title: The Mediating Role of Perceived Burdensomeness in Relations Between Domains of Cognitive Functioning and Indicators of Suicide Risk.
abstract: OBJECTIVE
  Psychiatric inpatients are at elevated risk for suicide, but there are mixed findings regarding cognitive functioning (i.e., executive functioning and problem-solving abilities) and suicide risk in this population. We hypothesized that a mediating variable (i.e., perceived burdensomeness) may explain these mixed findings.
  
  
  METHODS
  This hypothesis was tested in a sample of psychiatric inpatients admitted for suicide-related concerns (N = 110; 58.18% female, M(age) = 36.45) using a nonparametric bootstrapping procedure.
  
  
  RESULTS
  Perceived burdensomeness did not act as a mediator between any domain of cognitive functioning and current suicide ideation nor presence of recent suicide attempts. However, perceived burdensomeness was the strongest predictor of suicide ideation and mediated the relation between objective problem-solving skill and suicide risk (a weighted variable comprising current ideation and previous attempts).
  
  
  CONCLUSIONS
  Perceived burdensomeness may be associated with elevated suicide ideation, suggesting that perceived burdensomeness should be assessed to inform suicide risk decisions.
authors.affiliation: Texas Tech University.
authors.forename: Danielle R
authors.initials: DR
authors.lastname: Jahn
authors.affiliation: Texas Tech University.
authors.forename: Kelly C
authors.initials: KC
authors.lastname: Cukrowicz
authors.affiliation: Texas Tech University.
authors.forename: Sean M
authors.initials: SM
authors.lastname: Mitchell
authors.affiliation: Texas Tech University.
authors.forename: Erin K
authors.initials: EK
authors.lastname: Poindexter
authors.affiliation: Texas Tech University.
authors.forename: Evan T
authors.initials: ET
authors.lastname: Guidry
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007297:Inpatients; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012649:Self Concept; D015206:Southwestern United States; D059020:Suicidal Ideation; D013405:Suicide; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult
keywords: executive functioning; interpersonal theory of suicide; mediation; perceived burdensomeness; problem solving; psychiatric inpatients; suicide attempts; suicide ideation