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Immersive and reflective recall of a suicidal episode: Implications for assessing and treating suicidal adolescents
Journal article   Open access   Peer reviewed

Immersive and reflective recall of a suicidal episode: Implications for assessing and treating suicidal adolescents

Abigail Zisk, Caroline H Abbott, E Stephanie Krauthamer Ewing, Megan Haley Fitter, Guy S Diamond and Roger Kobak
Journal of consulting and clinical psychology
01 Jun 2023
PMID: 37261740
url
https://doi.org/10.1037/ccp0000829View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

The present study tested the validity and clinical utility of adolescents' reports of two distinct modes of processing during the recall of a suicidal episode in the Suicide Narrative Interview (SNI). Recall Intensity (RI) items were designed to capture a tendency to become immersed in thoughts and feelings during the interview, while Meaning Making (MM) items were designed to assess more distant and reflective processing. The construct and predictive validity of pretreatment MM and RI was tested in a 16-week randomized clinical trial (RCT) for depressed and suicidal adolescents ( = 113, = 14.95, 84.1% female, 51.8% Black/African American). Adolescents rated MM and RI immediately following the SNI during a baseline assessment. Baseline MM was associated with protective factors related to reduced suicidality, and RI was associated with several risk factors for suicidal symptoms. Adolescents who reported high MM and low RI reported greater reductions in both suicidal ideation and depressive symptoms during the RCT. The results support MM and RI as two distinct modes of how adolescents process memories of suicidal episodes and highlight the potential clinical utility of RI and MM in assessing and treating suicidal adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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