Testing the Incremental Contribution of Maladaptive Metacognition to Suicidal Ideation and Suicide Attempts

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Main Authors: Ting Zhao, Jinghan Cheng, Yelu Liu, Juan Deng, Yu Sun, Yanping Ming, Ke Gong, Kezhi Liu, Wei Lei, Jing Chen
Format: Artículo Open Access
Published: Wiley 2025
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author Ting Zhao
Jinghan Cheng
Yelu Liu
Juan Deng
Yu Sun
Yanping Ming
Ke Gong
Kezhi Liu
Wei Lei
Jing Chen
author_facet Ting Zhao
Jinghan Cheng
Yelu Liu
Juan Deng
Yu Sun
Yanping Ming
Ke Gong
Kezhi Liu
Wei Lei
Jing Chen
Ting Zhao
Jinghan Cheng
Yelu Liu
Juan Deng
Yu Sun
Yanping Ming
Ke Gong
Kezhi Liu
Wei Lei
Jing Chen
collection Wiley Open Access
contents Testing the Incremental Contribution of Maladaptive Metacognition to Suicidal Ideation and Suicide Attempts Ting Zhao Jinghan Cheng Yelu Liu Juan Deng Yu Sun Yanping Ming Ke Gong Kezhi Liu Wei Lei Jing Chen Clinical Psychology & Psychotherapy ABSTRACT Background Maladaptive metacognitive beliefs concerning the uncontrollability and danger of negative thinking (MCQ‐NEG) were associated with suicidal ideation (SI) in major depressive disorder (MDD). The present study investigated whether metacognitive beliefs were different between groups and whether metacognitive beliefs explained incremental variance in suicidal ideation. Methods One hundred sixty‐seven patients with MDD were recruited along with 170 healthy controls. Metacognitive beliefs and suicidal ideation were assessed using the Metacognition Questionnaire‐30 Items (MCQ‐30) and Beck Scale for Suicide Ideation (BSSI), separately. Group differences were assessed using t tests. The associational variable analysis was carried out to test the association between variables in MDD. Results (1) The MDD exhibited higher levels of maladaptive metacognitive beliefs. (2) Patients who had attempted suicide showed a higher level of MCQ‐NEG compared to those with suicidal ideation alone. (3) MCQ‐NEG explained incremental variance between depression severity and suicidal ideation when covariates are controlled in MDD. Conclusions This study suggested that maladaptive metacognitive beliefs distinguished suicidal patients from non‐suicidal patients, and the metacognitive model appeared relevant to suicidal ideation. 10.1002/cpp.70177 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/cpp.70177
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institution Wiley Open Access
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publisher Wiley
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spellingShingle Testing the Incremental Contribution of Maladaptive Metacognition to Suicidal Ideation and Suicide Attempts
Ting Zhao
Jinghan Cheng
Yelu Liu
Juan Deng
Yu Sun
Yanping Ming
Ke Gong
Kezhi Liu
Wei Lei
Jing Chen
Clinical Psychology & Psychotherapy
Testing the Incremental Contribution of Maladaptive Metacognition to Suicidal Ideation and Suicide Attempts Ting Zhao Jinghan Cheng Yelu Liu Juan Deng Yu Sun Yanping Ming Ke Gong Kezhi Liu Wei Lei Jing Chen Clinical Psychology & Psychotherapy ABSTRACT Background Maladaptive metacognitive beliefs concerning the uncontrollability and danger of negative thinking (MCQ‐NEG) were associated with suicidal ideation (SI) in major depressive disorder (MDD). The present study investigated whether metacognitive beliefs were different between groups and whether metacognitive beliefs explained incremental variance in suicidal ideation. Methods One hundred sixty‐seven patients with MDD were recruited along with 170 healthy controls. Metacognitive beliefs and suicidal ideation were assessed using the Metacognition Questionnaire‐30 Items (MCQ‐30) and Beck Scale for Suicide Ideation (BSSI), separately. Group differences were assessed using t tests. The associational variable analysis was carried out to test the association between variables in MDD. Results (1) The MDD exhibited higher levels of maladaptive metacognitive beliefs. (2) Patients who had attempted suicide showed a higher level of MCQ‐NEG compared to those with suicidal ideation alone. (3) MCQ‐NEG explained incremental variance between depression severity and suicidal ideation when covariates are controlled in MDD. Conclusions This study suggested that maladaptive metacognitive beliefs distinguished suicidal patients from non‐suicidal patients, and the metacognitive model appeared relevant to suicidal ideation. 10.1002/cpp.70177 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Testing the Incremental Contribution of Maladaptive Metacognition to Suicidal Ideation and Suicide Attempts
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70177