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Emotion Dysregulation and Vulnerability to Suicidal Ideation and Attempts

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Abstract

This study investigated the predictive utility of a six-dimensional conceptualization of emotion dysregulation for suicidal ideation, as well as its ability to distinguish among individuals with differing histories of suicidality. Young adults (N = 96) with current suicidal ideation but no suicide attempt history (n = 17), a history of a single (n = 20) or multiple attempts (n = 17), or no current ideation/no past attempts (n = 42) completed measures of emotion dysregulation, suicidal ideation, depression, hopelessness, and a diagnostic interview. Multiple suicide attempters differed from participants with no suicidal ideation/no past attempts on two emotion dysregulation dimensions—nonacceptance of emotional responses and perceived limited access to emotion regulation strategies. After adjusting for depression symptoms and the presence of a mood or anxiety diagnosis, limited access to emotion regulation strategies significantly predicted current suicidal ideation, a relation that was found to be statistically mediated by hopelessness.

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References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Beck, A. T., & Steer, R. A. (1988). Beck hopelessness scale manual. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Beck, A. T., & Steer, R. A. (1993). Beck scale for suicidal ideation. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Brown, G. K., Beck, A. T., Steer, R. A., & Grisham, J. R. (2000). Risk factors for suicide in psychiatric outpatients: A 20-year prospective study. Journal of Consulting and Clinical Psychology, 68, 371–377.

    Article  PubMed  CAS  Google Scholar 

  • Centers for Disease Control and Prevention. (2011a). WISQARS Fatal Injury Reports. Retrieved October 23, 2011, from http://www.cdc.gov/injury/wisqars/fatal_injury_reports.html.

  • Centers for Disease Control and Prevention. (2011b). WISQARS Nonfatal Injury Reports. Retrieved October 23, 2011, from http://www.cdc.gov/injury/wisqars/nonfatal.html.

  • Ciarrochi, J., Deane, F. P., & Anderson, S. (2002). Emotional intelligence moderates the relationship between stress and mental health. Personality and Individual Differences, 32, 197–209.

    Article  Google Scholar 

  • Cole, P. M., Martin, S. E., & Dennis, T. A. (2004). Emotion regulation as a scientific construct: Methodological challenges and directions for child development research. Child Development, 75, 317–333.

    Article  PubMed  Google Scholar 

  • Esposito, C., Spirito, A., Boergers, J., & Donaldson, D. (2003). Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. Suicide and Life-Threatening Behavior, 33, 389–399.

    Article  PubMed  Google Scholar 

  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.

    Article  Google Scholar 

  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: The Guilford Press.

    Google Scholar 

  • McKeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behaviors in a longitudinal sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 612–619.

    Article  PubMed  CAS  Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891.

    Article  PubMed  Google Scholar 

  • Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.

    Article  PubMed  CAS  Google Scholar 

  • Spitzer, R. L., Kroenke, K., Williams, J. B. W., et al. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Journal of the American Medical Association, 282, 1737–1744.

    Article  PubMed  CAS  Google Scholar 

  • Surrence, K., Miranda, R., Marroquín, B. M., & Chan, S. (2009). Brooding and reflective rumination among suicide attempters: Cognitive vulnerability to suicidal ideation. Behavior Research and Therapy, 47, 803–808.

    Article  Google Scholar 

  • Tamás, Z., Kovacs, M., Gentzler, A. L., Tepper, P., Gádoros, J., Kiss, E., et al. (2007). The relations of temperament and emotion self-regulation with suicidal behaviors in a clinical sample of depressed children in Hungary. Journal of Abnormal Child Psychology, 35, 640–652.

    Article  PubMed  Google Scholar 

  • Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59, 25–52.

    Article  PubMed  CAS  Google Scholar 

  • Wagner, B. M., & Zimmerman, J. H. (2006). Developmental influences on suicidality among adolescents: Cognitive, emotional, and neuroscience aspects. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 287–308). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Weinberg, A., & Klonsky, E. D. (2009). Measurement of emotion dysregulation in adolescents. Psychological Assessment, 21, 616–621.

    Article  PubMed  Google Scholar 

  • Westefeld, J. S., Homaifar, B., Spotts, J., Furr, S., Range, L., & Werth, J. L. (2005). Perceptions concerning college student suicide: Data from four universities. Suicide and Life-Threatening Behavior, 35, 640–645.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G. (1997). Cry of pain: Understanding suicide and self-harm. Harmondsworth, England: Penguin.

    Google Scholar 

  • Williams, J. M. G., Barnhofer, T., Crane, C., & Duggan, D. S. (2006). The role of overgeneral memory in suicidality. In T. E. Ellis (Ed.), Cognition and suicide: Theory, research, and therapy (pp. 173–192). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Zlotnick, C., Donaldson, D., Spirito, A., & Pearlstein, T. (1997). Affect regulation and suicide attempts in adolescent inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 793–798.

    Article  PubMed  CAS  Google Scholar 

  • Zlotnick, C., Wolfsdorf, B. A., Johnson, B., & Spirito, A. (2003). Impaired self-regulation and suicidal behavior among adolescent and young adult psychiatric inpatients. Archives of Suicide Research, 7, 149–157.

    Article  Google Scholar 

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Acknowledgments

This study was funded, in part, by the Hunter College Gender Equity Project (NSF ADVANCE Institutional Transformation Award # 0123609), and by the CUNY Research Foundation. The authors would like to thank Monique Fontes, Valerie Khait, Shama Goklani, Judelysse Gomez, Brett Marroquín, and Kai Monde for their assistance with data collection. Thanks also to Tracy Dennis, Doug Mennin, Susan Nolen-Hoeksema, and J. Blake Turner for comments on a previous draft of this manuscript.

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Correspondence to Regina Miranda.

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Rajappa, K., Gallagher, M. & Miranda, R. Emotion Dysregulation and Vulnerability to Suicidal Ideation and Attempts. Cogn Ther Res 36, 833–839 (2012). https://doi.org/10.1007/s10608-011-9419-2

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