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[The risk factor of interpersonal dysfunction has been a mainstay of theories and research on psychopathology and suicide for over a century and persists in modern theories such as the interpersonal theory of suicide. Additional interpersonal variables, including loneliness, social isolation, and conflict with others, are also contributors to suicide risk. Conversely, previous research indicates that satisfaction of interpersonal needs, including feelings of belongingness, engagement in caring, and reciprocal relationships, is associated with health benefits. Numerous well-established therapies, including interpersonal therapy and dialectical behavior therapy, address interpersonal functioning via role playing, social skills training, group sessions, and encouraging adaptive social experiences. Additional strategies, including enhancement of social communication, autonomy, and self-esteem, and encouraging participation in religious or community activities, may improve relationship quality. Even psychospiritual endeavors, such as forgiveness, can help mend interpersonal wounds, thereby reducing suicide risk. In this chapter, we review prominent interpersonally oriented theories of suicide and distinguish between interpersonal deficits as a risk factor and interpersonal strengths as a protective factor. We offer suggestions for clinical application, such as increasing perceptions of support, connectedness, and the quality of attachments, and suggest avenues for future clinical research, including the application of self-compassion and self-determination as therapeutic strategies to improve social functioning and, ultimately, to reduce suicide risk.]
Published: Feb 26, 2019
Keywords: Interpersonal needs; Social support; Loneliness; Social isolation; Interpersonal theory of suicide
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