Journal of Youth and Adolescence

, Volume 42, Issue 6, pp 807–820

Emotion Regulation Difficulties, Youth–Adult Relationships, and Suicide Attempts Among High School Students in Underserved Communities


    • Department of PsychiatryUniversity of Rochester
    • Department of PediatricsUniversity of Rochester
    • Department of Psychiatry, School of Medicine and DentistryUniversity of Rochester Medical Center
  • Peter A. Wyman
    • Department of PsychiatryUniversity of Rochester
  • Mariya Petrova
    • Department of PsychiatryUniversity of Rochester
  • Karen Schmeelk-Cone
    • Department of PsychiatryUniversity of Rochester
  • David B. Goldston
    • Department of Psychiatry and Behavioral SciencesDuke University School of Medicine
  • Yinglin Xia
    • Department of Biostatistics and Computational BiologyUniversity of Rochester
  • Madelyn S. Gould
    • Department of PsychiatryColumbia University/New York State Psychiatric Institute
    • Department of EpidemiologyColumbia University/New York State Psychiatric Institute
Empirical Research

DOI: 10.1007/s10964-012-9884-2

Cite this article as:
Pisani, A.R., Wyman, P.A., Petrova, M. et al. J Youth Adolescence (2013) 42: 807. doi:10.1007/s10964-012-9884-2


To develop and refine interventions to prevent youth suicide, knowledge is needed about specific processes that reduce risk at a population level. Using a cross-sectional design, the present study tested hypotheses regarding associations between self-reported suicide attempts, emotion regulation difficulties, and positive youth–adult relationships among 7,978 high-school students (48.6 % male, 49.9 % female) in 30 high schools from predominantly rural, low-income communities. 683 students (8.6 %) reported a past-year suicide attempt. Emotion regulation difficulties and a lack of trusted adults at home and school were associated with increased risk for making a past-year suicide attempt, above and beyond the effects of depressive symptoms and demographic factors. The association between emotion regulation difficulties and suicide attempts was modestly lower among students who perceived themselves as having higher levels of trusted adults in the family, consistent with a protective effect. Having a trusted adult in the community (outside of school and family) was associated with fewer suicide attempts in models that controlled only for demographic covariates, but not when taking symptoms of depression into account. These findings point to adolescent emotion regulation and relationships with trusted adults as complementary targets for suicide prevention that merit further intervention studies. Reaching these targets in a broad population of adolescents will require new delivery systems and “option rich” (OR) intervention designs.


Youth suicideSuicide preventionEmotion regulationYouth–adult relationshipsYouth–adult communicationUnderserved populationsSuicide attempts

Copyright information

© Springer Science+Business Media New York 2012