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Self-object differentiation in suicidal adolescents.

Anat Brunstein Klomek1, Gil Zalsman, Alan Apter

  • 1Department of Psychology, Bar-Ilan University, Ramat-Gan 52900, Israel.

Comprehensive Psychiatry
|December 6, 2006
PubMed
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Suicidal adolescents struggle to distinguish negative self-perceptions from negative parental representations. This difficulty in self-object differentiation highlights the importance of object relations in adolescent suicidality.

Area of Science:

  • Psychology
  • Adolescent Psychiatry
  • Object Relations Theory

Background:

  • Clinical observations suggest difficulties in self-object differentiation in suicidal adolescents.
  • Empirical evidence for this phenomenon is limited.
  • This study investigates self-object differentiation in suicidal adolescents.

Purpose of the Study:

  • To empirically examine the differentiation between self and parental representations in suicidal inpatient adolescents.
  • To compare self-object differentiation in suicidal adolescents with nonsuicidal psychiatric and healthy controls.

Main Methods:

  • A study involving 96 adolescents: 32 suicidal inpatients, 32 nonsuicidal inpatients, and 32 healthy controls.
  • Groups were matched for sex, age, and education.

Related Experiment Videos

  • Participants completed scales measuring self-object differentiation and suicidal tendencies.

    • Main Results:

    • Suicidal adolescents showed significantly different negative self and parental descriptions compared to controls (P < .001).
    • No significant differences were found in positive trait descriptions across groups.
    • Suicidal adolescents reported less differentiation from their parents regarding negative traits (P < .001 for father, P < .01 for mother).

    Conclusions:

    • Suicidal adolescents experience challenges in differentiating negative aspects of the self from negative parental aspects.
    • Findings underscore the relevance of object relations theory for understanding adolescent suicidal tendencies.
    • A model integrating negative symbiosis and suicidal tendencies may inform therapeutic interventions.