Depressive symptom severity mediates the association between avoidant problem-solving style and suicidal ideation

López, Roberto; Brick, Leslie A.; Defayette, Annamarie B.; Whitmyre, Emma D.; Wolff, Jennifer C.; Frazier, Elisabeth A.; Spirito, Anthony; Esposito‐Smythers, Christianne

doi:10.1016/j.jad.2020.05.120

Cited by 9 publications

(2 citation statements)

References 44 publications

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“…At the same time, studies in adolescent populations have also found that depressive symptoms are a risk factor for suicidal ideation [25,26] , suicide planning [27] and suicide attempts [28] . Roberto et al found that depressive symptoms predicted the severity of suicidal ideation three months later [29] . In addition, the research suggests that when depressive symptoms become severe, adolescents are likely to resort to more extreme forms of avoidance to end their suffering, at which point suicide is often considered one of the most severe forms of avoidance [30] .…”

Section: Introductionmentioning

confidence: 99%

Association between health literacy and suicide-related behaviors in middle school students: The mediating role of depressive symptoms

Zhang,

Liu,

Luo

et al. 2023

Preprint

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Background The health literacy level is closely related to mental health. Depressive symptoms are one of the most common mental health problems and are strongly associated with suicide-related behaviors among middle school students. The purpose of this study was to examine the mediating role of depressive symptoms in the relationship between health literacy and suicide-related behaviors in middle school students. Method A total of 7182 middle school students were included in this analysis. A paper-based self-administered questionnaire was used to collect data in May 2023. Multiple linear regression and multivariate logistic regression models were applied to analyse the association between health literacy, depressive symptoms and suicide-related behaviors. The Monte Carlo method was used to determine whether depressive symptoms mediated the relationship between health literacy and suicide-related behaviors. Results The prevalence of suicidal ideation, planning, and attempts in the past 12 months among middle school students was 26.62%, 9.27%, and 4.55%, respectively. Health literacy levels exhibited a significant and negative correlation with depressive symptoms, suicidal ideation, suicide planning, and suicide attempts, whereas depressive symptoms was correlated significantly and positively with three suicide-related behaviors. Mediation analysis showed that depressive symptoms mediated the relationship between health literacy and suicidal ideation, suicide planning, and suicide attempts, with mediating effect sizes of 47.5%, 43.0% and 41.8%, respectively. Conclusion Depressive and anxiety symptoms mediate the relationship between health literacy and suicide-related behaviors. Comprehensive health literacy improvement programs may be useful in preventing depression and suicide-related behaviors.

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Section: Introductionmentioning

confidence: 99%

Association between health literacy and suicide-related behaviors in middle school students: The mediating role of depressive symptoms

Zhang,

Liu,

Luo

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Avoidance involves putting off the problem, waiting for it to resolve and shifting the responsibility to others. They are dysfunctional strategies that produce negative outcomes related to maladaptive functioning (López et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal associations between psychological capital and problem‐solving among social workers: A two‐wave cross‐lagged study

Chan

2022

Health Social Care Comm

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Social workers are tasked with the heavy responsibility of addressing societal problems and helping people in need, so the ability to solve a wide range of problems efficiently and effectively is essential for their daily responsibilities. Although recent studies have provided evidence for the salutary effects of psychological capital (PsyCap), including hope, efficacy, resilience and optimism, on job performance and well-being, the mechanism through which PsyCap operates has not been empirically examined. Adopting the social problem-solving theory, this study proposes that PsyCap is a positive psychological resource that enhances the ability to solve work problems, which provides an explanation for how PsyCap can produce work-related benefits. Due to hopeful, efficacious, resilient and optimistic attributes, social workers who possess a high level of PsyCap are expected to engage in rational problem-solving. Since social workers who possess a low level of PsyCap have less psychological resources to deal with job demands, they are expected to engage in impulsivity-carelessness and avoidance strategies. A 2-wave longitudinal study with a 3-month interval was conducted on a sample of 400 full-time social workers in Hong Kong. Cross-lagged analysis showed that PsyCap at T1 increased rational problem-solving and decreased avoidance at T2. These effects were nonreciprocal. A follow-up qualitative study was conducted to contextualise and enrich the quantitative findings. In-depth interviews revealed that social workers faced task-related, interpersonal and organisational problems. They took an active or passive approach to problems depending on their level of PsyCap.

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Adapting a youth suicide prevention program for rural communities in the United States: a feasibility study

Weissman,

Scott,

Edwards

et al. 2024

Discov Psychol

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Rural youth suicide represents a major source of mental health inequity in the United States (US). School-based suicide prevention programs may provide an effective avenue to address this mental health crisis among rural youth. This study’s primary goal is to demonstrate the feasibility and acceptability of a novel implementation approach (utilizing teachers from a neighboring school) for delivering the Youth Aware of Mental Health (YAM) program, an evidence-based, universal youth suicide prevention curriculum, to high school students in rural Montana. We will recruit approximately 1300 9th grade student in four Montana schools. Using a non-inferiority design, we will randomize classrooms in each school to be instructed by a teacher from another school (YAM-TE; experimental) or a traditional external instructor (YAM-EXT; control). We will assess program fidelity of both YAM training and implementation via independent observer and instructor-reporter ratings. Youth will complete measures of acceptability at post-YAM and outcome measures at pre-YAM, post-YAM, and 12 month follow-up. Standard and mixed linear and logistic regression models will be used to test the main hypothesis that the YAM-TE does not differ from YAM-EXT regarding fidelity (teachers) and acceptability (teachers and youth). Exploratory analyses will test moderation of the intervention effect (e.g., sex, poverty) and the mediating effect of mental health literacy, belongingness, and perceived burdensomeness on the intervention effect. Results of this pilot study will inform the development of subsequent, fully powered noninferiority trials. Our long-term goal is to scale YAM-TE for implementation across rural US communities or, if culturally appropriate, more globally.

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Depressive symptom severity mediates the association between avoidant problem-solving style and suicidal ideation

Cited by 9 publications

References 44 publications

Association between health literacy and suicide-related behaviors in middle school students: The mediating role of depressive symptoms

Association between health literacy and suicide-related behaviors in middle school students: The mediating role of depressive symptoms

Longitudinal associations between psychological capital and problem‐solving among social workers: A two‐wave cross‐lagged study

Adapting a youth suicide prevention program for rural communities in the United States: a feasibility study

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