Adolescent Gender Differences in Suicide-Related Behaviors

Utilizing data as well as factor analysis and multiple regression the previously published study, Risk Factors Related to Suicidal Behavior Among Male and Female Adolescents [(1996), Journal of Youth and Adolescence, Vol. 25, pp. 149–160], this follow-up study examined gender differences in risk factors that increase the probability of self-reported suicidal behavior among seventh through twelfth grade students (N = 3461) in a northern Midwest school district. The logistic regression results revealed gender differences in that the demonstration of more aggressive behaviors increased the likelihood of males reporting suicidal behavior.     

Restrictive Emotionality,Depressive Symptoms,and Suicidal Thoughts and Behaviors Among High School Students

Depression and suicidal thoughts and behaviors are prevalent among youth today. The current study sought to further our understanding of the correlates of depression and suicidality by assessing the relationship between restrictive emotionality (difficulty understanding and expressing emotions) and depressive symptoms and suicidal ideation and attempts among adolescents. A large group of high school students (n = 2189, 58.3% male; 13–18 years of age) completed a self-report survey as part of a 2-stage suicide screening project. Logistic regression analyses were used to assess the association between restrictive emotionality and depressive symptoms, suicidal ideation, and suicide attempts. Those reporting high restrictive emotionality were 11 times more likely to have elevated depressive symptom scores, 3 times more likely to report serious suicidal ideation (after controlling for depressive symptoms), and more than twice as likely to report a suicide attempt (after controlling for depressive symptoms) than those reporting low restrictive emotionality. Restrictive emotionality partially mediated the relationship between depressive symptoms and suicidal ideation and behavior. The pattern of association between restrictive emotionality and the outcome variables was similar for boys and girls. Restrictive emotionality is highly associated with elevated depressive symptoms and suicidal thoughts and behaviors among high school students, and may be a useful specific target in prevention and treatment efforts.     

The Mediating Roles of Stress and Maladaptive Behaviors on Self-Harm and Suicide Attempts Among Runaway and Homeless Youth

Runaway and homeless youth often have a constellation of background behavioral, emotional, and familial problems that contribute to stress and maladaptive behaviors, which, in turn, can lead to self-harming and suicidal behaviors. The current study examined the roles of stress and maladaptive behaviors as mediators between demographic and psychosocial background characteristics and self-injurious outcomes through the lens of the stress process paradigm. The model was tested in a sample of runaway and homeless youth from Los Angeles County (N = 474, age 12–24, 41 % female, 17 % White, 32.5 % African American, 21.5 % Hispanic/Latino). Background variables (gender, age, sexual minority status, parental drug use history, and emotional distress) predicted hypothesized mediators of maladaptive behaviors and recent stress. In turn, it was hypothesized that the mediators would predict self-harming behaviors and suicide attempts in the last 3 months. Females and LGBT (lesbian, gay, bisexual, transgender) youth were more likely to have self-harmed and attempted suicide; younger participants reported more self-harming. The mediating constructs were associated more highly with self-harming than suicide attempts bivariately, although differences were modest. Maladaptive behaviors and recent stress were significant predictors of self-harm, whereas only recent stress was a significant predictor of suicide attempts. All background factors were significant predictors of recent stress. Older age, a history of parental drug use, and greater emotional distress predicted problem drug use. Males, younger participants, and participants with emotional distress reported more delinquent behaviors. Significant indirect effects on self-harming behaviors were mediated through stress and maladaptive behaviors. The hypothesized paradigm was useful in explaining the associations among background factors and self-injurious outcomes and the influence of mediating factors on these associations.     

Who,What, Where,When, and Why: Demographic and Ecological Factors Contributing to Hostile School Climate for Lesbian,Gay, Bisexual,and Transgender Youth

This study examines how locational (region and locale), community-level (school district poverty and adult educational attainment), and school district-level (district size and ratios of students to key school personnel) variables are related to indicators of hostile school climate for lesbian, gay, bisexual, and transgender (LGBT) youth. Indicators of hostile climate included frequency of homophobic remarks and victimization regarding sexual orientation and gender expression. We used data from a national survey of LGBT secondary school students (N = 5,420; 57.6% female; 65.5% White; mean age = 15.9). Results from regression analyses demonstrated that LGBT youth in rural communities and communities with lower adult educational attainment may face particularly hostile school climates. School district characteristics contributed little to the variation in LGBT youth’s experiences. Findings highlight the importance of considering the multiple contexts that LGBT youth inhabit, particularly as they pertain to educational experiences.     

The Moderating Effects of Parenting Styles on African-American and Caucasian Children’s Suicidal Behaviors

Given that parenting practices have been linked to suicidal behavior in adolescence, examining the moderating effect of parenting styles on suicidal behavior early in development could offer potential insight into possible buffers as well as directions for suicide prevention and intervention later in adolescence. Hence, the moderating effects of parenting styles, including authoritarian, permissive, and features of authoritative parenting, on depressed and aggressive children’s suicidal behavior, including ideation and attempts, were evaluated with young children (N = 172; 72% male, 28% female) ranging from 6 to 12 years of age. African American (69%) and Caucasian (31%) children admitted for acute psychiatric inpatient care completed standardized measures of suicidal behavior, depressive symptoms, and proactive and reaction aggression. Their parents also completed standardized measures of parental distress and parenting style. Hierarchical regression analyses revealed that, while statistically controlling for age and gender, children who endorsed more depressive symptoms or reactive aggression reported more current and past suicidal behavior than children who endorsed fewer depressive or aggressive symptoms. The significant positive relationship observed between depressive symptoms and childhood suicidal behavior, however, was attenuated by parental use of authoritarian parenting practices for African-American and older children but not for younger and Caucasian children. The ethnic/racial difference observed for the buffering effect of authoritarian parenting practices offers potential theoretical and clinical implications for conceptualizing the moderating effects of parenting styles on African-American and Caucasian children’s suicidal behavior.     

Depression,Suicidal Ideation,and Substance Use Among Continuation High School Students

This study examines the structural relationships among depression, suicidal ideation, gateway substance use (including cigarettes, alcohol, and marijuana), and hard substance use (including cocaine, stimulants, and inhalants) in a sample of continuation high school students at high risk for drug abuse. When the model was examined separately by ethnic group (Latino and Caucasian) and gender, significant differences among the factor correlations emerged. Compared to Latinos and females, Caucasians and males, respectively, demonstrated a greater number of significant relationships among the factors. For Latinos and females, only the depression and suicidal ideation factors were significantly correlated with each other, as were the gateway and hard substance use factors. For Caucasians and males, four of the six factors were significantly intercorrelated. One implication is that mood enhancement may be a particularly important reason for hard substance use among Caucasian and male adolescents.     

Suicidal ideation in adolescence: Depression,substance use,and other risk factors

The interrelationships of depression and suicide with adolescent drug use, delinquency, eating disorders, and the risk factors for these different problems were investigated among 597 9th and 11th graders in an urban high school. There is a strong association of drug use with suicidal ideation among girls, and a stronger relationship with attempts among girls and boys. Suicidal youths are ill-adjusted and display a lack of attachment and commitment to family and school. Causal models indicate that poor interpersonal interactions with parents, absence of peer interactions, and life events lead to depression, which in turn leads to suicidal ideation. Depressive symptoms are the strongest predictors of suicidal ideation. Among females, depression predicts drug involvement, and in turn, drug use increases suicidal ideation. Drug use is only one class of problem behaviors that constitutes a risk factor for suicidal behavior in adolescence. Delinquency and eating disorders also have direct effects on suicidal ideation beyond those of depressive affect. As for drug involvement, these problem behaviors are more predictive of suicidal behavior among girls than boys. Similarity and specificity of the predictors for problem behaviors within and between the sexes are discussed. Although young women use drugs to handle feelings of depression, drug use appears ineffective in the long run in relieving these depressive feelings. Understanding the dynamics of suicidal ideation in adolescence has important public health implications, since ideation is a strong predictor of attempts, especially among females.Revised version of a presentation at the Workshop on Adolescent Depression, Princeton, NJ, June 3, 1987.Work on this research has been partially supported by Research Grants DA00064, DA01097, DA03196, and DA02867, and by Research Scientist Award DA00081 from the National Institute on Drug Abuse; and awards from the John D. and Catherine MacArthur Foundation and the Research Foundation for Mental Hygiene, New York State Psychiatric Institute. Partial support for computer costs was provided by Mental Health Clinical Research Center Grant MH30906-07 from NIMH to the New York State Psychiatric Institute.Received Ph.D. in Sociology from Columbia University. Research interests include adolescent psychosocial development, epidemiology and risk factors for drug use, and interpersonal networks.Work on this research was carried out while a Research Associate at the School of Public Health, Columbia University. Received Ph.D. in Sociology from Columbia University. Research interests include personal networks and social support systems in chronic illness, societal factors in mental health, psychosocial consequences of drug use and abuse, panel mortality, and survey methodology.Received M.P.H. from Columbia University. Research interests include reliability and child psychiatry.     

Childhood Predictors and Mid-Adolescent Correlates of Developmental Trajectories of Alcohol Use among Male and Female Youth

The identification of salient risk factors for alcohol consumption among male and female adolescents is an important topic not only for etiology research but also for designing effective gender-specific alcohol prevention programs for young people. This study examined the extent to which problematic alcohol use trajectories from ages 14 to 18 among male and female youth were related to childhood predictors assessed at age 9 (i.e., impulsivity, academic self-confidence, social problems with peers), socio-demographic variables, and mid-adolescent correlates [i.e., parental use, body mass index (BMI), risky peer context, conduct problems at school, parent–child relationship, somatic complaints]. Data analysis was based on a representative German longitudinal study (1986–1995, n = 1,619, 55 % female). Using growth mixture modeling methodology, associations of childhood predictors and mid-adolescent correlates to distinctive trajectories of alcohol use were examined for males and females separately. For males, a problematic consumption trajectory was associated with poor relationships to parents in adolescence and small community size. For females, low impulsivity during childhood, high BMI, and contact with deviant peers during adolescence predicted problematic as compared to normative alcohol use trajectories. Additionally, high parental alcohol use, low parental educational background, and conduct problems at school during adolescence were common predictors of a problematic alcohol use trajectory in both genders. The results provide insights regarding differences in the gender-typical development of adolescent alcohol use as well as stress the need of gender-specific intervention components along with universal prevention strategies against problematic consumption trajectories.     

Cyber Bullying and Physical Bullying in Adolescent Suicide: The Role of Violent Behavior and Substance Use

The impact of bullying in all forms on the mental health and safety of adolescents is of particular interest, especially in the wake of new methods of bullying that victimize youths through technology. The current study examined the relationship between victimization from both physical and cyber bullying and adolescent suicidal behavior. Violent behavior, substance use, and unsafe sexual behavior were tested as mediators between two forms of bullying, cyber and physical, and suicidal behavior. Data were taken from a large risk-behavior screening study with a sample of 4,693 public high school students (mean age = 16.11, 47 % female). The study’s findings showed that both physical bullying and cyber bullying associated with substance use, violent behavior, unsafe sexual behavior, and suicidal behavior. Substance use, violent behavior, and unsafe sexual behavior also all associated with suicidal behavior. Substance use and violent behavior partially mediated the relationship between both forms of bullying and suicidal behavior. The comparable amount of variance in suicidal behavior accounted for by both cyber bullying and physical bullying underscores the important of further cyber bullying research. The direct association of each risk behavior with suicidal behavior also underscores the importance of reducing risk behaviors. Moreover, the role of violence and substance use as mediating behaviors offers an explanation of how risk behaviors can increase an adolescent’s likelihood of suicidal behavior through habituation to physical pain and psychological anxiety.     

Protective and Risk Factors Associated with Adolescent Boys’ Early Sexual Debut and Risky Sexual Behaviors

Protective and risk factors associated with rates of early sexual debut and risky sexual behaviors for a sample of low-income adolescent boys were examined using bioecological theory framed by a resiliency perspective. Protective processes examined include a close mother–son and father–son relationship, parental monitoring and family routines, as well as the adolescent boy’s academic achievement, expectations, and school recognition. The risk factors assessed were delinquent behaviors, if the adolescent was born to a teenage mother, family structure, monthly family income, risky neighborhood environments, family of origin welfare receipt, and maternal education. Waves one (1999) and two (2001) of Welfare, Children, and Families: A Three-City Study were used (N = 528; Wave 1 ages 10–14 years). Associations between early sexual debut and risky sexual behaviors with individual, family, school, and neighborhood protective and risk factors were addressed through a series of d-probit and Ordinary Least Squares multiple regression techniques. When protective and risk factors were addressed independently, academic achievement and parental monitoring protected adolescent boys from early sexual debut and risky sexual behaviors while drug and alcohol use and school problems placed them at risk for these behaviors. However, when the model is assessed together, early parental monitoring and academic achievement were shown to protect boys’ early sexual debut and risky sexual behaviors by reducing their delinquent behaviors, specifically early drug and alcohol use and school problems.

Racial/Ethnic Discrimination and Suicidal Ideation in Emerging Adults: The Role of Traumatic Stress and Depressive Symptoms Varies by Gender not Race/Ethnicity

Drawing from Race-Based Traumatic Stress theory, the present study examined whether traumatic stress and depressive symptoms differentially help explain the relation between racial/ethnic discrimination and suicidal ideation across gender and racial/ethnic groups. A racially/ethnically diverse group of emerging adults (N?=?1344; M_age?=?19.88, SD?=?2.25; 72% female; 46% Hispanic) completed a battery of self-report measures. A cross-sectional design was employed with a series of hierarchical linear regression models and bootstrapping procedures to examine the direct and indirect relation between racial/ethnic discrimination and suicidal ideation through traumatic stress and depressive symptoms across gender and race/ethnicity. The findings suggest an indirect relation through depressive symptoms, but not traumatic stress, and a serial indirect relation through traumatic stress to depressive symptoms in young women and young men, the latter of which was stronger in young women. The indirect relations did not vary by racial/ethnic group. Cumulative experiences of racial/ethnic discrimination may impact suicide-related risk via increases in psychiatric symptomology (i.e., traumatic stress and depressive symptoms), particularly in young women. Racial/ethnic discrimination experiences should be accounted for as a potential source of psychological distress in the assessment, diagnosis, and treatment of suicidal thoughts and behavior, especially among young women endorsing traumatic stress and depressive symptoms. Further research is warranted to better understand the gender difference in the relation between racial/ethnic discrimination and suicide-related risk.

     

Adolescent Sexual Timetables

Young people's age expectations for the Initiation by boys and girls of a range of sexual practices were elicited from a sample of 522 15- and 16-year-olds. As expected, there was a progression in the modal ages nominated from the least intimate (kissing) to more intimate behaviors (sexual intercourse). There were few gender differences, either for age expectations of the practices of boys and girls or between male and female respondents. There was a strong relationship between sexual timetables and timetables for autonomy and use of common drugs such as alcohol, and several marker sexual behaviors were identified that may signify the appropriateness of a range of sexual practices, It is suggested that there is a group of young people whose desire for early autonomy, substance use, and belief in early sexual activity may put them at risk.     

Factors Associated with Academic Achievement for Sexual and Gender Minority and Heterosexual Cisgender Students: Implications from a Nationally Representative Study

Research on sexual and gender minority student achievement indicates that such students report lowered achievement relative to other students. Increased victimization and less school belonging, amongst other factors, have been identified as contributing to these inequalities. However, supportive schooling structures and caregiver support may support their achievement. A nationally representative survey of secondary school students was used to identify specific factors that support achievement for sexual minority (n?=?485), gender minority (n?=?298), and heterosexual cisgender (where one’s sex assigned at birth “matches” a binary gender identity, i.e., a male assigned at birth identifies as a boy/man, n?=?7064) students in New Zealand. While reported victimization did not affect achievement for sexual and gender minority students, school belonging, and teacher expectations of success, emerged as significant factors. Differences emerged between sexual minority and gender minority achievement factors, suggesting a range of detailed policy implications and recommendations.

     

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.     

Heavy Metal Music and Adolescent Suicidal Risk

This study probes the differentiating characteristics (family relationships, social–psychological attitudes, drug use, and suicidal risk) of youth who prefer heavy metal (HM) music, worship music, and use music for vicarious release. Data analysis was based on a sample of 275 secondary school students between the ages of 14 and 18. Logistic regressions revealed that HM music preference and worshipping is not significantly related to suicidal risk when controlling for other risk factors. These findings were found for both boys and girls. Surprisingly, the use of music for vicarious release was inversely related to suicidal risk for girls. These findings are discussed within the framework of Arnett's alienation theory (Arnett, J. (1991). J. Youth Adolesc. 20(6): 573–592) and Roe's uses-gratification theory (Roe, K. (1995). J. Youth Adolesc. 24(5): 617–631) regarding adolescent socialization and media purposes.     

Adolescent Female Athletes' Sexual Risk-Taking Behaviors

Data from the Centers for Disease Control and Prevention (CDC) 1993 Youth Risk Behavior Surveillance (YRBS) of a sample of U.S. female adolescents (N = 7839) were compared to a cohort of 9th through 12th grade high performance female athletes (N = 141) with regard to risk-taking behavior on eight items related to sexual activity (i.e., ever engaged in sexual intercourse, age of first sexual intercourse, number of lifetime sexual partners, current sexual activity, condom use, use of the birth control pill, contracting a sexually transmitted disease (STD), and incidence of alcohol or drug use prior to last sexual activity). Chi-square analyses (p < .05) showed that with the exception of alcohol or drug use prior to last sexual activity, and use of birth control pills, the six other risk-taking behaviors were significantly different between the U.S. female sample and the female athletes. In all instances, except for contracting an STD, U.S. females reported engaging in sexual risk-taking behaviors more frequently than the high performance athletes, and furthermore, were more likely to be sexually active than the high performance athletes (50% vs. 21%). Among the high performance athletes, only lifetime sexual activity showed significant difference by grade, with sophomores and seniors reporting more frequent involvement in sexual activity. These findings suggest that participation in a high performance sports activity is positively associated with some reduced sexual risk-taking behaviors for adolescent females.     

Family and Individual Predictors of Late Adolescents' Romantic Relationships

The present study examined parent–adolescent conflict and late adolescents' attachment anxiety and depressive symptoms as predictors of late adolescents' romantic relationships. Questionnaires assessing parent–adolescent conflict resolution behaviors, adolescent–romantic partner conflict resolution behaviors, and adolescent attachment anxiety and depressive symptoms were completed by 256 college students (198 females and 58 males). Using hierarchical regression analyses, statistical models were tested wherein adolescent–romantic partner conflict resolution behaviors were regressed on mother–adolescent and father–adolescent conflict resolution behaviors and adolescents' attachment anxiety and depressive symptoms. All four predictor variables explained significant portions of the variance in adolescent–romantic partner conflict resolution behaviors; however, different predictors were found for females and males. For females, mother–adolescent and father–adolescent conflict resolution strategies and adolescent attachment anxiety were significant predictors. In contrast, father–adolescent conflict resolution behaviors and adolescent depressive symptoms were significant predictors for males. Findings highlight the differential role of familial and individual attributes in female and male adolescents' romantic relationship functioning.     

The Influence of Future Certainty and Contextual Factors on Delinquent Behavior and School Adjustment Among African American Adolescents

This study examined the ability of future certainty—an individual's perception of future stability, operationalized as the likelihood of certain life outcomes–to explain variance in delinquency and school adjustment, while controlling for economic, neighborhood, and family factors, among a cross-sectional sample of 1422 male and 1562 female African American adolescents drawn from the National Longitudinal Study of Adolescent Health (Add Health). Three kinds of future certainty were examined: future life certainty (e.g., life expectancy), marriage certainty, and college certainty. In hierarchical multiple regression analyses, future certainty and family functioning were stronger predictors than economic and neighborhood variables: neighborhood disorganization and family socioeconomic status. Future life certainty and expectations of attending college were stronger predictors of delinquency among males than females. Marriage certainty was the weakest predictor of the three certainty variables.     

Interpersonal Correlates of Peer Victimization Among Young Adolescents

Empathy, prosocial behavior, the number of friends, self-reported popularity, and various forms of interpersonal forgiveness were examined as predictors of peer victimization among 52 7th and 8th graders attending a private school. Popularity was the strongest individual predictor of teacher-reported victimization with high popularity associated with low victimization. Malestudents reported significantly higher rates of victimization than females, prompting the decision to examine correlates of self-reported victimization separately by gender. Interpersonal forgiveness scores were the strongest predictors of self-reported victimization; however, different forms of forgiveness were the greatest predictors of male and female self-reported victimization. Implications are discussed.     

The role of the high school professional in identifying and managing adolescent suicidal behavior

The ongoing contact of adolescents with high school staff may provide an opportunity for the early identification and effective management of suicidal behavior. In this study, the knowledge, attitude, and experience of 80 high school professionals regarding adolescent suicide were assessed through semistructured personal interviews. Respondents identified more than 30 signs of potential vulnerability — manifestations of depression, verbal and written cues, isolation, and self-destructive behaviors. Among predisposing factors, those related to alienation within the family were most prominent. Other important risk factors were low self-esteem, difficulty in peer relationships, and economic or ethnic differences from other students. When suicidal behaviors occurred, respondents saw students and staff as attempting to be helpful; families were more often viewed as defensive.