Preventing Non-Suicidal Self-Injury in Adolescents: The Signs of Self-Injury Program

Non-suicidal self-injury (NSSI) continues to be a problem among youth and there is a great need for programming aimed at reducing NSSI in adolescents. The signs of self-injury program is the first known NSSI school-based prevention program for adolescents that attempts to increase knowledge, improve help-seeking attitudes and behaviors, and decrease acts of NSSI. A total of five schools implemented the program in selected classrooms (n = 274 adolescents; 51.5% female, mean age = 16.07 years) that consisted of predominantly Caucasian (73%) adolescents. Researchers collected pre-post evaluation surveys of the program and feasibility interviews were conducted with the school guidance personnel who ran the program. Results indicated the prevention program did not produce iatrogenic effects, increased accurate knowledge and improved help-seeking attitudes and intentions among students. No significant changes were found in regards to self-reported formal help-seeking actions. Feasibility responses indicate the program is user-friendly and well received by school personnel. The data offer preliminary evidence that the program may be an effective prevention program for schools.     

Examining Perceptions About Mental Health Care and Help-Seeking Among Rural African American Families of Adolescents

Rural African American children living in poverty have a higher prevalence rate of mental health disorders than their urban counterparts. While access to mental health services is lacking in resource scarce rural communities, African American rural residents may also be the most likely to confront significant barriers to care and help-seeking. Studies of mental health help-seeking behavior among rural families are rare, even rarer are studies of African Americans living in these areas. To address this gap, the current study examined perceptions about help-seeking for adolescents with mental health problems among rural African American families. Data were obtained from African American mothers in rural Georgia to assess their perceptions of the mental health service system, help-seeking processes, and service experiences. A mixed-method approach was implemented, integrating a quantitative survey (n = 163) with qualitative interviews (subsample n = 21). Most of the mothers expressed confidence in mental health care providers’ to help. Preferred sources of support, however, were family, church, and schools. Community stigma towards children with mental health problems and their families was a frequently endorsed perceived barrier to help-seeking. Although cultural mistrust was one of the two most frequently endorsed barriers in the survey, it did not emerge as a universal barrier to help-seeking for the mothers in this sample. Implications for research, policy, and practice include addressing family concerns about stigma, preferences for informal support and non-specialty services in addressing adolescents’ mental health problems, and building community resources to enable all youth to participate in community life.     

Associations Between Suicidal High School Students’ Help-Seeking and Their Attitudes and Perceptions of Social Environment

Suicide is a leading cause of death among adolescents, many of whom fail to disclose suicide concerns to adults who might help. This study examined patterns and predictors of help-seeking behavior among adolescents who seriously considered suicide in the past year. 2,737 students (50.9?% female, 46.9?% male; racial distribution 79.5?% Caucasian, 11.9?% Hispanic/Latino, and 3.6?% Black/African-American) from 12 high schools in rural/underserviced communities were surveyed to assess serious suicide ideation (SI) in the past year, disclosure of SI to adults and peers, attempts to get help, attitudes about help-seeking, perceptions of school engagement, and coping support. Help-seeking was defined as both disclosing SI to an adult and perceiving oneself as seeking help. The relationship between adolescents' help-seeking disclosure and (1) help-seeking attitudes and (2) perceptions of social resources was examined among suicidal help-seeking youth, suicidal non-help-seeking youth, and non-suicidal youth. Of the 381 (14?%) students reporting SI, only 23?% told an adult, 29?% sought adult help, and 15?% did both. Suicidal help-seekers were similar to non-suicidal peers on all measures of help-seeking attitudes and social environment perceptions. Positive attitudes about help-seeking from adults at school, perceptions that adults would respond to suicide concerns, willingness to overcome peer secrecy requests, and greater coping support and engagement with the school were associated with students' increased disclosure of SI and help-seeking. This study supports prevention strategies that change student norms, attitudes and social environments to promote help-seeking among adolescents with SI. Promising intervention targets include increasing students' perceptions of the availability and capability of adults to help them, and strengthening students' understanding of how existing resources can help them cope.     

The effectiveness of seeking help for coping with personal problems in late adolescence

Older adolescents' help-seeking behavior, in terms of talking to friends, family, or professionals about a personal problem, was assessed at five time points over a 12-month period. A longitudinal causal model, controlling for previous help-seeking behavior, prior level of psychological symptoms, and current life events, was used to assess the effects of seeking help for problems on symptoms of psychological distress 12 weeks later. When these variables were controlled, neither seeking professional nor informal help from friends or family resulted in a significant improvement in subsequent psychological health. The help-seeking behavior of these adolescents did not, therefore, appear to effectively alleviate their psychological distress. It is suggested that focusing on problems by talking about them may intensity rather than decrease the arousal of psychological symptoms. Consequently, seeking help by talking about one's problems may not be an adaptive form of coping for adolescents.She received her Ph.D. in Social Science from the Australian National University. Her major research interests are help-seeking, adolescent mental health, and aging.     

Adolescents’ Suicidal Thinking and Reluctance to Consult General Medical Practitioners

Appropriate help-seeking is widely recognized as a protective factor, and vital for early treatment and prevention of mental health problems during adolescence. General medical practitioners (GPs), that is, family doctors, provide a vital role in the identification of adolescents with mental health problems and the provision of treatment as well as access to other specialists in mental health care services. The current study examined the association between suicidal ideation and intentions to seek help from a GP for suicidal thoughts, emotional problems and physical health problems, using a sample of 590 Australian high school students that was 56.7% female and aged 13–18 years (M = 15.56 years, SD = .66 years). Higher levels of suicidal ideation and general psychological distress were related to lower intentions to seek help from a GP for suicidal and physical problems. The results suggest that even at subclinical levels, increases in suicidal ideation or psychological distress may lead to help avoidance. School personnel and other gatekeepers need to be aware of this trend in order to be more assertive in encouraging and supporting appropriate help-seeking for mental health problems. School health promotion programs should consider including information to explicitly address the help-negation process.     

Measuring Beliefs About Adolescent Personality and Behavior

A measure that assesses individuals' expectations and stereotypes concerning adolescents was developed. Initially, 123 adult respondents answered open-ended questions about the personality and behavior of typical and observed adolescents. Based on their responses, a close-ended scale was developed where respondents rate the degree to which 65 traits and behaviors are characteristic of typical adolescents. Refinement and testing of this scale was done with a sample of 361 college students and 112 parents of young adolescents; the final number of items after such refinement was 44. The subscales demonstrated adequate internal consistency, test–retest reliability, and construct validity. The multifaceted nature of the measure and absence of stereotypical language, along with its flexibility for obtaining comparable information on other age groups provide advantages over the small number of previously used measures.     

Antisocial Beliefs and Attitudes in Pre-adolescent and Adolescent Youth: the Development of the Antisocial Beliefs and Attitudes Scales (ABAS)

A focus on antisocial beliefs and attitudes has informed both the assessment and treatment literature, and practice, in youth justice service provision. This study attempts to broaden the construct of antisocial beliefs and attitudes and reports on the psychometric development of the Antisocial Beliefs and Attitudes Scale (ABAS). The ABAS is a new instrument for measuring antisocial thinking in older children and adolescents, which is developmentally-sensitive, broad-based, and assesses domains grounded in the empirical literature on childhood conduct problems and delinquency. Along with a self-reported measure of antisocial behavior, the ABAS was administered to 425 school children aged 10–18 (M = 14.18; SD = 2.31). A meaningful factor structure emerged from our instrument with two of the three factors, Rule Non-Compliance and Peer Conflict, predicting self-reported antisocial behavior while demonstrating sensitivity to age and gender. These findings are encouraging in our aim to “bridge” the measurement gap, by developing a reliable and valid measure of antisocial thinking applicable to older children and adolescents.

Revisiting Parental Monitoring: Evidence that Parental Solicitation Can be Effective When Needed Most

Studies using valid measures of monitoring activities have not found the anticipated main effects linking greater monitoring activity with fewer behavioral problems. This study focused on two contexts in which monitoring activities may be particularly influential. Early adolescents (n = 218, M age = 11.5 years, 51% female, 49% European American, 47% African American) reported their unsupervised time, beliefs about the legitimacy of their parents’ authority, and their own involvement in antisocial behavior. Mothers and adolescents reported their perceptions of adolescent disclosure and parental solicitation and control. Adolescents’ perceptions of greater parental solicitation at age 11 were associated with less antisocial behavior at age 12 (when controlling for age 11 antisocial behavior) among adolescents reporting large amounts of unsupervised time and weak legitimacy beliefs. Perceived parental solicitation may be an effective deterrent of antisocial behavior when adolescents spend a lot of time unsupervised and for adolescents who are likely to challenge the legitimacy of their parents’ authority.     

Latent Profile Analysis of Left-behind Adolescents’ Psychosocial Adaptation in Rural China

Parental absence, a consequence of parents’ rural-to-urban migration, exerts negative influences on their left-behind adolescents in rural China. Existing studies are limited by their focus on the isolated developmental outcomes of left-behind adolescents and by a dearth of work focused on naturally occurring patterns of their developmental outcomes. The present study used a person-centered approach to identify adolescents’ adaptation profiles based on internalizing indicators (i.e., depressive symptoms, loneliness, subjective happiness, life satisfaction), externalizing indicators (i.e., rule-breaking behavior, aggressive behavior, prosocial behavior) and academic achievement and to relate these profiles to left-behind status, characteristics of parent-adolescent separation and gender. The study included 2102 adolescents (M_age?=?13.48?±?1.10 years, 46.8% girls) in junior high schools in rural China. A latent profile analysis identified 3 profiles: an adequate adaptation profile, an internalizing problem profile and an externalizing problem profile. These profiles were linked to left-behind status, to characteristics of parent-adolescent separation (i.e., separation duration, interval of long-distance communication and face-to-face communication) and to gender. These findings provide significant implications for future research and the development of interventions.

     

Overcoming barriers to adolescent research on pubertal and reproductive development

Perhaps the greatest barriers to conducting adolescent research on pubertal and reproductive behavior involve obtaining permission from schools and parents to conduct the study in the first place. This article addresses these barriers, focusing on (a) possible reasons why such research has languished, with a focus on the discomfort of adults and on negative societal messages; (b) design of reproductively oriented adolescent studies; (c) strategies for recruiting schools and families; (d) procedures for testing in the schools; and (e) methodological considerations of such barriers.This article was prepared while the author was a Visiting Scholar at the Russell Sage Foundation. The foundation's support and the generous assistance of the National Institutes of Health (NICHD), and the W. T. Grant Foundation, are appreciated.Received PLD from University of Pennsylvania. Research interests are girl's psychological adaptation to pubertal change, biosocial aspects of female reproductive events, development of biological and socially at risk children and adolescents.     

Drinking behavior,drinking attitudes,and attachment relationship of adolescents

In this article the connection between the drinking behavior and drinking attitudes of adolescents in relation to their attachment relationship with their parents is examined. The Family Episode Rating Task (FERT) was used, which was developed to measure the attachment relationship; it measures four patterns of parent-adolescent attachment. An Alcohol Questionnaire was used to measure the quantity and frequency of alcohol use, the amount of problem drinking, and the drinking attitudes of adolescents. It was hypothesized that anxiously attached adolescents have a greater risk of developing damaging drinking habits. One hundred sixty-one adolescents participated, all of them students in Grades 7, 9, and 11 of a high school. By means of an analysis of variance it was demonstrated that the Attitude scale's drinking to facilitate social contact was significantly related to the quality of the attachment relationship with the parents: this reason for drinking was mentioned most frequently among adolescents who were anxiously attached.Received Ph.D. at the same university. Currently studying psychological aspects of excessive alcohol intake.Received Ph.D. at the Catholic University, Nijmegen. Currently involved in stress management training.     

Depression and substance use in two divergent high school cultures: A quantitative and qualitative analysis

Research has generally concluded that adolescent depression and substance use are strongly interrelated, but has rarely considered how this relationship may vary across diverse populations. In this study, we used quantitative and qualitative methods to explore the relationships among depression and cigarette, alcohol, marijuana, and harder drug use across two culturally disparate environments: a suburban and an inner-city high school. Our sample included 164 suburban and 242 inner-city high school students. The students completed Kovacs' Children's Depression Inventory of 1985 and substance use measures derived from various sources. In-depth semistructured interviews were conducted with subjects who scored in the top 10% of the CDI (N=19) from both schools. Our quantitative findings indicated a positive association between depression and cigarette, marijuana, and harder drug use among the suburban students, and no association between depression and the use of any substances for the urban students. There were no significant differences in levels of reported depression across samples. However, with the exception of marijuana use, suburban students reported greater involvement in substance use than urban students. Our qualitative analyses suggest that across-school differences in the relationships among depression and substance use may be related to the varied meanings of depression and substance use that are informed by cultural context.The research was funded by the National Institute of Drug Abuse (NIDA), Grant No. 1 R01 DA-06844, Perry London, principal investigator. The views, opinions, and findings contained in their article are not to be construed as NIDA's position or policy.B.A. from University of California, Berkeley, and Ed.D. from the Graduate School of Education, Harvard University. Research interests include the phenomenology of high-risk behavior and social development among urban adolescents.B.A. from Mount Holyoke College and Ed.M. from the Graduate School of Education, Harvard University. Research interests include the relationships among high-risk behavior, personality variables, and cultural context.B.A. from Michigan State University, M.A. from University of Minnesota-Duluth, and Ed.D. from Harvard Graduate School of Education. Research interests include integrating quantitative and qualitative methods in social science research and the phenomenology of high-risk behavior.Research interests included adolescent high-risk behavior and ethnic and religious identity development. Deceased June 1992.     

Measuring School-Related Stressors in Adolescents

Some 1620 high school students responded to 68 items that measure adolescent stressors. Thirty-five of the items were based on J. P. Kohn and G. H. Frazer's Academic Stress Scale [1(1986) An Academic Stress Scale: Identification and Rated Importance of Academic Stressors, Psychological Reports, Vol. 59, pp. 415–426] developed in the United States, while the remaining 33 items were developed from P. Strutynski's [(1985) A Survey of Queensland Year 10, 11 and 12 Student Attitudes to Schools and Schooling, State Planning Committee, International Youth Year, Brisbane] lists of the most frequently named problems of 2336 Australian high school students. Confirmatory Factor Analysis was used to test and develop a measurement model developed from an extensive review of previous scales. The High School Stressors Scale emerged from the analytic process and measures nine school-related stressors. For researchers focusing on school-related problems and stressors among adolescents, the HSSS promises to be a very useful instrument. It has sound construct and predictive validity and adequate reliability, as demonstrated by the goodness-of-fit indices the squared multiple correlations.     

The self-concept of homeless adolescents

Thirty adolescents who had lived away from home for at least six months were compared on self-concept with 120 adolescents living at home. The latter group was divided into equal numbers of adolescents who were employed, unemployed, school students, and college students. The Offer Self-image Questionnaire for Adolescents was used to measure self-concept. Other measures used were the Beck Depression Inventory, the Hopelessness Scale of Beck et al.,and the Rotter Internal External Locus of Control Scale. These were used to examine the relationship between deficits in self-concept and psychopathology. Environmental factors such as family relationships, employment, school achievement, and friendships were also examined. It was found that homeless adolescents demonstrated significant deficits in five areas of self-concept and a specific pattern of deficits was related to hopelessness. Results were discussed with reference to the theory that acting-out behavior mitigates the impact of affective disturbance on self concept.Received her master's of clinical psychology from Macquarie University, Australia. Major interest is adolescent psychopathology and clinical work with homeless adolescents.     

Sense of Community and Positive Adult Beliefs Toward Adolescents and Youth Policy in Urban Neighborhoods and Small Cities

Understanding adult beliefs about adolescents is an emerging issue for researchers and policy-makers. The purposes of this study were to describe adult beliefs regarding the motivation and ability of young people to contribute to their communities, and to test the hypothesis that adults with a strong sense of community would have more positive views of young people and youth policies. Two samples of adults—a race/ethnically diverse population from an urban northeast city (N = 321) and a more homogeneous population from smaller cities in a midwest state (N = 430)—were queried through telephone interviews. Parallel analyses were conducted to compare the pattern of results across the 2 distinct populations. In both samples, upwards to 60% of adults had moderate-to-strong appraisals of adolescents as community resources. Adults from the midwest, however, tended to have more favorable beliefs about adolescents. Adult beliefs about adolescents and youth policy were largely independent of sociodemographic background. In contrast, and as predicted, adult sense of community and safety accounted most significantly for individual variation in beliefs in both populations. The results indicate that society may be receptive to a new frame of reference about young people, and that local efforts to build a sense of community among adults may result in more positive beliefs about adolescents.     

Adolescent Sleep Barriers: Profiles within a Diverse Sample of Urban Youth

Most adolescents face numerous obstacles to good sleep, which may undermine healthy development. In this study, we used latent class analysis and identified four categories of sleep barriers in a diverse sample of 553 urban youth (57% female). The majority profile, School/Screens Barriers, reported the most homework and extracurricular barriers, along with high screen time. The Home/Screens Barriers class (i.e., high environmental noise, light, screen use) and the High/Social Barriers class (i.e., high barriers across domains, particularly social) reported the poorest sleep quality and highest depressive/anxiety symptoms. The Minimal Barriers class—predominately male, with low depressive/anxiety symptoms—reported more sleep per night. We discuss implications of our findings for targeting interventions to address poor adolescent sleep among specific clusters of students.     

The Effects of Pregnancy Experience on Contraceptive Practice

Retrospective reports of contraceptive use on two occasions of intercourse (separated by 2 years on average) were used to examine change in contraceptive practice as a function of intervening pregnancy experience in a randomly selected biracial (Black, White) sample of 466 female adolescents. Although all groups of adolescents regardless of pregnancy experience improved their contraceptive use, adolescents experiencing an unplanned pregnancy or pregnancy scare appeared to improve relatively more. However, differences between groups could be explained by the differential passage of time, and this was true among both Black and White adolescents. Specifically, ever-pregnant adolescents had been sexually active the longest and showed the most improvement; never-pregnant adolescents who had never had a pregnancy scare had been sexually active the shortest period and showed the least improvement, while adolescents experiencing a pregnancy scare were intermediate on both variables. These findings suggest that prior research may have drawn faulty conclusions about the effects of pregnancy experience on subsequent contraceptive behavior, and that future research on these topics may need to pay greater attention to the passage of time as an important substantive and methodological factor in its own right.     

Nervousness and Performance Characteristics as Predictors of Peer Behavior Towards Socially Anxious Adolescents

Social anxiety in adolescents has frequently been linked to negative outcomes from social interactions. The present study investigated whether socially anxious adolescents are treated negatively by their classmates and which characteristics of socially anxious adolescents could explain negative social responses. Classroom observations of class behavior were made during oral presentations of 94 students (60% females) in the ages of 13–18 years. Speakers’ social performance, speech quality, and nervousness during the presentation were also rated. Findings showed that the social performance of socially anxious students was a predictor of class behavior, whereas their overt nervousness was not. Surprisingly, the quality of their speech was negatively related to class behavior. Implications of these findings for the treatment of socially anxious adolescents are discussed.