title: Perceived burdensomeness and suicide-related behaviors in clinical samples: current evidence and future directions.
abstract: BACKGROUND
  The interpersonal-psychological theory of suicide identifies perceived burdensomeness as a primary component of suicidal desire and a possible point of intervention for suicide prevention. A growing literature has explored the relationship between perceived burdensomeness and suicide-related behaviors.
  
  
  OBJECTIVE
  The aim of this review is to integrate the evidence, identify critical gaps in the evidence-base, and explore implications for translation to prevention and intervention science.
  
  
  METHODS
  Papers published that reported on the association between perceived burdensomeness and suicide-related behaviors were included.
  
  
  RESULTS
  The literature indicates (a) significant cross-sectional associations between perceived burdensomeness and suicidal ideation and suicide attempts and (b) that perceived burdensomeness acts as either a moderator or a mediator of the association between risk and protective factors and suicide-related behaviors.
  
  
  CONCLUSIONS
  Research is needed to examine the longitudinal association between perceived burdensomeness and suicide-related behaviors, develop additional measurement approaches, generalize findings to other samples, and begin translating findings to prevention and intervention science.
authors.affiliation: Florida International University.
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Hill
authors.forename: Jeremy W
authors.initials: JW
authors.lastname: Pettit
mesh_terms: D006801:Humans; D012649:Self Concept; D013405:Suicide / Q000523:psychology*
keywords: burdensomeness; interpersonal-psychological theory; review; suicidal ideation; suicide