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Defining despair: Assessing the multidimensionality of despair and its association with suicidality and substance use in early to middle adulthood

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  • Gutin, Iliya
  • Copeland, William
  • Godwin, Jennifer
  • Mullan Harris, Kathleen
  • Shanahan, Lilly
  • Gaydosh, Lauren

Abstract

Despite considerable scientific interest in documenting growing despair among U.S. adults, far less attention has been paid to defining despair and identifying appropriate measures. Emerging perspectives from social science and psychiatry outline a comprehensive, multidimensional view of despair, inclusive of individuals’ cognitive, emotional, biological and somatic, and behavioral circumstances. The current study assesses the structure and plausibility of this framework based on longitudinal data spanning early to middle adulthood. We identified 40 measures of different dimensions of despair in Wave IV (2008–2009) of the National Longitudinal Study of Adult to Adolescent Health (n = 9149). We used structural equation modeling to evaluate hypothesized relationships among observed and latent variables; we then regressed Wave V (2016–2018) suicidality, heavy drinking, marijuana use, prescription drug misuse, and illicit drug use on latent despair. Our analyses find that models for separate dimensions of despair and overall despair demonstrated excellent fit. Overall despair was a significant predictor of Wave V outcomes, especially suicidality, accounting for 20% of its variation, as compared to 1%–7% of the variation in substance use. Suicidality was consistently associated with all domains of despair; behavioral despair explained the most variation in substance use. Given these results we contend that, lacking direct measures, latent despair can be modeled using available survey items; however, some items are likely better indicators of latent dimensions of despair than others. Moreover, the association between despair and key health behaviors varies considerably, challenging its status as a mechanism simultaneously underlying increased substance use and suicide mortality in the United States. Critically, further validation of measures in other surveys can improve the operationalization of despair and its associated conceptual and theoretical frameworks, thus advancing our understanding of this concept.

Suggested Citation

  • Gutin, Iliya & Copeland, William & Godwin, Jennifer & Mullan Harris, Kathleen & Shanahan, Lilly & Gaydosh, Lauren, 2023. "Defining despair: Assessing the multidimensionality of despair and its association with suicidality and substance use in early to middle adulthood," Social Science & Medicine, Elsevier, vol. 320(C).
    • Handle: RePEc:eee:socmed:v:320:y:2023:i:c:s0277953623001211
    DOI: 10.1016/j.socscimed.2023.115764
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    References listed on IDEAS

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    1. Glei, Dana A. & Stokes, Andrew & Weinstein, Maxine, 2020. "Changes in mental health, pain, and drug misuse since the mid-1990s: Is there a link?," Social Science & Medicine, Elsevier, vol. 246(C).
    2. Mrozynski, Hannah & Kuhn, Eva, 2022. "Reasoning for autonomous suicide? A qualitative approach to pre-suicidal decision-making," Social Science & Medicine, Elsevier, vol. 296(C).
    3. Hinkle, Lawrence E., 1987. "Stress and disease: The concept after 50 years," Social Science & Medicine, Elsevier, vol. 25(6), pages 561-566, January.
    4. Snell-Rood, Claire & Carpenter-Song, Elizabeth, 2018. "Depression in a depressed area: Deservingness, mental illness, and treatment in the contemporary rural U.S," Social Science & Medicine, Elsevier, vol. 219(C), pages 78-86.
    5. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    6. Houle, Jason N. & Light, Michael T., 2017. "The harder they fall? Sex and race/ethnic specific suicide rates in the U.S. foreclosure crisis," Social Science & Medicine, Elsevier, vol. 180(C), pages 114-124.
    7. Ruhm, Christopher J., 2019. "Drivers of the fatal drug epidemic," Journal of Health Economics, Elsevier, vol. 64(C), pages 25-42.
    8. Pawson, Mark & Kelly, Brian C., 2022. "Balancing consumption and constraint: Binge drinking, stimulant misuse, and relational capital among young adults," Social Science & Medicine, Elsevier, vol. 309(C).
    9. Jessica Y. Ho, 2019. "The Contemporary American Drug Overdose Epidemic in International Perspective," Population and Development Review, The Population Council, Inc., vol. 45(1), pages 7-40, March.
    10. Graham, Carol & Pinto, Sergio, 2021. "The geography of desperation in America: Labor force participation, mobility, place, and well-being," Social Science & Medicine, Elsevier, vol. 270(C).
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