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Exploring the relations between interpersonal risk and adolescent suicidality during treatment
Caroline H Abbott1, Abigail Zisk1, Joanna Herres2
1Department of Psychological and Brain Sciences.
Journal of Consulting and Clinical Psychology
|July 15, 2021
Summary
Perceived burdensomeness initially hindered treatment for suicidal adolescents, but later, reduced suicidal ideation led to lower perceived burdensomeness. Thwarted belongingness did not show significant effects.
Area of Science:
- Psychology
- Clinical Psychology
- Adolescent Mental Health
Background:
- Perceived burdensomeness (PB) and thwarted belongingness (TB) are established risk factors for suicidal ideation (SI).
- The bidirectional relationship between PB, TB, and SI during adolescent treatment remains underexplored.
Purpose of the Study:
- To investigate the direction of effects between PB, TB, and SI in suicidal adolescents undergoing treatment.
- To examine these relationships across different phases of a 16-week randomized clinical trial.
Main Methods:
- 129 depressed and suicidal adolescents completed PB, TB, and SI assessments at baseline, mid-treatment, and treatment completion.
- Random-intercept cross-lagged panel models (RI-CLPM) were used to analyze within-subject bidirectional effects.
Main Results:
- Significant carryover effects were observed for PB and SI.
- In the first half of treatment, higher baseline PB predicted less reduction in SI.
- In the latter half of treatment, reductions in SI predicted subsequent reductions in PB.
- No significant effects were found for TB.
Conclusions:
- PB initially appears to moderate treatment response, with higher PB hindering SI reduction.
- Later in treatment, SI reduction may lead to decreased perceptions of PB, suggesting a positive feedback loop.
- Findings highlight the dynamic interplay between PB and SI during adolescent treatment, with implications for therapeutic interventions.
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