UBC Theses and Dissertations
Relational constructs and suicidal-crisis outcomes : examining trajectories of connectedness, disconnectedness, and burdensomeness Deptuck, Halina Michele Elizabeth
Objective: Relational constructs such as connectedness, disconnectedness, and burdensomeness have been theoretically emphasized and empirically linked to suicide; however, little is known about how trajectories of these relational constructs are associated with suicide-related outcomes in helping contexts – notably, in interventions with clients in suicidal crisis. Therefore, this study examined the associations between trajectories of (a) connectedness, (b) disconnectedness, and (c) burdensomeness with outcome among suicidal clients who received crisis counseling. Methods: Using multilevel latent-growth modelling, we analyzed single-session text-based crisis intervention sessions with adults in suicidal crisis (N = 242). Results: When modelled separately, trajectories of connectedness, disconnectedness, and burdensomeness were associated with outcome. When modelled simultaneously, (a) decreases in disconnectedness had stronger associations with outcome than increases in connectedness, and (b) burdensomeness was not associated with outcome. Conclusions: While all relational constructs demonstrated associations with outcome when modelled separately, our findings indicate that connectedness and disconnectedness may be the most relevant for clients receiving single-session text-based suicidal crisis intervention. Limitations and future directions are discussed.
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