Interpersonal theory of suicide and stressful life events in a clinical sample of adolescents in Spain

Caro-Cañizares, Irene; Vila, María Marín; Pacheco, Juan I. Durán; Carballo, Juan J.

doi:10.1111/eip.13438

Cited by 4 publications

(4 citation statements)

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“…In relation to the prevalence of suicidal behavior, as previously reported [39], we found higher rates of suicide attempts than authors studying other Spanish samples [49], which is probably explained by our study's focus on a clinical sample and the well-established increased prevalence of suicidal behaviors among people who suffer from mental health disorders [50]. In any case, it is important to note that suicide rates have still not been carefully studied in adolescence [51], and little research has been conducted with clinical outpatient samples [52].…”

Section: Discussionmentioning

confidence: 64%

“…Most were Caucasian (n = 128; 87.1%), lived with their family of origin (n = 126; 85.7%), and lived in a family with over 2000 euros/month in income (n = 60; 56.6%). Key characteristics of the sample are reported in Table 1 and were previously published [39]. Regarding suicidal thoughts and behaviors, 25.9% of the sample reported the presence of suicidal ideation (n = 38), 6.8% reported suicide attempts (n = 10), and 29.9% (n = 44) reported non-suicidal self-injury behaviors at least once in his or her life.…”

Section: Sample Featuresmentioning

confidence: 99%

“…On 31 December 2016, all participants' clinical histories were checked to collect follow-up data. The recruitment procedure and the characteristics of the sample have been previously published [39].…”

Section: Samplementioning

confidence: 99%

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Perceived Stressful Life Events and Suicide Risk in Adolescence: The Mediating Role of Perceived Family Functioning

Caro-Cañizares,

Sánchez-Colorado,

Baca-García

et al. 2024

Behavioral Sciences

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Aim: Suicidal behavior is a serious public health problem and a major cause of death among adolescents. Three categories of major risk factors have been identified: psychological factors, stressful life events, and personality traits. Severe and objective stressful life events (SLEs), such as childhood mistreatment or abuse, have been clearly associated with higher rates of suicide risk. However, the relationship between suicide risk and adolescents’ perceptions of the SLE impact is not as clear. This paper studies the relationship between SLE impact perception and suicide risk and the possible mediating role of perceived family functioning in this relationship. The need for longer-term or more intense psychological or psychiatric treatment in relation to SLE impact perception is also addressed. Method: One hundred forty-seven adolescents aged 11–17 were consecutively recruited from the Child and Adolescent Mental Health Outpatient Services Department of a general hospital in Madrid, Spain. Self-informed questionnaires were used to assess suicide risk, SLEs, and family functioning. In addition, the clinical records of the participants were consulted to collect information about their treatment histories, including the number of appointments and the duration of follow-up. Results: SLE impact perception correlates significantly with suicide risk, the number of clinical appointments, the duration of treatment, and the perceived level of family functioning. The mediation model of the family functioning perception variable in the relationship between SLE impact perception and suicide risk is significant. The linear regression model of SLE impact perception and family functioning perception on suicide risk is also significant, accounting for 25.7% of the variance. Conclusions: Beyond the clear and proven effect of serious and objective SLEs, the perceived impact of SLEs reported by adolescents is related to an increased risk of suicide and more intense psychological and/or psychiatric follow-up. This relationship is mediated by the perceived level of family functioning. Adolescents’ perceptions of their life experiences and perceived family support may be key determinants of suicide risk prevention.

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Section: Discussionmentioning

confidence: 64%

Section: Sample Featuresmentioning

confidence: 99%

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Perceived Stressful Life Events and Suicide Risk in Adolescence: The Mediating Role of Perceived Family Functioning

Caro-Cañizares,

Sánchez-Colorado,

Baca-García

et al. 2024

Behavioral Sciences

Self Cite

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“…Joiners theory has also proven useful in predicting suicide risk in the adolescent population [ 33 ]. While IPTS does not detail the specific role of humiliation or shame in relation to suicidality, it is still relevant to mention, as interpersonal stressors are central to this theory.…”

Section: Introductionmentioning

confidence: 99%

Associations between humiliation, shame, self-harm and suicidality among adolescents and young adults: A systematic review

Sadath,

Kavalidou,

McMahon

et al. 2024

PLoS ONE

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Background Suicide is the second leading cause of death among young people worldwide. Research indicates that negative social contexts involving familial and peer relationships have far-reaching influences on levels of suicidality in later life. While previous systematic reviews have focused on evaluating associations between negative life events such as abuse and bullying in childhood and subsequent suicidality, this systematic review examines the prevalence of, and association between the processes of humiliation and shame in later self-harm, suicidal ideation, and suicide among adolescents and young adults. Methods A systematic literature search of databases including MEDLINE, Web of Science Core Collection, CINAHL, PsycINFO, and Embase was conducted to identify potential studies. ProQuest was searched to identify relevant grey literature research. A combination of MESH terms and keywords was used. All original quantitative studies published in English that examined the prevalence, or association between humiliation or shame and suicidal behaviours and/or death by suicide were included. Studies were assessed for methodological quality using Joanna Briggs Institute critical appraisal tools. The protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) [CRD42022289843]. Results Narrative synthesis was performed. A total of 33 studies reporting the prevalence of, or association between humiliation (n = 10) or shame (n = 23) and suicidal thoughts/behaviours were included. The prevalence of humiliation among those with any suicidality ranged from 18% to 28.1%, excluding an outlier (67.1%), with two studies presenting a significant association between humiliation and self-harm in their fully adjusted analyses. The studies that outlined humiliation and suicidal thinking (intent/suicide plan) had no association after adjustment for confounders. For shame, half of the studies found an association in adjusted models (n = 10), and this was evident for both suicidal ideation and self-harm. Conclusion To our knowledge, this is the first study to attempt a systematic review on this topic. The dearth of research in this field of enquiry is reflective of unique challenges associated with assessments of humiliation and shame in various clinical settings amongst adolescent and young adult populations. Nonetheless, given the importance and relevance of the psychological imprint of humiliation in youth morbidity and mortality in the field of mental health, it is timely to attempt such a systematic review. In light of the associated role of humiliation and shame in self-harm and suicidality among young people, we recommend that these processes need to be explored further via prospective studies and assessed as part of a comprehensive bio-psycho-social assessment when focusing on life stressors for adolescent and young adults presenting with suicidality to emergency departments and mental health services.

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Depression and suicidal ideation among Black individuals in Canada: mediating role of traumatic life events and moderating role of racial microaggressions and internalized racism

Darius,

Moshirian Farahi,

Kogan

et al. 2024

Soc Psychiatry Psychiatr Epidemiol

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Interpersonal theory of suicide and stressful life events in a clinical sample of adolescents in Spain

Cited by 4 publications

References 41 publications

Perceived Stressful Life Events and Suicide Risk in Adolescence: The Mediating Role of Perceived Family Functioning

Perceived Stressful Life Events and Suicide Risk in Adolescence: The Mediating Role of Perceived Family Functioning

Associations between humiliation, shame, self-harm and suicidality among adolescents and young adults: A systematic review

Depression and suicidal ideation among Black individuals in Canada: mediating role of traumatic life events and moderating role of racial microaggressions and internalized racism

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