Psychosocial Factors Contributing to Adolescent Suicidal Ideation

This study aimed to investigate the family, school, peer and psychological factors that contribute to adolescent suicidal ideation. The participants were 1,358 (680 boys and 678 girls) Hong Kong Chinese adolescents who were divided into younger (12.3 years, n=694) and older (15.4 years, n=664) age groups. By using structural equation modeling, the results showed that family cohesion and sense of school belonging were the core predictors of self-esteem and depression, and that depression was a strong mediator of suicidal ideation. In the prediction of suicidal ideation, peer support was significant among girls and younger adolescents only, whereas peer conflict was significant among older adolescents only. Family conflict, teacher support and academic pressure did not show any significant contribution in the prediction. The implications for future research and positive youth development programs are discussed. Rachel C. F. Sun (BSocSc, PhD) is a Postdoctoral Fellow at the Department of Social Work, the Chinese University of Hong Kong. She is also the Project Administrator of the Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programmes), which is an indigenous and large−scaled positive youth development programme in Hong Kong Chinese cultural context. She received her Bachelor Degree in Social Sciences, with Psychology Major, at the University of Hong Kong. She also received her PhD at the Faculty of Education, the University of Hong Kong in 2005. Her PhD research, which titled “Developing and evaluating a model of suicidal ideation for Hong Kong Chinese adolescents” aimed to develop a model that delineated the simultaneous relationship of family, school, peers, self-esteem and depression to adolescent suicidal ideation, and to explore the support mechanisms of the family, school and peers for maintaining adolescent psychological health. Her research interests comprise adolescent psychological health, positive youth development and school guidance. Eadaoin K. P. Hui is an Associate Professor at the Faculty of Education, the University of Hong Kong. Her research interests encompass student guidance and counseling and personal-social education.     

Characteristics and Co-occurrence of Adolescent Non-Suicidal Self-Injury and Suicidal Behaviours in Pediatric Emergency Crisis Services

During the potentially tumultuous adolescent period, non-suicidal self-injury (NSSI) and suicide attempts are relatively common, particularly amongst youth who present to mental health services. These phenomena frequently co-occur but their relationship is unclear. This study evaluated clinical data from 468 youth between the ages of 12 and 17 years (63.5% female) to determine the incidence of NSSI 24 h prior to presentation at emergency crisis services, evaluated the overlap between NSSI and suicide attempt, and examined the characteristics of different types of self-harm. Half of the adolescents presenting to emergency crisis services had self-harmed within the previous 24 h, with most of these (91%) classified as NSSI only. The percentage of youth with a suicide attempt was 5% and the co-occurrence of these two behaviours was 4%. Group differences in depressive symptoms, suicidal ideation and impulsivity were identified, with the co-occurring NSSI and suicide attempt group presenting with the highest level of psychopathology. This study underscores the necessity of assessing suicidal ideation and NSSI in all youth presenting to mental health services.     

Reexamining Adolescent Suicidal Ideation: A Developmental Perspective Applied to a Diverse Population

The purpose of this study was to test the hypothesis that suicidal ideation is a common experience in a general population of African American, Hispanic, and White urban high school students residing in low-income neighborhoods. Based upon a developmental framework, it was hypothesized that once attitudes toward suicide were controlled, ideation would not vary significantly by ethnicity, gender, or psychosocial variables usually associated with ideation. The multivariate analysis revealed that ideation did not vary by ethnicity however, females, substance users, and those with greater tolerance toward suicide, higher family coping, and lower self-esteem were more likely to report ideation. A series of ideator profiles, calculated from the probability estimates, showed that an increase in tolerance substantially raises the likelihood of ideation. The results taken together raise the question of whether it is time to reconceptualize the relationship between ideation and normal adolescent development.     

Differentiating Peer Contexts and Risk for Adolescent Substance Use

The peer context is perhaps the most salient, robust predictor of an adolescent's substance use. However, in previous studies, the peer context is often poorly defined. The current study examined 3 models to understand how substance use within best friendships, peer cliques, and social crowds predicts adolescents' substance involvement. A sample of 377 high school juniors and seniors completed surveys assessing substance use and peer relationships. Results suggest that each of these 3 dimensions of the peer context uniquely predict adolescent substance use. Moreover, these peer contexts interacted in the prediction of adolescents' substance use such that adolescents who were more highly embedded in substance-using peer contexts showed greater risk for substance use whereas adolescents with substance-using best friends showed a reduced risk for substance use if they had other close friends who were less involved with substances.     

Adolescent Risk Behavior Subgroups: An Empirical Assessment

Theories and prior research have outlined a constellation of adolescent risk behaviors that tend to co-occur, reflecting a general pattern. Although their generality has largely been supported, there is some question about how to best study and portray the relationship among these behaviors. This study used data from a survey administered to high school youth (n = 2549, 38 schools). The general population sample comprised an even split between boys and girls, averaged roughly 16 years of age, and was 59% White and 10% Hispanic/Latino. Using latent class analysis, four subgroups, comprised of varying types and degrees of risky behavior, were identified. Specifically, there were two groups that “abstained” and “experimented” with risky behaviors and two others that had higher, but somewhat distinct, patterns of such activities. These groups were then examined in relation to youth characteristics (e.g., mental and physical health, school performance) and socio-environmental factors (e.g., social support, parental monitoring) that may be useful for better understanding “problem behavior syndrome” and development of prevention strategy.     

Adolescent Neglect, Juvenile Delinquency and the Risk of Recidivism

Victims of child abuse and neglect are at an increased risk of involvement with the juvenile justice and adult correctional systems. Yet, little is known about the continuation and trajectories of offending beyond initial contact with law enforcement. Neglect likely plays a critical role in continued offending as parental monitoring, parental rejection and family relationships are instrumental in explaining juvenile conduct problems. This study sought to determine whether neglect is associated with recidivism for moderate and high risk juvenile offenders in Washington State. Statewide risk assessments and administrative records for child welfare, juvenile justice, and adult corrections were analyzed. The sample was diverse (24 % female, 13 % African American, 8 % Hispanic, 5 % Native American) and included all moderate and high risk juvenile offenders screened by juvenile probation between 2004 and 2007 (n = 19,833). Official records from child protection were used to identify juvenile offenders with a history of child neglect and to identify juvenile offenders with an ongoing case of neglect. Event history models were developed to estimate the risk of subsequent offending. Adolescents with an ongoing case neglect were significantly more likely to continue offending as compared with youth with no official history of neglect. These findings remain even after controlling for a wide range of family, peer, academic, mental health, and substance abuse covariates. Interrupting trajectories of offending is a primary focus of juvenile justice. The findings of the current study indicate that ongoing dependency issues play a critical role in explaining the outcomes achieved for adolescents in juvenile justice settings. The implications for improved collaboration between child welfare and juvenile justice are discussed.     

Dimensions of Adolescent Psychopathology and Relationships to Suicide Risk Indicators

Youth suicide represents an area of important public and mental health concern. Although diagnostic correlates (e.g., depression) of suicidality have been identified, very few studies of youth have analyzed relationships between empirically-derived dimensions of psychopathology, representing broader dimensions of risk, and different suicidality indicators. We recruited 223 adolescents (57% female; 32% ethnic minority) from mental health agencies and the community to assess psychopathology, substance use, and suicidality relying on multiple measures and reporters (youth, parent, and clinician). Using a 3-factor model of psychopathology, we found that the Internalizing factor (including depression and generalized anxiety) was associated with both suicidal thinking and behaviors (threats/attempts), the Externalizing factor (conduct, oppositional, and attention deficit disorders) was negatively related only to suicidal thinking, and the Substance Use factor (alcohol and cannabis use) related to suicidal behaviors of threats/attempts but not suicidal thinking. The results show the utility of a dimensional conceptualization for clarifying distinct vulnerabilities to suicidal thinking versus overt behaviors and have implications for the construct validity of distinct dimensions of psychopathology.     

Pathways to Sexual Risk Taking Among Female Adolescent Detainees

Sexual risk taking among female delinquents represents a significant public health problem. Research is needed to understand the pathways leading to sexual risk taking among this population. This study sought to address this issue by identifying and testing two pathways from child maltreatment to non-condom use among 329 White and 484 African American female adolescent detainees: a relational pathway and a substance use coping pathway. The relational pathway indicated that child maltreatment would be related to non-condom use via depressive self-concept and condom use self-efficacy. The substance use coping pathway suggested that depressive self-concept and alcohol-based expectancies for sexual enhancement would mediate the relationship between child maltreatment and non-condom use. As hypothesized, the relational pathway variables were associated with one another in the expected directions; however, evidence of mediation was not found. Support for mediation was found for the substance use coping pathway. Exploratory across group comparison analysis indicated that the relational pathway was significant for White girls whereas the substance use coping pathway was significant for African American girls. Limitations and implications for future research are discussed.     

Predictors of Adolescent Sexual Risk Taking Behaviors Which Put Them at Risk for Contracting HIV

This article reports results of a study exploring predictors of adolescents' behavior that could reduce their risk of contracting HIV. The theory of reasoned action is employed as a framework. Participants included eighth-grade students (n = 230), eleventh- and twelfth-grade students (n = 106), and first- and second-year college students (n = 156). Results of regression analyses suggest the best predictor of some risky behavior (e.g., condom use) is attitude toward risky behavior while predictors of other behaviors (e.g., number of sexual partners) varies by sample group. Implications for community educators, teachers, and HIV/AIDS message designers are discussed.     

Adolescent Risk: The Co-Occurrence of Illness,Suicidality, and Substance Use

Illness is rarely considered a “risk factor” in adolescence. This study tests illness, suicidality and substance use as outcome measures in a path analysis of 1028 Swiss adolescents in secondary prevention programs. The model showed that negative mood (depression and anxiety) predicted two paths. One path led from negative mood to suicidality and from there to substance use. The other path led directly from negative mood to illness. Traditional protective factors (good relationships, secure identity) protected against the negative mood-suicide-substance path, but not against the negative mood-illness path. Gebhard Hüsler, psychologist and psychotherapist, Director of the Centre for Rehabilitation and Health Psychology Research, University of Fribourg, rte Englisberg 7, CH 1763 Granges-Paccot, Switzerland. Ronny Blakeney is a senior researcher at University of Fribourg, Departement Erziehungswissenschaften, University of Fribourg, rue de Faucigny 2, CH-1700 Fribourg, Switzerland. Her major research interests are developmental approaches to the sociomoral challenges of adolescents. Egon Werlen is a junior researcher at Center of Rehabilitation and Health Psychology Research, rte Englisberg 7, CH 1763 Granges-Paccot, Switzerland. His major interests are the course of psychological well being, psychological processes in chronic diseases, and methodological issues.     

Structural Home Environment Effects on Developmental Trajectories of Self-Control and Adolescent Risk Taking

Journal of Youth and Adolescence - Extant literature has demonstrated that self-control is critical for health and adjustment in adolescence. Questions remain regarding whether there are...     

A Rationale and Method for Examining Reasons for Linkages Among Adolescent Risk Behaviors

A large volume of research has investigated interrelations among adolescent risk behaviors. Although several theoretical accounts have been proposed, researchers have not directly examined hypotheses for why risk behaviors are linked. In the present paper, a distinction is drawn between predictive factors that explain variance in risk behaviors and “linkage factors” which may provide an explanation for why risk behaviors are interrelated. The relevance of linkage factors to risk behavior research, theory, and practice is described. Further, a simple to use and easy to interpret analytic technique for exploring linkage-related issues is illustrated. Using this technique, hypotheses regarding the role of predictors in explaining linkages among risk behaviors can be tested directly. The proposed line of inquiry will provide valuable input for intervention efforts and theoretically relevant information concerning linkages among adolescent risk behaviors. Research Associate at the Brock Research Institute for Youth Studies at Brock University, Ontario, Canada. He received his M.A. in Clinical Psychology from the University of North Dakota. His major research interests are adolescent risk behavior involvement and youth activity involvement as a context for positive development. Professor in the Department of Child and Youth Studies at Brock University, Ontario, Canada. She received her Ph.D. in Developmental Psychology from the University of Waterloo. Her major research interests include adolescent risk taking and resilience, including academic underachievement and media/technology influences on lifestyle choices and learning. Assistant Professor in the Department of Child and Youth Studies at Brock University, Ontario, Canada. She received her Ph.D. in Developmental Psychology from Brock University. Her major research interests are adolescent risk-behavior involvement, particularly related to gambling, and risk and resilience.     

Risk and Protective Factors for Adolescent Relationship Abuse across Different Sexual and Gender Identities

Journal of Youth and Adolescence - Little is known about the characteristics and context of adolescent relationship abuse victimization across youth of different sexual and gender minority...     

Friends: The Role of Peer Influence Across Adolescent Risk Behaviors

This longitudinal project examined peer influence across five risk behaviors: cigarette smoking, alcohol consumption, marijuana use, tobacco chewing, and sexual debut. A total of 1,969 adolescents aged 12–18 years completed two waves of data collection. Each respondent matched behavior data for at least one friend. Results found that a random same sex peer predicts a teen's risk behavior initiation; there is influence only to initiate cigarette and marijuana use; and that there is influence to initiate and stop alcohol and chewing tobacco use. This finding suggests that friends may protect adolescents from risk activities. The study has implications for understanding how peer influence, expressed as social norms, may be used in public health campaigns that target teen behavior.     

Adolescent Problem Behavior and Depressed Mood: Risk and Protection Within and Across Social Contexts

This study examined risk and protection for adolescent problem behavior and depressive symptomatology in an average-risk sample of 11th graders. Using a socioecological perspective, we aggregated risk factors for adolescent problem behavior and depressed mood by 3 social contexts: i.e., family and peer contexts, and a context comprising the most important nonparental adult (VIP) in respondents' lives. Protective factors associated with these 3 contexts were also included in the analyses. We tested separate models (including outcome-specific risk and protective factors) for predicting problem behaviors and depressive symptoms; the models demonstrated divergent validity. Risk and protective factors accounted for 49% of the variance in problem behavior and 49% in depressive symptoms. Tests of interactions between risk-aggregates and protective factors yielded several significant cross-context buffering effects in the problem behavior model, but none in the depressive symptoms model. Parents' and VIP's perceived sanctions buffered adolescents against high risk for problem behavior emanating from the peer context. Additionally, perceived peers' sanctions buffered youths against risk emanating from each of the 3 contexts.     

Gender/Racial Differences in Jock Identity,Dating, and Adolescent Sexual Risk

Despite recent declines in overall sexual activity, sexual risk-taking remains a substantial danger to US youth. Existing research points to athletic participation as a promising venue for reducing these risks. Linear regressions and multiple analyses of covariance were performed on a longitudinal sample of nearly 600 Western New York adolescents in order to examine gender- and race-specific relationships between jock identity and adolescent sexual risk-taking, including age of sexual onset, past-year and lifetime frequency of sexual intercourse, and number of sexual partners. After controlling for age, race, socioeconomic status, and family cohesion, male jocks reported more frequent dating than nonjocks but female jocks did not. For both genders, athletic activity was associated with lower levels of sexual risk-taking; however, jock identity was associated with higher levels of sexual risk-taking, particularly among African American adolescents. Future research should distinguish between subjective and objective dimensions of athletic involvement as factors in adolescent sexual risk.Research Scientist at the Research Institute on Addictions of the University at Buffalo. Received PhD in sociology from the University at Buffalo. Research interests include adolescent athletic involvement, gender, race, and health-risk behavior, particularly substance use.Department Chair and Professor of Sociology at the University at Buffalo. Received PhD in sociology from Yale University. Research interests include the effects of families, friendships, and organizational participation on adolescent development and substance use.Senior Research Scientist at the Research Institute on Addictions of the University at Buffalo. Received PhD in sociology from the University at Buffalo. Research interests include family influences on adolescent substance use, gambling, and other problem behaviors.Professor of Physical Education and Sport at SUNY College at Brockport. Received PhD in physical education from Ohio State University. Research interests include the sociology of sport, social psychology of sport, sport group dynamics, and sport spectatorship/fandom.Professor of Sociology at DYouville College. Received PhD in sociology from the University at Buffalo. Research interests include the sociology of sport, gender, and mens health.     

Adolescent Risk of Dating Violence and Electronic Dating Abuse: A Latent Class Analysis

Journal of Youth and Adolescence - Electronic forms of dating violence among youth are common yet little is known about how these forms of violence overlap with the commonly studied domains of...     

Adolescent Health Risk Profiles: The Co-Occurrence of Health Risks among Females and Males

This analysis examines the complexity of adolescent health risk behaviors using data from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative study of students. The current sample includes 12,955 students (6,626 females and 6,329 males) in grades 9 through 12. Cluster analysis was conducted separately by gender to examine the interrelationships among eight health risk behaviors: sexual activity, general alcohol use, binge drinking, cigarette use, marijuana use, other illicit drug use, fighting, and suicide. Four distinct clusters for females and males were identified based on their profiles of risk-taking behavior. Females and males both report low- and high-risk profiles, and a risk profile with high alcohol use and sexual activity. Females have two distinct risk profiles, one that is highest on every measure of risk compared to others and one that has high levels of fighting and suicide with little participation in substance use or sexual activity. Males have a distinct risk profile with particularly high rates of marijuana use and suicidal behaviors. Few distinctions exist between profiles based on sociodemographic characteristics.     

Maternal Depressive Symptoms and Adolescent Health Risk Problems: The Role of School Engagement

Maternal depressive symptoms disrupt positive youth development, though the pervasiveness of this disruption is understudied. Additionally, it remains unknown whether prosocial factors such as adolescent school engagement may buffer against this risk factor. Using multigenerational, longitudinal data spanning ten years from an ethnically diverse sample of mother-child dyads (66% Black, 17% Hispanic, and 17% White), this study examines the effect of maternal depressive symptoms in late childhood (ages 8–13) on the development and progression of offspring depressive symptoms, substance use, and delinquent behavior during adolescence (ages 14–17). Further, the study examines whether school engagement moderates the ill effects of maternal depressive symptoms. Mother-son (n?=?212) and mother-daughter (n?=?215) dyads are compared to assess for similarities and differences between male and female offspring. The results indicate that offspring of mothers with greater maternal depressive symptoms are more likely to display higher levels of depressive symptoms, substance use, and delinquency throughout adolescence, although important nuances emerge across outcome and child sex. Additionally, while school engagement itself is associated with reduced depressive symptoms, substance use and delinquency among adolescents, it is not profound enough to offset the risk posed by maternal depressive symptoms. The findings of this study reinforce the pervasive, negative, intergenerational impact of maternal depressive symptoms and has implications for prevention and intervention efforts for adolescent health risk problems.