The Suicide Narrative Interview: adolescents’ attachment expectancies and symptom severity in a clinical sample

Zisk, Abigail; Abbott, Caroline H.; Ewing, Stephanie Krauthamer; Diamond, Guy; Kobak, Roger

doi:10.1080/14616734.2016.1269234

Cited by 13 publications

(11 citation statements)

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“…One potentially beneficial avenue of future research lies in the growing body of literature on attachment and suicidal behavior. Findings have indicated the role attachment to parents and peers may have on self-harm and suicidal behavior and future work should examine attachment style alongside connectedness (e.g., Glazebrook, Townsend, & Sayal, 2015;Zisk, Abbott, Ewing, Diamond, & Kobak, 2017).…”

Section: Discussionmentioning

confidence: 99%

A longitudinal examination of social connectedness and suicidal thoughts and behaviors among adolescents

Gunn

Goldstein

Gager

2018

Child Adoles Ment Health

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Background This study examines the relationship between three different types of social connectivity and suicidal thoughts and behaviors. Methods Using the Add Health dataset, three domains of social connection were explored: parental connection, school connection, and social integration. Logistic regression was used to examine whether changes over time in connectedness predicted suicidal thoughts and behavior. Results Youth whose difference scores on social integration and parental connectedness increased were less likely to experience suicidal ideation. Increases in difference scores for perceived school connectedness protected youth who reported ideation from engaging in a suicide attempt. Conclusions Perceptions of social connection are key factors in understanding adolescent suicidal thoughts and behaviors. It is important to consider social connection across different relationship contexts.

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Section: Discussionmentioning

confidence: 99%

A longitudinal examination of social connectedness and suicidal thoughts and behaviors among adolescents

Gunn

Goldstein

Gager

2018

Child Adoles Ment Health

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“…Volume 58 / Number 7 / July 2019 in individual and family sessions, that aim to identify and resolve attachment ruptures that have compromised adolescents' trust in their parents (eg, divorce, parental psychopathology, critical parenting). Working through these ruptures can increase the adolescent's confidence in a parents' availability 6 and increase the adolescent's capacity for problem solving and ability to use the parent as a resource for regulating affect and managing suicidal thoughts and feelings.…”

mentioning

confidence: 99%

A Randomized Controlled Trial: Attachment-Based Family and Nondirective Supportive Treatments for Youth Who Are Suicidal

Diamond

Kobak

Ewing

et al. 2019

Journal of the American Academy of Child & Adolescent Psych

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106

128

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Objective: To evaluate the efficacy of attachment-based family therapy (ABFT) compared with a family-enhanced nondirective supportive therapy (FE-NST) for decreasing adolescents' suicide ideation and depressive symptoms. Method: A randomized controlled trial of 129 adolescents who are suicidal ages 12-to 18-years-old (49% were African American) were randomized to ABFT (n ¼ 66) or FE-NST (n ¼ 63) for 16 weeks of treatment. Assessments occurred at baseline and 4, 8, 12, and 16 weeks. Trajectory of change and clinical recovery were calculated for suicidal ideation and depressive symptoms. Results: There was no significant between-group difference in the rate of change in self-reported ideation (Suicidal Ideation Questionnaire-Jr; F 1,127 ¼ 181, p ¼ .18). Similar results were found for depressive symptoms. However, adolescents receiving ABFT showed a significant decrease in suicide ideation (t 127 ¼ 12.61, p < .0001; effect size, d ¼ 2.24). Adolescents receiving FE-NST showed a similar significant decrease (t 127 ¼ 10.88, p < .0001; effect size, d ¼ 1.93). Response rates (ie, !50% decrease in suicide ideation symptoms from baseline) at post-treatment were 69.1% for ABFT versus 62.3% for FE-NST. Conclusion: Contrary to expectations, ABFT did not perform better than FE-NST. The 2 treatments produced substantial decreases in suicidal ideation and depressive symptoms that were comparable to or better than those reported in other more intensive, multicomponent treatments. The equivalent outcomes could be attributed to common treatment elements, different active mechanisms, or regression to the mean. Future studies will explore long-term follow up, secondary outcomes, and potential moderators and mediators. Clinical trial registration information: Attachment-Based Family Therapy for Suicidal Adolescents; http://clinicaltrials.gov; NCT01537419.

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“… 38 Likewise, from the intensity subscale of the C-SSRS, only two observed variables, “Frequency” and “Duration,” were used to measure the corresponding construct, suicidal ideation. Although many studies used each of the five items separately, 39 40 and one study left out “Reasons for ideation” and employed only four items to define suicidal ideation, 41 we cannot exclude the possibility that there is a limitation in accurately representing the construct with only the remaining two items. In addition, depressive symptoms did not present a mediating effect on the association between recent stress and suicidal ideation, contrary to the previous results showing a full mediation 42 or a partial mediation 43 44 depending on the group.…”

Section: Discussionmentioning

confidence: 99%

Early Trauma and Relationships among Recent Stress, Depressive Symptoms, Anxiety Symptoms, and Suicidal Ideation in Korean Women

et al. 2021

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Background Evidence continues to accumulate that the presence or absence of early trauma (ET) implies unique characteristics in the relationships between suicidal ideation and its risk factors. We examined the relationships among recent stress, depressive symptoms, anxiety symptoms, and suicidal ideation in Korean suicidal women with or without such a history. Methods Using data on suicidal adult females, 217 victims and 134 non-victims of ET, from the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior, we performed structural equation modeling to investigate the contribution of recent stress, depressive symptoms, and anxiety symptoms on suicidal ideation within each group according to the presence or absence of a history of ET. Results Structural equation modeling with anxiety and depressive symptoms as potential mediators showed a good fit. Recent stress had a direct effect on both depressive symptoms and anxiety symptoms in both groups. Only anxiety symptoms for victims of ET (standardized regression weight, 0.281; P = 0.005) and depressive symptoms for non-victims of ET (standardized regression weight, 0.326; P = 0.003) were full mediators that increased suicidal ideation. Thus, stress contributed to suicidal ideation by increasing the level of anxiety and depressive symptoms for victims and non-victims, respectively. Conclusion Tailored strategies to reduce suicidal ideation should be implemented according to group type, victims or non-victims of ET. Beyond educating suicidal women in stress-management techniques, it would be effective to decrease anxiety symptoms for those with a history of ET and decrease depressive symptoms for those without such a history.

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The Suicide Narrative Interview: adolescents’ attachment expectancies and symptom severity in a clinical sample

Cited by 13 publications

References 50 publications

A longitudinal examination of social connectedness and suicidal thoughts and behaviors among adolescents

A longitudinal examination of social connectedness and suicidal thoughts and behaviors among adolescents

A Randomized Controlled Trial: Attachment-Based Family and Nondirective Supportive Treatments for Youth Who Are Suicidal

Early Trauma and Relationships among Recent Stress, Depressive Symptoms, Anxiety Symptoms, and Suicidal Ideation in Korean Women

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