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Journal of Youth and Adolescence

, Volume 39, Issue 5, pp 460–473 | Cite as

The Relative Influence of Different Domains of Social Connectedness on Self-Directed Violence in Adolescence

  • Jennifer W. Kaminski
  • Richard W. Puddy
  • Diane M. Hall
  • Sandra Y. Cashman
  • Alexander E. Crosby
  • LaVonne A. G. Ortega
Empirical Research

Abstract

Previous research has linked greater social connectedness with a lowered risk of self-directed violence among adolescents. However, few studies have analyzed the comparative strength of different domains of connectedness (e.g., family, peers and school) to determine where limited resources might best be focused. Data to address that gap were taken from the Centers for Disease Control and Prevention’s Student Health and Safety Survey, administered to 4,131 7th–12th graders (51.5% female; 43.8% Hispanic; 22.6% African American or Black). Logistic regressions (controlling for age, gender, race/ethnicity, family structure, academic performance, and depressive symptoms) suggest that family connectedness was a stronger predictor than connectedness to peers, school, or adults at school for non-suicidal self-harm, suicidal ideation, suicide plans, and non-fatal suicidal behavior. In some analyses, peer connectedness was unexpectedly a risk factor. Results have implications for prevention of suicide in adolescence, especially in the context of the current trend towards school-based prevention programs.

Keywords

Adolescents Suicide Family relations Peer relations School connectedness 

References

  1. Barber, B. K., & Schluterman, J. M. (2008). Connectedness in the lives of children and adolescents: A call for greater conceptual clarity. Journal of Adolescent Health, 43, 209–216.CrossRefPubMedGoogle Scholar
  2. Bearman, P. S., & Moody, J. (2004). Suicide and friendships among American adolescents. American Journal of Public Health, 94, 89–95.CrossRefPubMedGoogle Scholar
  3. Belsley, D. A., Kuh, E., & Welsch, R. E. (1980). Regression diagnostics: Identifying influential data and sources of collinearity. New York: Wiley.Google Scholar
  4. Borowsky, I. W., Ireland, M., & Resnick, M. D. (2001). Adolescent suicide attempts: Risks and protectors. Pediatrics, 107, 485–493.CrossRefPubMedGoogle Scholar
  5. Borowsky, I., Resnick, M. D., Ireland, M., & Blum, R. W. (1999). Suicide attempts among American Indian and Alaska Native youth: Risk and protective factors. Archives of Pediatrics and Adolescent Medicine, 153, 573–580.PubMedGoogle Scholar
  6. Centers for Disease Control and Prevention. (2003). 2003 Youth Risk Behavior Survey. Available at: www.cdc.gov/yrbss. Accessed on September 30, 2009.
  7. Centers for Disease Control and Prevention. (2009). Strategic direction for the prevention of suicidal behavior. Atlanta, GA: US Department of Health and Human Services. http://www.cdc.gov/ViolencePrevention/pdf/Suicide_Strategic_Direction_Full_Version-a.pdf Accessed June 5, 2009.
  8. Donald, M., Dower, J., Correa-Velez, I., & Jones, M. (2006). Risk and protective factors for medically serious suicide attempts: A comparison of hospital-based with population-based samples of young adults. Australian and New Zealand Journal of Psychiatry, 40, 87–96.PubMedGoogle Scholar
  9. Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., et al. (2007). Youth risk behavior surveillance—United States, 2007. Morbidity and Mortality Weekly Report, 57(SS-4), 1–131.Google Scholar
  10. Eisenberg, M. E., Ackard, D. M., & Resnick, M. D. (2007). Protective factors and suicide risk in adolescents with a history of sexual abuse. Journal of Pediatrics, 151, 482–487.CrossRefPubMedGoogle Scholar
  11. Eisenberg, M. E., & Resnick, M. D. (2006). Suicidality among gay, lesbian and bisexual youth: The role of protective factors. Journal of Adolescent Health, 39, 662–668.CrossRefPubMedGoogle Scholar
  12. Guiao, I. Z., & Esparza, D. (1995). Suicidality correlates in Mexican American teens. Issues in Mental Health Nursing, 16, 461–479.CrossRefPubMedGoogle Scholar
  13. McKeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behaviors in a longitudinal sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 612–619.CrossRefPubMedGoogle Scholar
  14. McNeely, C., & Falci, C. (2004). School connectedness and the transition into and out of health-risk behavior among adolescents: A comparison of social belonging and teacher support. Journal of School Health, 74, 284–292.CrossRefPubMedGoogle Scholar
  15. Orpinas, P. (1993). Modified depression scale. Houston: University of Texas Health Science Center at Houston.Google Scholar
  16. Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., et al. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study of Adolescent Health. JAMA, 278, 823–832.CrossRefPubMedGoogle Scholar
  17. Rubenstein, J. L., Heeren, T., Housman, D., Rubin, C., & Stechler, G. (1989). Suicidal behavior in “normal” adolescents: Risk and protective factors. American Journal of Orthopsychiatry, 1, 59–71.Google Scholar
  18. Swahn, M. H., Simon, T. R., Hertz, M. F., Arias, I., Bossarte, R. M., Ross, J. G., et al. (2008). Linking dating violence, peer violence, and suicidal behaviors among high-risk youth. American Journal of Preventive Medicine, 34, 30–38.CrossRefPubMedGoogle Scholar
  19. Townsend, K. C., & McWhirter, B. T. (2005). Connectedness: A review of the literature with implications for counseling, assessment, and research. Journal of Counseling and Development, 83, 191–201.Google Scholar
  20. U.S. Public Health Service. (2001). National strategy for suicide prevention: Goals and objectives for action. Washington, DC: U.S. Department of Health and Human Services.Google Scholar
  21. Vaux, A. (1988). Social support: Theory, research and intervention. New York: Praeger.Google Scholar

Copyright information

© US Government 2009

Authors and Affiliations

  • Jennifer W. Kaminski
    • 1
  • Richard W. Puddy
    • 1
  • Diane M. Hall
    • 1
  • Sandra Y. Cashman
    • 2
  • Alexander E. Crosby
    • 1
  • LaVonne A. G. Ortega
    • 1
  1. 1.Division of Violence Prevention, National Center for Injury Prevention and ControlCenters for Disease Control and PreventionAtlantaUSA
  2. 2.Division of Violence Prevention, National Center for Injury Prevention and ControlCenters for Disease Control and PreventionAtlantaUSA

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