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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Exploring the Relations Between Interpersonal Risk and Adolescent Suicidality During Treatment
Journal of consulting and clinical psychology, v 89(6), pp 528-536
01 Jun 2021
PMID: 34264700
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Despite considerable evidence that supports perceived burdensomeness (PB) and thwarted belongingness (TB) as risk factors for suicidal ideation (SI), far less is known about the direction of effects between these constructs in treatments for suicidal adolescents. The present study examined bidirectional relations between PB, TB, and adolescents' suicidal ideation (SI) during a 16-week randomized clinical trial. Method: 129 depressed and suicidal adolescents completed PB, TB, and SI measures at three time points: baseline (T1), mid-treatment (T2), and treatment completion (T3). Random-intercept cross-lagged panel models (RI-CLPM) examined within-subject direction of effects between interpersonal variables (PB & TB) and suicidal ideation (SI) in the first and second halves of treatment. Results: Within-subjects, autoregressive paths indicated significant carryover in PB and SI. In the first half of treatment, a significant cross-lagged path indicated that T1 PB predicted change in T2 SI, and in the last half of treatment change in T2 SI predicted change in T3 PB. There were no significant auto-regressive or cross-lagged effects for TB. Conclusions: In the first half of treatment, baseline PB predicted fewer reductions in SI suggesting that PB initially moderated adolescents' response to treatment. However, in the last half of treatment, initial reductions in SI predicted subsequent reductions in PB suggesting that adolescents' initial response to treatment decreased their perceptions of burdening others. The clinical and treatment implications of these bidirectional findings are discussed.
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Details
- Title
- Exploring the Relations Between Interpersonal Risk and Adolescent Suicidality During Treatment
- Creators
- Caroline H. Abbott - Department of Psychological and Brain Sciences.Abigail Zisk - Department of Psychological and Brain Sciences.Joanna Herres - Department of Psychology.Guy S. Diamond - Drexel UniversityStephanie Krauthamer Ewing - Drexel UniversityRoger Kobak - Department of Psychological and Brain Sciences.
- Publication Details
- Journal of consulting and clinical psychology, v 89(6), pp 528-536
- Publisher
- Amer Psychological Assoc
- Number of pages
- 9
- Grant note
- R01 MH091059 / NIMH NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Counseling and Family Therapy; Center for Family Intervention Science
- Web of Science ID
- WOS:000674205200004
- Scopus ID
- 2-s2.0-85111723272
- Other Identifier
- 991019169558204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical