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Social support buffers the effect of interpersonal life stress on suicidal ideation and self-injury during adolescence

Published online by Cambridge University Press:  20 December 2016

D. M. Mackin ,
G. Perlman ,
J. Davila ,
R. Kotov  and
D. N. Klein
D. M. Mackin*
Affiliation:
Stony Brook University, Stony Brook, NY, USA
G. Perlman
Affiliation:
Stony Brook University, Stony Brook, NY, USA
J. Davila
Affiliation:
Stony Brook University, Stony Brook, NY, USA
R. Kotov
Affiliation:
Stony Brook University, Stony Brook, NY, USA
D. N. Klein
Affiliation:
Stony Brook University, Stony Brook, NY, USA
*
*Address for correspondence: D. M. Mackin, M.A., Department of Psychiatry, Stony Brook University School of Medicine, Putnam Hall-South Campus, Stony Brook, NY 11794, USA. (Email: daniel.mackin@stonybrookmedicine.edu)
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Abstract

Background

The effect of life stress on suicidal symptoms during adolescence is well documented. Stressful life events can trigger suicidality, but most adolescents are resilient and it is unclear which factors protect against the deleterious impact of stress. Social support is thought to be one such factor. Therefore, we investigated the buffering effect of specific sources of social support (parental and peer) on life stress (interpersonal and non-interpersonal) in predicting suicidal symptoms during adolescence. In order to test the specificity of this stress buffering, we also examined it with regard to dysphoric mood.

Method

Data come from the Adolescent Development of Emotions and Personality Traits (ADEPT) Project, a cohort of 550 adolescent females aged 13.5–15.5 recruited from Long Island. Self-reported social support, suicidality, and dysphoria were assessed at baseline and suicidality and dysphoria were assessed again at 9-month follow-up. Life stress was assessed by interview at the follow-up.

Results

High levels of parental support protected adolescent girls from developing suicidal symptoms following a stressor. This effect was less pronounced for peer support. Also, social support did not buffer the pathogenic effects of non-interpersonal stress. Finally, social support did not buffer the effect of life stress on dysphoric symptoms.

Conclusions

Altogether, our results highlight a distinct developmental pathway for the development of suicidal symptoms involving parental support that differs from the development of dysphoria, and signifies the importance and specificity of social support in protecting against suicidality in adolescent girls.

Keywords

Adolescencelife stressself-injurysocial supportsuicidal ideation
Type
Original Articles
Information
Psychological Medicine , Volume 47 , Issue 6 , April 2017 , pp. 1149 - 1161
Copyright
Copyright © Cambridge University Press 2016 

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References

Aiken, LS, West, SG (1991). Multiple Regression: Testing and Interpreting Interactions. Sage Publications: Newbury Park, CA.Google Scholar
Bagge, CL, Glenn, CR, Lee, HJ (2013). Quantifying the impact of recent negative life events on suicide attempts. Journal of Abnormal Psychology 122, 359–368.CrossRefGoogle ScholarPubMed
Bolger, N, Downey, G, Walker, E, Steininger, P (1989). The onset of suicidal ideation in childhood and adolescence. Journal of Youth and Adolescence 18, 175–190.Google Scholar
Borowsky, IW, Ireland, M, Resnick, MD (2001). Adolescent suicide attempts: risk and protectors. Pediatrics 107, 485–493.Google Scholar
Buhrmester, D, Furman, W (2008). The Network of Relationships Inventory: Relationship Qualities Version. Unpublished measure, University of Texas at Dallas (http://www.midss.org/content/network-relationships-inventory-relationship-qualities-version-nri-rqv%E2%80%94). Accessed 10 July 2016.Google Scholar
Buitron, V, Hill, RM, Pettit, JW, Green, KL, Hatkevich, C, Sharp, C (2016). Interpersonal stress and suicidal ideation in adolescence: an indirect association through perceived burdensomeness toward others. Journal of Affect Disorders 190, 143–149.Google Scholar
Burton, E, Stice, E, Seeley, JR (2004). A prospective test of the stress-buffering model of depression in adolescent girls: no support once again. Journal of Consulting and Clinical Psychology 72, 689–697.Google Scholar
Cannon, DS, Tiffany, ST, Coon, H, Scholand, MB, McMahon, WM, Leppert, MF (2007). The PHQ-9 as a brief assessment of lifetime major depression. Psychological Assessment 19, 247–251.Google Scholar
Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) (2016). (www.cdc.gov/injury/wisqars). Accessed 1 May 2016.Google Scholar
Cohen, S (2004). Social relationships and health. American Psychologist 59, 676–684.Google Scholar
Cohen, S, Wills, TA (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin 98, 310–357.Google Scholar
Dahlem, NW, Zimet, GD, Walker, RR (1991). The multidimensional scale of perceived social support: a confirmation study. Journal of Clinical Psychology 47, 756–762.Google Scholar
DuBois, DL, Felner, RD, Brand, S, Adan, AM, Evans, EG (1992). A prospective study of life stress, social support, and adaptation in early adolescence. Child Development 63, 542–557.CrossRefGoogle ScholarPubMed
Durkheim, E (1951). Suicide: a Study in Sociology [J. A. Spaulding & G. Simpson, trans.]. Free Press: Glencoe, IL. (Original work published 1897.)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.Google Scholar
Evans, GW, Kim, P, Ting, AH, Tesher, HB, Shannis, D (2007). Cumulative risk, maternal responsiveness, and allostatic load among young adolescents. Developmental Psychology 43, 341–351.Google Scholar
Felner, RD, Ginter, M, Primavera, J (1982). Primary prevention during school transitions: social support and environmental structure. American Journal of Community Psychology 10, 277–290.CrossRefGoogle ScholarPubMed
Furman, W, Buhrmester, D (1992). Age and sex differences in perceptions of networks of personal relationships. Child Development 63, 103–115.Google Scholar
Ge, X, Lorenz, FO, Conger, RD, Elder, GH Jr., Simons, RL (1994). Trajectories of stressful life events and depressive symptoms during adolescence. Developmental Psychology 30, 467–484.Google Scholar
Ge, X, Natsuaki, MN, Neiderhiser, JM, Reiss, D (2009). The longitudinal effects of stressful life events on adolescent depression are buffered by parent-child closeness. Developmental Psychopathology 21, 621–635.Google Scholar
Glenn, CR, Franklin, JC, Nock, MK (2015). Evidence-based psychosocial treatments for self-injurious thoughts and behaviors in youth. Journal of Clinical Child & Adolescent Psychology 44, 1–29.Google ScholarPubMed
Grandclerc, S, De Labrouhe, D, Spodenkiewicz, M, Lachal, J, Moro, MR (2016). Relations between nonsuicidal self-injury and suicidal behavior in adolescence: a systematic review. PLoS ONE 11, e0153760.CrossRefGoogle ScholarPubMed
Hamza, CA, Stewart, SL, Willoughby, T (2012). Examining the link between nonsuicidal self-injury and suicidal behavior: a review of the literature and an integrated model. Clinical Psychology Review 32, 482–495.Google Scholar
Hankin, BL, Mermelstein, R, Roesch, L (2007). Sex differences in adolescent depression: stress exposure and reactivity models. Child Development 78, 279–295.Google Scholar
Hazel, NA, Oppenheimer, CW, Technow, JR, Young, JF, Hankin, BL (2014). Parent relationship quality buffers against the effect of peer stressors on depressive symptoms from middle childhood to adolescence. Developmental Psychology 50, 2115–2123.Google Scholar
Heilbron, N, Prinstein, MJ (2010). Adolescent peer victimization, peer status, suicidal ideation, and nonsuicidal self-injury: examining concurrent and longitudinal associations. Merrill-Palmer Quarterly 56, 388–419.Google Scholar
Holahan, CJ, Valentiner, DP, Moos, RH (1994). Parental support and psychological adjustment during the transition to young adulthood in a college sample. Journal of Family Psychology 8, 215–223.Google Scholar
Johnson, JG, Cohen, P, Gould, MS, Kasen, S, Brown, J, Brook, JS (2002). Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Archives of General Psychiatry 59, 741–750.Google Scholar
Kann, L, Kinchen, S, Shanklin, SL, Flint, KH, Kawkins, J, Harris, WA, Lowry, R, Olsen, E, McManus, T, Chyen, D, Whittle, L, Taylor, E, Demissie, Z, Brener, N, Thornton, J, Moore, J, Zaza, S (2014). Youth risk behavior surveillance – United States, 2013. Morbidity and Mortality Weekly Report 63, 1–168.Google Scholar
Kaufman, J, Birmaher, B, Brent, D, Rao, U, Flynn, C, Moreci, P, Williamson, D, Ryan, N (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 and Adolescent Psychiatry 36, 980–989.Google Scholar
Kazarian, SS, McCabe, SB (1991). Dimensions of social support in the MSPSS: factorial structure, reliability, and theoretical implications. Journal of Community Psychology 19, 150–160.Google Scholar
Kendall, PC, Hudson, JL, Gosch, E, Flannery-Schroeder, E, Suveg, C (2008). Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology 76, 282–297.Google Scholar
Kessler, RC, Borges, G, Walters, EE (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry 56, 617–626.Google Scholar
King, CA, Merchant, CR (2008). Social and interpersonal factors relating to adolescent suicidality: a review of the literature. Archives of Suicide Research 12, 181–196.Google Scholar
Kleiman, EM, Riskind, JH, Schaefer, KE (2014). Social support and positive events as suicide resiliency factors: examination of synergistic buffering effects. Archives of Suicide Research 18, 144–155.Google Scholar
Kroenke, K, Spitzer, RL, Williams, JBW (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine 16, 606–613.CrossRefGoogle ScholarPubMed
Ladd, GW, Troop-Gordon, W (2003). The role of chronic peer difficulties in the development of children's psychological adjustment problems. Child Development 74, 1344–1367.CrossRefGoogle ScholarPubMed
Natsuaki, MN, Ge, X, Brody, GH, Simons, RL, Gibbons, FX, Cutrona, CE (2007). African American children's depressive symptoms: the prospective effects of neighborhood disorder, stressful life events, and parenting. American Journal of Community Psychology 39, 163–176.CrossRefGoogle ScholarPubMed
Nock, MK, Green, JG, Hwang, I, McLaughlin, KA, Sampson, NA, Zaslavsky, AM, Kessler, RC (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry 70, 300–310.CrossRefGoogle ScholarPubMed
O'Connor, RC (2011). Towards an integrated motivational-volitional model of suicidal behaviour. In International Handbook of Suicide Prevention: Research, Policy and Practice (ed. O'Connor, RC, Platt, S and Gordon, J), pp. 181–198. John Wiley & Sons, Ltd: Chichester, UK.CrossRefGoogle Scholar
O'Connor, RC, Nock, MK (2014). The psychology of suicidal behaviour. Lancet Psychiatry 1, 73–85.Google Scholar
Overholser, JC (2003). Predisposing factors in suicide attempts: life stressors. In Evaluating and Treating Adolescent Suicide Attempters: from Research to Practice (ed. Spirito, A and Overholser, JC), pp. 41–52. Academic Press: San Diego.CrossRefGoogle Scholar
Pettit, JW, Green, KL, Grover, KE, Schatte, DJ, Morgan, ST (2011). Domains of chronic stress and suicidal behaviors among inpatient adolescents. Journal of Clinical Child & Adolescent Psychology 40, 494–499.CrossRefGoogle ScholarPubMed
Pulakos, ED, Schmitt, N, Whitney, D, Smith, M (1996). Individual differences in interviewer ratings: the impact of standardization, consensus discussion, and sampling error on the validity of a structured interview. Personnel Psychology 49, 85–102.Google Scholar
Robinson, J, Hetrick, SE, Martin, C (2011). Preventing suicide in young people: systematic review. Australian & New Zealand Journal of Psychiatry 45, 3–26.Google Scholar
Rudolph, KD, Hammen, C (1999). Age and gender as determinants of stress exposure, generation, and reactions in youngsters: a transactional perspective. Child Development 70, 660–677.Google Scholar
Saffer, BY, Glenn, CR, Klonsky, DE (2015). Clarifying the relationship of parental bonding to suicide ideation and attempts. Suicide and Life-Threatening Behavior 45, 518–528.Google Scholar
Seeman, TE (1996). Social ties and health: the benefits of social integration. Annals of Epidemiology 6, 442–451.CrossRefGoogle ScholarPubMed
Stone, LB, Liu, RT, Yen, S (2014). Adolescent inpatient girls׳ report of dependent life events predicts prospective suicide risk. Psychiatry Research 219, 137–142.Google Scholar
Thoits, PA (1986). Social support as coping assistance. Journal of Consulting and Clinical Psychology 54, 416–423.Google Scholar
Turecki, G, Brent, DA (2016). Suicide and suicidal behaviour. The Lancet 387, 1227–1239.Google Scholar
Van Orden, KA, Merrill, KA, Joiner, TE Jr. (2005). Interpersonal-psychological precursors to suicidal behavior: a theory of attempted and completed suicide. Current Psychiatry Reviews 1, 187–196.Google Scholar
Van Orden, KA, Witte, TK, Cukrowicz, KC, Braithwaite, SR, Selby, EA, Joiner, TE Jr. (2010). The interpersonal theory of suicide. Psychological Review 117, 575–600.CrossRefGoogle ScholarPubMed
Waldrop, AE, Hanson, RF, Resnick, HS, Kilpatrick, DG, Naugle, AE, Saunders, BE (2007). Risk factors for suicidal behavior among a national sample of adolescents: implications for prevention. Journal of Traumatic Stress 20, 869–879.Google Scholar
Watson, D, O'Hara, MW, Naragon-Gainey, K, Koffel, E, Chmielewski, M, Kotov, R, Stasik, SM, Ruggero, CJ (2012). Development and validation of new anxiety and bipolar symptom scales for an expanded version of the IDAS (the IDAS-II). Assessment 19, 399–420.Google Scholar
Watson, D, O'Hara, MW, Simms, LJ, Kotov, R, Chmielewski, M, McDade-Montez, EA, Gamez, W, Stuart, S (2007). Development and validation of the Inventory of Depression and Anxiety Symptoms (IDAS). Psychological Assessment 19, 253–268.Google Scholar
Whitlock, J, Wyman, PA, Moore, SR (2014). Connectedness and suicide prevention in adolescents: pathways and implications. Suicide and Life-Threatening Behavior 44, 246–272.Google Scholar
Williamson, DE, Birmaher, B, Ryan, ND, Shiffrin, TP, Lusky, JA, Protopapa, J, Dahl, RE, Brent, DA (2003). The Stressful Life Events Schedule for children and adolescents: development and validation. Psychiatry Research 119, 225–241.Google Scholar
Windle, M (1992). A longitudinal study of stress buffering for adolescent problem behaviors. Developmental Psychology 28, 522–530.Google Scholar
Zimet, GD, Dahlem, NW, Zimet, SG, Farley, GK (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment 52, 30–42.Google Scholar
Zimet, GD, Powell, SS, Farley, GK, Werkman, S, Berkoff, KA (1990). Psychometric characteristics of the multidimensional scale of perceived social support. Journal of Personality Assessment 55, 610–617.Google Scholar
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