How Parental Reactions Change in Response to Adolescent Suicide Attempt

Greene-Palmer, Farrah N.; Wagner, Barry M.; Neely, Laura L.; Cox, Daniel W.; Kochanski, Kristen; Perera, Kanchana U.; Ghahramanlou‐Holloway, Marjan

doi:10.1080/13811118.2015.1094367

Cited by 21 publications

(26 citation statements)

References 17 publications

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“…In addition, a survey of suicidal behaviour in the ethnographic record found that it often succeeded in influencing mating decisions if the victim survived, such as preventing unwanted marriages, achieving prohibited marriages, and deterring abandonment [46]. After adolescent suicide attempts, parents have been found to express more caring, sympathy and support [102]. Given the enormous financial incentives to suppress MD chemically, it is imperative that mental health researchers convincingly rule out any possible benefits of reactive depression.…”

Section: Discussionmentioning

confidence: 99%

Adaptive and non-adaptive models of depression: A comparison using register data on antidepressant medication during divorce

et al. 2017

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Divorce is associated with an increased probability of a depressive episode, but the causation of events remains unclear. Adaptive models of depression propose that depression is a social strategy in part, whereas non-adaptive models tend to propose a diathesis-stress mechanism. We compare an adaptive evolutionary model of depression to three alternative non-adaptive models with respect to their ability to explain the temporal pattern of depression around the time of divorce. Register-based data (304,112 individuals drawn from a random sample of 11% of Finnish people) on antidepressant purchases is used as a proxy for depression. This proxy affords an unprecedented temporal resolution (a 3-monthly prevalence estimates over 10 years) without any bias from non-compliance, and it can be linked with underlying episodes via a statistical model. The evolutionary-adaptation model (all time periods with risk of divorce are depressogenic) was the best quantitative description of the data. The non-adaptive stress-relief model (period before divorce is depressogenic and period afterwards is not) provided the second best quantitative description of the data. The peak-stress model (periods before and after divorce can be depressogenic) fit the data less well, and the stress-induction model (period following divorce is depressogenic and the preceding period is not) did not fit the data at all. The evolutionary model was the most detailed mechanistic description of the divorce-depression link among the models, and the best fit in terms of predicted curvature; thus, it offers most rigorous hypotheses for further study. The stress-relief model also fit very well and was the best model in a sensitivity analysis, encouraging development of more mechanistic models for that hypothesis.

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Section: Discussionmentioning

confidence: 99%

Adaptive and non-adaptive models of depression: A comparison using register data on antidepressant medication during divorce

et al. 2017

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“…Assistindo-os nas várias transições a que estão expostos e ajudando-os nas novas fases facilitando o processo de aprendizagem de competências, pois alguns eventos críticos e alterações circunstanciais podem desencadear mudanças no adolescente, assim como na família, levando-os a transtornos comportamentais, de identidade ou mesmo no seu desempenho (Meleis, Sawyer, Im, Hilfinger Messias, & Shumacher, 2000). Apesar dos estudos de Morgan et al (2013), Buus et al (2014), Greene-Palmer et al (2015) e Ferrey et al (2016) descreverem o acontecimento como crítico para os pais, não se encontra evidência científica no que alude à hospitalização do adolescente e família. Compete à enfermagem assumir um papel facilitador neste processo transaccional, olhando a família e o jovem como parceiros dos cuidados, reconhecendo e desenvolvendo a capacitação familiar para lidar com a situação.…”

Section: Enquadramentounclassified

“…No entanto, existem adolescentes em que as diversas transformações e exigências, necessidades de ajustes e reajustes internos e externos, instabilidade e desequilíbrio, geram dificuldades na gestão do desenvolvimento saudável nos campos afetivo, pessoal, familiar, escolar e de socialização, tornando-os desta forma vulneráveis a comportamentos autolesivos (Trinco & Santos, 2015). Estes comportamentos exercem sobre os pais um mal-estar constante com sentimentos de tristeza, inquietação, ansiedade, culpa e medo do futuro (Greene-Palmer et al, 2015). De acordo com o Plano Nacional de Prevenção do Suicídio 2013-2017 (Direção--Geral da Saúde, 2013) são considerados comportamentos autolesivos, os comportamentos que envolvem atos autolesivos com ou sem intencionalidade suicida, tais como: ingestão de uma substância ou objeto não ingerível, ingestão de fármacos em doses superiores às dosagens terapêuticas, ingestão de uma droga ilícita ou substância psicoativa com intencionalidade deliberada de autoagressão, saltar de um lugar relativamente elevado e automutilação.…”

Section: Introductionunclassified

“…Por vezes este tipo de comportamentos implica mudanças individuais e familiares que terão ressonância a nível estrutural, processual, cognitivo e emocional no adolescente e nos pais (Ferrey et al, 2016). Na revisão sistemática da literatura podemos identificar alguns autores como Morgan et al, (2013), Buus, Caspersen, Stenager, e Fleischer (2014), Greene-Palmer et al, (2015) e Ferrey et al, (2016). Estes autores investigaram as vivências e necessidades dos pais perante um comportamento autolesivo do filho.…”

Section: Introductionunclassified

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Experiences and needs of parents of adolescentes with self-harm behaviors during hospitalization

Trinco¹,

Santos²,

Barbosa³

2017

Rev. Enf. Ref

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ResumoEnquadramento: A família é um agregado especialmente destinado à realização dos seus elementos, ajudando o adolescente a crescer num sincronismo harmonioso, visto serem os comportamentos autolesivos mais frequentes nesta etapa da vida, particularmente entre as raparigas. Objetivos: Identificar as vivências/necessidades dos pais dos adolescentes com idade entre os 13 e os 18 anos com comportamento autolesivo, e que ficaram internados no serviço de urgência de um hospital pediátrico. Metodologia: Estudo qualitativo, exploratório-descritivo, com abordagem fenomenológica, numa amostra de conveniência constituída por 38 pais. Foi utilizada a entrevista semiestruturada com posterior análise de conteúdo. Resultados: Da análise, emergiram 4 categorias (Impacto da noticia, Sentimentos/Emoções, Pensamentos, Necessidades). Sendo que a categoria Sentimentos/Emoções apresenta duas subcategorias (Negativo/Positivo). Conclusão: Os resultados obtidos evidenciaram que esta situação provoca Sentimentos/Emoções ambivalentes nos pais que manifestaram o ensejo de falarem com o enfermeiro sobre o sucedido e poderem ter orientação de como lidar com o filho mas, sobretudo, sem serem criticados/estigmatizados assim como o adolescente.Palavras-chave: família; adolescente; comportamento autodestrutivo; acontecimentos que mudam a vida; necessidades; hospitalização AbstractBackground: The family is particularly designed to enable family members to achieve fulfillment, helping adolescents to grow in a synchronic harmony, since self-harm behaviors are more common at this stage of life, particularly among girls. Objectives: To identify the experiences/needs of parents of adolescents aged 13 to 18 years with self-harm behaviors and who were admitted to the emergency department of a pediatric hospital. Methodology: This is a qualitative, exploratory-descriptive study with a phenomenological approach, using a convenience sample composed of 38 parents. Semi-structured interviews were conducted and later analyzed following the content analysis technique. Results: Four categories emerged: Reaction to the news; Feelings/Emotions; Thoughts; and Needs. The Feelings/ Emotions category is divided into two subcategories: Negative and Positive. Conclusion: Results showed that this situation causes mixed Feelings/Emotions in parents, who expressed the desire to talk to the nurse about what was happening, receive guidance on how to deal with their child, but, above all, not to feel criticized and stigmatized.

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“…In considering what predicts a suicide reattempt in 13-18 year old adolescents, researchers Greene-Palmer, Wagner, Neely, Cox, Kochanski, Perera, & Ghahramanlou-Holloway (2015) looked to parent reactions after their child made their first attempt. Eighty-one mothers and 49 fathers were surveyed in the mid-Atlantic United States, and responded to questions regarding their reactions to their teen's suicidal behavior.…”

Section: Risk Factors Of Adolescent Suicidementioning

confidence: 99%

Supporting Marin County Youth Suffering from Anxiety and Depression

Grajeda¹

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This toolkit was created to help shed light on the impact a stressful high school environment can have on today's youth, and provide teachers, students, and parents with up-to-date information on what resources are available within the county of Marin. When working with adolescents, it is important to consider environmental threats to their mental health (i.e., lack of sleep) in order to make proper referrals and treatment plans. A study done by Kelley, Lockley, Kelley, & Evans (2017) implemented a 10:00 a.m. start time at an urban school in England. By delaying school start times, Kelley et al., found that absences related to illness were reduced by 50 percent compared to national rates. In general, school systems in the United States are not currently structured to ensure students can function at their maximum potential, and their academics, health, and relationships are deteriorating as a result. More importantly, suicide is becoming more prevalent in high schools within the United States, which means prevention programs need to be reevaluated or implemented to help Marin youth cope with academic and social stress. This guide will provide the community with psychoeducation on depression and anxiety; potential risk factors, how to help, and what treatment options are available. iv Acknowledgement I cannot emphasize enough how incredibly fortunate I am to be surrounded by so many supportive friends, family, colleagues, and leaders. I would like to thank my thesis instructor, Carlos Molina, Ed.D., LMFT, for his unwavering flexibility and encouragement throughout my entire project. I am incredibly grateful for the profound lessons he has taught me as an instructor in the Counseling Psychology program. His tireless ability to advocate for his clients will forever inspire my work in this field. Mark Jaime (the Associate Director of Alumni Relations) and Jessica Jordan (the AVP for Alumni Engagement, Annual Fund, and Advancement Services) have been wonderful in helping me balance working full-time, taking classes part-time, completing this formidable final project, and interning at the National Alliance on Mental Illness Marin. For the generous way they have supported me through the times I have needed to adjust my work schedule, I am forever grateful. My mom, Shelley Grajeda, proofread this entire manual, and did so with awe-inspiring devotion and enthusiasm. She and my dad, Jeff Grajeda, have been the two utmost important influences in my life, and there will never be enough words to fully express my love and gratitude for the way they have supported me as a student, a professional, and as a person. Thank you to Kelli Finley (Executive Director of NAMI Marin) for imparting your invaluable wisdom on me, Ana Do Rosario Sousa and Trae Carpenter for being my companions throughout this ambitious adventure, and to Michael Pujals for sharing his expansive Microsoft Word expertise. Finally, to Nicolette Grajeda, Beverly Morris, Ken Morris, Bryan Grevera, and Barbara Grevera, I am blessed to have your kindness, humor, and s...

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How Parental Reactions Change in Response to Adolescent Suicide Attempt

Cited by 21 publications

References 17 publications

Adaptive and non-adaptive models of depression: A comparison using register data on antidepressant medication during divorce

Adaptive and non-adaptive models of depression: A comparison using register data on antidepressant medication during divorce

Experiences and needs of parents of adolescentes with self-harm behaviors during hospitalization

Supporting Marin County Youth Suffering from Anxiety and Depression

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