DOI QR코드

DOI QR Code

Psychological Risk and Protective Factors for Suicidal Ideation: A Study in an Adolescent Sample in an Insular Context

  • Ana Margarida Cunha (Department of Psychology and Educational Sciences, Universidade do Algarve) ;
  • Claudia Carmo (Department of Psychology and Educational Sciences, Universidade do Algarve) ;
  • Marta Bras (Department of Psychology and Educational Sciences, Universidade do Algarve)
  • Received : 2023.04.29
  • Accepted : 2023.08.18
  • Published : 2023.10.01

Abstract

Objectives: Adolescents are at risk of suicide. As suicide is a multifactorial process, risk and protective factors are relevant constructs for suicide prediction. This study explored the effects of risk and protective factors on suicidal ideation in adolescents on the island of São Miguel (Azores). Methods: A sample of 750 adolescents (male: n=358; 47.7%; mean age=14.67 years; standard deviation=1.85 years) from the island of São Miguel (Azores) completed several measures related to suicidal ideation and associated factors. Using a cross-sectional design, this study conducted descriptive, correlational, predictive, mediation, and moderation analyses. Results: Adolescents generally displayed high levels of risk and protective factors; an indicative proportion exhibited significant suicidal ideation with females presenting the greatest vulnerability. Furthermore, the results highlight that depression is the best predictor of suicidal ideation, however, the association between these variables is mediated. Conclusion: The data corroborate that the suicidal reality of adolescents in the Autonomous Region of the Azores is worrisome. Having substantiated the complexity of the suicidal context in young people in the present research, the need to continue studying risk/protective factors in this area is supported.

Keywords

Acknowledgement

The manuscript was submitted for the special section "NSSI Guideline and Suicide in Children and Adolescents" published in the July issue. However, owing to a delay in the review process, the manuscript has been included in the regular issue as an original article.

References

  1. da Saude D. [National plan for suicide prevention - 2013-2017]. Geneva: World Health Organization;2013. Portuguese 
  2. Shneidman E. Suicide as psychache: a clinical approach to self-destructive behavior. Lanham, MD: Jason Aronson;1993. 
  3. World Health Organization. Mental health action plan 2013 - 2020. Geneva: World Health Organization;2013. 
  4. Caceda R. Suicidal behavior: risk and protective factors. Rev Neuropsiquiatr 2014;77:3-18.  https://doi.org/10.20453/rnp.v77i1.1159
  5. Yang B, Clum GA. Effects of early negative life experiences on cognitive functioning and risk for suicide: a review. Clin Psychol Rev 1996;16:177-195.  https://doi.org/10.1016/S0272-7358(96)00004-9
  6. Bras M, Jesus S, Carmo C. [Risk and protective psychological factors associated with suicidal ideation in adolescents]. Psicol Saude Doencas 2016;17:132-149. Portuguese  https://doi.org/10.15309/16psd170203
  7. Azevedo A, Matos AP. [Suicidal ideation and depressive symptomatology in adolescents]. Psicol Saude Doencas 2014;15:180-191. Portuguese  https://doi.org/10.15309/14psd150115
  8. Carvajal G, Caro CV. [Suicidal ideation in adolescence: an explanation from three of its associated variables in Bogota]. Colomb Med 2011;42(suppl 1):45-56. Portuguese  https://doi.org/10.25100/cm.v42i2supl1.819
  9. Rubio A, Oyanedel JC, Cancino F, Benavente L, Cespedes C, Zisis C, et al. Social support and substance use as moderators of the relationship between depressive symptoms and suicidal ideation in adolescents. Front Psychol 2020;11:539165. 
  10. Lee SY. Reasons for living and their moderating effects on Korean adolescents' suicidal ideation. Death Stud 2011;35:711-728. https://doi.org/10.1080/07481187.2011.553316
  11. Rickwood D, Deane FP, Wilson CJ, Ciarrochi J. Young people's help-seeking for mental health problems. AeJAMH 2005;4:218-251.  https://doi.org/10.5172/jamh.4.3.218
  12. Osman A, Downs WR, Kopper BA, Barrios FX, Baker MT, Osman JR, et al. The reasons for living inventory for adolescents (RFL-A): development and psychometric properties. J Clin Psychol 1998;54:1063-1078.  https://doi.org/10.1002/(SICI)1097-4679(199812)54:8<1063::AID-JCLP6>3.0.CO;2-Z
  13. Mackenzie CS, Knox VJ, Gekoski WL, Macaulay HL. An adaptation and extension of the attitudes toward seeking professional psychological help scale. J Appl Soc Psychol 2004;34:2410-2433.  https://doi.org/10.1111/j.1559-1816.2004.tb01984.x
  14. Ahookhosh P, Bahmani B, Asgari A, Moghaddam HH. Family relationships and suicide ideation: the mediating roles of anxiety, hopelessness, and depression in adolescents. Int J High Risk Behav Addict 2017;6:e31573. 
  15. Morales-Vives F, Duenas JM. Predicting suicidal ideation in adolescent boys and girls: the role of psychological maturity, personality traits, depression and life satisfaction. Span J Psychol 2018;21:E10. 
  16. Inostroza CR, Cova FS, Bustos CN, Quijada YI. Hopelessness and task-oriented coping mediate the association between depressive symptomatology and non-lethal suicidal behavior in mental health patients. Rev Chil Neuro Psiquiatr 2015;53:231-240.  https://doi.org/10.4067/S0717-92272015000400003
  17. Cruz JP. [Cognitive therapy of suicide attempts: changing death stories for life stories] [dissertation]. Seville: University of Seville;2000. Spanish 
  18. Cruz JP. [Traumatic memories, self-narratives and suicidal conduct: a therapeutic trial]. In: Costa PJ, Pires CML, Veloso J, Pires, CTL, editors. Stresse pos-traumatico: modelos, abordagens & praticas. Leiria: Editorial Diferenca;2006. p.47-70. Portuguese 
  19. Barreto Carvalho C, da Motta C, Sousa M, Cabral J. Biting myself so I don't bite the dust: prevalence and predictors of deliberate self-harm and suicide ideation in Azorean youths. Braz J Psychiatry 2017;39:252-262.  https://doi.org/10.1590/1516-4446-2016-1923
  20. Osman A, Gutierrez PM, Kopper BA, Barrios FX, Chiros CE. The positive and negative suicide ideation inventory: development and validation. Psychol Rep 1998;82(3 Pt 1):783-793.  https://doi.org/10.2466/pr0.1998.82.3.783
  21. Weissman MM, Orvaschel H, Padian N. Children's symptom and social functioning self-report scales comparison of mothers' and children's reports. J Nerv Ment Dis 1980;168:736-740.  https://doi.org/10.1097/00005053-198012000-00005
  22. Carvalho C, Cunha M, Cherpe S, Galhardo A, Couto M. Validation of a Portuguese version of the center for epidemiologic studies depression scale for children (CES-DC). Portuguese J Behav Soc Res 2015;1:46-57.  https://doi.org/10.7342/ismt.rpics.2015.1.2.23
  23. Bras M, Cruz J. [Negative life events inventory (NLEI): construction and validation in an adults population]. In: Noronha A, Machado C, Almeida L, Goncalves M, Martins S, Ramalho V, editors. Avaliacao psicologica: formas e contextos. Braga: Psiquilibrios; 2008. Portuguese 
  24. Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the hopelessness scale. J Consult Clin Psychol 1974;42:861-865.  https://doi.org/10.1037/h0037562
  25. Ribeiro JLP. [Satisfaction with Social Support Scale (SSSS)]. Analise Psicologica 1999;3:547-558. Portuguese 
  26. Bras M, Carmo C, Jesus SN. Reasons for living inventory for adolescents: psychometric properties among Portuguese adolescents. OMEGA J Death Dying 2021;82:527-547.  https://doi.org/10.1177/0030222818819340
  27. Fonseca A, Silva S, Canavarro MC. Psychometric characteristics of the inventory of attitudes toward seeking mental health services: a study of women during the perinatal period. Psychologica 2017;60:65-81.  https://doi.org/10.14195/1647-8606_60-2_4
  28. Bras M, Cunha AM, Carmo C, Nunes C. Inventory of attitudes toward seeking mental health services: psychometric properties among adolescents. Soc Sci 2022;11:284. 
  29. Wilson CJ, Deane FP, Ciarrochi JV, Rickwood D. Measuring help seeking intentions: properties of the general help seeking questionnaire. Can J Couns 2005;39:15-28.  https://doi.org/10.1037/t42876-000
  30. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51:1173-1182.  https://doi.org/10.1037/0022-3514.51.6.1173
  31. Osman A, Gutierrez PM, Jiandani J, Kopper BA, Barrios FX, Linden SC, et al. A preliminary validation of the positive and negative suicide ideation (PANSI) inventory with normal adolescent samples. J Clin Psychol 2003;59:493-512.  https://doi.org/10.1002/jclp.10154
  32. Neves MFBV, Santos JC. Mental health and suicidal behaviors in adolescents from a Portuguese island. Revista de Enfermagem Referencia 2016;4:77-84.  https://doi.org/10.12707/RIV15028
  33. Regional Fund of Science and Technology. Gender Equality Plan. Autonomous Region of the Azores: Regional Government of the Azores;2022.