The Effect of Depression and Hopelessness on Suicidal Risk in Young People: The Mediating Role of Impulsivity

dc.contributor.affiliationGómez-Tabares A.S., Faculty of Social Sciences, Health and Wellness, Universidad Católica Luis Amigó, Medellín, Colombia
dc.contributor.affiliationArango-Tobón O.E., Faculty of Social Sciences, Health and Wellness, Universidad Católica Luis Amigó, Medellín, Colombia
dc.contributor.affiliationNúñez C., Psychology Program, Faculty of Social and Human Sciences, Universidad de Medellín, Medellín, Colombia, Corporación APICSA, Medellín, Colombia
dc.contributor.affiliationLesmes G.A.Z., Faculty of Social Sciences, Health and Wellness, Universidad Católica Luis Amigó, Manizales, Colombia
dc.contributor.authorGómez-Tabares A.S.
dc.contributor.authorArango-Tobón O.E.
dc.contributor.authorNúñez C.
dc.contributor.authorLesmes G.A.Z.
dc.date.accessioned2025-09-08T14:23:38Z
dc.date.available2025-09-08T14:23:38Z
dc.date.issued2025
dc.descriptionBackground: Previous studies have documented that depression and hopelessness predict higher suicide risk in young people. However, the psychological mechanisms that may mediate these associations are unknown. The aim of this study was to analyze the effects of depression, hopelessness, and impulsivity on suicidal attempts and risk, and to explore the mediating role of impulsivity in these associations. Method: A total of 1,645 young people participated with a mean age of 21.604 years (SD = 3.22) (68.8% female and 31.2% male). A sociodemographic form was applied to explore suicide attempts in the last year (SA), the Plutchik Suicide Risk (SR), Beck Hopelessness (BHS), Barratt Impulsivity (BIS), and Beck Depression Inventory (BDI) scales. Direct correlations were found among BHS, BDI, BIS, SA, and SR. Results: The binary regression model showed that the variables BHS, BDI, and BIS explained between 33% and 49% of the variance of suicidal risk and 16% of the variance of suicide attempts. Structural equation analysis showed that impulsivity mediated the associations between depression, hopelessness, and suicidal risk, on the one hand, and mediated the associations between depression and suicide attempt, on the other hand, whose total direct and indirect effects were statistically significant. Conclusion: The findings emphasize the importance of impulsivity as the mechanism influencing interactions between mood indicators and suicidal behavior in young populations. © 2025 PsychOpen. All rights reserved.
dc.identifier.doi10.32872/cpe.11331
dc.identifier.instnameinstname:Universidad de Medellínspa
dc.identifier.issn26253410
dc.identifier.reponamereponame:Repositorio Institucional Universidad de Medellínspa
dc.identifier.repourlrepourl:https://repository.udem.edu.co/
dc.identifier.urihttps://hdl.handle.net/11407/9069
dc.language.isoeng
dc.publisher.facultyFacultad de Ciencias Sociales y Humanasspa
dc.publisher.programPsicologíaspa
dc.relation.citationissue2
dc.relation.citationvolume7
dc.relation.isversionofhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-105008118531&doi=10.32872%2fcpe.11331&partnerID=40&md5=c2304ef57e44cf54b1c20ff0a2c6b563
dc.relation.referencesAnestis M. D., Soberay K. A., Gutierrez P. M., Hernandez T. D., Joiner T. E., Reconsidering the link between impulsivity and suicidal behavior, Personality and Social Psychology Review, 18, 4, pp. 366-386, (2014)
dc.relation.referencesAnvar S., Swerdlow B. A., Jobes D., Timpano K. R., Mandel A. A., Kleiman E., Joiner T. E., Johnson S. L., Emotion-related impulsivity and suicidal ideation: Towards a more specific model, British Journal of Clinical Psychology, 61, 4, pp. 1219-1235, (2022)
dc.relation.referencesArango-Tobon O. E., Gomez-Tabares A. S., Orejarena Serrano S. J., Structural model of suicidal ideation and behavior: Mediating effect of impulsivity, Anais da Academia Brasileira de Ciências, 93, (2021)
dc.relation.referencesAti N. A. L., Paraswati M. D., Windarwati H. D., What are the risk factors and protective factors of suicidal behavior in adolescents? A systematic review, Journal of Child and Adolescent Psychiatric Nursing, 34, 1, pp. 7-18, (2021)
dc.relation.referencesBaertschi M., Costanza A., Richard-Lepouriel H., Pompili M., Sarasin F., Weber K., Canuto A., The application of the interpersonal-psychological theory of suicide to a sample of Swiss patients attending a psychiatric emergency department for a non-lethal suicidal event, Journal of Affective Disorders, 210, pp. 323-331, (2017)
dc.relation.referencesBeach V. L., Gissandaner T. D., Schmidt A. T., The UPPS Model of Impulsivity and Suicide: A systematic literature review, Archives of Suicide Research, 26, 3, pp. 985-1006, (2022)
dc.relation.referencesBeck A. T., Rush A. J., Shaw B. F., Emery G., Terapia cognitiva de la depresión [Cognitive therapy of depression], (1979)
dc.relation.referencesBeck A. T., Weissman A., Lester D., Trexler L., The measurement of pessimism: The Hopelessness Scale, Journal of Consulting and Clinical Psychology, 42, 6, pp. 861-865, (1974)
dc.relation.referencesByrne B. M., Structural equation modeling with AMOS (3rd ed.). Routledge. Chachín Pinzón, N., Moncada Duarte, C. E., & Acosta Salazar, H. U. (2019). Estudio de las propiedades psicométricas de la Escala Barratt de Impulsividad (BIS-11) en niños y adolescentes [Study of the psychometric properties of the Barratt Impulsivity Scale (BIS-11) in children and adolescents], Terapia Psicológica, 37, 2, pp. 129-140, (2016)
dc.relation.referencesCheung G. W., Rensvold R. B., Evaluating goodness-of-fit indexes for testing measurement invariance, Structural Equation Modeling, 9, 2, pp. 233-255, (2002)
dc.relation.referencesChoi H., Shin H., Entrapment, hopelessness, and cognitive control: A moderated mediation model of depression, Health Care, 11, 8, (2023)
dc.relation.referencesChu C., Buchman-Schmitt J. M., Stanley I. H., Hom M. A., Tucker R. P., Hagan C. R., Rogers M. L., Podlogar M. C., Chiurliza B., Ringer F. B., Michaels M. S., Patros C. H. G., Joiner T. E., The interpersonal theory of suicide: A systematic review and meta-analysis of a decade of cross-national research, Psychological Bulletin, 143, 12, pp. 1313-1345, (2017)
dc.relation.referencesChu C., Rogers M. L., Joiner T. E., Cross-sectional and temporal association between non-suicidal self-injury and suicidal ideation in young adults: The explanatory roles of thwarted belongingness and perceived burdensomeness, Psychiatry Research, 246, pp. 573-580, (2016)
dc.relation.referencesCole A. B., Littlefield A. K., Gauthier J. M., Bagge C. L., Impulsivity facets and perceived likelihood of future suicide attempt among patients who recently attempted suicide, Journal of Affective Disorders, 257, pp. 195-199, (2019)
dc.relation.referencesDat N. T., Mitsui N., Asakura S., Watanabe S., Takanobu K., Fujii Y., Toyoshima K., Kako Y., Kusumi I., The mediating role of hopelessness in the relationship between self-esteem, social anxiety, and suicidal ideation among Japanese university students who visited a university health care center, Journal of Affective Disorders Reports, 6, (2021)
dc.relation.referencesDumais A., Lesage A. D., Alda M., Rouleau G., Dumont M., Chawky N., Turecki G., Risk factors for suicide completion in major depression: A case-control study of impulsive and aggressive behaviors in men, The American Journal of Psychiatry, 162, 11, pp. 2116-2124, (2005)
dc.relation.referencesDutton G. R., Bodell L. P., Smith A. R., Joiner T. E., Examination of the relationship between obesity and suicidal ideation, International Journal of Obesity, 37, 9, pp. 1282-1286, (2013)
dc.relation.referencesDvorak R. D., Lamis D. A., Malone P. S., Alcohol use, depressive symptoms, and impulsivity as risk factors for suicide proneness among college students, Journal of Affective Disorders, 149, 1-3, pp. 326-334, (2013)
dc.relation.referencesFritz C. O., Morris P. E., Richler J. J., Effect size estimates: Current use, calculations, and interpretation, Journal of Experimental Psychology: General, 141, 1, pp. 2-18, (2012)
dc.relation.referencesGomez-Tabares A. S., Psychosocial factors and clinical predictors of suicide risk in college students, Mediterranean Journal of Clinical Psychology, 8, 3, (2020)
dc.relation.referencesGomez-Tabares A. S., Nunez C., Osorio M. P. A., Aguirre A. M. G., Risk and suicidal ideation and its relationship with impulsivity and depression in school adolescent, Revista Iberoamericana de Diagnostico y Evaluacion – e Avaliação Psicológica, 54, 1, pp. 147-163, (2020)
dc.relation.referencesGomez-Tabares A. S., Restrepo J. E., Hincapie Aguirre N., Gonzalez-Perez A., The mediating role of purpose in life in the relationship between hopelessness, depression, and suicide risk, Mediterranean Journal of Clinical Psychology, 12, 1, (2024)
dc.relation.referencesGonzalez Sancho R. D., Picado Cortes M., A systematic literature review on suicide: Risk and protection factors in Latin American youth 1995-2017, Actualidades en Psicología, 34, 129, pp. 47-69, (2020)
dc.relation.referencesHernandez-Bello L., Hueso-Montoro C., Gomez-Urquiza J. L., Cogollo-Milanes Z., Prevalencia y factores asociados a la ideación e intento de suicidio en adolescentes: Revisión sistemática [Prevalence and asociated factor for ideation and suicide attempt in adolescents: A systematic review, Revista Española de Salud Pública, 94, (2020)
dc.relation.referencesHorwitz A. G., Berona J., Czyz E. K., Yeguez C. E., King C. A., Positive and negative expectations of hopelessness as longitudinal predictors of depression, suicidal ideation, and suicidal behavior in high-risk adolescents, Suicide & Life-Threatening Behavior, 47, 2, pp. 168-176, (2017)
dc.relation.referencesInforme de Evento Primer Semestre Intento de Suicidio, 2023 [Event Report First Semester Attempted Suicide, 2023], (2023)
dc.relation.referencesJavdani S., Sadeh N., Verona E., Suicidality as a function of impulsivity, callous-unemotional traits, and depressive symptoms in youth, Journal of Abnormal Psychology, 120, 2, pp. 400-413, (2011)
dc.relation.referencesJoiner T. E., Why people die by suicide, (2005)
dc.relation.referencesJoiner T. E., Van Orden K. A., Witte T. K., Selby E. A., Ribeiro J. D., Lewis R., Rudd M. D., Main predictions of the interpersonal psychological theory of suicidal behavior: Empirical tests in two samples of young adults, Journal of Abnormal Psychology, 118, 3, pp. 634-646, (2009)
dc.relation.referencesKoyama E., Zai C. C., Bryushkova L., Kennedy J. L., Beitchman J. H., Predicting risk of suicidal ideation in youth using a multigene panel for impulsive aggression, Psychiatry Research, 285, (2020)
dc.relation.referencesLiu S. T., Wu X., Wang N., Zhao Q. Q., Xiao L., Fang C. K., Yu Y., Lin D. M., Zhang L. L., Serial multiple mediation of demoralization and depression in the relationship between hopelessness and suicidal ideation, Psycho-Oncology, 29, 8, pp. 1321-1328, (2020)
dc.relation.referencesMa J., Batterham P. J., Calear A. L., Han J., A systematic review of the predictions of the interpersonal-psychological theory of suicidal behavior, Clinical Psychology Review, 46, pp. 34-45, (2016)
dc.relation.referencesMann J. J., Waternaux C., Haas G. L., Malone K. M., Toward a clinical model of suicidal behavior in psychiatric patients, The American Journal of Psychiatry, 156, 2, pp. 181-189, (1999)
dc.relation.referencesFORENSIS 2022. Datos para la vida, (2023)
dc.relation.referencesNunez C., Gomez-Tabares A. S., Moreno Mendez J. H., Agudelo Osorio M. P., Caballo V. E., Predictive model of suicide risk in young people: The mediating role of alcohol consumption, Archives of Suicide Research, 27, 2, pp. 613-628, (2023)
dc.relation.referencesO'Connor R. C., Nock M. K., The psychology of suicidal behaviour, The Lancet Psychiatry, 1, 1, pp. 73-85, (2014)
dc.relation.referencesO'Connor R. C., Portzky G., Looking to the future: A synthesis of new developments and challenges in suicide research and prevention, Frontiers in Psychology, 9, (2018)
dc.relation.referencesOquendo M. A., Baca-Garcia E., Graver R., Morales M., Montalvan V., Mann J. J., Spanish adaptation of the Barratt Impulsiveness Scale (BIS-11), European Journal of Psychiatry, 15, 3, pp. 147-155, (2001)
dc.relation.referencesPatton J. H., Stanford M. S., Barratt E. S., Factor structure of the Barratt Impulsiveness Scale, Journal of Clinical Psychology, 51, 6, pp. 768-774, (1995)
dc.relation.referencesPineda-Roa C. A., Campo-Arias A., Bello-Villanueva A. M., Beck Hopelessness Scale-20: Dimensionality and nomological validity among Colombian school-age adolescents, Evaluation & the Health Professions, 47, 1, pp. 21-26, (2024)
dc.relation.referencesPlutchik R., Van Praag H. M., The measurement of suicidality, aggressivity and impulsivity, Progress in Neuro-Psychopharmacology & Biological Psychiatry, 13, pp. S23-S34, (1989)
dc.relation.referencesPuzia M. E., Kraines M. A., Liu R. T., Kleiman E. M., Early life stressors and suicidal ideation: Mediation by interpersonal risk factors, Personality and Individual Differences, 56, pp. 68-72, (2014)
dc.relation.referencesRubio G., Montero I., Jauregui J., Villanueva R., Casado M. A., Marin J. J., Santo-Domingo J., Validación de la escala de riesgo suicida de Plutchik en población española [Validation of the Plutchik's suicide risk scale in Spanish population, Archivos de Neurobiología, 61, 2, pp. 143-152, (1998)
dc.relation.referencesRueda-Jaimes G. E., Castro-Rueda V. A., Rangel-Martinez-Villalba A. M., Moreno-Quijano C., Martinez-Salazar G. A., Camacho P. A., Validación de la Escala de Desesperanza de Beck en pacientes con riesgo suicida [Validation of the Beck Hopelessness Scale in patients with suicidal risk], Revista de Psiquiatría y Salud Mental, 11, 2, pp. 86-93, (2018)
dc.relation.referencesSchermelleh-Engel K., Moosbrugger H., Muller H., Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures, Method of Psychological Research, 8, 2, pp. 23-74, (2003)
dc.relation.referencesSmith L. M., Wells T. T., Suicidal ideation and risky behavior are related through impulsivity and low wish to live, Archives of Suicide Research, 27, 3, pp. 1019-1033, (2023)
dc.relation.referencesSohn M. N., McMorris C. A., Bray S., McGirr A., The Death–Implicit Association Test and suicide attempts: A systematic review and meta-analysis of discriminative and prospective utility, Psychological Medicine, 51, 11, pp. 1789-1798, (2021)
dc.relation.referencesStanford M. S., Mathias C. W., Dougherty D. M., Lake S. L., Anderson N. E., Patton J. H., Fifty years of the Barratt Impulsiveness Scale: An update and review, Personality and Individual Differences, 47, 5, pp. 385-395, (2009)
dc.relation.referencesSuarez-Colorado Y., Palacio Sanudo J., Caballero-Dominguez C. C., Pineda-Roa C. A., Adaptación, validez de constructo y confiabilidad de la escala de riesgo suicida Plutchik en adolescentes colombianos [Adaptation, construct validity and reliability of the Plutchik suicide risk scale in Colombian adolescents], Revista Latinoamericana de Psicología, 51, 3, pp. 145-152, (2019)
dc.relation.referencesSwann A. C., Steinberg J. L., Lijffijt M., Moeller F. G., Impulsivity: Differential relationship to depression and mania in bipolar disorder, Journal of Affective Disorders, 106, 3, pp. 241-248, (2008)
dc.relation.referencesUrrego Barbosa S. C., Valencia Casallas O. L., Villalba J., Validación de la escala barrat de impulsividad (BIS-11) en población bogotana [Validation of the barrat impulsivity scale (BIS-11) in Bogotana population], Revista Diversitas, 13, 2, pp. 143-157, (2017)
dc.relation.referencesValderrama J., Miranda R., Early life stress predicts negative urgency through brooding, depending on 5-HTTLPR genotype: A pilot study with 6-month follow-up examining suicide ideation, Psychiatry Research, 258, pp. 481-487, (2017)
dc.relation.referencesVan Orden K., Cukrowicz K., Witte T., Joiner T., The interpersonal theory of suicide, Psychological Review, 117, 2, pp. 575-600, (2010)
dc.relation.referencesWang Y. Y., Jiang N. Z., Cheung E. F., Sun H. W., Chan R. C., Role of depression severity and impulsivity in the relationship between hopelessness and suicidal ideation in patients with major depressive disorder, Journal of Affective Disorders, 183, pp. 83-89, (2015)
dc.relation.referencesSuicide worldwide in 2019: Global health estimates, (2021)
dc.relation.referencesYen S., Shea M. T., Sanislow C. A., Skodol A. E., Grilo C. M., Edelen M. O., Stout R. L., Morey L. C., Zanarini M. C., Markowitz J. C., McGlashan T. H., Daversa M. T., Gunderson J. G., Personality traits as prospective predictors of suicide attempts, Acta Psychiatrica Scandinavica, 120, 3, pp. 222-229, (2009)
dc.relation.referencesZhang J., Zhang X., Yang G., Feng Z., Impulsiveness indirectly affects suicidal ideation through depression and simultaneously moderates the indirect effect: A moderated mediation path model, Frontiers in Psychiatry, 13, (2022)
dc.rights.accesoRestricted access
dc.rights.accessrightsinfo:eu-repo/semantics/restrictedAccess
dc.sourceClinical Psychology in Europe
dc.sourceClin. Psychol. Eur.
dc.sourceScopus
dc.subjectDepression
dc.subjectEmotions
dc.subjectImpulsivity
dc.subjectRisk
dc.subjectSuicide
dc.titleThe Effect of Depression and Hopelessness on Suicidal Risk in Young People: The Mediating Role of Impulsivity
dc.typeArticle
dc.type.localArtículospa
dc.type.versioninfo:eu-repo/semantics/publishedVersion

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