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Suicidality in 12-Year-Olds: The Interaction Between Social Connectedness and Mental Health

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Abstract

Suicidal thoughts and behaviors (STB) are a leading cause of death in adolescence. To date, most research with youth has focused on risk factors for suicide; and less attention has been paid to resilience factors. This study examined whether positive beliefs and social connectedness moderate associations between mental health symptoms and STB. A community sample of 12-year-olds (N = 60) completed self-report questionnaires on their STB, mental health symptoms, positive beliefs and social connectedness. Nearly 20% of the adolescents reported STB. STB was associated with increased mental health symptoms and lower scores on the resilience measures. A significant moderating effect of social connectedness showed that youth with a combination of poor mental health and high levels of social support exhibited lower levels of STB. There was no significant moderating effect of positive beliefs. These results indicate that social support should be screened for in primary care and incorporated into youth suicide prevention programs.

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Notes

  1. At the time this paper was written there was insufficient data from subsequent assessments to run longitudinal analyses: T1 (n = 60), T2 (n = 39), T3 (n = 31) and T4 (n = 5).

References

  1. World Health Organization (2018) Global health estimates 2016: deaths by cause, age, sex, by country and by region, 2000–2016. World Health Organization, Geneva

    Google Scholar 

  2. Australian Bureau of Statistics (2019) Casuses of death. Australian Bureau of Statistics, Canberra

    Google Scholar 

  3. Sanchez-Teruel D, Robles-Bello MA, Camacho-Conde JA (2020) Self-inflicted injuries in adolescents and young adults: a longitudinal study. Psicothema 32(3):322–328

    PubMed  Google Scholar 

  4. Nock MK et al (2008) Suicide and suicidal behavior. Epidemiol Rev 30:133–154

    PubMed  Google Scholar 

  5. Franklin JC et al (2017) Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol Bull 143:187–232

    PubMed  Google Scholar 

  6. Stewart SL et al (2020) Risk of suicide and self-harm in kids: the development of an algorithm to identify high-risk individuals within the children’s mental health system. Child Psychiatry Hum Dev. https://doi.org/10.1007/s10578-020-00968-9

    Article  PubMed  PubMed Central  Google Scholar 

  7. Silverman MM et al (2007) Rebuilding the Tower of Babel: a revised nomenclature for the study of suicide and suicidal behaviors. Part 2: suicide-related ideations, communications, and behaviors. Suicide Life Threat Behav 37:264–277

    PubMed  Google Scholar 

  8. Sanchez-Teruel D, Auxiliadora M, Robles-Bello MA (2014) Protective factors promoting resilience to suicide in young people and adolescents. Pap Psychol 35:181–192

    Google Scholar 

  9. Sanchez-Teruel D, Robles-Bello MA, Camacho-Conde JA (2020) Adaptation and psychometric properties in Spanish of the Herth Hope Index in people who have attempted suicide. Psychiatr Quart. https://doi.org/10.1007/s11126-020-09766-x

    Article  Google Scholar 

  10. Kim H-S, Kim HS (2008) Risk factors for suicide attempts among Korean adolescents. Child Psychiatry Hum Dev 39(3):221–235

    PubMed  Google Scholar 

  11. Johnson J et al (2011) Resilience to suicidality: the buffering hypothesis. Clin Psychol Rev 31(4):563–591

    PubMed  Google Scholar 

  12. Masten A (2011) Resilience in children threatened by extreme adversity: frameworks for research, practice, and translational synergy. Dev Psychopathol 23:493–506

    PubMed  Google Scholar 

  13. Cicchetti D (2013) Annual research review: resilient functioning in maltreated children–past, present, and future perspectives. J Child Psychol Psychiatry 54:402–422

    PubMed  Google Scholar 

  14. Kim KM (2020) What makes adolescents psychologically distressed? Life events as risk factors for depression and suicide. Eur J Child Adolesc Psychol. https://doi.org/10.1007/s00787-020-01520-9

    Article  Google Scholar 

  15. Johnson J et al (2010) Resilience as positive coping appraisals: testing the schematic appraisals model of suicide (SAMS). Behav Res Ther 48(3):179–186

    PubMed  Google Scholar 

  16. Keyes CL (2005) Mental illness and/or mental health? Investigating axioms of the complete state model of health. J Consult Clin Psychol 73(3):539–548

    PubMed  Google Scholar 

  17. Siegmann P et al (2018) Resilience to suicide ideation: a cross-cultural test of the buffering hypothesis. Clin Psychol Psychother 25(1):e1–e9

    PubMed  Google Scholar 

  18. Joiner TE et al (2009) Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults. J Abnorm Psychol 118:634–646

    PubMed  PubMed Central  Google Scholar 

  19. Gatt JM et al (2014) The heritability of mental health and wellbeing defined using COMPAS-W, a new composite measure of wellbeing. Psychiatry Res 2019:204–213

    Google Scholar 

  20. Teismann T et al (2018) Positive mental health moderates the association between depression and suicide ideation: a longitudinal study. Int J Clin Health Psychol 18(1):1–7

    PubMed  Google Scholar 

  21. Brailovskaia J, Teismann T, Margraf J (2018) Cyberbullying, positive mental health and suicide ideation/behavior. Psychiatry Res 267:240–242

    PubMed  Google Scholar 

  22. Brailovskaia J et al (2019) Positive mental health moderates the association between suicide ideation and suicide attempts. J Affect Disord 245:246–249

    PubMed  Google Scholar 

  23. Teismann T, Brailovskaia J, Margraf J (2019) Positive mental health, positive affect and suicide ideation. Int J Clin Health Psychol 19(2):165–169

    PubMed  PubMed Central  Google Scholar 

  24. Gunn JF, Goldsetin SE, Gager CT (2018) A longitudinal examination of social connectedness and suicidal thoughts and behaviors among adolescents. Child Adolesc Mental Health 23:341–350

    Google Scholar 

  25. Lee RM, Robbins SB (1995) Measuring belongingness: the social connectedness and the social assurance scales. J Couns Psychol 42:232–241

    Google Scholar 

  26. Whitlock J, Wyman PA, Moore SR (2014) Connectedness and suicide prevention in adolescents: pathways and implications. Suicide Life Threat Behav 44:246–272

    PubMed  Google Scholar 

  27. Panagioti M et al (2014) Perceived social support buffers the impact of PTSD symptoms on suicidal behavior: implications into suicide resilience research. Compr Psychiatry 55(1):104–112

    PubMed  Google Scholar 

  28. Kleiman EM, Riskind JH, Schaefer KE (2014) Social support and positive events as suicide resiliency factors: examination of synergistic buffering effects. Arch Suicide Res 18(2):144–155

    PubMed  Google Scholar 

  29. Miller AB, Esposito-Smythers C, Leichtweis RN (2015) Role of social support in adolescent suicidal ideation and suicide attempts. J Adolesc Health 56(3):286–292

    PubMed  Google Scholar 

  30. Kidd S et al (2006) The social context of adolescent suicide attempts: interactive effects of parent, peer, and school social relations. Suicide Life Threat Behav 36:386–395

    PubMed  Google Scholar 

  31. Giletta M et al (2017) Suicide ideation among high-risk adolescent females: examining the interplay between parasympathetic regulation and friendship support. Dev Psychopathol 29:1161–1175

    PubMed  Google Scholar 

  32. Sawyer SM et al (2012) Adolescence: a foundation for future health. Lancet 379:1630–1640

    PubMed  Google Scholar 

  33. Australian Bureau of Statistics (2016) Census of population and housing: Socio-Economic Indexes for Areas (SEIFA). Australian Bureau of Statistics, Canberra

    Google Scholar 

  34. van Spijker B et al (2014) The suicidal ideation attributes scale (SIDAS): community-based validation study of a new scale for the measurement of suicidal ideation. Suicide Life Threat Behav 44:408–419

    PubMed  Google Scholar 

  35. Calear AL et al (2016) A systematic review of psychosocial suicide prevention interventions for youth. Eur J Child Adolesc Psychol 25:467–482

    Google Scholar 

  36. Hickie IB et al (2001) SPHERE: a national depression project. SPHERE National Secretariat. Med J Aust 175(Suppl):S4–S5

    PubMed  Google Scholar 

  37. Couvy-Duchensne B et al (2017) Validation and psychometric properties of the Somatic and Psychological HEalth REport (SPHERE) in a young Australian-based population sample using non-parametric item response theory. BMC Psychiatry 17:279

    Google Scholar 

  38. Gatt JM et al (2020) Trauma, resilience and mental health in migrant and non-migrant youth: an international cross-sectional study across six countries. Front Psychiatry 10:997

    PubMed  PubMed Central  Google Scholar 

  39. Lee RM, Dean BL, Jung K-R (2008) Social connectedness, extraversion, and subjective well-being: testing a mediation model. Pers Individ Differ 45:414–419

    Google Scholar 

  40. Johnson J et al (2010) Resilience to suicidal ideation in psychosis: positive self-appraisals buffer the impact of hopelessness. Behav Res Ther 48(9):883–889

    PubMed  Google Scholar 

  41. Kleiman EM, Liu RT (2013) Social support as a protective factor in suicide: findings from two nationally representative samples. J Affect Disord 150:540–545

    PubMed  PubMed Central  Google Scholar 

  42. Gorrese A, Ruggieri R (2012) Peer attachment: a meta-analytic review of gender and age differences and associations with parent attachment. J Youth Adolesc 41:650–672

    PubMed  Google Scholar 

  43. Gorrese A (2016) Peer attachment and youth internalizing problems: a meta-analysis. Child Youth Care Forum 45:177–204

    Google Scholar 

  44. Zeman J, Cassano M, Adrian MC (2013) Socialization influences on children’s and adolescents’ emotional self-regulation processes. In: Barrett KC, et al. (eds) Handbook of self-regulatory processes in development: new directions and international perspectives. Psychology Press, New York

    Google Scholar 

  45. Boehm KE, Campbell NB (1995) Suicide: a review of calls to an adolescent peer listening phone service. Child Psychiatry Hum Dev 26:61–66

    PubMed  Google Scholar 

  46. Wyman PA et al (2010) An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools. Am J Public Health 100:1653–1661

    PubMed  PubMed Central  Google Scholar 

  47. Bailey E et al (2020) An enhanced social networking intervention for young people with active suicidal ideation: safety, feasibility and acceptability outcomes. Int J Environ Res Public Health 17:7

    Google Scholar 

  48. Siegmann P et al (2019) Positive mental health as a moderator of the association between risk factors and suicide ideation/behavior in psychiatric inpatients. Psychiatry Res 273:678–684

    PubMed  Google Scholar 

  49. McAuliffe C et al (2006) Problem-solving ability and repetition of deliberate self-harm: a multicentre study. Psychol Med 36:45–55

    PubMed  Google Scholar 

  50. Sher L (2019) Resilience as a focus of suicide research and prevention. Acta Psychiatr Scand 140:169–180

    PubMed  Google Scholar 

  51. Adrian M et al (2015) Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors. J Child Psychol Psychiatry 57:645–653

    PubMed  PubMed Central  Google Scholar 

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Acknowledgements

Many thanks to the young people who generously participated in this research and to the LABS research assistants: Amanda Boyes and Genevieve Roberts. Thank you also to Dr Paul Schwen for preparing the dataset.

Funding

This study was funded by a grant from the Australian Commonwealth Government’s ‘Prioritizing Mental Health Initiative’ (2018–2019) 4-7R154BP.

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Correspondence to Gabrielle Simcock.

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The authors have declared that they have no competing or potential conflicts of interest.

Ethical Approval

All procedures performed in this study were in accordance with the ethical standards of the institutional ethics committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Research Involving Human Rights

The study protocol was approved by the University of the Sunshine Coast Human Research Ethics Board (# A181064) and was conducted ethically in accordance with the Declaration of Helsinki.

Informed Consent

Both the young people participating in this study and their parent or guardian provided written informed consent to participate.

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Simcock, G., Andersen, T., McLoughlin, L.T. et al. Suicidality in 12-Year-Olds: The Interaction Between Social Connectedness and Mental Health. Child Psychiatry Hum Dev 52, 619–627 (2021). https://doi.org/10.1007/s10578-020-01048-8

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