Applying the Disclosure Decision-Making Model to Suicide-Related Disclosure

A Theory-Informed Multilevel Social Network Analysis

Datos Bibliográficos

ID12986870
AutoresAnthony Fulginiti (0000-0003-0620-8745, University of Denver, autor de correspondencia)
Año2021
Volumen14
Número2
Páginas455-481
Fecha de publicación2021-07-27
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of the Society for Social Work and Research (JOURNAL)
Identificadores de la revistaISSN: 1948-822X • E-ISSN: 2334-2315
EditorialUniversity of Chicago Press (PUBLISHER • US)
DOI10.1086/716613
OpenAlexW3186589345
IdiomaEN
Citas recibidas1
Referencias citadas73

Objective: Because many people with mood disorders experience but do not share their suicidal thoughts with others, suicide prevention efforts may be less effective with this population. Unfortunately, study of suicide-related disclosure has been relatively acontextual and atheoretical—two qualities that may impede identification of factors that can influence disclosure. This study applies the disclosure decision-making model (DD-MM) to explain suicide-related disclosure intent—a critical precursor to disclosure behavior. Method: The sample included 41 people with a mood disorder and history of suicidal crisis in community-based mental health treatment in Los Angeles County (Level 2) who nominated 332 social network members (Level 1). Survey and social network methods were used to collect individual (Level 2) and relational (Level 1) information, respectively. Multilevel modeling was used examine associations between DD-MM constructs and disclosure intent. Results: Individuals who perceived greater suicide stigma reported lower disclosure intent. Individuals reported higher disclosure intent to network members when their relationship was stronger, when they expected more positive postdisclosure outcomes, and when they felt more efficacious about communicating their suicidal thoughts. Conclusions: Our results are consistent with the DD-MM. Consequently, the DD-MM should be regarded as a promising framework that may help guide future disclosure decision-making research and programs to better support disclosure

Medical emergency · Mood · Mood disorders · Multilevel model · Poison control · Population · Psychiatry · Self-disclosure · Social media · Social network (sociolinguistics · Suicide prevention · Clinical Psychology · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mental Health Treatment and Access · Psychology · Social Psychology · Suicide and Self-Harm Studies