Purpose in Life, Satisfaction with Life, and Suicide Ideation in a Clinical Sample

  • Marnin J. HeiselEmail author
  • Gordon L. Flett


This study examined the role of purpose in life and satisfaction with life in protecting against suicide ideation in a clinical psychiatric sample. Forty-nine psychiatric patients completed self-report measures of suicide ideation, purpose in life, satisfaction with life, neuroticism, depression, and social hopelessness. Zero-order correlations indicated significant associations between suicide ideation and the various predictors, in the hypothesized directions. Regression analyses illustrated that purpose in life and satisfaction with life accounted for significant additional variability in suicide ideation scores above and beyond that accounted for by the negative psychological factors alone. Purpose in life also mediated the relation between satisfaction with life and suicide ideation and moderated the relation between depression and suicide ideation. These findings demonstrate the potential value of attending to both resilience and pathology when building predictive models of suicide ideation and of attending to key existential themes when assessing and treating suicidal individuals.

suicide ideation depression hopelessness meaning purpose 


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  1. Alfonso, V. C., Allison, D. B., Rader, D. E., & Gorman, B. S. (1996). The extended satisfaction with life scale: Development and psychometric properties. Social Indicators Research, 38, 275–301.Google Scholar
  2. Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science and Medicine, 36(sn6), 725–733.Google Scholar
  3. Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.Google Scholar
  4. Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97(1), 90–113.Google Scholar
  5. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
  6. Brown, G. K., Beck, A. T., Steer, R. A., & Grisham, J. R. (2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68(sn3), 371–377.Google Scholar
  7. Clum, G. A., Esposito, C. L., Hirai, M., & Nelson, W. A. (2000). The relative contribution of diagnostic and psychosocial variables to severity of suicidal ideation. Journal of Psychopathology and Behavioral Assessment, 22(1), 79–90.Google Scholar
  8. Cull, J. G., & Gill, W. S. (1988). Suicide Probability Scale (SPS) manual. Los Angeles, CA: Western Psychological Services.Google Scholar
  9. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.Google Scholar
  10. Diener, E., Sapyta, J. J., & Suh, E. (1998). Subjective well-being is essential to well-being. Psychological Inquiry, 9(1), 33–37.Google Scholar
  11. Edwards, M. J., & Holden, R. R. (2001). Coping, meaning in life, and suicidal manifestations: Examining gender differences. Journal of Clinical Psychology, 57(12), 1517–1534.Google Scholar
  12. Eysenck, H. J., & Eysenck, S. B. G. (1975). Eysenck Personality Questionnaire manual. San Diego, CA: Educational and Industrial Testing Service.Google Scholar
  13. Fawcett, J., Scheftner, W. A., Fogg, L., Clark, D. C., Young, M. A., Hedeker, D., et al. (1990). Time-related predictors of suicide in major affective disorder. American Journal of Psychiatry, 147(9), 1189–1194.Google Scholar
  14. Flett, G. L., & Hewitt, P. L. (1994). The Social Hopelessness Questionnaire: Psychometric characteristics and association with adjustment in adolescents. Presented at the annual conference of the Association for Advancement of Behavior Therapy, San Francisco, CA.Google Scholar
  15. Flett, G. L., Hewitt, P. L., Heisel, M. J., Davidson, L. A., & Gayle, B. (2003). The Social Hopelessness Questionnaire: Development of a domain-specific measure. Manuscript submitted for publication.Google Scholar
  16. Frankl, V. E. (1971). The doctor and the soul: From psychotherapy to logotherapy (R. Winston & C. Winston). New York: Bantam. (Original work published 1946)Google Scholar
  17. Frankl, V. E. (1985). Man's search for meaning (I. Lasch, Trans.). New York: Washington Square. (Original work published 1946)Google Scholar
  18. Haight, B. K., & Hendrix, S. A. (1998). Suicidal intent/life satisfaction: Comparing the life stories of older women. Suicide and Life Threatening Behavior, 28(3), 272–284.Google Scholar
  19. Haight, B. K., Michel, Y., & Hendrix, S. (1998). Life review: Preventing despair in newly relocated nursing home residents short-and long-term effects. International Journal of Aging and Human Development, 47(2), 119–142.Google Scholar
  20. Heikkinen, M., Aro, H., & Lönnqvist, J. (1993). Life events and social support in suicide. Suicide and Life-Threatening Behavior, 23(4), 343–358.Google Scholar
  21. Heisel, M. J., & Flett, G. L. (in press). Meaning in life and the prevention of elderly suicidality. In P. T. P. Wong, M. McDonald, & D. Klaassen (Eds.), Advances in the positive psychology of meaning and spirituality: Selected proceedings from the first international conference on personal meaning. Abbotsford, BC: INPM Press.Google Scholar
  22. Heisel, M. J., Flett, G. L., & Besser, A. (2002). Cognitive functioning and geriatric suicide ideation: Testing a mediational model. American Journal of Geriatric Psychiatry, 10(4), 428–436.Google Scholar
  23. Heisel, M. J., Flett, G. L., & Hewitt, P. L. (2003). Social hopelessness and college student suicide ideation. Archives of Suicide Research, 7(3), 221–235.Google Scholar
  24. Heisel, M. J., & Fusé, T. (1999). College student suicide ideation in Canada and in Japan. Psychologia: An International Journal of Psychology in the Orient, 42(3), 129–138.Google Scholar
  25. Hewitt, P. L., Norton, G. R., Flett, G. L., Callander, L., & Cowan, T. (1998). Dimensions of perfectionism, hopelessness, and attempted suicide in a sample of alcoholics. Suicide and Life-Threatening Behavior, 28(4), 395–406.Google Scholar
  26. Joiner, T. E., Pettit, J. W., Perez, M., Burns, A. B., Gencoz, T., Gencoz, F., et al. (2001). Can positive emotion influence problem-solving attitudes among suicidal adults? Professional Psychology: Research and Practice, 32(5), 507–512.Google Scholar
  27. Kafka, G. J., & Kozma, A. (2002). The construct validity of Ryff's Scales of Psychological Well-Being (SPWB) and their relationship to measures of subjective well-being. Social Indicators Research, 57, 171–190.Google Scholar
  28. Kish, G. B., & Moody, D. R. (1989). Psychopathology and life purpose. The International Forum for Logotherapy, 12(1), 40–45.Google Scholar
  29. Koivumaa-Honkanen, H., Honkanen, R., Viinamäki, H., Heikkilä, K., Kaprio, J., & Koshenvuo, M. (2001). Life satisfaction and suicide: A 20-year follow-up study. American Journal of Psychiatry, 158(3), 433–439.Google Scholar
  30. Linehan, M. M., Goodstein, J. L., Nielsen, S. L., & Chiles, J. A. (1983). Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory. Journal of Consulting and Clinical Psychology, 51, 276–286.Google Scholar
  31. Pavot, W., & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assessment, 5(2), 164–172.Google Scholar
  32. Petrie, K., & Brook, R. (1992). Sense of coherence, self-esteem, depression and hopelessness as correlates of reattempting suicide. British Journal of Clinical Psychology, 31, 293–300.Google Scholar
  33. Range, L. M., & Penton, S. R. (1994). Hope, hopelessness, and suicidality in college students. Psychological Reports, 75, 456–458.Google Scholar
  34. Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069–1081.Google Scholar
  35. Ryff, C. D., & Singer, B. (1996). Psychological well-being: Meaning, measurement, and implications for psychotherapy research. Psychotherapy and Psychosomatics, 65, 14–23.Google Scholar
  36. Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5–14.Google Scholar
  37. Tabachnick, B. G., & Fidell, L. S. (1996). Using multivariate statistics (3rd ed.). New York: Harper Collins.Google Scholar
  38. Tatman, S. M., Greene, A. L., & Karr, L. C. (1993). Use of the Suicide Probability Scale (SPS) with adolescents. Suicide and Life-Threatening Behavior, 23, 188–203.Google Scholar
  39. Ulmer, A., Range, L. M., & Smith, P. C. (1991). Purpose in life: A moderator of recovery from bereavement. Omega, 23(4), 279–289.Google Scholar
  40. United States Department of Health and Human Services, Public Health Service. (2001). National strategy for suicide prevention: Goals and objectives for action. Rockville, MD: Author.Google Scholar
  41. VonAndics, M. (1947). Suicide and the meaning of life. London: Author.Google Scholar
  42. Zika, S., & Chamberlain, K. (1992). On the relation between meaning in life and psychological well-being. British Journal of Psychology, 83, 133–145.Google Scholar

Copyright information

© Plenum Publishing Corporation 2004

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of Rochester School of Medicine and DentistryRochester
  2. 2.Department of PsychologyYork UniversityTorontoCanada

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