TY - JOUR PY - 2012// TI - Negative self-appraisals and suicidal behavior among trauma victims experiencing ptsd symptoms: the mediating role of defeat and entrapment JO - Depression and anxiety A1 - Maria Panagioti, A1 - Gooding, Patricia A. A1 - Taylor, Peter James A1 - Tarrier, Nicholas SP - 187 EP - 194 VL - 29 IS - 3 N2 - BACKGROUND: A considerable body of literature has shown a strong association between posttraumatic stress disorder (PTSD) and suicidal behavior but only a limited number of studies have investigated the putative psychological mechanisms underlying suicidal behavior in PTSD. Based on a recent theoretical model of suicide, the Schematic Appraisals Model, the current study aimed to examine whether perceptions of defeat and entrapment mediated the effects of three types of negative self-appraisals (emotion coping, problem solving, and social support) on suicidal behavior among individuals experiencing PTSD symptoms in the past month. METHODS: The sample comprised 56 individuals who had been previously exposed to a traumatic event and reported at least one PTSD symptom in the past month (confirmed through the Posttraumatic Diagnostic Scale). The mediational analyses were conducted using a nonparametric, bootstrapping method. RESULTS: The results showed that defeat and entrapment fully mediated the effect of all three types of self-appraisals on suicidal behavior. When controlling for PTSD symptom severity, defeat and entrapment continued to mediate fully the effect of two types of self-appraisals, namely the perceived ability to control negative emotions (emotion coping) and the perceived ability to cope with difficult situations/problems (problem solving) on suicidal behavior. CONCLUSIONS: The current findings provide support for the Schematic Appraisals Model of Suicide and suggest that both specific types of negative self-appraisals and general perceptions of defeat and entrapment are strongly related to suicidal behavior in those with PTSD. The findings have important clinical implications.

Language: en

LA - en SN - 1091-4269 UR - http://dx.doi.org/10.1002/da.21917 ID - ref1 ER -