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Shame, Guilt, and Suicide: A Mixed Methods Study of Psychiatric Inpatients at Risk for Suicide
[Technical Report, Doctoral Thesis]
UNIFORMED SERVICES UNIV OF THE HEALTH SCIENCES BETHESDA MD
Pagination or Media Count:
Shame and guilt have been empirically examined in the context of suicide however, inconsistencies in uniformly defining and measuring these emotions exist and lead to contradictory findings. Advancing our understanding of the role of shame and guilt in the trajectory toward suicidal thoughtsactions has important research and practice implications. PURPOSE 1 To qualitatively explore common themes of shame and guilt within suicide narratives shared during psychotherapy and 2 To quantitatively determine the association among shame, guilt, suicide-related distorted cognitions, dysregulated emotions, and problematic social problem-solving. METHODS A cross-sectional, retrospective, mixed methods, and exploratory sequential design was employed. Selected baseline randomized controlled trial RCT data from 58 suicidal servicemembers and adult dependents admitted for inpatient psychiatric care and randomized into the treatment arm of the RCT were used. Qualitative analyses focused on patients transcribed7suicide narratives. Magnitude ratings quantified the intensity and relevance of shame and guilt the ratings were carried over to answer a series of research questions, using regression models.
[A, Approved For Public Release]