The role of pain, hopelessness, belonging, and suicide capacity in predicting suicide attempt in people with psychiatric disorders

Background. The idea and attempt of suicide are highly predictive of deaths due to suicide and can lead to several negative consequences for both the individual and his family and for society. Therefore, this study was conducted with the aim of the role of pain, hopelessness, belonging and suicidal capacity in predicting suicide attempt in people with psychiatric disorders.

Methods. The research method of this study was correlational and the statistical population included all individuals referred to psychiatric outpatient clinics of Razi Hospital in Tabriz in 2020-2021. Sample sizes According to Klein criterion and according to the 62-item questionnaire, 298 subjects were selected. Research tools also include the Suicide Attempt Scale, the Suicide Capacity Scale and to examine the three variables of pain, hopelessness and belonging to the Suicide Motivation Questionnaire were used. Structural equation modeling was used to analyze the data using Smart pls software version 2.

Results. In this study, 63.3% of the respondents were men and 36.7% of the respondents were women. The mean and standard deviation of the age of the respondents was 37.26±10.88 years. According to the results of the path coefficients between hopelessness with suicide capacity (β= 0.63), sense of belonging with suicide capacity (β= 0.28) and suicide attempt (β= 0.21), suicide capacity with suicide attempt (β= 0.59) were at a significant level (P<0.05). On the other hand, suicidal capacity had a significant mediating role in the relationship between hopelessness and sense of belonging with suicide attempt.

Conclusion. The results showed that the three-step model of suicide has the ability to predict suicide attempt in the community of patients with psychiatric disorders.

Practical Implications. The results of this study are very important for professionals who work with people with psychiatric disorders to distinguish the idea of suicide from suicide attempt.