Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Journal of Youth and Adolescence 6/2011

01-06-2011 | Empirical Research

Restrictive Emotionality, Depressive Symptoms, and Suicidal Thoughts and Behaviors Among High School Students

Auteurs: Colleen M. Jacobson, Frank Marrocco, Marjorie Kleinman, Madelyn S. Gould

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 6/2011

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Depression and suicidal thoughts and behaviors are prevalent among youth today. The current study sought to further our understanding of the correlates of depression and suicidality by assessing the relationship between restrictive emotionality (difficulty understanding and expressing emotions) and depressive symptoms and suicidal ideation and attempts among adolescents. A large group of high school students (n = 2189, 58.3% male; 13–18 years of age) completed a self-report survey as part of a 2-stage suicide screening project. Logistic regression analyses were used to assess the association between restrictive emotionality and depressive symptoms, suicidal ideation, and suicide attempts. Those reporting high restrictive emotionality were 11 times more likely to have elevated depressive symptom scores, 3 times more likely to report serious suicidal ideation (after controlling for depressive symptoms), and more than twice as likely to report a suicide attempt (after controlling for depressive symptoms) than those reporting low restrictive emotionality. Restrictive emotionality partially mediated the relationship between depressive symptoms and suicidal ideation and behavior. The pattern of association between restrictive emotionality and the outcome variables was similar for boys and girls. Restrictive emotionality is highly associated with elevated depressive symptoms and suicidal thoughts and behaviors among high school students, and may be a useful specific target in prevention and treatment efforts.
Literatuur
go back to reference Andover, M. A., Pepper, C. M., & Gibb, B. E. (2007). Self-mutilation and coping strategies in a college sample. Suicide and Life Threatening Behavior, 37, 238–243. PubMedCrossRef Andover, M. A., Pepper, C. M., & Gibb, B. E. (2007). Self-mutilation and coping strategies in a college sample. Suicide and Life Threatening Behavior, 37, 238–243. PubMedCrossRef
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. PubMedCrossRef
go back to reference Beautrais, A. L. (2001). Child and young adolescent suicide in New Zealand. Australian and New Zealand Journal of Psychiatry, 35, 647–653. PubMedCrossRef Beautrais, A. L. (2001). Child and young adolescent suicide in New Zealand. Australian and New Zealand Journal of Psychiatry, 35, 647–653. PubMedCrossRef
go back to reference Beautrais, A. L., Joyce, P. R., & Mulder, R. T. (1996). Risk factors for serious suicide attempts among youths aged 13 through 24 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1174–1182. PubMedCrossRef Beautrais, A. L., Joyce, P. R., & Mulder, R. T. (1996). Risk factors for serious suicide attempts among youths aged 13 through 24 years. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1174–1182. PubMedCrossRef
go back to reference Beck, A. T., & Steer, R. A. (1993). Manual for the Beck depression inventory. San Antonio: The Psychological Corporation. Beck, A. T., & Steer, R. A. (1993). Manual for the Beck depression inventory. San Antonio: The Psychological Corporation.
go back to reference Bennett, D. S., Ambrosini, P. J., Bianchi, M., Barnett, D., Metz, C., & Rabinovich, H. (1997). Relationship of Beck depression inventory factors to depression among adolescents. Journal of Affective Disorders, 45, 127–134. PubMedCrossRef Bennett, D. S., Ambrosini, P. J., Bianchi, M., Barnett, D., Metz, C., & Rabinovich, H. (1997). Relationship of Beck depression inventory factors to depression among adolescents. Journal of Affective Disorders, 45, 127–134. PubMedCrossRef
go back to reference Blazina, C., Pisecco, S., & O’Neil, J. M. (2005). An adaptation of the gender role conflict scale for adolescents: Psychometric issues and correlates with psychological distress. Psychology of Men and Masculinity, 6, 39–45. CrossRef Blazina, C., Pisecco, S., & O’Neil, J. M. (2005). An adaptation of the gender role conflict scale for adolescents: Psychometric issues and correlates with psychological distress. Psychology of Men and Masculinity, 6, 39–45. CrossRef
go back to reference Boergers, J., Spirito, A., & Donaldson, D. (1998). Reasons for adolescents suicide attempts: Associations with psychological functioning. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 1287–1293. CrossRef Boergers, J., Spirito, A., & Donaldson, D. (1998). Reasons for adolescents suicide attempts: Associations with psychological functioning. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 1287–1293. CrossRef
go back to reference Brent, D. A., Baugher, M., Bridge, J. A., Chen, H., & Chiappetta, L. (1999). Age- and sex- related risk factors for adolescent suicide. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 1497–1505. CrossRef Brent, D. A., Baugher, M., Bridge, J. A., Chen, H., & Chiappetta, L. (1999). Age- and sex- related risk factors for adolescent suicide. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 1497–1505. CrossRef
go back to reference Centers for Disease Control and Prevention. (2008). Youth Risk Behavior Surveillance—United States, 2007. Surveillance Summaries, June 6. Morbidity and Mortality Weekly Report, 57 (No.SS-4). Centers for Disease Control and Prevention. (2008). Youth Risk Behavior Surveillance—United States, 2007. Surveillance Summaries, June 6. Morbidity and Mortality Weekly Report, 57 (No.SS-4).
go back to reference Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., et al. (2008). Youth risk behavior surveillance- United States, 2005. Morbidity and Mortality Weekly Reports, 57, 1–131. Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., et al. (2008). Youth risk behavior surveillance- United States, 2005. Morbidity and Mortality Weekly Reports, 57, 1–131.
go back to reference Foley, D. L., Goldston, D. B., Costello, E., & Angold, A. (2006). Proximal psychiatric risk factors for suicidal thoughts and behaviors in youth: The Great Smoky Mountains Study. Archives of General Psychiatry, 63, 1017–1024. PubMedCrossRef Foley, D. L., Goldston, D. B., Costello, E., & Angold, A. (2006). Proximal psychiatric risk factors for suicidal thoughts and behaviors in youth: The Great Smoky Mountains Study. Archives of General Psychiatry, 63, 1017–1024. PubMedCrossRef
go back to reference Gould, M. S., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., Kramer, R., et al. (1998). Psychopathology assoiciated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 915–923. CrossRef Gould, M. S., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., Kramer, R., et al. (1998). Psychopathology assoiciated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 915–923. CrossRef
go back to reference Gould, M., Marrocco, F., Kleinman, M., Thomas, J. G., Mostkoff, K., Cote, J., et al. (2005). Evaluating iatrogenic risk of youth suicide screening programs: A randomized controlled trial. Journal of the American Medical Association, 293, 1635–1643. PubMedCrossRef Gould, M., Marrocco, F., Kleinman, M., Thomas, J. G., Mostkoff, K., Cote, J., et al. (2005). Evaluating iatrogenic risk of youth suicide screening programs: A randomized controlled trial. Journal of the American Medical Association, 293, 1635–1643. PubMedCrossRef
go back to reference Gould, M. S., Velting, D. M., Kleinman, M., Lucas, C. P., Thomas, J. G., & Chung, M. (2004). Teenagers’ attitudes about coping strategies and help-seeking behavior for suicidality. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 1124–1133. CrossRef Gould, M. S., Velting, D. M., Kleinman, M., Lucas, C. P., Thomas, J. G., & Chung, M. (2004). Teenagers’ attitudes about coping strategies and help-seeking behavior for suicidality. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 1124–1133. CrossRef
go back to reference Gratz, K. L. (2006). Risk factors for deliberate self-harm among female college students: The role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity. American Journal of Orthopsychiatry, 76, 238–250. PubMedCrossRef Gratz, K. L. (2006). Risk factors for deliberate self-harm among female college students: The role and interaction of childhood maltreatment, emotional inexpressivity, and affect intensity/reactivity. American Journal of Orthopsychiatry, 76, 238–250. PubMedCrossRef
go back to reference Hawton, K., Cole, D., O’Grady, J., & Osborn, M. (1982). Motivational aspects of deliberate self-poisoning in adolescents. British Journal of Psychiatry, 141, 286–291. PubMedCrossRef Hawton, K., Cole, D., O’Grady, J., & Osborn, M. (1982). Motivational aspects of deliberate self-poisoning in adolescents. British Journal of Psychiatry, 141, 286–291. PubMedCrossRef
go back to reference Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from child-clinical and pediatric psychology literature. Journal of Consulting and Clinical Psychology, 65, 599–619. PubMedCrossRef Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples from child-clinical and pediatric psychology literature. Journal of Consulting and Clinical Psychology, 65, 599–619. PubMedCrossRef
go back to reference Jacobson, C. M., & Gould, M. (2008). Suicide and non-suicidal self-injurious behaviors among youth: Risk and protective factors. In S. Nolen-Hoeksema & E. M. Hill (Eds.), Handbook of depression in adolescents (pp. 207–236). New York: Taylor & Francis, Inc. Jacobson, C. M., & Gould, M. (2008). Suicide and non-suicidal self-injurious behaviors among youth: Risk and protective factors. In S. Nolen-Hoeksema & E. M. Hill (Eds.), Handbook of depression in adolescents (pp. 207–236). New York: Taylor & Francis, Inc.
go back to reference Keane, E. M., Dick, R. W., Bechtold, D. W., & Manson, S. M. (1996). Predictive and concurrent validity of the Suicidal Ideation Questionnaire among American Indian adolescents. Journal of Abnormal Child Psychology, 24, 735–747. PubMedCrossRef Keane, E. M., Dick, R. W., Bechtold, D. W., & Manson, S. M. (1996). Predictive and concurrent validity of the Suicidal Ideation Questionnaire among American Indian adolescents. Journal of Abnormal Child Psychology, 24, 735–747. PubMedCrossRef
go back to reference Kienhorst, I. C., Wilde, E. J., Diekstra, R. F. W., & Wolters, W. H. G. (1995). Adolescents’ image of their suicide attempt. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 623–628. CrossRef Kienhorst, I. C., Wilde, E. J., Diekstra, R. F. W., & Wolters, W. H. G. (1995). Adolescents’ image of their suicide attempt. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 623–628. CrossRef
go back to reference King, C. A., Hill, E. M., Naylor, M., Evans, T., & Shain, B. (1993). Alcohol consumption in relation to other predictors of suicidal thoughts and behaviors among adolescent inpatient girls. Journal of the American Academy of Child & Adolescent Psychiatry, 32, 82–88. CrossRef King, C. A., Hill, E. M., Naylor, M., Evans, T., & Shain, B. (1993). Alcohol consumption in relation to other predictors of suicidal thoughts and behaviors among adolescent inpatient girls. Journal of the American Academy of Child & Adolescent Psychiatry, 32, 82–88. CrossRef
go back to reference Lloyd-Richardson, E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37, 1183–1192. PubMedCrossRef Lloyd-Richardson, E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristics and functions of non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37, 1183–1192. PubMedCrossRef
go back to reference MacLane, J. (1996). The voice on the skin: Self-mutilation and Merleau-Ponty’s theory of language. Hypatia, 11, 107–121. CrossRef MacLane, J. (1996). The voice on the skin: Self-mutilation and Merleau-Ponty’s theory of language. Hypatia, 11, 107–121. CrossRef
go back to reference Mufson, L., Dorta, K. P., Moreau, D., & Weissman, M. M. (2004). Interpersonal psychotherapy for depressed adolescents (2nd ed.). New York: The Guildford Press. Mufson, L., Dorta, K. P., Moreau, D., & Weissman, M. M. (2004). Interpersonal psychotherapy for depressed adolescents (2nd ed.). New York: The Guildford Press.
go back to reference O’Neil, J. M., Good, G. E., & Holmes, S. (1995). Fifteen years of theory and research on men’s gender role conflict: New paradigms for empirical research. In R. Levant & W. Pollack (Eds.), The new psychology of men (pp. 164–206). New York: Basic Books. O’Neil, J. M., Good, G. E., & Holmes, S. (1995). Fifteen years of theory and research on men’s gender role conflict: New paradigms for empirical research. In R. Levant & W. Pollack (Eds.), The new psychology of men (pp. 164–206). New York: Basic Books.
go back to reference Reynolds, W. M. (1988). SIQ professional manual. Odessa, FL: Psychological Assessment Resources, Inc. Reynolds, W. M. (1988). SIQ professional manual. Odessa, FL: Psychological Assessment Resources, Inc.
go back to reference Reynolds, W. M., & Mazza, J. J. (1999). Assessment of suicidal ideation in inner-city children and young adolescents: Reliability and validity of the Suicidal Ideation Questionnaire-Jr. The School Psychology Review, 28, 17–30. Reynolds, W. M., & Mazza, J. J. (1999). Assessment of suicidal ideation in inner-city children and young adolescents: Reliability and validity of the Suicidal Ideation Questionnaire-Jr. The School Psychology Review, 28, 17–30.
go back to reference Roberts, R. E., Lewinsohn, P. M., & Seeley, J. R. (1991). Screening for adolescent depression: A comparison of depression scales. Journal of the American Academy of Child & Adolescent Psychiatry, 30, 58–66. CrossRef Roberts, R. E., Lewinsohn, P. M., & Seeley, J. R. (1991). Screening for adolescent depression: A comparison of depression scales. Journal of the American Academy of Child & Adolescent Psychiatry, 30, 58–66. CrossRef
go back to reference Rodham, K., Hawton, K., & Evans, E. (2004). Reasons for deliberate self-harm: Comparison of self-poisoners and self-cutters in a community sample of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 80–87. CrossRef Rodham, K., Hawton, K., & Evans, E. (2004). Reasons for deliberate self-harm: Comparison of self-poisoners and self-cutters in a community sample of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 80–87. CrossRef
go back to reference Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 28–38. CrossRef Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 28–38. CrossRef
go back to reference Shaffer, D., Gould, M. S., Fisher, P., Trautman, P., Moreau, D., Kleinman, M., et al. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53, 339–348. PubMed Shaffer, D., Gould, M. S., Fisher, P., Trautman, P., Moreau, D., Kleinman, M., et al. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53, 339–348. PubMed
go back to reference Shaffer, D., Scott, M., Wilcox, H., Maslow, C., Hicks, R., Lucas, C. P., et al. (2004). The Columbia suicide screen: Validity and reliability of a screen for youth suicide and depression. Journal of the American Academy of Child & Adolescent Psychiatry, 43(1), 71–79. CrossRef Shaffer, D., Scott, M., Wilcox, H., Maslow, C., Hicks, R., Lucas, C. P., et al. (2004). The Columbia suicide screen: Validity and reliability of a screen for youth suicide and depression. Journal of the American Academy of Child & Adolescent Psychiatry, 43(1), 71–79. CrossRef
go back to reference Sobel, M. E. (1982). Asymptomatic intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass. Sobel, M. E. (1982). Asymptomatic intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass.
go back to reference Steer, R. A., Kumar, G., Ranieri, W. F., & Beck, A. T. (1998). Use of the Beck Depression Inventory-II with adolescent psychiatric outpatients. Journal of Psychopathology and Behavioral Assessment, 20, 127–137. CrossRef Steer, R. A., Kumar, G., Ranieri, W. F., & Beck, A. T. (1998). Use of the Beck Depression Inventory-II with adolescent psychiatric outpatients. Journal of Psychopathology and Behavioral Assessment, 20, 127–137. CrossRef
go back to reference Wichstrom, L. (2000). Predictors of adolescent suicide attempts: A nationally representative longitudinal study of Norwegian adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 603–610. CrossRef Wichstrom, L. (2000). Predictors of adolescent suicide attempts: A nationally representative longitudinal study of Norwegian adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 603–610. CrossRef
go back to reference Zlotnick, C., Shea, M. T., Pearlstein, T. S., Costello, E., & Begin, A. (1996). The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse, and self- mutilation. Comprehensive Psychiatry, 37(1), 12–16. PubMedCrossRef Zlotnick, C., Shea, M. T., Pearlstein, T. S., Costello, E., & Begin, A. (1996). The relationship between dissociative symptoms, alexithymia, impulsivity, sexual abuse, and self- mutilation. Comprehensive Psychiatry, 37(1), 12–16. PubMedCrossRef
go back to reference Zlotnick, C., Woldsdorf, B. A., Johnson, B., & Spirito, A. (2003). Impaired self-regulation and suicidal behavior among adolescent and young adult psychiatric inpatients. Archives of Suicide Research, 7, 149–157. CrossRef Zlotnick, C., Woldsdorf, B. A., Johnson, B., & Spirito, A. (2003). Impaired self-regulation and suicidal behavior among adolescent and young adult psychiatric inpatients. Archives of Suicide Research, 7, 149–157. CrossRef
Metagegevens
Titel
Restrictive Emotionality, Depressive Symptoms, and Suicidal Thoughts and Behaviors Among High School Students
Auteurs
Colleen M. Jacobson
Frank Marrocco
Marjorie Kleinman
Madelyn S. Gould
Publicatiedatum
01-06-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 6/2011
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-010-9573-y