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Family ties provide protection against young adult sucidal behavior
April 14, 2009SAN FRANCISCO -Adolescents and young adults typically consider peer relationships to be all important. However, it appears that strong family support, not peer support, is protective in reducing future suicidal behavior among young adults when they have experienced depression or have attempted suicide.
New research that will be presented here April 17 at the annual meeting of the American Association of Suicidology shows that high school depression and a previous suicide attempt were significant predictors of thinking about suicide one or two years later. But, those individuals who had high levels of depression or had attempted suicide in high school were less likely to engage in suicidal thinking if they had strong family support and bonds. In addition, having a current romantic partner also reduced suicidal thoughts.
"Our findings suggest that the protective quality of family support and bonding, or having an intimate partner, are not replaced by peer support and bonding in emerging adulthood. In fact, it appears that older adolescents - 18- and 19-year olds - who maintain strong family ties are less likely to engage in suicidal thinking, regardless of their peer relationships," said James Mazza, a University of Washington professor of educational psychology and the lead researcher on two posters about the research being presented at the meeting.
By bonding, the researchers are referring to a person's closeness with his or her family, or a partner, enjoying spending time with them, and the ability to talk with them about important issues.
"Peers don't provide the same type of safety net that comes from a family or by having an intimate partner. When it comes to suicidal behavior, young adults may feel that their family or partner may be more accepting and less judgmental than perhaps some of their peers," said Mazza, who is past president of the American Association of Suicidology.
"This study suggests getting the family involved in adolescent treatment for depression or past suicidal behavior may be very important. It's also important that parents shouldn't give up on their adolescents because our work indicates they still rely on them in this kind of situation."
Data for the research was drawn from a larger National Institute of Drug Abuse 15-year study of youth in a Seattle-area school district that looked at risk factors for marijuana and cigarette use, binge drinking, depression and past suicidal behavior
Mazza and his colleagues also will present data from a second study that shows 18- and 19-year olds are accurate in reporting their previous childhood suicide attempts. Using the same group of students, data showed that 67 of them reported attempting suicide while in high school. The researchers found that the students' scores for depression were elevated in the same year they made their first suicide attempt.
Collecting information about suicidal behavior in minors is difficult because of liability issues, and Mazza said "depression scores are a pretty decent proxy for suicide. But we should be asking directly about suicidal behavior, not looking for a proxy or a substitute."
University of Washington
By bonding, the researchers are referring to a person's closeness with his or her family, or a partner, enjoying spending time with them, and the ability to talk with them about important issues.
"Peers don't provide the same type of safety net that comes from a family or by having an intimate partner. When it comes to suicidal behavior, young adults may feel that their family or partner may be more accepting and less judgmental than perhaps some of their peers," said Mazza, who is past president of the American Association of Suicidology.
"This study suggests getting the family involved in adolescent treatment for depression or past suicidal behavior may be very important. It's also important that parents shouldn't give up on their adolescents because our work indicates they still rely on them in this kind of situation."
Data for the research was drawn from a larger National Institute of Drug Abuse 15-year study of youth in a Seattle-area school district that looked at risk factors for marijuana and cigarette use, binge drinking, depression and past suicidal behavior
Mazza and his colleagues also will present data from a second study that shows 18- and 19-year olds are accurate in reporting their previous childhood suicide attempts. Using the same group of students, data showed that 67 of them reported attempting suicide while in high school. The researchers found that the students' scores for depression were elevated in the same year they made their first suicide attempt.
Collecting information about suicidal behavior in minors is difficult because of liability issues, and Mazza said "depression scores are a pretty decent proxy for suicide. But we should be asking directly about suicidal behavior, not looking for a proxy or a substitute."
University of Washington
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Poor sleep linked to suicidal behavior among children and adolescents with depressive episodes
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Insomnia in parents can result in sleep problems, suicidal behavior among their offspring
A history of chronic insomnia in parents is not only associated with elevated risk for insomnia but also with elevated risks for use of hypnotics, psychopathology and suicidal behavior in adolescent offspring, according to a research abstract that will be presented on Thursday at SLEEP 2008, the 22nd Annual Meeting of the Associated Professional Sleep Societies (APSS).
Sudden death of a parent may pose mental health risks for children, surviving caregivers
Children who had a parent who died suddenly have three times the risk of depression than those with two living parents, along with an increased risk for post-traumatic stress disorder (PTSD).
Switching medications, adding psychotherapy may help teens with ineffective depression medication
For adolescents with depression not responding to an initial treatment with a selective serotonin reuptake inhibitor (SSRI; a class of antidepressant drugs), switching medications and adding cognitive behavioral therapy resulted in an improvement in symptoms, compared to just changing medications.
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Dialectical Behavior Therapy with Suicidal Adolescents by Alec L. Miller PsyD (Author), Jill H. Rathus Phd (Author), Marsha M. Linehan Phd ABPP (Author), MD Charles R. Swenson (Foreword) Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional dysregulation in teens and implementing individual, family, and group-based interventions. Insightful guidance on everything from orientation to termination is enlivened by case illustrations and sample dialogues. Appendices feature 30 mindfulness exercises as well as lecture notes and 12 reproducible handouts for "Walking the Middle Path," a completely new DBT skills training module for adolescents and their families. |
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The Suicidal Mind by Edwin S. Shneidman (Author) Suicide is an exclusively human response to extreme psychological pain, a desperate solution for the sufferer who can no longer see any alternatives. The Suicidal Mind brims with insight into the suicidal impulse and with helpful suggestions for counteraction methods. Dr. Edwin Shneidman presents a bold and simple premise: the main cause of suicide is psychological pain or "psychache" (sic-ak). Thus the key to preventing suicide is not so much the study of the structure of the brain, or the study of social statistics, or the study of mental diseases, as it is the direct study of human emotions and frustrated psychological needs. To treat a suicidal individual, we need to identify, address, and reduce the individual's psychache. Shneidman shares with the reader his knowledge, both as a... |
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