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Cognitive Risk and Protective Factors for Suicidal Ideation: A Two Year Longitudinal Study in Adolescence

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Abstract

Adolescence is a developmental period associated with heightened risk for both the onset and escalation of suicidal ideation (SI). Given that SI is a potent predictor of suicidal behavior, it is important to develop models of vulnerability for and protection against SI, particularly among young adolescents. This study examined the relative impact of several cognitive vulnerabilities, as well as protective factors, for SI among young adolescents over a 2-year interval encompassing their transition to mid-adolescence. At baseline, 324 adolescents (M = 12.39 years; SD = 0.63; 52.5 % female) completed measures of depressive symptoms, self-referent information processing biases, negative inferential style, and responses to negative affect. Further, the adolescents and their mothers were administered a diagnostic interview to assess current and past depressive disorders and SI. Over follow-up, adolescents and their mothers were administered the diagnostic interview every 12 months and adolescents completed a self-report measure inquiring about SI every 6 months to assess interviewer-rated and self-reported SI. Logistic regressions indicated that preferential endorsement of negative adjectives as self-referent (only among girls), rumination in response to negative affect, and a negative inferential style prospectively predicted SI. Additionally, young adolescents’ tendency to respond to negative affect with distraction and problem-solving buffered against their risk for exhibiting SI. When these factors were entered simultaneously, preferential endorsement of negative adjectives as self-referent and the use of distraction and problem-solving skills remained the only significant prospective predictors of SI. No previous studies have examined these variables as predictors of SI, thereby highlighting their potential utility in improving the predictive validity of extant models of suicide risk and resilience.

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References

  • Abela, J. R. Z., & Hankin, B. L. (2008). Cognitive vulnerability to depression in children and adolescents: A developmental psychopathology perspective. In J. R. Z. Abela & B. L. Hankin (Eds.), Handbook of depression in children and adolescents (pp. 35–78). New York: Guilford.

    Google Scholar 

  • Abela, J. R. Z., Brozina, K., & Haigh, E. P. (2002). An examination of the response styles theory of depression in third- and seventh-grade children: a short-term longitudinal study. Journal of Abnormal Child Psychology, 30, 515–527.

    Article  PubMed  Google Scholar 

  • Abela, J. R., Vanderbilt, E., & Rochon, A. (2004). A test of the integration of the response styles and social support theories of depression in third and seventh grade children. Journal of Social and Clinical Psychology, 23(5), 653–674.

    Article  Google Scholar 

  • Abela, J. R. Z., Aydin, C., & Auerbach, R. P. (2007). Responses to depression in children: re-conceptualizing the relation among response styles. Journal of Abnormal Child Psychology, 35, 913–927.

    Article  PubMed  Google Scholar 

  • Abela, J. R. Z., Parkinson, C., Stolow, D., & Starrs, C. (2009). A test of the integration of the hopelessness and response styles theories of depression in middle adolescence. Journal of Clinical Child and Adolescent Psychology, 38, 354–364.

    Article  PubMed  Google Scholar 

  • Alloy, L. B., Abramson, L. Y., Murray, L. A., Whitehouse, W. G., & Hogan, M. E. (1997). Self referent information-processing in individuals at high and low cognitive risk for depression. Cognition and Emotion, 11, 539–568.

    Article  Google Scholar 

  • Alloy, L. B., Abramson, L. Y., Whitehouse, W. G., Hogan, M. E., Panzarella, C., & Rose, D. T. (2006). Prospective incidence of first onsets and recurrences of depression in individuals at high and low cognitive risk for depression. Journal of Abnormal Psychology, 115, 145–156.

    Article  PubMed  Google Scholar 

  • Alloy, L. B., Black, S. K., Boccia, A. S., Boland, E. M., Goldstein, K. E., Shapero, B. G., Matt, L. C., & Abramson, L. Y. (2012). Cognitive vulnerabilities and depression versus other psychopathology symptoms and diagnoses in early adolescence. Journal of Clinical Child and Adolescent Psychology, 41, 539–560.

    Article  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: American Psychiatric Association.

    Google Scholar 

  • Arie, M., Apter, A., Orbach, I., Yefet, Y., & Zalzman, G. (2008). Autobiographical memory, interpersonal problem solving, and suicidal behavior in adolescent inpatients. Comprehensive Psychiatry, 49, 22–29.

    Article  PubMed  Google Scholar 

  • Beck, A. T. (1976). Cognitive therapy and the emotional disorders. NewYork: International Universities Press.

    Google Scholar 

  • Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy, An International Quarterly, 1, 5–37.

    Google Scholar 

  • Beck, A. T., Brown, G. K., Steer, R. A., Dahlsgaard, K. K., & Grisham, J. R. (1999). Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpatients. Suicide and Life-Threatening Behavior, 29, 1–9.

    PubMed  Google Scholar 

  • Black, S. W., & Pössel, P. (2013). The combined effects of self-referent information processing and ruminative responses on adolescent depression. Journal of Youth and Adolescence, 42, 1145–1154.

    Article  PubMed  Google Scholar 

  • Brent, D. A. (2011). Preventing youth suicide: time to ask how. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 738–740.

    Article  PubMed  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.

    Article  PubMed  Google Scholar 

  • Chan, S., Miranda, R., & Surrence, K. (2009). Subtypes of rumination in the relationship between negative life events and suicidal ideation. Archives of Suicide Research, 13, 123135.

    Article  Google Scholar 

  • Connolly, S. L., Abramson, L. Y., & Alloy, L. B. (2015). Information processing biases concurrently and prospectively predict depressive symptoms in adolescents: Evidence from a self-referent encoding task. Cognition and Emotion, 1–11.

  • Davis, R. N., & Nolen-Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive Therapy and Research, 24, 699–711.

    Article  Google Scholar 

  • Derry, P. A., & Kuiper, N. A. (1981). Schematic processing and self-reference in clinical depression. Journal of Abnormal Psychology, 90, 286–297.

    Article  PubMed  Google Scholar 

  • Desseilles, M., Perroud, N., Guillaume, S., Jaussent, I., Genty, C., Malafosse, A., & Courtet, P. (2012). Is it valid to measure suicidal ideation by depression rating scales? Journal of Affective Disorders, 136, 398–404.

    Article  PubMed  Google Scholar 

  • Disner, S. G., Beevers, C. G., Haigh, E. A., & Beck, A. T. (2011). Neural mechanisms of the cognitive model of depression. Nature Reviews Neuroscience, 12, 467–477.

    Article  PubMed  Google Scholar 

  • Gawronski, B., & Bodenhausen, G. V. (2006). Associative and propositional processes in evaluation: an integrative review of implicit and explicit attitude change. Psychological Bulletin, 132, 692.

    Article  PubMed  Google Scholar 

  • Gençöz, T., Voelz, Z. R., Gençöz, F., Pettit, J. W., & Joiner, T. E. (2001). Specificity of information processing styles to depressive symptoms in youth psychiatric inpatients. Journal of Abnormal Child Psychology, 29, 255–62.

    Article  PubMed  Google Scholar 

  • Greenwald, A. G., & Farnham, S. D. (2000). Using the implicit association test to measure self-esteem and self-concept. Journal of Personality and Social Psychology, 79, 1022.

    Article  PubMed  Google Scholar 

  • Grunbaum, J. A., Kann, L., Kinchen, S., Ross, J., Hawkins, J., Lowry, R., & Collins, J. (2004). Youth risk behavior surveillance--United States, 2003. MMWR Surveillance Summaries, 53, 1–96.

    Google Scholar 

  • Hamilton, J. L., Stange, J. P., Abramson, L. Y., & Alloy, L. B. (2015). Stress and the development of cognitive vulnerabilities to depression explain sex differences in depressive symptoms during adolescence. Clinical Psychological Science, 3, 702–714. doi:10.1177/2167702614545479.

    Article  PubMed  Google Scholar 

  • Hammen, C., & Zupan, B. A. (1984). Self-schemas, depression, and the processing of personal information in children. Journal of Experimental Child Psychology, 37, 598–608.

    Article  PubMed  Google Scholar 

  • Hankin, B. L., & Abramson, L. Y. (2002). Measuring cognitive vulnerability to depression in adolescence: reliability, validity and gender differences. Journal of Clinical Child & Adolescent Psychology, 31, 491–504.

    Article  Google Scholar 

  • Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128–140.

    Article  PubMed  Google Scholar 

  • Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis. New York: The Guilford Press.

    Google Scholar 

  • Ingram, R. E. (1984). Toward an information-processing analysis of depression. Cognitive Therapy and Research, 8, 443–477.

    Article  Google Scholar 

  • Ingram, R. E., Cruet, D., Johnson, B. R., & Wisnicki, K. S. (1988). Self-focused attention, gender, gender role, and vulnerability to negative affect. Journal of Personality and Social Psychology, 55, 967–978.

    Article  PubMed  Google Scholar 

  • Jacobs, R. H., Reinecke, M. A., Gollan, J. K., & Kane, P. (2008). Empirical evidence of cognitive vulnerability for depression among children and adolescents: a cognitive science and developmental perspective. Clinical Psychology Review, 28, 759–82.

    Article  PubMed  Google Scholar 

  • Johnson, J., Wood, A. M., Gooding, P., Taylor, P. J., & Tarrier, N. (2011). Resilience to suicidality: the buffering hypothesis. Clinical Psychology Review, 31, 563–591.

    Article  PubMed  Google Scholar 

  • Jose, P. E., & Brown, I. (2008). When does the gender difference in rumination begin? Gender and age differences in the use of rumination by adolescents. Journal of Youth and Adolescence, 37, 180–192.

    Article  Google Scholar 

  • Kazdin, A. E., Kraemer, H. C., Kessler, R. C., Kupfer, D. J., & Offord, D. R. (1997). Contributions of risk-factor research to developmental psychopathology. Clinical Psychology Review, 17, 375–406.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Avenevoli, S., & Merikangas, K. R. (2001). Mood disorders in children and adolescents: an epidemiologic perspective. Biological Psychiatry, 49, 1002–1014.

    Article  PubMed  Google Scholar 

  • Klein, D. N., Dougherty, L. R., & Olino, T. M. (2005). Toward guidelines for evidence-based assessment of depression in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 412–432.

    Article  PubMed  Google Scholar 

  • Kovacs, M. (1992). Children’s depression inventory (CDI) manual. North Tonawanda: Multi-Health Systems.

    Google Scholar 

  • Kraemer, H. C., Kazdin, A. E., Offord, D. R., Kessler, R. C., Jensen, P. S., & Kupfer, D. J. (1997). Coming to terms with the terms of risk. Archives of General Psychiatry, 54, 337343.

    Article  Google Scholar 

  • Krajniak, M., Miranda, R., & Wheeler, A. (2013). Rumination and pessimistic certainty as mediators of the relation between lifetime suicide attempt history and future suicidal ideation. Archives of Suicide Research, 17, 196–211.

    Article  PubMed  Google Scholar 

  • Kroger, J., Martinussen, M., & Marcia, J. E. (2010). Identity status change during adolescence and young adulthood: a meta-analysis. Journal of Adolescence, 33, 683–698.

    Article  PubMed  Google Scholar 

  • Labelle, R., Breton, J. J., Pouliot, L., Dufresne, M. J., & Berthiaume, C. (2013). Cognitive correlates of serious suicidal ideation in a community sample of adolescents. Journal of Affective Disorders, 145, 370–377.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1994). Psychosocial risk factors for future adolescent suicide attempts. Journal of Consulting and Clinical Psychology, 62, 297.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1996). Adolescent suicidal ideation and attempts: prevalence, risk factors, and clinical implications. Clinical Psychology: Science and Practice, 3, 25–46.

    Google Scholar 

  • Lyubomirsky, S., & Nolen-Hoeksema, S. (1995). Effects of self-focused rumination on negative thinking and interpersonal problem solving. Journal of Personality and Social Psychology, 69, 176.

    Article  PubMed  Google Scholar 

  • Mennin, D. S., & Fresco, D. M. (2014). Emotion regulation therapy. Handbook of emotion regulation. New York: The Guilford Press.

    Google Scholar 

  • Mezulis, A. H., Funasaki, K. S., Charbonneau, A. M., & Hyde, J. S. (2010). Gender differences in the cognitive vulnerability-stress model of depression in the transition to adolescence. Cognitive Therapy and Research, 34, 501–513.

    Article  Google Scholar 

  • Miller, A. L., Rathus, J. H., & Linehan, M. M. (2006). Dialectical behavior therapy with suicidal adolescents. New York: Guilford Press.

    Google Scholar 

  • Miranda, R., & Nolen-Hoeksema, S. (2007). Brooding and reflection: rumination predicts suicidal ideation at 1-year follow-up in a community sample. Behaviour Research and Therapy, 45, 3088–3095.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miranda, R., Gallagher, M., Bauchner, B., Vaysman, R., & Marroquín, B. (2012). Cognitive inflexibility as a prospective predictor of suicidal ideation among young adults with a suicide attempt history. Depression and Anxiety, 29, 180–186.

    Article  PubMed  Google Scholar 

  • Miranda, R., Valderrama, J., Tsypes, A., Gadol, E., & Gallagher, M. (2013). Cognitive inflexibility and suicidal ideation: mediating role of brooding and hopelessness. Psychiatry Research, 210, 174–181.

    Article  PubMed  Google Scholar 

  • Morrison, R., & O’Connor, R. C. (2008). A systematic review of the relationship between rumination and suicidality. Suicide and Life-Threatening Behavior, 38, 523–538.

    Article  PubMed  Google Scholar 

  • Myers, K., McCauley, E., Calderon, R., & Treder, R. (1991). The 3-year longitudinal course of suicidality and predictive factors for subsequent suicidality in youths with major depressive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 804–810.

    PubMed  Google Scholar 

  • Nock, M. K. (2012). Future directions for the study of suicide and self-injury. Journal of Clinical Child & Adolescent Psychology, 41, 255–259.

    Article  Google Scholar 

  • Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30, 133–154.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the national comorbidity survey replication adolescent supplement. JAMA Psychiatry, 70, 300–310.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., Morrow, J., & Fredrickson, B. L. (1993). Response styles and the duration of episodes of depressed mood. Journal of Abnormal Psychology, 102, 20.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424.

    Article  PubMed  Google Scholar 

  • O’Connor, R. C. (2011). Towards an integrated motivational–volitional model of suicidal behaviour. In R. C. O’Connor, S. Platt, & S. Gordon (Eds.), International handbook of suicide prevention: Research, policy and practice (pp. 181–198). London: Wiley.

    Chapter  Google Scholar 

  • O’Connor, R. C., & Noyce, R. (2008). Personality and cognitive processes: self-criticism and different types of rumination as predictors of suicidal ideation. Behaviour Research and Therapy, 46, 392–401.

    Article  PubMed  Google Scholar 

  • Orvaschel, H. (1995). Schedule for affective disorders and schizophrenia for school-age children—Epidemiologic version-5 (K-SADS-E). Ft Lauderdale: Nova Southeastern University.

    Google Scholar 

  • 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(7), 919–928.

    Article  PubMed  Google Scholar 

  • Schwartz, J. A., Kaslow, N. J., Seeley, J., & Lewinsohn, P. (2000). Psychological, cognitive, and interpersonal correlates of attributional change in adolescents. Journal of Clinical Child Psychology, 29, 188–198.

    Article  PubMed  Google Scholar 

  • Segal, Z., Williams, J. M., & Teasdale, J. (2012). Mindfulness-based cognitive therapy for depression (2nd ed.). New York: Guilford Press.

    Google Scholar 

  • Sheehy, N., & O’Connor, R. C. (2014). Cognitive style and suicidal behavior. In S. Palmer (Ed.), Suicide: Strategies and interventions for reduction and prevention. New York: Routledge.

    Google Scholar 

  • Siegle, G. J., Ghinassi, F., & Thase, M. E. (2007). Neurobehavioral therapies in the 21st century: summary of an emerging field and an extended example of cognitive control training for depression. Cognitive Therapy and Research, 31, 235–262.

    Article  Google Scholar 

  • Smith, J. M., Alloy, L. B., & Abramson, L. Y. (2006). Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: multiple pathways to self injurious thinking. Suicide and Life-Threatening Behavior, 36, 443–454.

    Article  PubMed  Google Scholar 

  • Spitzer, R. L., Endicott, J., & Robins, E. (1978). Research diagnostic criteria: rationale and reliability. Archives of General Psychiatry, 35, 773.

    Article  PubMed  Google Scholar 

  • Stange, J. P., Hamilton, J. L., Abramson, L. Y., & Alloy, L. B. (2014). A vulnerability-stress examination of response styles theory in adolescence: stressors, sex differences, and symptom specificity. Journal of Clinical Child & Adolescent Psychology, 43, 813–827.

    Article  Google Scholar 

  • Timbremont, B., & Braet, C. (2004). Cognitive vulnerability in remitted depressed children and adolescents. Behaviour Research and Therapy, 42, 423–437.

    Article  PubMed  Google Scholar 

  • United States Department of Health and Human Services Office of the Surgeon General and National Action Alliance for Suicide Prevention. (2012). 2012 National strategy for suicide prevention: Goals and objectives for action. Washington: HHS.

    Google Scholar 

  • Watkins, E. R., Mullan, E., Wingrove, J., Rimes, K., Steiner, H., Bathurst, N., & Scott, J. (2011). Rumination-focused cognitive-behavioural therapy for residual depression: phase II randomized controlled trial. The British Journal of Psychiatry: the Journal of Mental Science, 199, 317.

    Article  Google Scholar 

  • Weishaar, M. E. (1996). Cognitive risk factors in suicide. Frontiers of Cognitive Therapy, 226249.

  • Wenzel, A., & Beck, A. T. (2008). A cognitive model of suicidal behavior: theory and treatment. Applied and Preventive Psychology, 12, 189–201.

    Article  Google Scholar 

  • Wenzel, A., Brown, G. K., & Beck, A. T. (2009). Cognitive therapy for suicidal patients: Scientific and clinical applications. Washington: American Psychological Association.

    Book  Google Scholar 

  • Williams, J. M., & Broadbent, K. (1986). Autobiographical memory in suicide attempters. Journal of Abnormal Psychology, 95, 144.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G., Barnhofer, T., Crane, C., & Beck, A. T. (2005). Problem solving deteriorates following mood challenge in formerly depressed patients with a history of suicidal ideation. Journal of Abnormal Psychology, 114, 421.

    Article  PubMed  Google Scholar 

  • Wisco, B. E., & Nolen-Hoeksema, S. (2008). Ruminative response style. In K. S. Dobson, D. A. Dozois, K. S. Dobson, & D. A. Dozois (Eds.), Risk factors in depression (pp. 221–236). San Diego: Elsevier Academic Press.

    Chapter  Google Scholar 

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  1. Department of Psychology, Temple University, Weiss Hall, 1701 N. 13th St, Philadelphia, PA, 19122, USA

    Taylor A. Burke, Samantha L. Connolly, Jessica L. Hamilton, Jonathan P. Stange & Lauren B. Alloy

  2. Department of Psychology, University of Wisconsin-Madison, Brogden Hall, 1202 West Johnson Street, Madison, WI, 53706-1969, USA

    Lyn Y. Abramson

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  1. Taylor A. Burke
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Burke, T.A., Connolly, S.L., Hamilton, J.L. et al. Cognitive Risk and Protective Factors for Suicidal Ideation: A Two Year Longitudinal Study in Adolescence. J Abnorm Child Psychol 44, 1145–1160 (2016). https://doi.org/10.1007/s10802-015-0104-x

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