This study examined risk and protective factors that differentiate low-income, abused African American women (N = 200) who attempted suicide from those who had never made a suicide attempt. Results from multivariate analyses revealed that numerous and/or severe negative life events, a history of child maltreatment, high levels of psychological distress and depression, hopelessness about the future, and alcohol and drug problems were factors associated with attempter status. Protective factors associated with nonattempter status included hopefulness, self-efficacy, coping skills, social support, and effectiveness in obtaining material resources. Culturally competent intervention approaches for abused women should target increasing their protective factors and reducing their risk factors to decrease the likelihood that these women engage in suicidal behavior.
Studies of specific social skill deficits in adults with traumatic brain injury (TBI) have begun to appear [1,2], but there are few empirical studies of children with TBI. This study examined social problem-solving skills in boys and girls with TBI and a matched group of non-injured peers, ages 7-13. The TBI group generated fewer total solutions on a social problem-solving measure, largely reflecting situation-specific differences in generated solutions. The TBI group also generated fewer positive assertive, and more indirect responses to peer group entry situations than the comparison group. Implications are discussed for a model of social information processing in paediatric brain injury.
Past research highlights the importance of considering the sequelae of physical abuse in the context of other risk factors and possible exacerbating circumstances. The present research examines the relative, unique, and interactive effects of physical abuse, sociocultural disadvantage, and cumulative negative life events. Multiple measures and data sources were used to assess the socioeconomic circumstances, exposure to recent negative events, and social, cognitive, and affective adjustment of 19 physically abused and 49 nonabused elementary school-age children. Results indicated that abuse strongly independently predicted problems in children's adjustment with peers, self-perceptions, and depression. Abuse was also related to increased behavioral problems at home and at school, though this relation abated and even reversed itself as social disadvantage increased. Cumulative negative events independently predicted negative self-perceptions and, for girls, increased depression. Socioeconomic hardship was independently related to children's cognitive maturity. In addition, socioeconomic disadvantage qualified the relation between negative events and children's adjustment to peers, such that increased negative events were related to lower peer adjustment among less disadvantaged children but increased peer adjustment of children with more disadvantage. These results support calls for a more contextualized approach to examining the developmental outcomes of physical abuse, one that considers multiple risk factors simultaneously.
This study used quantitative and qualitative methods to examine psychological factors that influence links between intimate partner violence (IPV) and suicidality in a sample of low-income African American women. Quantitative results demonstrated greater general coping, more efficacious behavioral strategies in response to IPV, more effective use of resources, greater use of social support, and less substance use among women who did not attempt suicide compared with those who did. Qualitative findings showed that suicide attempters showed less adaptive coping strategies aimed at accommodating the abuser, whereas non-attempters were more focused on strategies that supported leaving the relationship and/or avoiding further harm.
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