Suppression of suicidal thoughts may represent 1 mechanism contributing to the persistence of suicidal ideation. Clinicians may wish to explore patients' reactions to suicidal ideation and consider acceptance-oriented strategies among patients who attempt to control unwanted suicidal thoughts.

The MSSI appears to be a reliable and valid instrument to assess suicidal ideation among distressed youth. Clinicians are encouraged to pay particular attention to responses on the Plans and Preparations factor given its stronger association with suicide attempt and more serious suicide intent.

Little is known about the role of chronic stress in youth suicidal behaviors. This study examined the relations between specific domains of chronic stress and suicidal behaviors among 131 inpatient youth (M age = 15.02 years) who completed measures of stress, suicidal ideation, suicide attempt, and suicide intent. After controlling for demographics, diagnostic status, past history of attempt, and life event stress, the predictors of suicidal ideation were chronic stress in family relationships, close friendship, and physical health. Chronic close friendship stress also predicted suicide intent among attempters after controlling for covariates. No domain robustly predicted the presence of an attempt or moderated the relation between life event stress and suicidal behaviors. These findings highlight the role of certain domains of chronic stress in suicidal ideation and suicide intent.

there are well-documented associations between adolescent depression, suicide-related thoughts, and interpersonal functioning, which include identified relations between these variables and insecure attachment. Dykas and Cassidy (2011) recently reframed traditional attachment theory into a social information processing model in which early caregiver experiences produce secure or insecure attachment-related schemas which, in turn, lead to biased social information processing. this model echoes beck's cognitive theory, which suggests that negative schemas arise from negative experiences and act on daily life through negative thoughts about the self, the world, and others. No one has extended Dykas and Cassidy's (2011) model to the level of attachment-related thoughts to explore how attachment-related schemas relate to depressive cognitions. in this study, we sought preliminary evidence for this hypothesis with two specific aims. First, we sought to determine whether the relation between level of attachment security

Given the research already conducted, we recommend investigation into the therapeutic use of oxytocin in adolescent populations for anxiety, psychosis, attachment disorders, and conduct disorder.