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The moderating effects of coping and self-esteem on the relationship between defeat, entrapment and suicidality in a sample of prisoners at high risk of suicide

Published online by Cambridge University Press:  24 October 2015

P. Gooding*
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK Manchester Health Science Centre (MAHSC), Manchester, UK
N. Tarrier
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK Department of Psychology, Institute of Psychiatry, King's College, London, UK
G. Dunn
Affiliation:
Institute of Population Health, University of Manchester, Manchester, UK Manchester Health Science Centre (MAHSC), Manchester, UK
J. Shaw
Affiliation:
Manchester Health Science Centre (MAHSC), Manchester, UK Institute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK
Y. Awenat
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK Manchester Health Science Centre (MAHSC), Manchester, UK
F. Ulph
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK Manchester Health Science Centre (MAHSC), Manchester, UK
D. Pratt
Affiliation:
School of Psychological Sciences, University of Manchester, Manchester, UK Manchester Health Science Centre (MAHSC), Manchester, UK Manchester Mental Health and Social Care NHS Trust, Manchester, UK
*
Corresponding author at: School of Psychological Sciences, Coupland Building 1, University of Manchester, UK M13 9PL. E-mail address:patricia.gooding@manchester.ac.uk (P. Gooding).
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Abstract

Background

Research is sparse which examines pathways to suicide, and resilience to suicide, in people who are particularly vulnerable to suicide, for example, prison inmates. The purpose of this study was to examine the ways in which perceptions of self-esteem and coping ability interacted with defeat and entrapment to both amplify suicidal thoughts and feelings, and to act as a buffer against suicidal thoughts and feelings.

Methods

Participants were 65 male prisoners at high risk of suicide. A cross-sectional questionnaire design was used. Questionnaire measures of depression, defeat, entrapment, self-esteem, coping ability and suicidal probability were administered.

Results

For the hopelessness component of the suicide probability measure, high levels of coping ability together with low levels of defeat resulted in the lowest levels of suicidality indicative of a resilience factor. In contrast, low levels of coping skills together with high levels of entrapment were a high risk factor for this hopelessness component of suicide. This pattern of results pertained when controlling for depression levels.

Conclusions

This is the first study to examine interactions between defeat, entrapment and appraisals of self-esteem and coping ability. Therapeutic interventions would benefit from boosting perceptions and appraisals of coping ability, in particular, in people who are at high risk for suicide.

Type
Original article
Copyright
Copyright © European Psychiatric Association 2020

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