The role of Rumination Subtypes, Hopelessness and Depression in the Prediction of Suicidal Ideations in College Students

Abstract
In recent years, rumination has been used in the etiology of depression and hopelessness as two proximal predictors of suicide ideation and behavior. But findings have been inconsistent with respect to the role of rumination subtypes in the prediction of suicidal ideation and it was supposed that reflection (focusing on the causes of depressed mood) was a more adaptive form than the brooding (focusing on the results of depressed mood). The present study, in the context of Ruminative Response style theory of depression, aimed at examining the role of rumination and its subtypes along with depression and hopelessness in the prediction of suicidal ideation. To this end, 177 undergraduate students with scores of 10 or higher in BDI-II were asked to complete rumination and hopelessness scales and questions about suicide ideation. Using logistic regression technique, it was shown that this model could predict 59.3% of the likelihood of the presence of suicidal ideation. This study was in line with earlier studies which have presumed reflection as the more adaptive subtype. Results also suggested that there was a greater correlation between rumination, its subtypes and suicidal ideation in females. This study also emphasizes the use of interventions targeting rumination in order to prevent suicidal ideations.
Keywords

Ahmadi, T.M., Farhadi, M., Ramezani, V., Safaee Rad, I. (2011). The study of psychometric properties of hope scale. research in psychological health, 4(2), 77-84.[persian]
Antypa, N.,Van der Does, A.J.W., Penninx, W.J.H.B. (2010). Cognitive reactivity: Investigation of a potentially treatable marker of suicide risk in depression. Journal of affective disorders, 122, 46-52.
Armey, M.F., Fresco, D.M., Moor, M.T., Mennin, D.S., Turk, C.L., Heimberg, R.G., Kecmanovic, J., Alloy, L.B. (2009). Brooding and pondering: Isolating the active ingredients of depressive rumination with exploratory factor analysis and structural equation modeling. Assessment, 16(4), 315-327.
Beck, A.T., Brown, G., Berchick R.J., Stewart B. L. Steer,R.A. (1990). relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. American Journal of psychiatry, 147.
Beck, A.T.,Weissman,A., Lester, D., Trexler, L. (1974). The measurement of pessimism: The hopelessness scale, Journal of consulting and clinical psychology, 42, 861-865.
Brezo, J., Paris, J., Tremblay, R., Vitaro, F., Zoccolillo, M., Hebert, M., & Turecki, G. (2006). Personality traits as correlates of suicide attempts and suicidal ideation in young adults. Psychological Medicine, 36(2), 191-202.
Ciesla, J.A., Roberts, J.E. (2007). Rumination, negative cognition, and their interactive effects on depressed mood. Emotion, 7(3), 555-565.
Cox, S., Funaski, k., Smith, L., Mezulis, A.H. (2012). A prospective study of brooding and reflection as moderators of the relationship between stress and depressive symptoms in adolescence. cognitive therapy and research, 36(4), 290- 299.
Crane, C., Barnhofer,T.,Williams, J.M.G. (2007). Reflection, brooding and suicidality: A preliminary study of different types of rumination in individuals with a history of major depression. British journal of clinical psychology, 46, 497-504.
Eisma, M.C., Schut, H.A.W, Stroebe, M.S., van den Bout, J., Stroebe, W., Boelen P.A. (2014). Is Rumination after Bereavement Linked with Loss Avoidance? Evidence from Eye-Tracking. Public library of science ONE, 9(8): e104980. doi:10.1371/journal.pone.0104980.

Ellis, T. E., Rutherfurd, B. (2008). Cognition and suicide: two decades of progress. International journal of cognitive therapy, 1)1), 47- 68.
Fata, l., Birashk, M., Atefvahid, K., Dabson, K.S. (2005). Meaning assignment structures/schema, emotional states and cognitive processing of emotional information: comparing two conceptual framework, Iranian journal of psychiatry and clinical psychology, 11(3), 312-326. [Persian]
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B.W. (1997). Structured clinical interview for DSM- IV Axis 1 disorders non-patient edition(version 2.0). New York: New York State psychiatric institute, biometric research department.
Fresco, D.M., Frankel A.N., Menin, D.S., Turk, C.L., Heimberg, R.G. (2002). Distinct and overlapping features of rumination and worry: The relationship of cognitive production to negative affective state, Cognitive therapy and research, 26(2), 179-188.
Joormann, J., Dkane, M., Gotlib, I.H. (2006). Adaptive and maladapive components of rumination? Diagnotistic specificity and relation to depressive biases. Behavior therapy, (37), 269- 280.
Hamidpour, H. (2006), Rumination: new concept in cognitive therapy of depression, Baztab-danesh,1(2), 70-84. [Persian]
Lam, D., Smith, N., Chekley, S., Rigsdijk, F., Sham, P. (2003). Effects of neuroticism, response style and information processing on depression severity in clinically depressed sample. Psychological medicine, 33(3), 469-479.
Miranda, R., Nolen- Hoeksema, S. (2007). Brooding and reflection: rumination predicts suicidal ideation at 1-year follow up in a community sample. Behavior research and therapy, 45, 3088-3095.

Miranda, R., Valderrama, J., Tsypes, A., Galdol, E., Gallagher,M. (2013). Cognitive inflexibility and suicidal ideation: Mediating role of brooding and hopelessness. psychiatry research, 210, 174-181.
Morrison, R. & O’Connor, R.C. (2008). A systematic review of the relationship between rumination and suicidality. Suicide and life-threatening behavior, 38, 523-538.
Nolen-Hoeksema, S., Wisco, B. E., Lyubomirskey, S. (2008). Rethinking rumination. Perspectives on psychological science, 3(5), 400-423.

O’connor,R.C. (2003). Suicidal behavior as a cry of pain: test of a psychological model. Archives of suicide research,(7),297-308.

O’Connor, R.C. and Noyce, R. (2008). Personality and cognitive processes: Self-criticism and different types of rumination as predictors of suicidal ideation. Behavior Research and Therapy, 46, 392-401.

O’Connor, R.C. and O’Connor, D.B. (2003). Predicting hopelessness and psychological distress: The role of perfectionism and coping. Journal of counseling psychology, 50, 362-372.

Parhoon, H., Moradi, A., Hatami, M., Parhoon, K. (2012). comparison of the brief behavioral activation treatment and metacognitive therapy in the reduction of symptoms and in the improvement of the quality of life in major depressed patients, research in psychological health, 6(4), 36-52. [ Persian]

Shahar,G., Bareket, L., Rudd, D., Joiner, T.E. (2006). In severly suicidal young adults, hopelessness, depressive symptoms, and suicidal ideation constitute a single syndrome. Psychological medicine,(36), 913-922.


Simon, N.M., Pollack, M.H., Ostacher, M.J., Alyson, K Z., Chow, C.W., Fischmann, D., Dempulos, C.M., Nierenberg, A.A., Otto, M.W. (2007). Understanding the link between anxiety symptoms and suicidal ideation and behaviors in outpatient with bipolar disorder. Journal of affective disorder, (97), 91-99.

Smith, J.M., Alloy L.B., Abramson, L.Y. (2006). Cognitive vulnerability to depression, rumination, hopelessness and suicidal ideation: multiple pathways to self-injurious thinking. suicide and life-threatening behavior, 36(4), 443-454.
Treynor, W., Gonzalez, R., Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. cognitive therapy and research, (27), 247-259.
Surrence, K., Miranda, R., Marroquin, B. M., chan, S. (2009). Brooding and reflective rumination among suicide attempters: Cognitive vulnerability to suicide ideation. Behavior research and therapy, (47), 803-808.
Whitmer, A.J., Banich, M.T. (2007). Inhibition versus switching deficits in different forms of rumination, psychological science, 18(6), 546-553.
Williams, J.M.G, Van der Does, A. J. W., Barnhofer T., Crane c., Segal, Z.S. (2007). Cognitive reactivity, suicidal ideation and future fluency: preliminary investigation of a differential activation theory of hopelessness/suicidality. Cognitive therapy and research, 32, 83-104.