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Social problem solving in suicidal adolescents

Christine Sadowski1, Mary Lou Kelley

  • 1Louisiana State U, Baton Rouge.

Journal of Consulting and Clinical Psychology
|February 1, 1993
PubMed
Summary
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Adolescents who attempted suicide showed deficits in interpersonal problem-solving skills, particularly in how they approached problems. These social problem-solving difficulties were not linked to suicide intent or lethality.

Area of Science:

  • Psychology
  • Psychiatry
  • Adolescent Health

Background:

  • Suicide attempts in adolescents are a significant public health concern.
  • Understanding the cognitive and social factors contributing to adolescent suicide attempts is crucial for developing effective interventions.

Purpose of the Study:

  • To evaluate deficits in interpersonal problem-solving among adolescent suicide attempters.
  • To examine the relationship between social problem-solving abilities, suicide intent, and medical lethality in adolescents.

Main Methods:

  • Comparative analysis of social problem-solving skills in adolescent suicide attempters, psychiatric controls, and normal controls.
  • Assessment of problem orientation, generation of alternatives, decision-making, and solution implementation.

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Main Results:

  • Adolescent suicide attempters demonstrated poorer social problem-solving abilities, especially in problem orientation, compared to psychiatric and normal controls.
  • Suicide attempters exhibited more maladaptive cognitive-emotional-behavioral responses to problems.
  • Deficits in problem-solving skills were observed in both suicide attempters and psychiatric controls relative to nonhospitalized peers.
  • No significant correlation was found between social problem-solving and suicide lethality or intent.

Conclusions:

  • Adolescent suicide attempts are associated with significant deficits in social and interpersonal problem-solving skills.
  • Problem orientation appears to be a key area of difficulty for adolescent suicide attempters.
  • While problem-solving deficits are evident, they do not correlate with the severity of suicide intent or medical lethality.