samenvatting
Dit artikel bespreekt het effect van een vaardigheidsprogramma voor adolescenten op suïcidaliteit. Uit eerder onderzoek naar dit programma bleek dat er significante effecten te zien waren op geloof in persoonlijke effectiviteit, zelfbeeld, spanning bij het adequaat uiten van negatieve emoties en de intentie om sociale en emotionele vaardigheden te gebruiken. Uit secundaire analyses blijkt dat het programma nog een bij-effect heeft, namelijk een afname van süıcidaliteit.
Voor deze studie is gebruikgemaakt van een quasi-experimenteel design met een experimentele (n = 412) en een controlegroep (n = 546). Er is een mediatiemodel getest door middel van een kleinste-kwadraten multipele regressie-analyse. Hierin is onderzocht of de effecten van het vaardigheidsprogramma op suïcidaliteit worden gemedieerd doordat de variabelen geloof in persoonlijke effectiviteit, zelfbeeld, adequaat uiten van negatieve emoties en intentie om sociale en emotionele vaardigheden te gebruiken mogelijk als beschermende factoren fungeren. De resultaten laten zien dat het programma direct effect heeft op suïcidaliteit en steunt het mediatiemodel deels: de effecten van het programma op suïcidaliteit worden alleen significant gemedieerd door zelfbeeld.
Literatuur
Adams, D. M., & Lehnert, K. L. (1997). Prolonged trauma and subsequent suicidal behavior: Child abuse and combat trauma reviewed. Journal of Traumatic Stress, 10, 619–634.
Antoni, M. H., Lehman, J. M., Klibourn, K. M., Boyers, A. E., Culver, J. L., Alferi, S. M., Youth, S. E., McGregor, B. A., Arens, P. L. Harris, S. D., Price A. A., & Carvers, C. S. (2001). Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20, 20–32.
Arnold, C. (1992). An introduction to hierarchical linear models. Measurement and Evaluation in Counseling and Development, 25, 58–90.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
Berman, A. L., & Jobes, P. A. (1991). Adolescent suicide. Assessment and intervention. Washington, dc: American Psychological Association.
cbs (2010). Doodsoorzaken; zelfdoding (inwoners), diverse kenmerken. www.cbs.nl.
De Man, A. F., & Leduc, C. P. (1995). Suicidal ideation in high school students: depression and other correlates. Journal Clinical Psychology, 51, 173–181.
De Wilde, E. J., Kienhorst, I. C., Diekstra, R. F. W., & Wolters, W. H. (1992). The relationship between adolescent suicidal behavior and life events in childhood and adolescence. American Journal of Psychiatry, 149, 45–51.
Diekstra, R. F. W. (1981). Over suicide. Zelfdestructie, zelfbehoud en hulpverlening. Alphen aan de Rijn: Samsom Uitgeverij.
Diekstra, R. F. W., & Gravesteijn, J. C. (2002). Module ‘Omgaan met ernstige emotionele problemen en suïcidaliteit’. Rotterdam: ggd Rotterdam, e.o.
Diekstra, R. F. W., & Gravesteijn, J. C. (2008). Docentenhandleiding Levensvaardigheden. DenHaag:De Haagse Hogeschool.
Diekstra, R. F. W., & Gravesteijn, J. C. (2008). Teaching Social and Emotional Skills Around the World: A meta-analytic review of effectiveness. In Social and Emotional Education. An International Analysis. Santander: Fundación Marcelino Botínin.
Dori, G. A., & Overholser, J. C. (1999). Depression, hopelessness, and self-esteem. Accounting for suicidality in adolescent psychiatric inpatients. Suicide and Life Threatening Behavior, 29, 309–318.
Ellis, A. (1962). Reason and Emotion in psychotherapy. New York: Lyle Stuart
Faggiano, F., Vigna-Taglianti, F. D., Versino, E., Zambon, A., Borraccion, A., & Lemma, P. (2008). Schoolbased prevention for illicit drug use: A systematic review. Preventive Medicine, 46, 385–396.
Fuligni, A. J., & Eccles, J. S. (1993). Perceived parent-child relationships and early adolescents’ orientation towards peer. Developmental Psychology, 29, 622–632.
Gravesteijn, J. C., & Diekstra, R. F. W. (1998). Levensvaardigheden; een sociaal-emotioneel vaardigheidsprogramma voor adolescenten. Rotterdam: ggd Rotterdam e.o.
Gravesteijn, J. C., & Diekstra, R. F.W. (2004). Waardig en vaardig in het leven. Lisse: Harcourt Book Publishers bv.
Gravesteijn, J. C., Diekstra, R. F. W., De Wilde, E. J., & Koren, E. (2004). Effecten van Levensvaardigheden. Een vaardigheidsprogramma voor adolescenten. Kind en Adolescent, 25, 277–291.
Guo, B. & Harstall, C. (2002). Efficacy of suicide prevention programs for children and youth. Alberta: Alberta Heritage Foundation for Medical Research.
Hawton, K., Kingsbury, S., Steinhardt, K., James, A., & Fagg, J. (1999). Repitition of deliberate self-harm by adolescents: The role of psychological factors. Journal of Adolescence, 22, 369–378.
Herrenkohl, E. C., Herrenkohl, R. C., & Egolf, B. (1994) Resilient early school-age children from maltreating homes. Outcomes in late adolescence. American Journal of Orthopsychiatry, 64, 301–309.
Kraag, G., Zeegers, M. P., Kok, G., Hosman, C., & Abu-Saad, H. H. (2006). School programs targeting stress management in children and adolescents: A meta-analysis. Journal of School Psychology, 44, 449–472.
Kehrer, C., & Linehan, M. M. (1996). Interpersonal and emotional problem solving skills and parasuicide among women with borderline personality disorder. Journal of Personality Disorders, 10, 153–163.
Kessler, R. C., Borges, G., & Walters, E. E., (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of general psychiatry, 56, 617–626.
Kessler, R. C., Berglund, P., Borges, G., Nock, M., & Wang, P. S. (2005). Trends in suicide ideation, plans, gestures, and attempts in the United States 1990-92 to 2001–2003. Journal of the American Medical Association, 293, 2487–2495.
LaFramboise, T., & Howard-Pitney, B. (1995). The Zuni Life Skills Development Curriculum: Description and evaluation of a suicide prevention program. Journal of Counseling Psychology, 2, 479–486.
Lee, V. E. (2000). Using hierarchical linear modeling to study social contexts: The case of school effects. Educational Psychologist, 35, 125–141.
Linehan, M. M., Camper, P., Chiles, J. A., Strosahl, K., & Shearin, E. (1987). Interpersonal problem solving and parasuicide. Cognitive Therapy & Research, 11, 1–12.
Luthar, S. S., & Cicchetti, D. (2000). The construct of resilience: implications for interventions and social policies. Development and Psychopathology, 12, 857–885.
Marciano, P. L. & Kazdin, A. (1994). Self-esteem, depression, hopelessness, and suicidal intent among psychiatrically disturbed inpatient children. Journal of Clinical Child Psychology, 23, 151–160.
Martin, G., Richardson, A. S., Bergen, H. A., Roeger, L., & Allison, S. (2005). Perceived academic performance, self-esteem and locus of control as indicators of need for assessment of adolescent suicide risk: implications for teachers. Journal of Adolescence, 28, 75–87.
Masten, A. S. & Powell, J. L. (2003). A resiliency framework for research, policy and practice. In S. Luthar (ed.) Resiliency and vulnerability: Adaptation in the context of childhood adversity (pp.1–29). Cambridge University Press: Cambridge.
Moller, H. J. (2003) Suicide, suicidality and suicide prevention in affective disorders. Acta Psychiatrica Scandinavica, 108, 73–80.
Overholser, J. C., Adams, D. M., Lehnert, K. L., & Brinkman, D. C. (1995). Self-esteem deficits and suicidal tendencies among adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 919–928.
Ploeg, J., Ciliska, D., D. Brunton, G., MacDonnell, J., & O’Brien, M. A. (1999). The effectiveness of school-based curriculum suicide prevention programs for adolescents. Dundas, on: Region of Hamilton-Wentworth, Social and Public Health services Division, Community Support and Research Branch, phred Program, effective Public Health Practice Project.
Pollock, L. R., & Williams, J. M. G. (1998). Problem solving and suicidal behaviour. Suicide and Life-Threatening Behavior, 28, 375–387.
Preacher, K. J. & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediators models. Behavior Research Methods, 40, 879–891.
Reinherz, H. Z., Tanner, J. L., Berger, S. R., Beardslee, W. R., & Fitzmaurice, G. M. (2006). Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior, and compromised functioning at age 30. American Journal of Psychiatry, 163, 1226–1232.
Rosenberg, M. D. (1965). Society and the adolescents self-image. Princeton, NJ: Princeton University Press.
Tomori, M. & Zalar, B. (2000). Characteristics of suicidal attempters in a Slovenian high school population. Suicide and life-threatening behavior, 30, 222–238.
Van Buren, L., Den Dikken, J., Dommisse-van Berkel, A., Goldschmeding, J., Jansen, W., Van de Looij- Jansen, P., Van Veelen, J., & Van Veelen-Dieleman, N. (2008). Rotterdamse Jeugdmonitor. Rotterdam: ggd Rotterdam e.o.
Van de Looij, P. (2003). Rotterdamse Jeugdmonitor. Rotterdam: ggd Rotterdam e.o.
Wilson, S. J., & Lipsey, M. W. (2007) School-based interventions for aggressive and disruptive behavior: Update of a meta-analysis. American Journal of Preventive Medicine, 33, 130–143.
World Health Organization (2004). For which strategies of suicide prevention is there evidence of effectiveness? who Regional Office for Europe’s Health Network (hen) Geneva: who.
Zahl, D. L., & Hawton, K. (2004). Repetition of deliberate self-harm and subsequent suicide risk: long term follow up study of 11,583 patients. British Journal of Psychiatry, 185, 70–75.
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Gravesteijn, J., Diekstra, R. & Sklad, M. Vermindering van suïcidaliteit bij adolescenten door een schoolgericht vaardigheidsprogramma. KIND ADOLESC. 32, 101–115 (2011). https://doi.org/10.1007/s12453-011-0009-6
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DOI: https://doi.org/10.1007/s12453-011-0009-6