Understanding grief reactions, thwarted belongingness, and suicide ideation in bereaved adolescents: Toward a unifying theory.

OBJECTIVE: Childhood bereavement is linked to suicide-related behaviors in adolescence and adulthood, but candidate mechanisms through which bereavement may lead to suicide-related behaviors have not been explored. One candidate pathway is that grief reaction arising from bereavement lead to increased perceived burdensomeness and/or thwarted belongingness, resulting in increased suicide ideation. This cross-sectional study of bereaved adolescents explored indirect effects between grief reactions as distal predictors, perceived burdensomeness and thwarted belongingness as proximal predictors, and suicide ideation.

METHOD: Participants were 58 bereaved youth, 12-17 years of age (mean = 14.21, SD = 1.65; 81.0% female; 51.7% Hispanic, 17.2% African American, and 22.4% Caucasian), and their parents/guardians seeking services at a trauma and grief specialty outpatient clinic.

RESULTS: The indirect effect of grief reactions on suicide ideation via thwarted belongingness, but not perceived burdensomeness, was statistically significant.

CONCLUSIONS: Clinicians may wish to consider signs of thwarted belongingness as possible indicators of suicide risk among bereaved youth.