پزشکی بالینی ابن سینا (Jun 2024)
Evaluation of Three-Step Theory (3ST) of Suicide in Hospitalized Patients with Suicidal Ideation in Psychiatry Department of Shahid Yahya Nejad Hospital in Babol
Abstract
Background and Objective: Three-Stage Theory explains development of suicidal ideation and suicidal attempt. According to Three-Stage Theory, high levels of pain and high levels of hopelessness lead to suicidal ideation. Belongingness plays a protective role against suicidal ideation and individual's suicide capacity predicts suicidal attempt. The purpose of this research was to investigate the relationship between pain, hopelessness, belongingness with suicidal ideation and attempt. Materials and Methods: In this cross-sectional study, 224 patients hospitalized in psychiatric department of Shahid Yahya Nejad Hospital with suicidal ideation were selected through convenience sampling between March to August 2021. All participants completed suicidal attempt question of Self-Injurious Thoughts and Behaviors Interview, Beck Scale for Suicide Ideation, Scale of Psychache, Beck Hopelessness Scale, Interpersonal Need Questionnaire and Suicidal Capacity Scale-3. Pearson's correlation, t-tests, hierarchical regression, analysis of variance and logistic regression were used to analyze the data and data were analyzed using SPSS software version 27. Results: There was a significant interactive effect between pain and hopelessness in predicting suicidal ideation (P< 0.01, t = 5.01). Additionally, belongingness and burdensomeness had significant interactive effects in predicting suicidal ideation (P< 0.01, t = 2.16). Pain and hopelessness accounted for 63.6% of the variance of suicidal ideation, while belongingness and burdensomeness explained 49.8% of variance in suicidal ideation. According to logistic regression, psychological pain (P<0.01), suicidal ideation (P<0.01) and suicidal capacity (P<0.01) were significant predictors for suicide attempts. Conclusion: The first step in suicide prevention programs should be to try to reduce the pain and hopelessness of patients. In the second step, the development of the individual's belongingness should be considered. Finally, attention should be paid to the level of psychological pain and suicidal capacity of people, because suicidal capacity and psychological pain are independent predictors of suicidal ideation.
