Top

Gepubliceerd in:

01-10-2012 | Empirical Research

Associations Between Suicidal High School Students’ Help-Seeking and Their Attitudes and Perceptions of Social Environment

Auteurs: Anthony R. Pisani, Karen Schmeelk-Cone, Douglas Gunzler, Mariya Petrova, David B. Goldston, Xin Tu, Peter A. Wyman

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 10/2012

Abstract

Suicide is a leading cause of death among adolescents, many of whom fail to disclose suicide concerns to adults who might help. This study examined patterns and predictors of help-seeking behavior among adolescents who seriously considered suicide in the past year. 2,737 students (50.9 % female, 46.9 % male; racial distribution 79.5 % Caucasian, 11.9 % Hispanic/Latino, and 3.6 % Black/African-American) from 12 high schools in rural/underserviced communities were surveyed to assess serious suicide ideation (SI) in the past year, disclosure of SI to adults and peers, attempts to get help, attitudes about help-seeking, perceptions of school engagement, and coping support. Help-seeking was defined as both disclosing SI to an adult and perceiving oneself as seeking help. The relationship between adolescents’ help-seeking disclosure and (1) help-seeking attitudes and (2) perceptions of social resources was examined among suicidal help-seeking youth, suicidal non-help-seeking youth, and non-suicidal youth. Of the 381 (14 %) students reporting SI, only 23 % told an adult, 29 % sought adult help, and 15 % did both. Suicidal help-seekers were similar to non-suicidal peers on all measures of help-seeking attitudes and social environment perceptions. Positive attitudes about help-seeking from adults at school, perceptions that adults would respond to suicide concerns, willingness to overcome peer secrecy requests, and greater coping support and engagement with the school were associated with students’ increased disclosure of SI and help-seeking. This study supports prevention strategies that change student norms, attitudes and social environments to promote help-seeking among adolescents with SI. Promising intervention targets include increasing students’ perceptions of the availability and capability of adults to help them, and strengthening students’ understanding of how existing resources can help them cope.

vorige artikel Adolescents with Learning Disabilities: Socioemotional and Behavioral Functioning and Attachment Relationships with Fathers, Mothers, and Teachers

volgende artikel Developmental Associations Between Adolescent Change in Depressive Symptoms and Menstrual-Cycle-Phase-Specific Negative Affect During Early Adulthood

The United States National School Lunch Program is “a federally assisted meal program operating in public and nonprofit private schools and residential child care institutions. It provides nutritionally balanced, low-cost or free lunches to children each school day.” Source: http://www.fns.usda.gov/cnd/lunch/. Accessed January 12, 2012.

Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.PubMedCrossRef

Angold, A., Costello, E. J., Messer, S., Pickles, A., Winder, F., & Silver, D. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237–249.

Apter, A. (2001). Relationship between self-disclosure and serious suicidal behavior. Comprehensive Psychiatry, 42(1), 70–75. doi:10.1053/comp.2001.19748.PubMedCrossRef

Aseltine, R. H., Jr, & DeMartino, R. (2004). An outcome evaluation of the SOS suicide prevention program. American Journal of Public Health, 94(3), 446–451.PubMedCrossRef

Biddle, L., Gunnell, D., Sharp, D., & Donovan, J. (2004). Factors influencing help seeking in mentally distressed young adults: A cross-sectional survey. British Journal of General Practice, 54(501), 248–253.PubMed

Boldero, J., & Fallon, B. (1995). Adolescent help-seeking: What do they get help for and from whom? Journal of Adolescence, 18(2), 193–209.CrossRef

Boyd, C., Hayes, L., Nurse, S., Aisbett, D., Francis, K., Newnham, K., et al. (2011). Preferences and intention of rural adolescents toward seeking help for mental health problems. Rural and Remote Health, 11, 1582. http://1.usa.gov/HQvj8s.

Brener, N. D., Krug, E. G., & Simon, T. R. (2000). Trends in suicide ideation and suicidal behavior among high school students in the United States, 1991–1997. Suicide and Life-Threatening Behavior, 30(4), 304–312.PubMed

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: Offificial Publication of the Society for Adolescent Medicine, 31(4), 336–342.

Brent, D. A., Perper, J. A., Moritz, G., Allman, C., Friend, A., Roth, C., et al. (1993). Psychiatric risk factors for adolescent suicide: A case-control study. Journal of the American Academy of Child and Adolescent Psychiatry, 32(3), 521–529. doi:10.1097/00004583-199305000-00006.PubMedCrossRef

Breslow, N., & Clayton, D. (1993). Approximate inference in generalized linear mixed models. Journal of the American Statistical Association, 88(421), 9–25.CrossRef

Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry, 47(3–4), 372–394. doi:10.1111/j.1469-7610.2006.01615.x.

Bringewatt, E. H., & Gershoff, E. T. (2010). Falling through the cracks: Gaps and barriers in the mental health system for America’s disadvantaged children. Children and Youth Services Review, 32(10), 1291–1299. Elsevier Ltd. doi:10.1016/j.childyouth.2010.04.021.

Brown, C. H., Wyman, P. A., Brinales, J. M., & Gibbons, R. D. (2007). The role of randomized trials in testing interventions for the prevention of youth suicide. International Review of Psychiatry, 19(6), 617–631. doi:10.1080/09540260701797779.

Carlton, P. A., & Deane, F. P. (2000). Impact of attitudes and suicidal ideation on adolescents’ intentions to seek professional psychological help. Journal of Adolescence, 23(1), 35–45. doi:10.1006/jado.1999.0299.PubMedCrossRef

Casey, B., Jones, R., Levita, L., Libby, V., Pattwell, S., Ruberry, E., et al. (2010). The storm and stress of adolescence: Insights from human imaging and mouse genetics. Developmental Psychobiology, 52(3), 225–235.PubMed

Chaudoir, S. R., & Fisher, J. D. (2010). The disclosure processes model: understanding disclosure decision making and postdisclosure outcomes among people living with a concealable stigmatized identity. Psychological Bulletin, 136(2), 236–256. doi:10.1037/a0018193.PubMedCrossRef

Ciarrochi, J., Deane, F., Wilson, C., & Rickwood, D. (2002). Adolescents who need help the most are the least likely to seek it: The relationship between low emotional competence and low intention to seek help. British Journal of Guidance & Counselling, 30(2), 173–188.CrossRef

Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676–684. doi:10.1037/0003-066X.59.8.676.PubMedCrossRef

Cohen, P., & Hesselbart, C. S. (1993). Demographic factors in the use of children’s mental health services. American Journal of Public Health, 83(1), 49.PubMedCrossRef

Costello, E. J., Pescosolido, B., Angold, A., & Burns, B. J. (1998). A family network-based model of access to child mental health services. In J. P. Morrissey (Ed.), Research in community and mental health: Social networks and mental illness (Vol. 9, pp. 165–190). Stamford, CT: JAI Press.

Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., Harris, W. A., & Lowry, R. (2008). Youth risk behavior surveillance—United States, 2007. MMWR Recommendations and Reports, 57(SS-4), 1–131.

Eaton, D. K., Lowry, R., Brener, N. D., Galuska, D. A., & Crosby, A. E. (2005). Associations of body mass index and perceived weight with suicide ideation and suicide attempts among US high school students. Archives of Pediatric and Adolescent Medicine, 159(6), 513–519. doi:10.1001/archpedi.159.6.513.CrossRef

Epstein, R., Duberstein, P., Feldman, M., Rochlen, A., Bell, R., Kravitz, R., et al. (2010). “I Didn’t Know What Was Wrong:” How People with Undiagnosed Depression Recognize, Name and Explain Their Distress. Journal of General Internal Medicine, 25(9), 954–961. doi:10.1007/s11606-010-1367-0.PubMedCrossRef

Freedenthal, S. (2010). Adolescent help-seeking and the Yellow ribbon suicide prevention program: An evaluation. Suicide and Life-Threatening Behavior, 40(6), 628–639.PubMedCrossRef

Goldston, D. B., Daniel, S. S., Erkanli, A., Reboussin, B. A., Mayfield, A., Frazier, P. H., et al. (2009). Psychiatric diagnoses as contemporaneous risk factors for suicide attempts among adolescents and young adults: Developmental changes. Journal of Consulting and Clinical Psychology, 77(2), 281–290. doi:10.1037/a0014732.PubMedCrossRef

Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42(4), 386–405.PubMedCrossRef

Gould, M. S., Velting, D., Kleinman, M., Lucas, C., Thomas, J. G., & Chung, M. (2004). Teenagers’ attitudes about coping strategies and help-seeking behavior for suicidality. Journal of the American Academy of Child and Adolescent Psychiatry, 43(9), 1124–1133. doi:10.1097/01.chi.0000132811.06547.31.PubMedCrossRef

Grunbaum, J. A., Kann, L., Kinchen, S., Ross, J., Hawkins, J., Lowry, R., et al. (2004). Youth risk behavior surveillance—United States, 2003. MMWR Surveillance Summaries, 53, 1–96.

Hirsch, J. K. (2006). A review of the literature on rural suicide. Crisis, 27(4), 189–199.PubMedCrossRef

Insel, B. J., & Gould, M. S. (2008). Impact of modeling on adolescent suicidal behavior. Psychiatric Clinics of North America, 31(2), 293–316. doi:10.1016/j.psc.2008.01.007.PubMedCrossRef

Institute of Medicine Committee on the Prevention of Mental Disorders and Substance Abuse Among Children Youth and Young Adults (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Academies Press.

Jacobson, C. M., Marrocco, F., Kleinman, M., & Gould, M. S. (2011). Restrictive emotionality, depressive symptoms, and suicidal thoughts and behaviors among high school students. Journal of Youth and Adolescence, 40, 656–665.PubMedCrossRef

Kerr, D., Owen, L., Pears, K., & Capaldi, D. (2008). Prevalence of suicidal ideation among boys and men assessed annually from ages 9 to 29 years. Suicide and Life-Threatening Behavior, 38(4), 390.PubMedCrossRef

Kessler, R. C., Avenevoli, S., & Ries Merikangas, K. (2001). Mood disorders in children and adolescents: An epidemiologic perspective. Biological Psychiatry, 49(12), 1002–1014.PubMedCrossRef

Klaus, N., Mobilio, A., & King, C. (2009). Parent–Adolescent agreement concerning Adolescents’ suicidal thoughts and behaviors. Journal of Clinical Child & Adolescent Psychology, 38(2), 245–255.CrossRef

Lerner, R. M., Eye, A., Lerner, J. V., Lewin-Bizan, S., & Bowers, E. P. (2010). Special issue introduction: The meaning and measurement of thriving: A view of the issues. Journal of Youth and Adolescence, 39(7), 707–719. doi:10.1007/s10964-010-9531-8.PubMedCrossRef

Lindsey, M., Korr, W., Broitman, M., Bone, L., Green, A., & Leaf, P. (2006). Help-seeking behaviors and depression among African American adolescent boys. Social Work, 51(1), 49–58.PubMedCrossRef

Logan, D. E., & King, C. A. (2001). Parental facilitation of adolescent mental health services utilization: A conceptual and empirical review. Clinical Psychology: Science and Practice, 8(3), 319–333. doi:10.1093/clipsy/8.3.319.CrossRef

Logan, D., & King, C. (2002). Parental identification of depression and mental health service use among depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 41(3), 296.PubMedCrossRef

LoMurray, M. (2005). Sources of strength facilitators guide: Suicide prevention peer gatekeeper training. Bismarck, ND: The North Dakota Suicide Prevention Project.

Maggs, J., Schulenberg, J., & Hurrelmann, K. (1997). Developmental transitions during adolescence: Health promotion implications. In J. Schulenberg, J. Maggs, & K. Hurrelmann (Eds.), Health risks and developmental transitions during adolescence (pp. 522–546). Cambridge: Cambridge Univ Press.

McCarty, C. A., Russo, J., Grossman, D. C., Katon, W., Rockhill, C., McCauley, E., et al. (2011). Adolescents with suicidal ideation: Health care use and functioning. Academic Pediatrics, 11(5), 422–426. doi:10.1016/j.acap.2011.01.004.PubMedCrossRef

Messer, S. C., Angold, A., Costello, E. J., Loeber, R., Van Kammen, W., & Stouthamer-Loeber, M. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents: Factor composition and structure across development. International Journal of Methods in Psychiatric Research, 5, 251–262.

Muehlenkamp, J. J., Walsh, B. W., & McDade, M. (2009). Preventing non-suicidal self-injury in adolescents: The signs of self-injury program. Journal of Youth and Adolescence, 39(3), 306–314. doi:10.1007/s10964-009-9450-8.PubMedCrossRef

O’Donnell, L., Stueve, A., Wardlaw, D., & O’Donnell, C. (2003). Adolescent suicidality and adult support: The reach for health study of urban youth. American Journal of Health Behavior, 27(6), 633–644.PubMedCrossRef

Olafsdottir, S., & Pescosolido, B. A. (2009). Drawing the line: The cultural cartography of utilization recommendations for mental health problems. Journal of Health and Social Behavior, 50(2), 228–244.

Perez, V. W. (2005). The relationship between seriously considering, planning, and attempting suicide in the youth risk behavior survey. Suicide and Life-Threatening Behavior, 35(1), 35–49. doi:10.1521/suli.35.1.35.59267.PubMedCrossRef

Pescosolido, B. (1992). Beyond rational choice: The social dynamics of how people seek help. American Journal of Sociology, 97, 1096–1138.CrossRef

Rao, C. (1973). Linear statistical inference and it’s applications (2nd ed.). New York: Wiley & Company.CrossRef

Rickwood, D. J., Deane, F. P., & Wilson, C. J. (2007). When and how do young people seek professional help for mental health problems? Medical Journal of Australia, 187(7 suppl), S35–S39.PubMed

Rughani, J., Deane, F. P., & Wilson, C. J. (2011). Rural adolescents’ help-seeking intentions for emotional problems: The influence of perceived benefits and stoicism. Australian Journal of Rural Health, 19(2), 64–69. doi:10.1111/j.1440-1584.2011.01185.x.PubMedCrossRef

SAS. (2008). SAS, Version 9.2. Cary, NC: SAS Institute Inc.

Saunders, S. M., Resnick, M. D., Hoberman, H. M., & Blum, R. W. (1994). Formal help-seeking behavior of adolescents identifying themselves as having mental health problems. Journal of the American Academy of Child and Adolescent Psychiatry, 33(5), 718–728. doi:10.1097/00004583-199406000-00013.PubMedCrossRef

Schmeelk-Cone, K., Pisani, A. R., Petrova, M., & Wyman, P. A. (2012). Three scales assessing high school students’ attitudes and perceived norms about seeking adult help for distress and suicide concerns. Suicide and Life Threatening Behavior, 42(2), 157–172. doi:10.1111/j.1943-278X.2011.00079.x.CrossRef

Seiffge-Krenke, I., & Klessinger, N. (2000). Long-term effects of avoidant coping on adolescents’ depressive symptoms. Journal of Youth and Adolescence, 29(6), 617–630.CrossRef

Sen, B. (2004). Adolescent propensity for depressed mood and help seeking: Race and gender differences. Journal of Mental Health Policy and Economics, 7(3), 133–145.PubMed

Shaffer, D., Gould, M. S., Fisher, P., Trautman, P., et al. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53(4), 339–348.PubMedCrossRef

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), 177–182.PubMedCrossRef

Stiffman, A. R., Pescosolido, B., & Cabassa, L. J. (2004). Building a model to understand youth service access: The gateway provider model. Mental Health Services Research, 6(4), 189–198.PubMedCrossRef

Swahn, M. H., & Bossarte, R. M. (2007). Gender, early alcohol use, and suicide ideation and attempts: Findings from the 2005 youth risk behavior survey. Journal of Adolescent Health, 41(2), 175–181. doi:10.1016/j.jadohealth.2007.03.003.

Valente, T. W. (2010). Social networks and health: Models, methods, and applications. New York: Oxford University press USA.

Whitlock, J. (2007). The role of adults, public space, and power in adolescent community connectedness. Journal of Community Psychology, 35(4), 499–518.CrossRef

Wilson, C. J., & Deane, F. P. (2010). Brief report: Need for autonomy and other perceived barriers relating to adolescents’ intentions to seek professional mental health care. Journal of Adolescence, 1-5, doi:10.1016/j.adolescence.2010.06.011.

Wilson, C. J., Deane, F. P., Marshall, K. L., & Dalley, A. (2010). Adolescents’ suicidal thinking and reluctance to consult general medical practitioners. Journal of Youth and Adolescence, 39(4), 343–356. doi:10.1007/s10964-009-9436-6.PubMedCrossRef

Wilson, C. J., Rickwood, D., & Deane, F. P. (2007). Depressive symptoms and help-seeking intentions in young people. Clinical Psychologist, 11(3), 98–107. doi:10.1080/13284200701870954.CrossRef

Wu, P., Katic, B., Liu, X., Fan, B., & Fuller, C. (2010). Mental health service use among suicidal adolescents: Findings from a us national community survey. Psychiatric Services, 61(1), 17.PubMedCrossRef

WWAMI Rural Health Research Center (2004). 2004 ZIP RUCA Code files. http://depts.washington.edu/uwruca/ruca-download.php, Accessed March 13, 2012.

Wyman, P. A., Brown, C. H., Inman, J., Cross, W., Schmeelk-Cone, K., Guo, J., et al. (2008). Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. Journal of Consulting and Clinical Psychology, 76(1), 104–115. doi:10.1037/0022-006X.76.1.104.PubMedCrossRef

Wyman, P. A., Brown, C. H., LoMurray, M., Schmeelk-Cone, K., Petrova, M., Yu, Q., et al. (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.PubMedCrossRef

Xu, J., Kochaneck, K., Murphy, S., & Tejada-Vera, B. (2010). Deaths: Final data for 2007. National Vital Statistics Reports, 58(19), 1–73.

Yakunina, E. S., Rogers, J. R., Waehler, C. A., & Werth, J. L., Jr. (2010). College students’ intentions to seek help for suicidal ideation: Accounting for the help-negation effect. Suicide & life-threatening behavior, 40(5), 438–450. doi:10.1521/suli.2010.40.5.438.CrossRef

Zhang, H., Lu, N., Feng, C., Thurston, S., Xia, Y., & Tu, X. (2011). On fitting generalized linear mixed-effects models for binary responses using different statistical packages. Statistics in Medicine, 30(20), 2562–2572.

Zullig, K. J., Pun, S., Patton, J. M., & Ubbes, V. A. (2006). Reliability of the 2005 middle school youth risk behavior survey. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 39(6), 856–860.CrossRef

Titel: Associations Between Suicidal High School Students’ Help-Seeking and Their Attitudes and Perceptions of Social Environment
Auteurs: Anthony R. Pisani
Karen Schmeelk-Cone
Douglas Gunzler
Mariya Petrova
David B. Goldston
Xin Tu
Peter A. Wyman
Publicatiedatum: 01-10-2012
Uitgeverij: Springer US
Gepubliceerd in: Journal of Youth and Adolescence / Uitgave 10/2012
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI: https://doi.org/10.1007/s10964-012-9766-7

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 10/2012

Acculturation, Enculturation, and Symptoms of Depression in Hispanic Youth: The Roles of Gender, Hispanic Cultural Values, and Family Functioning

What are the Unique and Interacting Contributions of School and Family Factors to Early Adolescents’ Empathic Concern and Perspective Taking?

Mothers’ Differential Treatment of Adolescent Siblings: Predicting College Attendance of Sisters Versus Brothers

Patricia A. Adler and Peter Adler: The tender cut: Inside the hidden world of self-injury

Invited Commentary: Applying Psychodynamic Developmental Assessment to Explore Mental Functioning in Adolescents

Developmental Associations Between Adolescent Change in Depressive Symptoms and Menstrual-Cycle-Phase-Specific Negative Affect During Early Adulthood