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A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
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Family Dysfunction, Interpersonal Risk Factors, and Suicidal Ideation Among Marginalized Adolescents Following

Allegra S Anderson, Katherine M Ingram, Leslie A Brick

    Archives of Suicide Research : Official Journal of the International Academy for Suicide Research
    |March 13, 2026
    PubMed
    Summary
    This summary is machine-generated.

    Family dysfunction worsens thwarted belongingness in marginalized adolescents, increasing suicidal ideation after hospitalization. Family-focused interventions are vital for improving support and belonging.

    Keywords:
    Adolescentbelongingnessfamilymarginalizedsuicide

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    Area of Science:

    • Psychiatry
    • Adolescent Health
    • Mental Health Research

    Background:

    • Suicide is a leading cause of death in adolescents and young adults.
    • Marginalized youth, including LGBTQ and racial/ethnic minorities, face higher suicide risks.
    • Research on protective factors for suicidality in marginalized adolescents is limited.

    Purpose of the Study:

    • To examine longitudinal associations between thwarted belongingness, perceived burdensomeness, family dysfunction, and suicidal ideation in hospitalized marginalized adolescents.
    • To test family dysfunction as a moderator of the relationship between interpersonal risk factors and suicidal ideation.

    Main Methods:

    • Structural equation modeling was used.
    • A sample of 100 marginalized adolescents hospitalized for suicidal thoughts/behaviors was studied.
    • Longitudinal data were collected to assess outcomes six months post-hospitalization.

    Main Results:

    • Higher thwarted belongingness and perceived burdensomeness predicted more severe suicidal ideation six months post-hospitalization.
    • The association between thwarted belongingness and suicidal ideation was stronger for adolescents with higher family dysfunction.
    • Family dysfunction may exacerbate the impact of thwarted belongingness.

    Conclusions:

    • Family dysfunction can intensify the risk of suicidal ideation among marginalized adolescents after psychiatric care.
    • Family-focused interventions are recommended to improve communication, support, and belonging.
    • Addressing family dynamics is crucial for suicide prevention in vulnerable youth.