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Treating Suicidality in African American Adolescents with Cognitive-Behavioral Therapy

Abstract

Methods for preventing adolescent suicide are surveyed, and cognitive-behavioral therapy (CBT) is explored as a method for serving suicidal African American adolescents. Strengths, limitations, and compatibility of CBT with social work values are examined. Although CBT shows much promise in helping suicidal African American adolescents, research on the efficacy and effectiveness of CBT with this population is lacking. Suicide risk and protective factors and social inequities are evaluated as they relate to African American adolescents generally. In addition to relieving suicidal symptoms, CBT potentially could facilitate social liberation for this population.

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References

  1. American Academy of Child, Adolescent Psychiatry. (2001). Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 24–51.

    Article  Google Scholar 

  2. American Foundation for Suicide Prevention (2001). Reporting a suicide: Recommendations for the media. Retrieved March 4, 2005 from www.afsp.org/education/recommendations/5/1.htm.

  3. Anderson, H. C. (2004). The emperor’s new clothes. New York: Houghton Mifflin.

    Google Scholar 

  4. Asarnow, J. R., Jaycox, L. H., & Tompson, M. C. (2001). Depression in youth: Psychosocial interventions. Journal of Clinical Child Psychology, 30, 33–47.

    PubMed  Article  Google Scholar 

  5. Barbe, R. P., Bridge, J., Birmaher, B., Kolko, D., & Brent, D. A. (2004). Suicidality and its relationship to treatment outcome in depressed adolescents. Suicide & Life-Threatening Behavior, 34, 44–55.

    Article  Google Scholar 

  6. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities.

    Google Scholar 

  7. Burns, D. D. (1980). Feeling good: The new mood therapy. New York: William Morrow.

    Google Scholar 

  8. Carr, A. (2002). Child and adolescence problems. In F. W. Bond, & W. Dryden (Eds.), Handbook of brief cognitive behavior therapy. New York: Wiley.

    Google Scholar 

  9. Clarke, G. N., Hornbrook, M., & Lynch, F. (2002). Group cognitive-behavioral treatment for depressed adolescent offspring of depressed parents in a Health Maintenance Organization. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 305–313.

    PubMed  Article  Google Scholar 

  10. Compton, S. N., March, J. S., Brent, D., Albano, M., & Weersing, R. (2004). Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: An evidence-based medicine review. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 930–959.

    PubMed  Article  Google Scholar 

  11. Conner, K. R., Meldrum, S., Wieczorek, W. F., & Duberstein, P. R. (2004). The association of irritability and impulsivity with suicidal ideation among 15-to 20-year-old males. Suicide & Life-Threatening Behavior, 34, 363–373.

    Article  Google Scholar 

  12. Ehrenreich, J. T., Kyle-Linkovich, T., & Rojas-Vilches, A. (2005). Cognitive behavior therapy: Child clinical applications. In M. Hersen, A. M. Gross, & R. S. Drabman (Eds.), Encyclopedia of behavior modification and cognitive behavior therapy Volume Two: Child clinical applications (pp. 767–775). Thousand Oaks, CA: Sage.

    Google Scholar 

  13. Friedberg, R. D., & McClure, J. M. (2002). Clinical practice of cognitive therapy with children and adolescents: The nuts and bolts. New York: Guilford.

    Google Scholar 

  14. Geldard, K., & Geldard, G. (2004). Counseling adolescents (2nd ed.). Thousand Oaks, CA: Sage.

    Google Scholar 

  15. Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the Academy of Child and Adolescent Psychiatry, 42, 386–405.

    Google Scholar 

  16. Hanna, F. J., Talley, W. B., & Guindon, M. H. (2000). The power of perception: Toward a model of cultural oppression and liberation. Journal of Counseling & Development, 74, 430–441.

    Google Scholar 

  17. Harrington, R., & Saleem, Y. (2003). Cognitive behavioral therapy after deliberate self-harm. In R. A. King & A. Apter (Eds.), Suicide in children and adolescents. Cambridge: University of Cambridge.

    Google Scholar 

  18. Hersen M., Gross A. M., & Drabman R. S. (Eds.). (2005). Encyclopedia of behavior modification and cognitive behavior therapy Volume Two: Child clinical applications. Thousand Oaks, CA: Sage.

    Google Scholar 

  19. Ialongo, N. S., Koenig-McNaught, A. L., Wagner, B. M., Pearson, J. L., McCreary, B. K., Poduska, J., et al. (2004). S. African American children’s reports of depressed mood, hopelessness, and suicidal ideation and later suicide attempts. Suicide & Life-Threatening Behavior, 34, 395–407.

    Article  Google Scholar 

  20. Institute of Medicine. (2002). Reducing suicide: A national imperative. Washington, DC: National Academies.

    Google Scholar 

  21. Kaslow, N. J., & Thompson, M. P. (1998). Applying the criteria for empirically supported treatments to studies of psychosocial interventions for child and adolescent depression. Journal of Clinical Child Psychology, 27, 146–155.

    PubMed  Article  Google Scholar 

  22. Kovacs, M. (1992). The children’s depression inventory. North Tonawanda, NY: Mental Health Systems.

    Google Scholar 

  23. Lantz, J. (1996). Cognitive theory and social work treatment. In F. J. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (4th ed., pp. 94–115). New York: Free Press.

    Google Scholar 

  24. Lonigan, C. J., Elbert, J. C., & Johnson, S. B. (1998). Empirically supported psychosocial interventions for children: An overview. Journal of Clinical Child Psychology, 27, 138–145.

    PubMed  Article  Google Scholar 

  25. McClellan, J. M., & Werry, J. S. (2003). Evidence-based treatments in child and adolescent psychiatry: An inventory. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1388–1400.

    PubMed  Article  Google Scholar 

  26. Moskos, M. A., Achilles, J., & Gray, D. (2004). Adolescent suicide myths in the United States. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 25, 176–182.

    Article  Google Scholar 

  27. Poznanski, E., Freeman, L., & Mokros, H. (1985). Children’s depression rating scale—revised. Psychopharmacology Bulletin, 21, 979–989.

    Google Scholar 

  28. Qin, P., Agerbo, E., & Mortensen, P. B. (2002). Suicide risk in relation to family history of completed suicide and psychiatric disorders: A nested case-control study. The Lancet, 360, 1126–1130.

    Article  Google Scholar 

  29. Randall, B. P., Eggert, L., & Pike, K. C. (2001). Immediate post intervention effects of two brief youth suicide prevention interventions. Suicide & Life-Threatening Behavior, 31, 41–61.

    Article  Google Scholar 

  30. Regehr, C. (2001). Cognitive-behavioral therapy. In P. Lehmann & N. Coady (Eds.), Theoretical perspectives for direct social work practice: A generalist-eclectic approach. New York: Springer.

    Google Scholar 

  31. Renaud, J., Brent, D. A., Baugher, M., Birmaher, B., Kolko, D. J., & Bridge, J. (1998). Rapid response to psychosocial treatment for adolescent depression: A two-year follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 1184–1190.

    PubMed  Article  Google Scholar 

  32. Rosselló, J., & Bernal, G. (1999). The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. Journal of Consulting & Clinical Psychology, 67(5), 734–744.

    Article  Google Scholar 

  33. Snowden, L. R. (2003). Bias in mental health assessment and intervention: Theory and evidence. American Journal of Public Health, 93, 239–243.

    PubMed  Article  Google Scholar 

  34. Stack, S. (2000). Suicide: A 15-year review of the sociological literature part I: Cultural and economic factors. Suicide and Life-Threatening Behavior, 30, 145–162.

    PubMed  Google Scholar 

  35. Substance Abuse and Mental Health Services Administration. (n.d.). Reconnecting Youth. Retrieved March 5, 2005 from http://modelprograms.samhsa.gov/pdfs/FactSheets/Reconnecting.pdf.

  36. Swan, J., Sorrell, E., MacVicar, B., Durham, R., & Matthews, K. (2004). “Coping with depression”: An open study of the efficacy of a group psychoeducational intervention in chronic, treatment-refractory depression. Journal of Affective Disorders, 82, 125–129.

    PubMed  Article  Google Scholar 

  37. U.S. Department of Health, Human Services. (1998). Suicide among black youths—United States, 1980–1995. MMWR: Morbidity & Mortality Weekly Report, 47(10), 193–196.

    Google Scholar 

  38. U.S. Department of Health, Human Services. (1999). Mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General.

    Google Scholar 

  39. U.S. Department of Health, Human Services. (2001a). Mental health: Culture, race, and ethnicity—A supplement to Mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General.

    Google Scholar 

  40. U.S. Department of Health, Human Services. (2001b). National strategy for suicide prevention: Goals and objectives for action. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service.

    Google Scholar 

  41. U.S. Public Health Service. (1999). The surgeon general’s call to action to prevent suicide. Washington, DC.

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Correspondence to Jeanette Harder.

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Bryant, C.E., Harder, J. Treating Suicidality in African American Adolescents with Cognitive-Behavioral Therapy. Child Adolesc Soc Work J 25, 1–9 (2008). https://doi.org/10.1007/s10560-007-0100-2

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Keywords

  • Suicide
  • African American
  • Cognitive-behavioral therapy
  • adolescent