Top

Gepubliceerd in:

13-05-2023 | Empirical Research

Adolescents’ Comfort in Disclosing to Caregivers Predicts Suicidal Thoughts and Behaviors Directly and Indirectly Through Difficulties in Emotion Regulation

Auteurs: So Young Choe, Liliana J. Lengua, Joseph P. McFall, Peter A. Wyman

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 8/2023

Abstract

Despite adolescents’ suicidal thoughts and behaviors being major health problems, sparse literature exists on the roles of adolescents’ disclosing their feelings to caregivers in their suicidal thoughts and behaviors. This study examined whether adolescents’ comfort in disclosing their feelings and problems to caregivers predicts subsequent suicidal thoughts and behaviors and whether difficulties in emotion regulation mediate this association. High school students (N = 5,346 from 20 schools, 49% female-identified adolescents, and 35% 9th graders, 33% 10th graders, and 32% 11th graders) participated in the study for two years with four waves, each six months apart: fall semester in Year 1 (Wave 1), spring semester in Year 1 (Wave 2), fall semester in Year 2 (Wave 3), and spring semester in Year 2 (Wave 4). The degree to which adolescents felt comfortable disclosing their feelings and problems to caregivers at Wave 1 predicted lower suicidal thoughts and behaviors at Wave 4 directly and indirectly via higher emotional clarity at Wave 2 and feeling more able to handle negative emotions at Wave 3. Moreover, when female-identified adolescents reported feeling unable to handle negative emotions at Wave 3, they reported engaging in more suicidal thoughts and behaviors at Wave 4 than male-identified adolescents. Therefore, enhancing adolescents’ comfort in disclosing their feelings and problems to caregivers and adolescent emotion regulation and taking a nuanced approach to support female-identified adolescents regarding their ability to handle negative emotions could prevent adolescents’ suicidal thoughts and behaviors.

vorige artikel Profiles and Transitions of Non-Suicidal Self-Injury and Depressive Symptoms among Adolescent Boys and Girls: Predictive Role of Bullying Victimization

volgende artikel The Enhancing Role of Emotion Regulation in the Links between Early Positive Memories and Self-harm and Suicidal Ideation in Adolescence

Ainsworth, M. D. S. (1969). Object relations, dependency, and attachment: A theoretical review of the infant-mother relationship. Child Development, 40(4), 969. https://doi.org/10.2307/1127008CrossRefPubMed

Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 34(3), 382–392. https://doi.org/10.1007/s10862-012-9280-yCrossRef

Barnes, H. L., & Olson, D. H. (1985). Parent-Adolescent Communication and the Circumplex Model. Child Development, 56(2), 438. https://doi.org/10.2307/1129732CrossRef

Barnes, H. L., & Olson, D. H. (1982). Parent-Adolescent Communication Scale. In D. H. Olson, H. McCubbin, H. L. Barnes, M. Larsen, M. Muxen, & M. Wilson (Eds.), Family inventories: Inventories used in a national survey of families across the family life cycle (pp. 33–48). Family Social Science, University of Minnesota

Berke, D. S., Reidy, D., & Zeichner, A. (2018). Masculinity, emotion regulation, and psychopathology: A critical review and integrated model. Clinical Psychology Review, 66, 106–116. https://doi.org/10.1016/j.cpr.2018.01.004CrossRefPubMed

Bostwick, J. M., Pabbati, C., Geske, J. R., & McKean, A. J. (2016). Suicide attempt as a risk factor for completed suicide: Even more lethal than we knew. American Journal of Psychiatry, 173(11), 1094–1100. https://doi.org/10.1176/appi.ajp.2016.15070854CrossRefPubMed

Bowen, M. (1975). Family therapy after twenty years. In S. Arieti (Ed.), Handbook of psychiatry (2nd ed., Vol. 5). Basic Books

Bowlby, J. (1969). Attachment and loss. Basic Books

Brener, N. D., Kann, L., McManus, T., Kinchen, S. A., Sundberg, E. C., & Ross, J. G. (2002). Reliability of the 1999 youth risk behavior survey questionnaire. [Evaluation Study]. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 31(4), 336–342

Centers for Disease Control and Prevention. (2007). Youth risk behavior surveillance system. https://www.cdc.gov/healthyyouth/data/yrbs/questionnaires.htm

Centers for Disease Control and Prevention. (2021). Youth risk behavior survey data summary & trends report. U.S. Department of Health & Human Services. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBSDataSummaryTrendsReport2019-508.pdf

Centers for Disease Control and Prevention. (2022a). Disparities in suicide. U.S. Department of Health & Human Services. https://www.cdc.gov/suicide/facts/disparities-in-suicide.html#geographic

Centers for Disease Control and Prevention. (2022b). Facts about suicide. National Center for Injury Prevention and Control. https://www.cdc.gov/suicide/facts/index.html

Choe, S. Y., & Read, S. J. (2019). Perceived parental psychological control has indirect effects on aggression via need satisfaction and motivation for revenge. Journal of Social and Personal Relationships, 36(9), 2857–2879. https://doi.org/10.1177/0265407518796325CrossRef

Choe, S. Y., Lee, J. O., & Read, S. J. (2020b). Psychological intimate partner violence, insecure attachment, and parental psychological control from adolescence to emerging adulthood. Journal of Interpersonal Violence, 37(7–8), NP4467–NP4486. https://doi.org/10.1177/0886260520957974CrossRefPubMed

Choe, S. Y., Lee, J. O., & Read, S. J. (2020a). Self‐concept as a mechanism through which parental psychological control impairs empathy development from adolescence to emerging adulthood. Social Development, 29(3), 713–731. https://doi.org/10.1111/sode.12431CrossRef

Choe, S. Y., Lee, J. O., & Read, S. J. (2021). Parental psychological control perceived in adolescence predicts jealousy toward romantic partners in emerging adulthood via insecure attachment. Social Development, 30(4), 1040–1055. https://doi.org/10.1111/sode.12514CrossRef

Choe, S. Y., Lee, J. O., & Read, S. J. (2022). Adolescent normative beliefs about aggression mediate the association between fathers’ psychological control in adolescence and physical aggression in emerging adulthood. Social Development, 31(4), 1042–1058. https://doi.org/10.1111/sode.12597CrossRef

Choe, S. Y., Laursen, B., Cheah, C. S. L., Lengua, L. J., Schoppe-Sullivan, S. J., & Bagner, D. M. (2023). Intrusiveness and emotional manipulation as facets of parental psychological control: A culturally sensitive reconceptualization. Human Development, Forthcoming. https://doi.org/10.1159/000530493

Debeuf, T., Verbeken, S., Boelens, E., Volkaert, B., Van Malderen, E., Michels, N., & Braet, C. (2020). Emotion regulation training in the treatment of obesity in young adolescents: Protocol for a randomized controlled trial. Trials, 21(1), 153. https://doi.org/10.1186/s13063-019-4020-1CrossRefPubMedPubMedCentral

Deci, E. L., & Ryan, R. M. (2000). The “What” and “Why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268. https://doi.org/10.1207/S15327965PLI1104_01CrossRef

Ehlman, D. C., Yard, E., Stone, D. M., Jones, C. M., & Mack, K. A. (2022). Changes in suicide rates—United States, 2019 and 2020. Morbidity and Mortality Weekly Report, 71(8), 306–312. https://doi.org/10.15585/mmwr.mm7108a5CrossRefPubMed

Eisenberg, N., & Spinrad, T. L. (2004). Emotion‐related regulation: Sharpening the definition. Child Development, 75(2), 334–339. https://doi.org/10.1111/j.1467-8624.2004.00674.xCrossRefPubMed

Enders, C. K. (2010). Applied missing data analysis. The Guilford Press

Frijns, T., Keijsers, L., Branje, S., & Meeus, W. (2010). What parents don’t know and how it may affect their children: Qualifying the disclosure–adjustment link. Journal of Adolescence, 33(2), 261–270. https://doi.org/10.1016/j.adolescence.2009.05.010CrossRefPubMed

Van der Giessen, D., Branje, S., Keijsers, L., Van Lier, P. A. C., Koot, H. M., & Meeus, W. (2014). Emotional variability during mother–adolescent conflict interactions: Longitudinal links to adolescent disclosure and maternal control. Journal of Adolescence, 37(1), 23–31. https://doi.org/10.1016/j.adolescence.2013.10.007CrossRefPubMed

Gonçalves, S. F., Chaplin, T. M., Turpyn, C. C., Niehaus, C. E., Curby, T. W., Sinha, R., & Ansell, E. B. (2019). Difficulties in emotion regulation predict depressive symptom trajectory from early to middle adolescence. Child Psychiatry & Human Development, 50(4), 618–630. https://doi.org/10.1007/s10578-019-00867-8CrossRef

Gottman, J. M., Katz, L. F., & Hooven, C. (1996). Parental meta-emotion philosophy and the emotional life of families: Theoretical models and preliminary data. Journal of Family Psychology, 10(3), 243–268. https://doi.org/10.1037/0893-3200.10.3.243CrossRef

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94CrossRef

Hallquist, M. N., & Wiley, J. F. (2018). MplusAutomation: An R Package for facilitating large-scale latent variable analyses in Mplus. Structural Equation Modeling: A Multidisciplinary Journal, 25(4), 621–638. https://doi.org/10.1080/10705511.2017.1402334CrossRefPubMed

Hatkevich, C., Penner, F., & Sharp, C. (2019). Difficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients. Psychiatry Research, 271, 230–238. https://doi.org/10.1016/j.psychres.2018.11.038CrossRefPubMed

Hayes, A. F. (2017). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). Guilford Press

Hedeland, R. L., Teilmann, G., Jørgensen, M. H., Thiesen, L. R., & Andersen, J., Study-Associated Pediatric Departments. (2016). Risk factors and characteristics of suicide attempts among 381 suicidal adolescents. Acta Paediatrica, 105(10), 1231–1238. https://doi.org/10.1111/apa.13458CrossRefPubMed

Huff, C., Widmer, M., McCoy, K., & Hill, B. (2003). The influence of challenging outdoor recreation on parent–adolescent communication. Therapeutic Recreation Journal, 37(1), 18–37

Hunter, S. B., Barber, B. K., Olsen, J. A., McNeely, C. A., & Bose, K. (2011). Adolescents’ self-disclosure to parents across cultures: Who discloses and why. Journal of Adolescent Research, 26(4), 447–478. https://doi.org/10.1177/0743558411402334CrossRef

de Jonge, Y. B., Nauta, M. H., & Bosmans, G. (2022). In which situations do adolescents seek parental support and what do they need. Journal of Child and Family Studies, 31(10), 2849–2859. https://doi.org/10.1007/s10826-022-02280-7CrossRef

Kegler, S. R., Stone, D. M., & Holland, K. M. (2017). Trends in suicide by level of urbanization—United States, 1999–2015. Morbidity and Mortality Weekly Report, 66(10), 270–273. https://doi.org/10.15585/mmwr.mm6610a2CrossRefPubMedPubMedCentral

Keijsers, L., Branje, S. J. T., VanderValk, I. E., & Meeus, W. (2010). Reciprocal effects between parental solicitation, parental control, adolescent disclosure, and adolescent delinquency. Journal of Research on Adolescence, 20(1), 88–113. https://doi.org/10.1111/j.1532-7795.2009.00631.xCrossRef

Kobak, R., Abbott, C., Zisk, A., & Bounoua, N. (2017). Adapting to the changing needs of adolescents: Parenting practices and challenges to sensitive attunement. Current Opinion in Psychology, 15, 137–142. https://doi.org/10.1016/j.copsyc.2017.02.018CrossRefPubMedPubMedCentral

Kushal, S. A., Amin, Y. M., Reza, S., & Shawon, M. S. R. (2021). Parent-adolescent relationships and their associations with adolescent suicidal behaviours: Secondary analysis of data from 52 countries using the Global School-based Health Survey. EClinicalMedicine, 31, 100691. https://doi.org/10.1016/j.eclinm.2020.100691CrossRefPubMed

Levi-Belz, Y., Gavish-Marom, T., Barzilay, S., Apter, A., Carli, V., Hoven, C., Sarchiapone, M., & Wasserman, D. (2019). Psychosocial factors correlated with undisclosed suicide attempts to significant others: Findings from the adolescence SEYLE study. Suicide and Life-Threatening Behavior, 49(3), 759–773. https://doi.org/10.1111/sltb.12475CrossRefPubMed

Li, L., Bai, L., Zhang, X., & Chen, Y. (2018). Family functioning during adolescence: The roles of paternal and maternal emotion dysregulation and parent–adolescent relationships. Journal of Child and Family Studies, 27(4), 1311–1323. https://doi.org/10.1007/s10826-017-0968-1CrossRef

Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198–1202. https://doi.org/10.1080/01621459.1988.10478722CrossRef

Little, T. D. (2013). Longitudinal structural equation modeling. Guilford Press

Liu, D., Chen, D., & Brown, B. B. (2020). Do parenting practices and child disclosure predict parental knowledge? A meta-analysis. Journal of Youth and Adolescence, 49(1), 1–16. https://doi.org/10.1007/s10964-019-01154-4CrossRefPubMed

Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Rodríguez-Jiménez, T., Rodríguez-Marín, J., Roca, M., Soto-Sanz, V., Vilagut, G., & Alonso, J. (2019). Gender differences in suicidal behavior in adolescents and young adults: Systematic review and meta-analysis of longitudinal studies. International Journal of Public Health, 64(2), 265–283. https://doi.org/10.1007/s00038-018-1196-1CrossRefPubMed

Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development, 16(2), 361–388. https://doi.org/10.1111/j.1467-9507.2007.00389.xCrossRefPubMed

Muthen, B. O., & Satorra, A. (1995). Complex sample data in structural equation modeling. Sociological Methodology, 25, 267. https://doi.org/10.2307/271070CrossRef

Muthén, L. K., & Muthén, B. O. (2022). Mplus User’s Guide (8.8). Muthén & Muthén

Neacsiu, A. D., Fang, C. M., Rodriguez, M., & Rosenthal, M. Z. (2018). Suicidal behavior and problems with emotion regulation. Suicide and Life-Threatening Behavior, 48(1), 52–74. https://doi.org/10.1111/sltb.12335CrossRefPubMed

Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8(1), 161–187. https://doi.org/10.1146/annurev-clinpsy-032511-143109CrossRefPubMed

Nolen-Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Personality and Individual Differences, 51(6), 704–708. https://doi.org/10.1016/j.paid.2011.06.012CrossRef

Onega, T., Weiss, J. E., Alford‐Teaster, J., Goodrich, M., Eliassen, M. S., & Kim, S. J. (2020). Concordance of rural‐urban self‐identity and zip code‐derived rural‐urban commuting area (RUCA) designation. The Journal of Rural Health, 36(2), 274–280. https://doi.org/10.1111/jrh.12364CrossRefPubMed

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. https://doi.org/10.3758/BRM.40.3.879CrossRefPubMed

R Core Team. (2022). R: A language and environment for statistical computing (4.2.0 “Vigorous Calisthenics”). R Foundation for Statistical Computing. https://www.R-project.org/

Revelle, W. (2022). psych: Procedures for personality and psychological research (2.2.5). Northwestern University. https://personality-project.org/r/

Richardson, H. B. (1983). Classic reprints: The family equilibrium. Family Systems Medicine, 1(1), 62–74. https://doi.org/10.1037/h0090110CrossRef

Ruch, D. A., Sheftall, A. H., Schlagbaum, P., Rausch, J., Campo, J. V., & Bridge, J. A. (2019). Trends in suicide among youth aged 10 to 19 years in the United States, 1975 to 2016. JAMA Network Open, 2(5), e193886. https://doi.org/10.1001/jamanetworkopen.2019.3886CrossRefPubMedPubMedCentral

Runkle, J. R., Harden, S., Hart, L., Moreno, C., Michael, K., & Sugg, M. M. (2022). Socioenvironmental drivers of adolescent suicide in the United States: A scoping review. Journal of Rural Mental Health. https://doi.org/10.1037/rmh0000208

Shaughnessy, L., Doshi, S. R., & Jones, S. E. (2004). Attempted suicide and associated health risk behaviors among Native American high school students. Journal of School Health, 74(5), 177–182CrossRefPubMed

Stifter, C., & Augustine, M. (2019). Emotion regulation. In V. LoBue, K. Pérez-Edgar, & K. A. Buss (Eds.), Handbook of emotional development (pp. 405–430). Springer International Publishing. https://doi.org/10.1007/978-3-030-17332-6_16

Thayer, J. F., Rossy, L. A., & Ruiz-Padial, E. (2003). Gender differences in the relationship between emotional regulation and depressive symptoms. Cognitive Therapy and Research, 27(3), 349–364. https://doi.org/10.1023/A:1023922618287CrossRef

Tilton‐Weaver, L., Kerr, M., Pakalniskeine, V., Tokic, A., Salihovic, S., & Stattin, H. (2010). Open up or close down: How do parental reactions affect youth information management?☆. Journal of Adolescence, 33(2), 333–346. https://doi.org/10.1016/j.adolescence.2009.07.011CrossRefPubMed

Tsang, Y. T., Franklin, M., Sala-Hamrick, K., Kohlberger, B., Simon, V. A., Partridge, T., & Barnett, D. (2020). Caregivers as gatekeepers: Professional mental health service use among urban minority adolescents. American Journal of Orthopsychiatry, 90(3), 328–339. https://doi.org/10.1037/ort0000432.CrossRefPubMed

Urry, S. A., Nelson, L. J., & Padilla-Walker, L. M. (2011). Mother knows best: Psychological control, child disclosure, and maternal knowledge in emerging adulthood. Journal of Family Studies, 17(2), 157–173. https://doi.org/10.5172/jfs.2011.17.2.157CrossRef

Venta, A., Hatkevich, C., Sharp, C., & Rotenberg, K. (2017). Low emotional trust in mothers is associated with increased suicide attempts in inpatient adolescents with depressive symptoms. Journal of Social and Clinical Psychology, 36(3), 221–237. https://doi.org/10.1521/jscp.2017.36.3.221CrossRef

Verzeletti, C., Zammuner, V. L., Galli, C., & Agnoli, S. (2016). Emotion regulation strategies and psychosocial well-being in adolescence. Cogent Psychology, 3(1), 1199294. https://doi.org/10.1080/23311908.2016.1199294CrossRef

Victor, S. E., & Klonsky, E. D. (2016). Validation of a brief version of the Difficulties in Emotion Regulation Scale (DERS-18) in five samples. Journal of Psychopathology and Behavioral Assessment, 38(4), 582–589. https://doi.org/10.1007/s10862-016-9547-9CrossRef

Volkaert, B., Wante, L., Loeys, T., Boelens, E., & Braet, C. (2022). The evaluation of Boost Camp: A universal school-based prevention program targeting adolescent emotion regulation skills. School Mental Health, 14(2), 440–453. https://doi.org/10.1007/s12310-021-09478-yCrossRef

Wall, K., Vanwoerden, S., Penner, F., Patriquin, M., Alfano, C. A., & Sharp, C. (2022). Adolescent sleep disturbance, emotion regulation and borderline features in an inpatient setting. Journal of Clinical Child & Adolescent Psychology, 51(6), 892–906. https://doi.org/10.1080/15374416.2020.1772081CrossRef

Wang, X., & Qiao, Y. (2022). Parental phubbing, self-esteem, and suicidal ideation among Chinese adolescents: A longitudinal mediational analysis. Journal of Youth and Adolescence, 51(11), 2248–2260. https://doi.org/10.1007/s10964-022-01655-9CrossRefPubMed

Whitlock, J., Wyman, P. A., & Moore, S. R. (2014). Connectedness and suicide prevention in adolescents: Pathways and implications. Suicide and Life-Threatening Behavior, 44(3), 246–272. https://doi.org/10.1111/sltb.12071CrossRefPubMed

Willse, J. T. (2018). CTT: Classical test theory functions (R package version 2.3.3.). https://CRAN.R-project.org/package=CTT

Wyman, P. A., Brown, C. H., LoMurray, M., Schmeelk-Cone, K., Petrova, M., Yu, Q., Walsh, E., Tu, X., & Wang, W. (2010). An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools. American Journal of Public Health, 100(9), 1653–1661. https://doi.org/10.2105/AJPH.2009.190025CrossRefPubMedPubMedCentral

Wyman, P. A., Pickering, T. A., Pisani, A. R., Rulison, K., Schmeelk‐Cone, K., Hartley, C., Gould, M., Caine, E. D., LoMurray, M., Brown, C. H., & Valente, T. W. (2019). Peer‐adult network structure and suicide attempts in 38 high schools: Implications for network‐informed suicide prevention. Journal of Child Psychology and Psychiatry, 60(10), 1065–1075. https://doi.org/10.1111/jcpp.13102CrossRefPubMed

Titel: Adolescents’ Comfort in Disclosing to Caregivers Predicts Suicidal Thoughts and Behaviors Directly and Indirectly Through Difficulties in Emotion Regulation
Auteurs: So Young Choe
Liliana J. Lengua
Joseph P. McFall
Peter A. Wyman
Publicatiedatum: 13-05-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Youth and Adolescence / Uitgave 8/2023
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI: https://doi.org/10.1007/s10964-023-01785-8

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 8/2023

Childhood Overeating and Disordered Eating From Early Adolescence to Young Adulthood: A Longitudinal Study on the Mediating Role of BMI, Victimization and Desire for Thinness

Cultural Stress Profiles: Describing Different Typologies of Migration Related and Cultural Stressors among Hispanic or Latino Youth

Positive and Negative Leadership in Late Childhood: Similarities in Individual but Differences in Interpersonal Characteristics

Modeling Adolescent Social Inclusion to Improve School Completion

Transactional Links Between Parenting and Big Two Personality Traits Across Early Adolescence: Between- and Within-Family Effects

Predicting Adolescent Mental Health Outcomes Across Cultures: A Machine Learning Approach