Moving beyond the trait conceptualization of self-esteem: The prospective effect of impulsiveness, coping, and risky behavior engagement

Auerbach, Randy P.; Gardiner, Casey K.

doi:10.1016/j.brat.2012.06.002

Cited by 39 publications

(27 citation statements)

References 41 publications

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“…The RBQ-A 36 is a 20-item questionnaire that assesses the presence and frequency of risky behaviors (ie, sexual precociousness, aggression, rule-breaking, dangerous/illegal behaviors, self-injurious behaviors, and substance use) over the past month. Respondents rate each item from 0 (never) to 4 (always: 4 or more times per week) and higher scores indicate greater risky behavior engagement.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Rehospitalization for Depressed Adolescents Admitted to Acute Psychiatric Treatment

Alphen¹,

Stewart²,

Esposito³

et al. 2017

J. Clin. Psychiatry

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Objective Presently, little is known about what factors predict adolescent psychiatric rehospitalization. Thus, the present study tested whether a battery of demographic and clinical characteristics predicted readmission within 6 months of discharge. Methods Participants were 165 adolescents (112 females) aged 13–19 years (mean = 15.61, SD = 1.48) admitted to an acute residential treatment program between November 25, 2013, and November 18, 2014. Patients met diagnostic criteria (DSM-IV-TR) for current major depressive disorder or dysthymia. At admission, participants completed a battery of clinical interviews and questionnaires assessing demographics, early life stress, comorbid diagnoses, psychiatric symptoms, suicidality, self-injury, and risky behavior engagement. At discharge, psychiatric symptoms were reassessed. Readmission to the same residential service was monitored over a 6-month period following discharge. Results Overall, 12.1% of adolescents were rehospitalized. We conducted a series of Cox regression survival analyses to test demographic and clinical predictors of patients’ time to readmission. More frequent self-injurious behaviors in the month prior to hospitalization was significantly associated with a more rapid time to rehospitalization (β = 0.05, SE = .02, Wald1 = 4.35, P = .037, OR = 1.05, 95% CI = 1.003–1.10). Conclusions It is critical to more effectively manage self-injury during the treatment of depressed adolescents, as this is the strongest predictor of later rehospitalization.

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Section: Methodsmentioning

confidence: 99%

Predictors of Rehospitalization for Depressed Adolescents Admitted to Acute Psychiatric Treatment

Alphen¹,

Stewart²,

Esposito³

et al. 2017

J. Clin. Psychiatry

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“…The 20-item Risky Behavior Questionnaire for Adolescents (Auerbach & Gardiner, 2012) assesses frequency of engagement in unsafe sex, substance use, and aggressive, dangerous, and illegal behaviors (e.g., destroyed property, shoplifted, been in physical fight) in the past month. Response options range from never to 4 times or more per week.…”

Section: Risky Behaviorsmentioning

confidence: 99%

Angry rumination moderates the association between perceived ethnic discrimination and risky behaviors

Borders

Hennebry

2015

Personality and Individual Differences

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“…Impulsivity has been extensively studied, particularly as it relates to risky behavior engagement (Auerbach and Gardiner 2012; Lejuez et al 2010), personality dimensions (Berg et al 2015), psychopathology (Cyders and Coskunpinar 2011), and suicide (Stewart et al 2015; Swann et al 2005). Recent developments suggest that emotion-relevant impulsivity, particularly negative urgency (i.e., a strong and immediate need to avoid undesirable emotions or physical sensations) is distinct from other forms of impulsivity and may be associated with suicide attempts (see Lynam et al 2011).…”

Section: Developmental Perspectivementioning

confidence: 99%

Impulsivity and Suicidality in Adolescent Inpatients

Auerbach

Stewart

Johnson

2016

J Abnorm Child Psychol

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113

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Suicide is the second leading cause of death among adolescents, and impulsivity has emerged as a promising marker of risk. The present study tested whether distinct domains of impulsivity are differentially associated with suicide ideation, plans, and attempts. Adolescents (n = 381; boys = 106, girls = 275) aged 13-19 years (M = 15.62, SD = 1.41) were recruited from an acute, residential treatment program. Within 48 h of admission to the hospital, participants were administered structured clinical interviews assessing mental health disorders and suicidality. Following these interviews, participants completed self-report questionnaires assessing symptom severity and impulsivity. Consistent with past research, an exploratory factor analysis of our 90-item impulsivity instrument resulted in a three-factor solution: Pervasive Influence of Feelings, Feelings Trigger Action, and Lack of Follow-Through. Concurrent analysis of these factors confirmed hypotheses of unique associations with suicide ideation and attempts in the past month. Specifically, whereas Pervasive Influence of Feelings (i.e., tendency for emotions to shape thoughts about the self and the future) is uniquely associated with greater suicidal ideation, Feelings Trigger Action (i.e., impulsive behavioral reactivity to emotions) is uniquely associated with the occurrence of suicide attempts, even after controlling for current psychiatric diagnoses and symptoms. Exploratory gender analyses revealed that these effects were significant in female but not male adolescents. These findings provide new insight about how specific domains of impulsivity differentially increase risk for suicide ideation and attempts. Implications for early identification and prevention of youth suicide are discussed. KeywordsAdolescents; Suicide attempts; Suicide ideation; Suicide plans; Impulsivity Suicide rates have increased dramatically over recent decades, and presently, suicide is among the leading causes of death worldwide (Nock et al. 2008). Mental disorders are one of the strongest risk factors for attempted and completed suicide (Nock et al. 2010), andCorrespondence to: Randy P. Auerbach. Conflict of InterestThe authors declare that they have no conflict of interest. Compliance with Ethical StandardsEthical Approval All procedures performed in this study with human subjects was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments.Informed Consent Informed consent was obtained from all individual participants included in the study. HHS Public AccessAuthor manuscript J Abnorm Child Psychol. Author manuscript; available in PMC 2018 January 01. Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript approximately 90 % of individuals who die by suicide have a diagnosable psychiatric disorder (Harris and Barraclough 1997;Pokorny 1983). Nonetheless, the majority of psychiatric patients do not suicide, and thus, there are likely other proximal factors th...

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Moving beyond the trait conceptualization of self-esteem: The prospective effect of impulsiveness, coping, and risky behavior engagement

Cited by 39 publications

References 41 publications

Predictors of Rehospitalization for Depressed Adolescents Admitted to Acute Psychiatric Treatment

Predictors of Rehospitalization for Depressed Adolescents Admitted to Acute Psychiatric Treatment

Angry rumination moderates the association between perceived ethnic discrimination and risky behaviors

Impulsivity and Suicidality in Adolescent Inpatients

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