Evidence map›Paper›PMID 40084583›Full record

ArticleSchizophrenia bulletin2026

Relationship of Perceived Burdensomeness and Thwarted Belongingness to Suicide Ideation Persistence and Suicide Behavior Over 12 Months in People With Serious Mental Illness.

Emma M Parrish, Kevin Kuehn, Amy Pinkham, Raeanne C Moore, Philip D Harvey, Eric Granholm, Scott Roesch, Thomas Joiner, Varsha D Badal, Colin A Depp

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emma M ParrishSan Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
Kevin KuehnDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.
Amy PinkhamDepartment of Psychology, The University of Texas at Dallas, Dallas, TX, USA.ORCID 0000-0003-2803-4520
Raeanne C MooreDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.
Philip D HarveyDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, Research Service Miami VA Medical Center, Miami, FL, USA.ORCID 0000-0002-9501-9366
Eric GranholmDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.ORCID 0000-0003-2040-7951
Scott RoeschDepartment of Psychology, San Diego State University, San Diego, CA, USA.
Thomas JoinerDepartment of Psychology, Florida State University, Tallahassee, FL, USA.
Varsha D BadalDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.
Colin A DeppDepartment of Psychiatry, University of California San Diego, San Diego, CA, USA.

Funding

HOPE Training GrantT32AI007384 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sara Gianella Weibel, Scott L Letendre · 1990 to 2026
$9.7M
Social Cognition and Suicide in Psychotic DisordersR01MH116902 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2019 to 2022
$3.2M
Dynamic Network Analysis of Social Cognition and Suicide in PsychosisF31MH131368 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PARRISH, EMMA · 2023 to 2024
$59k
NIAID NIH HHS T32 AI007384NIH HHS NIMH R01 MH116902-01A1NIMH NIH HHS F31 MH131368NIMH NIH HHS R01 MH116902
6 · The paper itself

Abstract

background and hypothesisPeople with serious mental illness (SMI) have an increased risk of suicide ideation (SI) and suicide behavior (SB). Longitudinal studies on factors contributing to SI/SB in SMI are lacking. Interpersonal biases (ie, perceived burdensomeness and thwarted belongingness) are cross-sectionally related to SI/SB, but do they relate to longitudinal suicide risk or other illness factors? Ecological momentary assessment (EMA) offers a powerful approach to a deeper understanding of these complex relationships. STUDY

designParticipants with SMI (N = 180) completed 3 in-lab visits (baseline, 6-month, and 12-month) and 10 days of EMA (3×/day) following the baseline visit. At all timepoints, participants were assessed for SI/SB and were classified as persistent, intermittent, or no SI or any reports of SB over the 12-month follow-up. Multinomial logistic regression models examined whether EMA burdensomeness, belongingness, social motivations, and psychotic symptoms predicted SI persistence or SB over 12 months. Time-series network analysis compared participants' EMA data by baseline SI. STUDY

resultsBurdensomeness and belongingness related to persistent SI 12 months, as did voices, suspiciousness, and social motivations. Only burdensomeness and belongingness related to increased risk of SB over 12 months. Network analyses revealed unique lagged relationships in the baseline SI group: of suspiciousness to belongingness and social avoidance motivation to burdensomeness when compared to the baseline group without SI.

conclusionsThese findings indicate the importance of interpersonal risk factors and suspiciousness to trajectories of SI and SB over 12 months in SMI. Pending replication, these constructs may be potential suicide prevention treatment targets in SMI.

Indexed as

Interpersonal RelationsPsychotic DisordersSuicidal IdeationSuicide, AttemptedAdultEcological Momentary AssessmentFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle Agedbipolar disorderecological momentary assessmentlongitudinalnetwork analysispsychosisschizoaffective disorderSchizophreniasuicidal behaviorsuicidal ideationsuspiciousness

Identifiers

PMID40084583
PMCPMC12809785

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.