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Background <p>Beck’s cognitive triad is one framework for understanding suicidality, but there is a lack of research on one central factor, namely world beliefs. The present study explored the relationship between world beliefs (“primals”) and suicidal ideation (SI) by examining whether primals were associated with SI above established cognitive predictors, namely dysfunctional self-beliefs and hopelessness, and whether primals moderated the relationship between these cognitions and SI.</p> Methods <p>A community sample (<i>M</i>age = 40.11&#xa0;years, <i>SD</i> = 12.82) with a history of SI (<i>N</i> = 147) completed online surveys to examine the relationship between 26 primals and current SI.</p> Results <p>Of the 26 primals, believing the world is <i>Good</i> (<i>r</i> =  − .39, <i>p</i> &lt; .001)<i>, Needs Me</i> (<i>r</i> =  − .49, <i>p</i> &lt; .001)<i>,</i> and <i>Meaningful</i> (<i>r</i> =  − .50, <i>p</i> &lt; .001) demonstrated the strongest negative correlations with SI. In hierarchical regression analyses, the addition of <i>Needs Me</i> to the model (with depressive symptoms, hopelessness, dysfunctional self-beliefs, and demographic covariates) explained an additional 2.8% of the variance in SI, while the addition of <i>Meaningful</i> explained an additional 5.2% of the variance. <i>Needs Me</i> significantly moderated the effect of hopelessness on SI, such that at low levels of believing the world <i>Needs Me,</i> higher hopelessness was associated with significantly greater SI.</p> Conclusions <p>Overall, primal world beliefs, specifically believing the world <i>Needs Me</i> and is <i>Meaningful</i> were each associated with SI above traditional cognitive variables, supporting the potential clinical utility of assessing and targeting primals in treatment to reduce suicide risk.</p>

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Associations of Primal World Beliefs and Suicidal Ideation within Beck’s Cognitive Triad

  • 期刊论文

  • 发表日期：

    2026年7月27日

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  • Sarah Hunt,
  • Francesca Fernandez,
  • Abby Adler Mandel

摘要

Background

Beck’s cognitive triad is one framework for understanding suicidality, but there is a lack of research on one central factor, namely world beliefs. The present study explored the relationship between world beliefs (“primals”) and suicidal ideation (SI) by examining whether primals were associated with SI above established cognitive predictors, namely dysfunctional self-beliefs and hopelessness, and whether primals moderated the relationship between these cognitions and SI.

Methods

A community sample (Mage = 40.11 years, SD = 12.82) with a history of SI (N = 147) completed online surveys to examine the relationship between 26 primals and current SI.

Results

Of the 26 primals, believing the world is Good (r =  − .39, p < .001), Needs Me (r =  − .49, p < .001), and Meaningful (r =  − .50, p < .001) demonstrated the strongest negative correlations with SI. In hierarchical regression analyses, the addition of Needs Me to the model (with depressive symptoms, hopelessness, dysfunctional self-beliefs, and demographic covariates) explained an additional 2.8% of the variance in SI, while the addition of Meaningful explained an additional 5.2% of the variance. Needs Me significantly moderated the effect of hopelessness on SI, such that at low levels of believing the world Needs Me, higher hopelessness was associated with significantly greater SI.

Conclusions

Overall, primal world beliefs, specifically believing the world Needs Me and is Meaningful were each associated with SI above traditional cognitive variables, supporting the potential clinical utility of assessing and targeting primals in treatment to reduce suicide risk.