI:10.1037/a0018697] [PMID] [PMCID] [DOI:10.1037/a0018697]
12. Hoshmandja, M., Javanmard, A., Marashi, S. [The relationship between Self-Efficacy, cognitive meta cognitive strategies with academic achievement among students high school boys nomads of Fars Province (Persian)]. Technology of Education. 2014; 8(3):181-71.
13. Boroumand, A. [Chronic pain, pain Self-Efficacy and Suicidal Ideation: The moderating role of pain Self-Efficacy on relation between depression and Suicidal Ideation in chronic pain patients (Persian)]. Journal of Fundamentals of Mental Health. 2012; 14(54):63-152.
14. Kobayashi Y, Fujita K, Kaneko Y, Motohashi Y. Self-Efficacy as a Suicidal Ideation predictor: A population cohort study in rural Japan. Open Journal of Preventive Medicine. 2015; 5(2):61-71. [DOI:10.4236/ojpm.2015.52007] [DOI:10.4236/ojpm.2015.52007]
15. Ammentorp J, Sabroe S, Kofoed PE, Mainz J. The effect of training in communication skills on medical doctors' and nurses' Self-Efficacy: A randomized controlled trial. Patient Education and Counseling. 2007; 66(3):270-7. [DOI:10.1016/j.pec.2006.12.012] [PMID] [DOI:10.1016/j.pec.2006.12.012]
16. Yang YK. A study on burnout, emotional labor, and Self-Efficacy in nurses. Journal of Korean Academy of Nursing Administration. 2011; 17(4):423-31. [DOI:10.11111/jkana.2011.17.4.423] [DOI:10.11111/jkana.2011.17.4.423]
17. Ravanipour M, Ahmadian A, Yazdanpanah A, Soltanian A R. [Assessing the relationship between Self-Efficacy and clinical decision-making in hospital nurse (Persian)]. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2015; 23(4):77-86.
18. Mohammadi A, Kheftan P, Amirpour B, Sepidehdam MA, Gholami Jam F. [Self-Efficacy relationship with social health among nurses in Taleghani Hospital in Kermanshah (Persian)]. Iranian Journal of Health Education and Health Promotion. 2018; 6(1):72-9. [DOI:10.30699/acadpub.ijhehp.6.1.72] [DOI:10.30699/acadpub.ijhehp.6.1.72]
19. Hosseini MA, Azimzadeh E. [Correlation between Self-Efficacy and nurses' conflict management strategies (Persian)]. Journal of Health Promotion Management. 2013; 2(4):16-23.
20. Brody S, Carson CM. Brief report: Self-harm is associated with immature defence mechanisms but not substance use in a nonclinical Scottish adolescent sample. Journal of Adolescence. 2012; 35(3):765-7. [DOI:10.1016/j.adolescence.2011.09.001] [PMID] [DOI:10.1016/j.adolescence.2011.09.001]
21. Plutchik R, Botsis AJ, Van Praag HM. Psychopathology, self-esteem, sexual and ego functions as correlates of suicide and violence risk. Archives of Suicide Research. 1995; 1(1):27-38. [DOI:10.1080/13811119508258972] [DOI:10.1080/13811119508258972]
22. Apter A, Gothelf D, Offer R, Ratzoni G, Orbach I, Tyano S, et al. Suicidal adolescents and ego defense mechanisms. Journal of the American Academy of Child & Adolescent Psychiatry. 1997; 36(11):1520-7. [DOI:10.1016/S0890-8567(09)66560-6] [PMID] [DOI:10.1016/S0890-8567(09)66560-6]
23. Yang YK. Effects of ego-resilience and work environment on job satisfaction in psychiatric nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2015; 24(4):226-35. [DOI:10.12934/jkpmhn.2015.24.4.226] [DOI:10.12934/jkpmhn.2015.24.4.226]
24. Lee OS, Gu MO, Kim MJ. Influence of emotional intelligence and ego resilience on interpersonal relationship of nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2015; 16(6):3902-10. [DOI:10.5762/KAIS.2015.16.6.3902] [DOI:10.5762/KAIS.2015.16.6.3902]
25. Markstrom CA, Sabino VM, Turner BJ, Berman RC. The psychosocial inventory of Ego Strengths: Development and validation of a new Eriksonian measure. Journal of Youth and Adolescence. 1997; 26(6):705-32. [DOI:10.1023/A:1022348709532] [DOI:10.1023/A:1022348709532]
26. Gold SN. Relations between level of ego development and adjustment pattern in adolescents. Journal of Personality Assessment. 1980; 44(6):630-8. [DOI:10.1207/s15327752jpa4406_11] [PMID] [DOI:10.1207/s15327752jpa4406_11]
27. Van Orden KA. Construct validity of the interpersonal needs questionnaire. Tallahassee, Florida: The Florida State University; 2009.
28. Hill RM, Rey Y, Marin CE, Sharp C, Green KL, Pettit JW. Evaluating the interpersonal needs questionnaire: Comparison of the reliability, factor structure, and predictive validity across five versions. Suicide and Life‐Threatening Behavior. 2015; 45(3):302-14. [DOI:10.1111/sltb.12129] [PMID] [DOI:10.1111/sltb.12129]
29. Rashid S, Kiani Chalmari A, Yeganeh N, Zeinaddini S. [The relationship between death anxiety, mattering, Perceived Burdensomeness and Thwarted Belongingness with suicidal behavior in college students (The interpersonal-psychological theory for suicide) (Persian)]. Iranian Journal of Emergency Care. 2017; 1(1):32-42.
30. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The Self-Efficacy Scale: Construction and validation. Psychological Reports. 1982; 51(2):663-71. [DOI:10.2466/pr0.1982.51.2.663] [DOI:10.2466/pr0.1982.51.2.663]
31. Anisi J, Fathiashteiani A, Salimi H, Ahmadinoodeh K. [Assessment of Beck scale of suicide thoughts in soldiers (Persian)]. Journal of Military Medicine. 2005; 23(7):33-7.
32. Bryan CJ. The clinical utility of a brief measure of Perceived Burdensomeness and Thwarted Belongingness for the detection of suicidal military personnel. Journal of Clinical Psychology. 2011; 67(10):981-92. [DOI:10.1002/jclp.20726] [PMID] [DOI:10.1002/jclp.20726]
33. O'Keefe VM, Wingate LR, Tucker RP, Rhoades-Kerswill S, Slish ML, Davidson CL. Interpersonal suicide risk for American Indians: Investigating Thwarted Belongingness and Perceived Burdensomeness. Cultural Diversity and Ethnic Minority Psychology. 2014; 20(1):61-7. [DOI:10.1037/a0033540] [PMID] [DOI:10.1037/a0033540]
34. Hill RM, Pettit JW. Suicidal Ideation and sexual orientation in college students: The roles of Perceived Burdensomeness, Thwarted Belongingness, and perceived rejection due to sexual orientation. Suicide and Life‐Threatening Behavior. 2012; 42(5):567-79. [DOI:10.1111/j.1943-278X.2012.00113.x] [PMID] [DOI:10.1111/j.1943-278X.2012.00113.x]
35. Nabavi SS, Sohrabi F, Afrooz G, Delavar A, Hosseinian S. [Relationship between Self-Efficacy and mental health among teachers: The role of perceived social support (Persian)]. Journal of Research in Psychological Health. 2017; 11(2):50-68. [DOI:10.29252/rph.11.2.50] [DOI:10.29252/rph.11.2.50]
36. Valois RF, Zullig KJ, Hunter AA. Association between adolescent suicide ideation, suicide attempts and emotional Self-Efficacy. Journal of Child and Family Studies. 2015; 24(2):237-48. [DOI:10.1007/s10826-013-9829-8] [DOI:10.1007/s10826-013-9829-8]