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Suicidal Thoughts and Behavior in Children and Adolescents: An Ecological Model of Resilience

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Abstract

There has been increasing interest in the identification of factors that promote resilience to suicidal thoughts and behaviors in high-risk youth. The present review summarizes and critiques the current literature on protective factors that promote resilience to suicidal thoughts and behaviors in those children and adolescents who are at high risk for these outcomes. In contrast to earlier work on this topic, which primarily focused on internal, psychological protective factors, the current review articulates an ecological model of resilience in youth that spans multiple domains, including the individual, parents, family, friends, peers, school, community, and culture. This model encompasses individual assets such as problem-solving ability and emotion regulation as well as ecological resources such as parent–child relationship quality, family functioning, peer acceptance, supportive school climate, and engagement in meaningful activities and interests. The present review suggests that future research on resilience to suicidality in youth may benefit from taking a multi-dimensional approach that is grounded in current theories on suicidal thoughts and behavior. The results also suggest that suicide prevention and intervention programs for youth may benefit from a domain-spanning approach that helps teens to enhance their connection to friends, family, and community while teaching them vital internal coping skills.

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References

  • Allen, J., Mohatt, G. V., Fok, C. C., Henry, D., Burkett, R., & Team, P. A. (2014). A protective factors model for alcohol abuse and suicide prevention among Alaska Native Youth. American Journal of Community Psychology, 54, 125–139.

    Article  PubMed Central  PubMed  Google Scholar 

  • Anestis, M. D., & Joiner, T. E. (2011). Examining the role of emotion in suicidality: Negative urgency as an amplifier of the relationship between components of the interpersonal–psychological theory of suicidal behavior and lifetime number of suicide attempts. Journal of Affective Disorders, 129, 261–269.

    Article  PubMed  Google Scholar 

  • Armstrong, L. L. (2012). Initial development and validation of the checklist of risk behaviours for youth (CORBY). Psychology, Health & Medicine, 17(1), 116–124. 10.1080/13548506.2011.592842.

    Article  Google Scholar 

  • Armstrong, L. L., & Manion, I. G. (2015). Meaningful youth engagement as a protective factor for youth suicidal ideation. Journal of Research on Adolescence, 25, 20–27.

    Article  Google Scholar 

  • Ayón, C., & Aisenberg, E. (2010). Negotiating cultural values and expectations within the public child welfare system: A look at familismo and personalismo. Child & Family Social Work, 15, 335–344.

    Article  Google Scholar 

  • Ayyash-Abdo, H. (2002). Adolescent suicide: An ecological approach. Psychology in the Schools, 39, 459–475.

    Article  Google Scholar 

  • Barnes, H. L., & Olson, D. H. (1985). Parent-adolescent communication and the circumplex model. Child Development, 438–447.

  • Batson, C. D., Schoenrade, P., & Ventis, W. L. (1993). Religion and the individual: A social-psychological perspective. Oxford University Press.

  • Bearman, P. S., & Moody, J. (2004). Suicide and friendships among American adolescents. American Journal of Public Health, 94, 89–95.

    Article  PubMed Central  PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., Brown, G. K. et al. (1996). Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation, 1, 82.

    Google Scholar 

  • Bernstein, D. P., Ahluvalia, T., Pogge, D., & Handelsman, L. (1997). Validity of the childhood trauma questionnaire in an adolescent psychiatric population. Journal of the American Academy of Child & Adolescent Psychiatry, 36(3), 340–348.

  • Birkett, M., Espelage, D. L., & Koenig, B. (2009). LGB and questioning students in schools: The moderating effects of homophobic bullying and school climate on negative outcomes. Journal of Youth and Adolescence, 38, 989–1000.

    Article  PubMed  Google Scholar 

  • Bolton, C., Gooding, P., Kapur, N., Barrowclough, C., & Tarrier, N. (2007). Developing psychological perspectives of suicidal behaviour and risk in people with a diagnosis of schizophrenia: We know they kill themselves but do we understand why? Clinical Psychology Review, 27, 511–536.

    Article  PubMed  Google Scholar 

  • Borowsky, I. W., Ireland, M., & Resnick, M. D. (2001). Adolescent suicide attempts: Risks and protectors. Pediatrics, 107, 485–493.

    Article  PubMed  Google Scholar 

  • Brausch, A. M., & Decker, K. (2014). Self-esteem and social support as moderators of depression, body image, and disordered eating for suicidal ideation in adolescents. Journal of Abnormal Child Psychology, 42, 779–789.

    Article  PubMed  Google Scholar 

  • Breton, J. J., Labelle, R., Berthiaume, C., Royal, C., St. Georges, M., et al. (2015). Protective factors against depression and suicidal behaviour in adolescence. Canadian Journal of Psychiatry, 60, S5–S15.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32, 513–531. doi:10.1037/0003-066X.32.7.513.

    Article  Google Scholar 

  • Buss, A. H., & Plomin, R. (2014). Temperament (PLE: Emotion): Early developing personality traits (Vol. 3). London: Psychology Press.

  • Butler, A. M., & Malone, K. (2013). Attempted suicide v. non-suicidal self-injury: Behaviour, syndrome or diagnosis? The British Journal of Psychiatry, 202, 324–325.

    Article  PubMed  Google Scholar 

  • Cash, S. J., & Bridge, J. A. (2009). Epidemiology of youth suicide and suicidal behavior. Current Opinion in Pediatrics, 21, 613–619.

    Article  PubMed Central  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (CDC). (2013a). National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). http://www.cdc.gov/injury/wisqars/index.html. Accessed 11 Nov 2016.

  • Centers for Disease Control and Prevention (CDC). (2013b). Youth risk behavior surveillance—United States, 2013. MMWR, Surveillance Summaries, 63. http://www.cdc.gov/mmwr/pdf/ss/ss6304.pdf. Accessed 11 Nov 2016.

  • Cero, I., & Sifers, S. (2013). Moderating factors in the path from physical abuse to attempted suicide in adolescents: Application of the Interpersonal-Psychological Theory of suicide. Suicide and Life-Threatening Behavior, 43, 296–304.

    Article  PubMed  Google Scholar 

  • Cha, C. B., & Nock, M. K. (2009). Emotional intelligence is a protective factor for suicidal behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 48, 442–430.

    Article  Google Scholar 

  • Chan, D. W. (2003). Dimensions of emotional intelligence and their relationships with social coping among gifted adolescents in Hong Kong. Journal of Youth and Adolescence, 32(6), 409–418.

    Article  Google Scholar 

  • Chan, K. L. (2011). Children exposed to child maltreatment and intimate partner violence: A study of co-occurrence among Hong Kong Chinese families. Child Abuse & Neglect, 35(7), 532–542.

    Article  Google Scholar 

  • Chang, E. C. (2002). Predictingcia suicide ideation in an adolescent population: Examining the role of social problem solving as a moderator and a mediator. Personality and Individual Differences, 32, 1279–1291.

    Article  Google Scholar 

  • Chang, H. J., Lin, M. F., & Lin, K. C. (2007). The mediating and moderating roles of the cognitive triad on adolescent suicidal ideation. Nursing Research, 56, 252–259.

    Article  PubMed  Google Scholar 

  • Chau, T. T., Hsiao, T. M., Huang, C. T., & Liu, H. W. (1991). A preliminary study of family Apgar index in the Chinese. Gaoxiong Yi Xue Ke Xue Za Zhi = The Kaohsiung Journal of Medical Sciences, 7(1), 27–31.

    PubMed  Google Scholar 

  • Ciarrochi, J., Dean, F. P., & Anderson, S. (2002). Emotional intelligence moderates the relationship between stress and mental health. Personality and Individual Differences, 32, 197–209.

    Article  Google Scholar 

  • Cole, D. A. (1989). Psychopathology of adolescent suicide: Hopelessness, coping beliefs, and depression. Journal of Abnormal Psychology, 98, 248–255.

    Article  PubMed  Google Scholar 

  • Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76–82.

    Article  PubMed  Google Scholar 

  • Cui, S., Cheng, Y., Xu, Z., Chen, D., & Wang, Y. (2010). Peer relationships and suicide ideation and attempts among Chinese adolescents. Child: Care, Health and Development, 37, 692–702.

    Google Scholar 

  • Curtin, S. C., Warner, M., & Hedegaard, H. (2016). Increase in suicide in the United States, 1999–2014. NCHS Data Brief, 241. http://www.cdc.gov/nchs/products/databriefs/db241.htm. Accessed 11 Nov 2016.

  • Cwik, M., Barlow, A., Tingey, L., Goklish, N., Larzelere-Hinton, F., Craig, M., & Walkup, J. T. (2015). Exploring risk and protective factors with a community sample of American Indian adolescents who attempted suicide. Archives of Suicide Research, 19, 172–189.

    Article  PubMed  Google Scholar 

  • D’Zurilla, T. J., Nezu, A. M., & Maydeu-Olivares, A. (2002). Social Problem-solving Inventory–revised (SPSI-R). Tonawanda, NY: Multi-Health Systems.

  • Deeley, S. T., & Love, A. W. (2013). Longitudinal analysis of the emotion self-confidence model of suicidal ideation in adolescents. Advances in Mental Health, 12, 34–45.

    Article  Google Scholar 

  • DeWilde, E. J., Kienhorst, I. C., Diekstra, R. F., & Wolters, W. H. (1993). The specificity of psychological characteristics of adolescent suicide attempters. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 51–59.

    Article  Google Scholar 

  • Dodge, K. A., & Coie, J. D. (1987). Social-information-processing factors in reactive and proactive aggression in children’s peer groups. Journal of Personality and Social Psychology, 53(6), 1146.

    Article  PubMed  Google Scholar 

  • Dubow, E. F., & Ullman, D. G. (1989). Assessing social support in elementary school children: The survey of children’s social support. Journal of Clinical Child Psychology, 18(1), 52–64.

    Article  Google Scholar 

  • Duong, J., & Bradshaw, C. (2014). Associations between bullying and engaging in aggressive and suicidal behaviors among sexual minority youth: The moderating role of connectedness. Journal of School Health, 84, 636–645.

    Article  PubMed  Google Scholar 

  • Eggert, L. L., Thompson, E. A., Randell, B. P., & Pike, K. C. (2002). Preliminary effects of brief school-based prevention approaches for reducing youth suicide-risk behaviors, depression, and drug involvement. Journal of Child and Adolescent Psychiatric Nursing, 15, 48–64.

    Article  PubMed  Google Scholar 

  • Else-Quest, N. M., Hyde, J. S., Goldsmith, H. H., & Van Hulle, C. A. (2006). Gender differences in temperament: A meta-analysis. Psychological Bulletin, 132, 33–72.

    Article  PubMed  Google Scholar 

  • Espelage, D. L., Aragon, S. R., Birkett, M., & Koenig, B. W. (2008). Homophobic teasing, psychological outcomes, and sexual orientation. School Psychology Review, 37, 202–216.

    Google Scholar 

  • Esposito, C. L., & Clum, G. A. (2002). Social support and problem-solving as moderators of the relationship between childhood abuse and suicidality: Applications to a delinquent population. Journal of Traumatic Stress, 15, 137–146.

    Article  PubMed  Google Scholar 

  • Esposito, C. L., & Clum, G. A. (2003). The relative contribution of diagnostic and psychosocial factors in the prediction of adolescent suicidal ideation. Journal of Clinical Child and Adolescent Psychology, 32, 386–395.

    Article  PubMed  Google Scholar 

  • Esposito-Smythers, C., Weismoore, J., Zimmerman, R. P., & Spirito, A. (2014). Suicidal behaviors among children and adolescents. In M. K. Nock (Ed.), The Oxford handbook of suicide and self-injury (pp. 61–81). New York, NY: Oxford University Press.

    Google Scholar 

  • Evans, E., Hawton, K., & Rodham, K. (2004). Factors associated with suicidal phenomena in adolescents: A systematic review of population-based studies. Clinical Psychology Review, 24, 957–979.

    Article  PubMed  Google Scholar 

  • Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419.

    Article  PubMed  Google Scholar 

  • Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115–134.

    Article  Google Scholar 

  • Garner, D. M., & Garfinkel, P. E. (1979). The eating attitudes test: An index of the symptoms of anorexia nervosa. Psychological Medicine, 9(2), 273–279.

  • Garroutte, E. M., Goldberg, J., Beals, J., Herrell, R., & Manson, S. M. & AI–SUPERPFP Team. (2003). Spirituality and attempted suicide among American Indians.. Social Science & Medicine, 56, 1571–1579.

    Article  Google Scholar 

  • Gartland, D., Bond, L., Olsson, C. A., Buzwell, S., & Sawyer, S. M. (2011). Development of a multi-dimensional measure of resilience in adolescents: the Adolescent Resilience Questionnaire. BMC Medical Research Methodology, 11, 134.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gentile, B., Grabe, S., Dolan-Pascoe, B. D., Twenge, J. M., Wells, B. E., & Maitino, A. (2009). Gender differences in domain-specific self-esteem: A meta-analysis. Review of General Psychology, 13, 34–45.

    Article  Google Scholar 

  • Goldston, D. B., Daniel, S. S., Erkanli, A., Reboussin, B. A., Mayfield, A., Frazier, P. H., & Treadway, S. L. (2009). Psychiatric diagnoses as contemporaneous risk factors for suicide. Journal of Consulting and Clinical Psychology, 77, 281–290.

    Article  PubMed Central  PubMed  Google Scholar 

  • Goodwin, R. D., & Marušič, A. (2003). Feelings of inferiority and suicide ideation and suicide attempt among youth. Croatian Medical Journal, 44, 553–557.

    PubMed  Google Scholar 

  • Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. S. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 386–405.

    Article  Google Scholar 

  • Gould, M. S., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., et al. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 37, 915–923.

    Article  Google Scholar 

  • Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54.

    Article  Google Scholar 

  • Greening, L., & Dollinger, S. J. (1993). Rural adolescents’ perceived personal risks for suicide. Journal of Youth and Adolescence, 22(2), 211–217.

  • Greening, L., & Stoppelbein, L. (2002). Religiosity, attributional style, and social support as psychosocial buffers for African American and White adolescents’ perceived risk for suicide. Suicide and Life-Threatening Behavior, 32, 404–417.

    Article  PubMed  Google Scholar 

  • Greening, L., Stoppelbein, L., & Luebbe, A. (2010). The moderating effects of parenting styles on African-American and Caucasian children’s suicidal behaviors. Journal of Youth and Adolescence, 39, 357–369.

    Article  PubMed  Google Scholar 

  • Grover, K. E., Green, K. L., Pettit, J. W., Monteith, L. L., Garza, M. J., & Venta, A. (2009). Problem solving moderates the effects of life event stress and chronic stress on suicidal behaviors in adolescence. Journal of Clinical Psychology, 65, 1281–1290.

    Article  PubMed  Google Scholar 

  • Guilamo-Ramos, V., Dittus, P., Jaccard, J., Johansson, M., Bouris, A., & Acosta, N. (2007). Parenting practices among Dominican and Puerto Rican mothers. Social Work, 52, 17–30.

    Article  PubMed  Google Scholar 

  • Hammen, C., Brennan, P. A., & Shih, J. H. (2004). Family discord and stress predictors of depression and other disorders in adolescent children of depressed and nondepressed women. Journal of the American Academy of Child & Adolescent Psychiatry, 43(8), 994–1002.

    Article  Google Scholar 

  • Hankin, B. L., & Abramson, L. Y. (2001). Development of gender differences in depression: An elaborated cognitive vulnerability-transactional stress theory. Psychological Bulletin, 127, 773–796.

    Article  PubMed  Google Scholar 

  • Harrell, A. V., & Wirtz, P. W. (1989). Screening for adolescent problem drinking: Validation of a multidimensional instrument for case identification. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1(1), 61.

    Article  Google Scholar 

  • Hatzenbuehler, M. L. (2011). The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics, 127, 896–903.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hatzenbuehler, M. L., Birkett, M., Van Wagenen, A., & Meyer, I. H. (2014). Protective school climates and reduced risk for suicide ideation in sexual minority youths. American Journal of Public Health, 104, 279–286.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hay, C., & Meldrum, R. (2010). Bullying victimization and adolescent self-harm: Testing hypotheses from General Strain Theory. Journal of Youth and Adolescence, 39, 446–459.

    Article  PubMed  Google Scholar 

  • Henry, C. S., Stephenson, A. L., Hanson, M. F., & Hargett, W. (1993). Adolescent suicide and families: An ecological approach. Adolescence, 28, 291–308.

    PubMed  Google Scholar 

  • Heppner, P. (1988). The problem solving inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Herba, C. M., Ferdinand, R. F., Stijnen, T., Veenstra, R., Oldehinkel, A. J., Ormel, J., & Verhulst, F. C. (2008). Victimisation and suicide ideation in the TRAILS study: Specific vulnerabilities of victims. Journal of Child Psychology and Psychiatry, 49, 867–876.

    Article  PubMed  Google Scholar 

  • Heron, M. (2016). Deaths: Leading causes for 2013. National Vital Statistics Reports, 65(2). https://www.cdc.gov/nchs/data/databriefs/db241.pdf. Accessed 11 Nov 2016.

  • Hershberger, S. L., & D’Augelli, A. R. (1995). The impact of victimization on the mental health and suicidality of lesbian, gay, and bisexual youths. Developmental Psychology, 31, 65–74.

    Article  Google Scholar 

  • Hoeppner, B. B., Kelly, J. F., Urbanoski, K. A., & Slaymaker, V. (2011). Comparative utility of a single-item vs. multiple-item measure of self-efficacy in predicting relapse among young adults. Journal of Substance Abuse Treatment, 41, 305–312.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hooven, C., Herting, J. R., & Snedker, K. A. (2010). Long-term outcomes for the Promoting CARE suicide prevention program. American Journal of Health Behavior, 34, 721–736.

    Article  PubMed Central  PubMed  Google Scholar 

  • Horowitz, L. M., Wang, P. S., Koocher, G. P., Burr, B. H., Smith, M. F., Klavon, S., & Cleary, P. D. (2001). Detecting suicide risk in a pediatric emergency department: Development of a brief screening tool. Pediatrics, 107(5), 1133–1137.

  • Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12, 597–605.

    Article  PubMed  Google Scholar 

  • Johnson, J., Wood, A. M., Gooding, P., Taylor, P. J., & Tarrier, N. (2011). Resilience to suicidality: The buffering hypothesis. Clinical Psychology Review, 31, 563–591.

    Article  PubMed  Google Scholar 

  • Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Kann, L., Kinchen, S., Shanklin, S. L., Flint, K. H., Hawkins, J., et al. (2014). Youth Risk Behavior Surveillance – United States, 2013. Morbidity and Mortality Weekly Report, 63(SS04), 1–68. https://www.cdc.gov/mmwr/preview/mmwrhtml/ss6304a1.htm. Accessed 11 Nov 2016.

  • Kaslow, N. J., Stark, K. D., Printz, B., Livingston, R., & Ling Tsai, S. (1992). Cognitive triad inventory for children: Development and relation to depression and anxiety. Journal of Clinical Child Psychology, 21(4), 339–347.

  • Kaufman, J., Birmaher, B., Brent, D., Rao, U., Flynn, C., et al. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): Initial reliability and validity data. Journal of the American Academy of Child & Adolescent Psychiatry, 36(7), 980–988.

    Article  Google Scholar 

  • King, C. A., & Merchant, C. R. (2008). Social and interpersonal factors relating to adolescent suicidality: A review of the literature. Archives of Suicide Research, 12, 181–196.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kleiman, E. M., & Beaver, J. K. (2013). A meaningful life is worth living: Meaning in life as a suicide resiliency factor. Psychiatry Research, 210, 934–939.

    Article  PubMed  Google Scholar 

  • Knight, J. R., Sherritt, L., Harris, S. K., Gates, E. C., & Chang, G. (2003). Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcoholism: Clinical and Experimental Research, 27(1), 67–73.

    Article  Google Scholar 

  • Kohn, P. M., & Milrose, J. A. (1993). The inventory of high-school students’ recent life experiences: A decontaminated measure of adolescents’ hassles. Journal of Youth and Adolescence, 22(1), 43–55. doi:10.1007/BF01537903.

    Article  Google Scholar 

  • Kovacs, M. (1992). Children’s depression inventory: manual. Cheektowaga, NY: Multi-Health Systems.

  • Kovacs, M. (2000). The “Feelings and Me” emotion regulatory strategy utilization questionnaires. Pittsburgh, PA: University of Pittsburgh School of Medicine.

    Google Scholar 

  • Kral, M. J., Wiebe, P. K., Nisbet, K., Dallas, C., Okalik, L., Enuaraq, N., & Cinotta, J. (2009). Canadian Inuit community engagement in suicide prevention. International Journal of Circumpolar Health, 68, 292–308.

    Article  PubMed  Google Scholar 

  • Kring, A. M., & Gordon, A. H. (1998). Sex differences in emotion: Expression, experience, and physiology. Journal of Personality and Social Psychology, 74, 686–703.

    Article  PubMed  Google Scholar 

  • Kwok, S. Y., Chai, W., & He, X. (2013). Child abuse and suicidal ideation among adolescents in China. Child Abuse & Neglect, 37, 986–996.

    Article  Google Scholar 

  • Kwok, S. Y., & Shek, D. T. (2008). Hopelessness, family functioning and suicidal ideation among Chinese adolescents in Hong Kong. Open Family Studies Journal, 1, 49–55.

    Article  Google Scholar 

  • Kwok, S. Y., & Shek, D. T. (2009). Social problem solving, family functioning, and suicidal ideation among Chinese adolescents in Hong Kong. Adolescence, 44, 391–406.

    PubMed  Google Scholar 

  • Kwok, S. Y., & Shek, D. T. (2010). Hopelessness, parent-adolescent communication, and suicidal ideation among Chinese adolescents in Hong Kong. Suicide and Life-Threatening Behavior, 40, 224–233.

    Article  PubMed  Google Scholar 

  • Kwok, S. Y., Yeung, J. W., Low, A. Y., Lo, H. H., & Tam, C. H. (2015). The roles of emotional competence and social problem-solving in the relationship between physical abuse and adolescent suicidal ideation in China. Child Abuse & Neglect, 44, 117–129.

    Article  Google Scholar 

  • LaFromboise, T. D., Medoff, L., Harris, A., & Lee, C. (2007). Psychosocial and cultural correlates of suicidal ideation among American Indian early adolescents on a Northern Plains reservation. Research in Human Behavior, 41, 119–143.

    Google Scholar 

  • Lau, A. S., Jernewall, N. M., Zane, N., & Myers, H. F. (2002). Correlates of suicidal behaviors among Asian-American outpatient youths. Cultural Diversity and Ethnic Minority Psychology, 8, 199–213.

    Article  PubMed  Google Scholar 

  • Lee, S. Y. (2011). Reasons for living and their moderating effects on Korean adolescents’ suicidal ideation. Death Studies, 35, 711–728.

    Article  PubMed  Google Scholar 

  • Leitenberg, H., Yost, L. W., & Carroll-Wilson, M. (1986). Negative cognitive errors in children: Questionnaire development, normative data, and comparisons between children with and without self-reported symptoms of depression, low self-esteem, and evaluation anxiety. Journal of Consulting and Clinical Psychology, 54(4), 528–536. doi:10.1037/0022-006X.54.4.528.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1993). Psychosocial characteristics of adolescents with a history of a suicide attempt. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 60–68.

    Article  PubMed  Google Scholar 

  • Li, D., Zhang, W., Li, X., Li, N., & Ye, B. (2012). Gratitude and suicidal ideation and suicide attempts among Chinese adolescents: Direct, mediated, and moderated effects. Journal of Adolescence, 35, 55–56.

    Article  PubMed  Google Scholar 

  • Luster, T., & Small, S. A. (1997). Sexual abuse history and problems in adolescence: Exploring the effects of moderating variables. Journal of Marriage and the Family, 59, 131–142.

    Article  Google Scholar 

  • Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562.

    Article  PubMed Central  PubMed  Google Scholar 

  • Malecki, C. K., & Demaray, M. K. (2002). Measuring perceived social support: Development of the child and adolescent social support scale (CASSS). Psychology in the Schools, 39(1), 1–18.

    Article  Google Scholar 

  • Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98, 224–253.

    Article  Google Scholar 

  • Masten, A. S., & Coatsworth, J. D. (1998). The development of competence in favorable and unfavorable environments: Lessons from research on successful children. American Psychologist, 53, 205–220.

    Article  PubMed  Google Scholar 

  • Matlin, S. L., Molock, S. D., & Tebes, J. K. (2011). Suicidality and depression among African American adolescents: The role of family and peer support and community connectedness. American Journal of Orthopsychiatry, 81, 108–117.

    Article  PubMed Central  PubMed  Google Scholar 

  • Markus, M. T., Lindhout, I. E., Boer, F., Hoogendijk, T. H., & Arrindell, W. A. (2003). Factors of perceived parental rearing styles: The EMBU-C examined in a sample of Dutch primary school children. Personality and Individual Differences, 34(3), 503–519.

  • Mayer, J. D., & Salovey, P. (2007). Mayer-Salovery-Caruso emotional intelligence test. Cheektowaga, NY: Multi-Health Systems Incorporated.

  • McKeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behavior in a longitudinal sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 612–619.

    Article  PubMed  Google Scholar 

  • Miller, A. B., & Esposito-Smythers, C. (2013). How do cognitive distortions and substance-related problems affect the relationship between child maltreatment and adolescent suicidal ideation? Psychology of Violence, 3, 340–353.

    Article  PubMed Central  PubMed  Google Scholar 

  • Miller, F. G., Lazowski, L. E. (2001). The adolescent SASSI-A2 manual: Identifying substance use disorders. Springville, IN: The SASSI Institute.

  • Miller, I. W., Norman, W. H., Bishop, S. B., & Dow, M. G. (1986). The Modified Scale for Suicidal Ideation: Reliability and validity. Journal of Consulting and Clinical Psychology, 54, 724–725.

    Article  PubMed  Google Scholar 

  • Miranda, R., Gallagher, M., Bauchner, B., Vaysman, R., & Marroquin, B. (2012). Cognitive inflexibility as a prospective predictor of suicidal ideation among young adults with a suicide attempt history. Depression and Anxiety, 29, 180–186.

    Article  PubMed  Google Scholar 

  • Muller, D., Judd, C. M., & Yzerbyt, V. Y. (2005). When moderation is mediated and mediation is moderated. Journal of Personality and Social Psychology, 89, 852–863.

    Article  PubMed  Google Scholar 

  • Nieboer, A., Lindenberg, S., Boomsma, A., & Bruggen, A. C. V. (2005). Dimensions of well-being and their measurement: The SPF-IL scale. Social Indicators Research, 73(3), 313–353.

  • Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70(3), 300–310.

    Article  PubMed  Google Scholar 

  • Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-injurious thoughts and behaviors interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309–317. doi:10.1037/1040-3590.19.3.309.

  • Nrugham, L., Holen, A., & Sund, A. M. (2010). Associations between attempted suicide, violent life events, depressive symptoms, and resilience in adolescents and young adults. Journal of Nervous and Mental Disease, 198, 131–136.

    Article  PubMed  Google Scholar 

  • O’Donnell, L., O’Donnell, C., Wardlaw, D. W., & Stueve, A. (2004). Risk and resiliency factors influencing suicidality among urban African American and Latino youth. American Journal of Community Psychology, 33, 37–49.

    Article  Google Scholar 

  • Olsson, C. A., Bond, L., Burns, J. M., Vella-Brodrick, D. A., & Sawyer, S. M. (2003). Adolescent resilience: A concept analysis. Journal of Adolescence, 26, 1–11.

    Article  PubMed  Google Scholar 

  • Ormel, J., Oldehinkel, A. J., Ferdinand, R. F., Hartman, C. A., De Winter, A. F., et al. (2005). Internalizing and externalizing problems in adolescence: General and dimension-specific effects of familial loadings and preadolescent temperament traits. Psychological Medicine, 35(12), 1825–1835.

  • Osman, A., Downs, W. R., Kopper, B. A., Barrios, F. X., Baker, M. T., et al. (1998). The reasons for living inventory for adolescents (RFL-A): Development and psychometric properties. Journal of Clinical Psychology, 54(8), 1063–1078.

    Article  PubMed  Google Scholar 

  • Osman, A., Gutierrez, P. M., Muehlenkamp, J. J., Dix-Richardson, F., Barrios, F. X., & Kopper, B. A. (2004). Suicide Resilience Inventory–25: Development and preliminary psychometric properties. Psychological Reports, 94, 1349–1360.

    PubMed  Google Scholar 

  • Pace, U., & Zappulla, C. (2010). Relations between suicidal ideation, depression, and emotional autonomy from parents in adolescence. Journal of Child and Family Studies, 19, 747–756.

    Article  Google Scholar 

  • Pargament, K. I. (2002). The bitter and the sweet: An evaluation of the costs and benefits of religiousness. Psychological Inquiry, 13, 168–181.

    Article  Google Scholar 

  • Pisani, A. R., Wyman, P. A., Petrova, M., Schmeelk-Cone, K., Goldston, D. B., Xia, Y., & Gould, M. S. (2013). Emotion regulation difficulties, youth-adult relationships, and suicide attempts among high school students in underserved communities. Journal of Youth and Adolescence, 42, 807–820.

    Article  PubMed  Google Scholar 

  • Posner, K., Brodsky, B., Yershova, K., Buchanan, J., & Mann, J. (2014). The classification of suicidal behavior. In M. K. Nock (Ed.), The Oxford handbook of suicide and self-injury (pp. 7–22). New York, NY: Oxford University Press.

    Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale. Applied Psychological Measurement, 1(3), 385–401.

    Article  Google Scholar 

  • Randell, B. P., Eggert, L. L., & Pike, K. C. (2001). Immediate post intervention effects of two brief youth suicide prevention interventions. Suicide & Life-Threatening Behavior, 31, 41–61.

    Article  Google Scholar 

  • Reisner, S. L., Biello, K., Perry, N. S., Gamarel, K. E., & Mimiaga, M. J. (2014). A compensatory model of risk and resilience applied to adolescent sexual orientation disparities in nonsuicidal self-injury and suicide attempts. American Journal of Orthopsychiatry, 84, 545–556.

    Article  PubMed  Google Scholar 

  • Reitman, D., Rhode, P. C., Hupp, S. D., & Altobello, C. (2002). Development and validation of the parental authority questionnaire–revised. Journal of Psychopathology and Behavioral Assessment, 24(2), 119–127.

  • Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., et al. (1997). Protecting adolescents from harm: Results from the National Longitudinal Study on Adolescent Health. Journal of the American Medical Association, 278, 823–832.

    Article  PubMed  Google Scholar 

  • Rew, L., & Horner, S. D. (2003). Youth resilience framework for reducing health-risk behaviors in adolescents. Journal of Pediatric Nursing, 18, 379–388.

    Article  PubMed  Google Scholar 

  • Rew, L., Thomas, N., Horner, S. D., Resnick, M. D., & Beuhring, T. (2001). Correlates of recent suicide attempts in a triethnic group of adolescents. Journal of Nursing Scholarship, 33, 361–367.

    Article  PubMed  Google Scholar 

  • Reynolds, W. M. (1987). Suicidal Ideation Questionnaire. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Reynolds, W. M. (1988). SIQ, Suicidal ideation questionnaire: Professional manual. Psychological Assessment Resources.

  • Reynolds, W. M. (2002). Reynolds Adolescent Depression Scale–Second Edition: Professional manual. Odessa, FL: Psychological Assessment Resources.

  • Rigby, K., & Slee, P. (1999). Suicidal ideation among adolescent school children, involvement in bully-victim problems, and perceived social support. Suicide and Life-Threatening Behavior, 29, 119–130.

    PubMed  Google Scholar 

  • Rigby, K., & Slee, P. T. (1993). Dimensions of interpersonal relation among Australian children and implications for psychological well-being. The Journal of Social Psychology, 133(1), 33–42.

    Article  PubMed  Google Scholar 

  • Ronan, K. R., Kendall, P. C., & Rowe, M. (1994). Negative affectivity in children: Development and validation of a self-statement questionnaire. Cognitive Therapy and Research, 18(6), 509–528.

  • Rose, A. J., & Rudolph, K. D. (2006). A review of sex differences in peer relationship processes: Potential trade-offs for the emotional and behavioral development of girls and boys. Psychological Bulletin, 132, 98–131.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rosen, R. (1981). Perception of support inventory. Washington, DC: Children’s National Medical Center, (unpublished manuscript).

  • Rosenberg, M. (1965). Rosenberg self-esteem scale (RSE). Acceptance and Commitment Therapy. Measures Package, 61, 52.

  • Russell, D. W. (1996). UCLA Loneliness Scale (Version 3): Reliability, validity, and factor structure. Journal of Personality Assessment, 66(1), 20–40.

    Article  PubMed  Google Scholar 

  • Salzinger, S., Rosario, M., Feldman, R. S., & Ng-Mak, D. S. (2007). Adolescent suicidal behavior: Associations with preadolescent physical abuse and selected risk and protective factors. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 859–866.

    Article  PubMed  Google Scholar 

  • Sampson, R. J., Raudenbush, S. W., & Earls, F. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277(5328), 918–924.

    Article  PubMed  Google Scholar 

  • Sarason, I. G., Sarason, B. R., Shearin, E. N., & Pierce, G. R. (1987). A brief measure of social support: Practical and theoretical implications. Journal of Social and Personal Relationships, 4(4), 497–510.

  • Schneidman, E. (1981). A psychological theory of suicide. Suicide and Life-Threatening Behavior, 11, 221–231.

    Article  Google Scholar 

  • Shek, D. T. (1993). Measurement of pessimism in Chinese adolescents: the Chinese Hopelessness Scale. Social Behavior and Personality: an International Journal, 21(2), 107–119.

    Article  Google Scholar 

  • Shek, D. T., & Ma, C. M. (2010). The Chinese family assessment instrument (C-FAI) hierarchical confirmatory factor analyses and factorial invariance. Research on Social Work Practice, 20(1), 112–123.

    Article  Google Scholar 

  • Sherman, R. M., D’Orio, B., Rhodes, M. N., Johnson, S. G., & Kaslow, N. J. (2014). Racial/ethnic, spiritual/religious, and sexual orientation influences on suicidal behaviors. In M. K. Nock (Ed.), The Oxford handbook of suicide and self-injury (pp. 265–285). New York, NY: Oxford University Press.

    Google Scholar 

  • Shinn, M., & Toohey, S. M. (2003). Community contexts of human welfare. Annual Review of Psychology, 54(1), 427–459.

  • Silverman, M. M., Berman, A. L., Sanddal, N. D., O’Carroll, P. W., & Joiner, T. E. (2007). Rebuilding the Tower of Babel: A revised nomenclature for the study of suicide and suicidal behaviors part 2: Suicide-related ideations, communications, and behaviors. Suicide and Life-Threatening Behavior, 37, 264–277.

    Article  PubMed  Google Scholar 

  • Siu, A. M., & Shek, D. T. (2005). The Chinese version of the social problem-solving inventory: Some initial results on reliability and validity. Journal of Clinical Psychology, 61(3), 347–360.

  • Slap, G., Goodman, E., & Huang, B. (2001). Adoption as a risk factor for attempted suicide during adolescence. Pediatrics, 108, 859–866.

    Article  Google Scholar 

  • Steinberg, L., & Silverberg, S. B. (1986). The vicissitudes of autonomy in early adolescence. Child Development, 841–851.

  • Tamás, Z., Kovacs, M., Gentzler, A. L., Tepper, P., Gádoros, J., et al. (2007). The relations of temperament and emotion self-regulation with suicidal behaviors in a clinical sample of depressed children in Hungary. Journal of Abnormal Child Psychology, 35, 640–652.

    Article  PubMed  Google Scholar 

  • Tamis-LeMonda, C. S., Briggs, R. D., McClowry, S. G., & Snow, D. L. (2008). Challenges to the study of African American parenting: Conceptualization, sampling, research approaches, measurement, and design. Parenting: Science and Practice, 8, 319–358.

    Article  Google Scholar 

  • Thompson, R., Litrownik, A. J., Isbell, P., Everson, M. D., English, D. J., et al. (2012). Adverse experiences and suicidal ideation in adolescence: Exploring the link using the LONGSCAN samples. Psychology of Violence, 2, 211–225.

    Article  Google Scholar 

  • Tse, J. W., Bagley, C., & Muk-Leung Yau, A. (2002). The suicidal risk scale for Hong Kong students. https://eprints.soton.ac.uk/33581/. Accessed 13 Mar 2017.

  • Van Orden, K. A., Bamonti, P. M., King, D. A., & Duberstein, P. R. (2012). Does perceived burdensomeness erode meaning in life among older adults? Aging & Mental Health, 16, 855–860.

    Article  Google Scholar 

  • Vernberg, E. M., Jacobs, A. K., & Hershberger, S. L. (1999). Peer victimization and attitudes about violence during early adolescence. Journal of Clinical Child Psychology, 28(3), 386–395.

    Article  PubMed  Google Scholar 

  • Von Soest, T., Mossige, S., Stefansen, K., & Hjemdal, O. (2010). A validation study of the Resilience Scale for Adolescents (READ). Journal of Psychopathology and Behavioral Assessment, 32, 215–225.

    Article  Google Scholar 

  • Walsh, C., Jamieson, E., MacMillan, H., & Trocmé, N. (2004). Measuring child sexual abuse in children and youth. Journal of Child Sexual Abuse, 13, 39–67.

    Article  PubMed  Google Scholar 

  • Walsh, E., & Eggert, L. L. (2007). Suicide risk and protective factors among youth experiencing school difficulties. International Journal of Mental Health Nursing, 16, 349–359.

    Article  PubMed  Google Scholar 

  • Wang, R. H., Lai, H. J., Hsu, H. Y., & Hsu, M. T. (2011). Risk and protective factors for suicidal ideation among Taiwanese adolescents. Nursing Research, 60, 413–421.

    Article  PubMed  Google Scholar 

  • Wedig, M. M., & Nock, M. K. (2007). Parental expressed emotion and adolescent self-injury. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1171–1178.

    Article  PubMed  Google Scholar 

  • Wichstrom, L. (2009). Predictors of non-suicidal self-injury versus attempted suicide: Similar or different? Archives of Suicide Research, 13, 105–122.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G. (2001). The Cry of Pain. London: Penguin.

    Google Scholar 

  • Wolff, J., Esposito-Smythers, C., Becker, S., Seaboyer, L., Rizzo, C., Lichtenstein, D., & Spirito, A. (2014). Social-cognitive moderators of the relationship between peer victimization and suicidal ideation among psychiatrically hospitalized adolescents. Journal of Aggression, Maltreatment & Trauma, 23, 268–285.

    Article  Google Scholar 

  • World Health Organization (WHO). (1993). Composite international diagnostic interview (CIDI), version 1.1. Composite International Diagnostic Interview (CIDI), Version 1.1.

  • Wright, M. O., Masten, A. S., & Narayen, A. J. (2013). Resilience processes in development: Four waves of research on positive adaptation in the context of adversity. In Handbook of resilience in children (pp. 15–37). New York, NY: Springer Science + Business Media.

    Chapter  Google Scholar 

  • Yang, B., & Clum, G. A. (2000). Childhood Stress Leads to Later Suicidality via Its Effect on Cognitive Functioning. Suicide and Life-Threatening Behavior, 30(3), 183–198. doi:10.1111/j.1943-278X.2000.tb00985.x.

    PubMed  Google Scholar 

  • Yen, C. F., Lai, C. Y., Ko, C. H., Liu, T. L., Tang, T. C., Wu, Y. Y., & Yang, P. (2014). The associations between suicidal ideation and attempt and anxiety symptoms and the demographic, psychological, and social moderators in Taiwanese adolescents. Archives of Suicide Research, 18, 104–116.

    Article  PubMed  Google Scholar 

  • Yen, C.-F., Kim, Y.-S., Tang, T.-C., Wu, Y.-Y., & Cheng, C.-P. (2012). Factor structure, reliability, and validity of the Chinese version of the School Bullying Experience Questionnaire. The Kaohsiung Journal of Medical Sciences, 28(9), 500–505. 10.1016/j.kjms.2012.04.008.

    Article  PubMed  Google Scholar 

  • Zimmerman, M. A., Stoddard, S. A., Eisman, A. B., Caldwell, C. H., Aiyer, S. M., & Miller, A. (2013). Adolescent resilience: Promotive factors that inform resilience. Child Developmental Perspectives, 7, 1–9.

    Article  Google Scholar 

  • Zimmerman, P., & Iwansi, A. (2014). Emotion regulation from early adolescence to emerging adulthood and middle adulthood: Age differences, gender differences, and emotion-specific developmental variations. International Journal of Behavioral Development, 38, 182–194.

    Article  Google Scholar 

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Acknowledgements

Mitchell J. Prinstein, Deborah J. Jones, and Eric A. Youngstrom (University of North Carolina at Chapel Hill) for consultation regarding the design and implementation of the review, and for the provision of comments on the initial manuscript. Support was provided by National Institutes of Mental Health (NIH) Grant F32MH108238 awarded to Adam Bryant Miller.

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MG conceived of the review, participated in its design and coordination, and drafted the initial manuscript. ABM contributed to data interpretation and to the writing and editing of the final manuscript. All authors read and approved the final manuscript.

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Correspondence to Adam Bryant Miller.

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Gallagher, M.L., Miller, A.B. Suicidal Thoughts and Behavior in Children and Adolescents: An Ecological Model of Resilience. Adolescent Res Rev 3, 123–154 (2018). https://doi.org/10.1007/s40894-017-0066-z

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