Early maladaptive schemas and suicidal ideation in depressed patients

© 2017 Asociación Universitaria de Zaragoza para el Progreso de la Psiquiatría y la Salud Mental Background and objectives Suicidal ideation is a key risk factor for suicidal behaviour among depressed individuals. To explore underlying cognitive patterns associated with suicidal ideation, the present study compared early maladaptive schemas (EMSs) among psychiatric outpatients in treatment for major depressive disorder with and without current suicidal ideation. Methods The sample consisted of 79 depressed patients who responded to the background questionnaire and completed the Young Schema Questionnaire short form-extended, 21-item Beck Depression Inventory and Beck Hopelessness Scale. Results Patients with suicidal ideation were more maladaptive in respect to the majority of EMSs compared to those without. After controlling for the concurrent depressive symptom severity and hopelessness ‘Vulnerability to Harm or Illness’ EMS, which concerns catastrophising beliefs, remained a predictor for suicidal ideation. Conclusion EMSs may contribute to suicidal ideation among depressed individuals regardless of their mood and future orientation. These results offer implications for the assessment and treatment of suicidality.