Logo image
Exploring the Relations Between Interpersonal Risk and Adolescent Suicidality During Treatment
Journal article   Open access   Peer reviewed

Exploring the Relations Between Interpersonal Risk and Adolescent Suicidality During Treatment

Caroline H. Abbott, Abigail Zisk, Joanna Herres, Guy S. Diamond, Stephanie Krauthamer Ewing and Roger Kobak
Journal of consulting and clinical psychology, v 89(6), pp 528-536
01 Jun 2021
PMID: 34264700
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8363156View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Psychology Psychology, Clinical Social Sciences
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.

Metrics

5 Record Views
6 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Psychology, Clinical
Logo image