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Depressive symptom severity mediates the association between avoidant problem-solving style and suicidal ideation.

Roberto López1, Leslie A Brick2, Annamarie B Defayette1

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Adolescents with an avoidant style may experience suicidal ideation indirectly through increased depressive symptoms. Improving social problem-solving skills could mitigate suicide risk in this population.

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Area of Science:

  • Psychology
  • Adolescent Mental Health
  • Clinical Psychology

Background:

  • Avoidant style is a maladaptive social problem-solving strategy linked to adolescent suicidal ideation.
  • The precise mechanisms connecting avoidant style and suicidal ideation require further investigation.
  • Understanding these mechanisms is crucial for developing effective interventions.

Purpose of the Study:

  • To examine if depressive symptom severity mediates the relationship between avoidant style and suicidal ideation severity in adolescents.
  • To assess the specificity of depressive symptom severity as a mediator by testing alternative pathways.

Main Methods:

  • Cross-lagged panel modeling was employed with 110 adolescents in a clinical trial.
  • Data on avoidant style, depressive symptoms, and suicidal ideation were collected via self-report at baseline, 3, and 6 months.
  • Statistical analyses controlled for age, sex, and treatment condition.

Main Results:

  • Depressive symptom severity at 3 months significantly mediated the association between baseline avoidant style and 6-month suicidal ideation severity.
  • This mediation effect was specific, indicating that avoidant style did not mediate the link between depressive symptoms and suicidal ideation.

Conclusions:

  • Findings suggest an indirect pathway from avoidant style to suicidal ideation via depressive symptoms.
  • Interventions targeting avoidant social problem-solving strategies may reduce depressive symptoms and lower suicide risk in adolescents.