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Adolescents’ Comfort in Disclosing to Caregivers Predicts Suicidal Thoughts and Behaviors Directly and Indirectly Through Difficulties in Emotion Regulation
Journal of Youth and Adolescence ( IF 5.625 ) Pub Date : 2023-05-13 , DOI: 10.1007/s10964-023-01785-8
So Young Choe 1 , Liliana J Lengua 2 , Joseph P McFall 3, 4 , Peter A Wyman 5
Affiliation  

Abstract

Despite adolescents’ suicidal thoughts and behaviors being major health problems, sparse literature exists on the roles of adolescents’ disclosing their feelings to caregivers in their suicidal thoughts and behaviors. This study examined whether adolescents’ comfort in disclosing their feelings and problems to caregivers predicts subsequent suicidal thoughts and behaviors and whether difficulties in emotion regulation mediate this association. High school students (N = 5,346 from 20 schools, 49% female-identified adolescents, and 35% 9th graders, 33% 10th graders, and 32% 11th graders) participated in the study for two years with four waves, each six months apart: fall semester in Year 1 (Wave 1), spring semester in Year 1 (Wave 2), fall semester in Year 2 (Wave 3), and spring semester in Year 2 (Wave 4). The degree to which adolescents felt comfortable disclosing their feelings and problems to caregivers at Wave 1 predicted lower suicidal thoughts and behaviors at Wave 4 directly and indirectly via higher emotional clarity at Wave 2 and feeling more able to handle negative emotions at Wave 3. Moreover, when female-identified adolescents reported feeling unable to handle negative emotions at Wave 3, they reported engaging in more suicidal thoughts and behaviors at Wave 4 than male-identified adolescents. Therefore, enhancing adolescents’ comfort in disclosing their feelings and problems to caregivers and adolescent emotion regulation and taking a nuanced approach to support female-identified adolescents regarding their ability to handle negative emotions could prevent adolescents’ suicidal thoughts and behaviors.



中文翻译:

青少年向照顾者透露信息的舒适度通过情绪调节困难直接和间接预测自杀想法和行为

摘要

尽管青少年的自杀想法和行为是主要的健康问题,但关于青少年向照顾者表达自己的感受在自杀想法和行为中所扮演的角色的文献却很少。这项研究探讨了青少年向照顾者透露自己的感受和问题时的舒适感是否预示着随后的自杀想法和行为,以及情绪调节困难是否介导了这种关联。高中生(来自 20 所学校的5,346 名高中生,其中 49% 为女性青少年,35% 九年级学生,33% 10 年级学生,32% 11 年级学生)参与了这项研究,为期两年,共四波,每波相隔六个月:第一年秋季学期(第一波)、第一年春季学期(第二波)、第二年秋季学期(第三波)和第二年春季学期(第四波)。在第 1 波中,青少年愿意向照顾者透露自己的感受和问题的程度可以通过在第 2 波中更高的情绪清晰度以及在第 3 波中感觉更有能力处理负面情绪来直接和间接地预测第 4 波中较低的自杀想法和行为。此外,当女性青少年在第三波中感到无法处理负面情绪时,她们在第四波中比男性青少年有更多的自杀想法和行为。因此,提高青少年向照顾者倾诉自己的感受和问题的舒适度,以及青少年情绪调节,并采取细致入微的方法来支持女性青少年处理负面情绪的能力,可以防止青少年的自杀想法和行为。

更新日期:2023-06-19
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