Suicidal behavior and social cognitionThe role of hypomentalizing and fearlessness about death

  1. Jorge Andreo-Jover
  2. Eduardo Fernández-Jiménez
  3. Julio Bobes
  4. Ana Isabel Cebria
  5. Benedicto Crespo-Facorro
  6. Alejandro De la Torre-Luque
  7. Marina Díaz-Marsá
  8. Adriana García-Ramos
  9. Iria Grande
  10. Ana González-Pinto
  11. Luis Jiménez-Treviño
  12. Natalia Roberto
  13. Miguel Ruiz-Veguilla
  14. Ángela Palao-Tarrero
  15. Víctor Pérez-Sola
Revista:
Psicothema

ISSN: 0214-9915 1886-144X

Año de publicación: 2024

Volumen: 36

Número: 4

Páginas: 403-413

Tipo: Artículo

DOI: 10.7334/PSICOTHEMA2024.82 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Psicothema

Resumen

Suicide attempt (SA) lethality is associated with heightened suicidal desires and social cognition deficits. Fearlessness about death (FAD) and hypomentalizing may play a role in SA and self-harm. Although studies have identified relationships between these constructs, this line of research is still limited. We aimed to explore the mediating role of FAD and mentalizing between suicidal ideation and both SA lethality and self-harm. Method: 1,371 suicide attempters (70.1% women; M = 40 years) from seven Spanish hospitals participated. We used the Fearlessness About Death (ACSS-FAD) subscale, the Reflective Functioning Questionnaire-8 (RFQ-8), and the Columbia Suicide Severity Rating Scale (CSSRS). We conducted serial multiple mediation analyses with suicidal ideation as exposure; FAD and mentalizing as mediators; SA lethality and self-harm as outcomes. Results: Indirect effects were found of suicidal ideation on self-harm (B = 0.08, CI = 0.03-0.15) and SA lethality mediated by FAD (B = 0.02, CI = 0.001-0.04); indirect effects of suicidal ideation on self-harm through mentalizing (B = 0.10, CI = 0.04-0.167), and total indirect effects between suicidal ideation and self-harm through FAD and mentalizing (B = 0.18, CI = 0.11-0.27). Conclusions: Interventions addressing mentalizing and FAD may help reduce SA lethality and self-harm risk.

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