Prospective Associations of Coping Styles With Depression and Suicide Risk Among Psychiatric Emergency Patients

Horwitz, Adam G.; Czyz, Ewa K.; Berona, Johnny; King, Cheryl A.

doi:10.1016/j.beth.2017.07.010

Cited by 54 publications

(45 citation statements)

References 39 publications

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“…Moreover, well-developed stress resilience in late adolescence is associated with a reduced risk for bipolar disorder in adulthood [75]. Furthermore, a study in high-risk adolescents and young adults with depression and suicidal ideation found that increased use of a positive mindset, such as positive reframing, and decreased use of negative cognitive styles, such as self-blame and disengagement, lowered the risk for suicide at baseline and 4 months after the intervention [40]. Because stress resilience can be modified, an ongoing randomized controlled study to modify negative cognitive style by disrupting a selective bias toward negative information and thoughts is needed to investigate whether enhanced stress resilience is a cost-effective [76] method for reducing depressive symptoms in adolescents [77].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of depression among Korean adolescents

et al. 2019

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This study aimed to identify factors significantly associated with recent depressive mood with respect to health-related behavioral patterns at the individual level, perceived safety in the school environment, and willingness to share concerns with family and social networks. Self-reported responses to questions regarding recent feelings of depression, health-related behaviors in physical, psychological, and spiritual subdomains, school refusal and perceived safety at school, and perceived social support were obtained from 1,991 in-school adolescents (mean [SD] age = 15.3 [1.7] years; male/female = 936/1055). Multivariate logistic regression analyses were used to identify explanatory factors significantly associated with recent depression, defined as feelings of sadness or hopelessness for more than 2 weeks (during the last 12 months) that interfered with everyday functioning. Of the 1,991 students, 271 (13.6%) reported recent depression. Multivariate logistic regression analyses revealed higher odds of recent depression in adolescents with frequent thoughts of school refusal (odds ratio [95% confidence interval] = 3.25 [2.44–4.32]) and those who engaged in regular physical exercise (1.57 [1.19–2.07]), whereas a positive mindset (0.65 [0.49–0.86]), perceived safety at school (0.62 [0.47–0.82]), and perceived social support from one’s mother (0.54 [0.40–0.72]) were associated with lower odds of recent depression. Taken together, our findings suggest that parents and teachers should talk regularly with adolescents about recent life (dis)satisfaction and stressors, particularly when they report frequent thoughts of school refusal. Perceived social support would increase perceived safety on school grounds and make it easier for teenagers to share their concerns with parents, thereby reducing the risk for depressive symptoms. School-based programs that promote a positive mindset would be helpful in preparing students for the challenges of adulthood.

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Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of depression among Korean adolescents

et al. 2019

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“…Higher coping flexibility was related to the lower depression risk (Kato, 2012). Coping style was related to suicide risk factors (i.e., depression, suicide ideation, and suicide behavior) (Adam et al, 2018). Depressive symptoms increased with the accumulation of stress events and developed corresponding coping strategies (Suzuki et al, 2018).…”

Section: Introductionmentioning

confidence: 98%

The Mediating Effect of Coping Style in the Relationship Between Depression and Disordered Eating Among Chinese Female Undergraduates

Zhang

Han

et al. 2020

Front. Psychol.

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The aim of the current study was to explore the relationship between depression and disordered eating in female undergraduates and the mediating role of coping style between depression and disordered eating. Self-report questionnaires assessing coping style, disordered eating, and depression were completed in 646 Chinese female undergraduates. The results illustrated that there were obvious differences in disordered eating among the undergraduates with various majors. The disordered eating in female undergraduates majoring in art was more serious than those in other majors. Depression and coping style were effective indicators to predict disordered eating. Moreover, depression could not only directly predict disordered eating, but also predict disordered eating through the mediating effect of coping style. These findings indicate that depression and negative coping style are associated with disordered eating. Coping style could mediate the effect of depression on disordered eating, as these may be an important target for early intervention programs for eating disorder (ED).

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“…Therefore, ASSIP seems to be effective in reducing self-blame. Reduced self-blame has been found to be an important protective factor (De Leo & Heller, 2004;Horwitz et al, 2018). A BRIEF THERAPY ASSIP INFLUENCES COPING 14 recently published study by Horwitz and colleagues (2018) was able to show that self-blame was implicated in future suicidal behaviour.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas problem-focussed coping seemed to have a negative correlation to deliberate self-harm (Guerreiro, Cruz, Frasquilho, Figueira, & Sampaio, 2013;Horwitz et al, 2011) others did not find evidence for a relationship between problem-focussed coping and suicidal ideation (Horwitz et al, 2011). BRIEF THERAPY ASSIP INFLUENCES COPING 4 However, with regard to broader categories of dysfunctional coping strategy, self-blame was associated with deliberate self-harm, and behavioural disengagement with suicidal ideation (De Leo & Heller, 2004;Horwitz et al, 2018). Furthermore, O'Conner, Smyth, and Williams (2015) found that intrapersonal positive future thinking was only protective with regard to a suicide-specific outcome when participants were in crisis, in the hours following a suicide attempt.…”

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confidence: 99%

Brief Therapy ASSIP Influences Coping Among Patients with a History of Attempted Suicide

Gysin-Maillart¹,

Soravia²,

Schwab³

2017

Preprint

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The development of individual coping strategies for suicidal crises is essential for suicide prevention. However, the influence of a brief intervention and the effect on coping strategies is largely unknown. This study aims to investigate the long-term association between coping behaviour and suicidal ideation in a clinical high-risk sample of the Attempted Suicide Short Intervention Program (ASSIP) evaluation study. In this secondary analysis of a 24-month follow-up randomised controlled study, 120 patients (55% female; mean age of 36) with a history of suicide attempts were randomly allocated to the ASSIP group or to a control group, both added to treatment as usual. The present study identifies an 11% reduction in dysfunctional coping in the ASSIP group and a 6% increase in problem-focussed coping compared to the control group after 24-months. Broader categories of dysfunctional coping showed a significant interaction between the ASSIP group and the control group regarding self-distraction, after 12-months, and self-blame, after 24-months. In the ASSIP group, active coping and substance use were associated with a reduction in Beck Scale for Suicide Ideation (BSS) scores. In the control group (CG), behavioural disengagement and positive reframing were positively and self-distraction was negatively related to suicidal ideation. These results indicate that ASSIP has an influence on coping behaviour. Thus, the development of new problem-focussed coping strategies is crucial, although a reduction in dysfunctional coping (e.g. self-blame) seems to be essential in overcoming suicidal crises long-term.

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Prospective Associations of Coping Styles With Depression and Suicide Risk Among Psychiatric Emergency Patients

Cited by 54 publications

References 39 publications

Prevalence and associated factors of depression among Korean adolescents

Prevalence and associated factors of depression among Korean adolescents

The Mediating Effect of Coping Style in the Relationship Between Depression and Disordered Eating Among Chinese Female Undergraduates

Brief Therapy ASSIP Influences Coping Among Patients with a History of Attempted Suicide

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