ORCID
0000-0001-8561-1289
Keywords
Suicide, suicidal desire, psychological pain, physical pain, hopelessness, college students
Abstract
Suicide is a leading cause of death, and suicidal thoughts are prevalent among emerging adults and undergraduate students. Still, many prominent risk factors remain understudied. Guided by the Three-Step Theory of Suicide (3ST), this study examined the roles of hopelessness, psychological pain, and physical pain in prediction of suicidal desire among undergraduate college students (N = 1,705) recruited from UCF’s SONA system and CloudResearch’s Connect platform. Participants completed an online, cross-sectional survey that included measures of suicidal thoughts and behaviors, hopelessness, psychological pain, physical pain, and other psychological variables of interest. Psychological pain and physical pain were tested as moderators of the association between hopelessness and suicidal desire. Separate analyses were conducted for biological males and females to explore how the 3ST operates in these sexes. For both males and females, psychological pain moderated the relationship between hopelessness and suicidal desire, such that greater levels of psychological pain strengthened the relationship. Physical pain did not moderate this association. Results highlight the importance of assessing psychological pain and hopelessness together when evaluating suicide risk among undergraduate students. Future research should continue to examine risk factors (e.g., psychological and physical pain) among populations who experience higher levels of physical pain.
Completion Date
2026
Semester
Spring
Committee Chair
Newins, Amie
Degree
Doctor of Philosophy (Ph.D.)
College
College of Sciences
Department
Psychology
Document Type
Dissertation/Thesis
Identifier
DP0053092
STARS Citation
Baker, Shelby, "A Test of the Three-Step Theory: Examining Pain, Hopelessness, and Suicidal Desire Among College Students" (2026). Graduate Studies Theses and Dissertations 2026. 23.
https://stars.library.ucf.edu/gradstudies_etd_2026/23
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