Abstract:
:The majority of suicidal adolescents have no contact with mental health services, and reduced help-seeking in this population further lessens the likelihood of accessing treatment. A commonly-reported reason for not seeking help is youths' perception that they should solve problems on their own. In this study, we explore associations between extreme self-reliance behavior (i.e., solving problems on your own all of the time), help-seeking behavior, and mental health symptoms in a community sample of adolescents. Approximately 2150 adolescents, across six schools, participated in a school-based suicide prevention screening program, and a subset of at-risk youth completed a follow-up interview two years later. Extreme self-reliance was associated with reduced help-seeking, clinically-significant depressive symptoms, and serious suicidal ideation at the baseline screening. Furthermore, in a subset of youth identified as at-risk at the baseline screening, extreme self-reliance predicted level of suicidal ideation and depressive symptoms two years later even after controlling for baseline symptoms. Given these findings, attitudes that reinforce extreme self-reliance behavior may be an important target for youth suicide prevention programs. Reducing extreme self-reliance in youth with suicidality may increase their likelihood of appropriate help-seeking and concomitant reductions in symptoms.
journal_name
Int J Environ Res Public Healthauthors
Labouliere CD,Kleinman M,Gould MSdoi
10.3390/ijerph120403741subject
Has Abstractpub_date
2015-04-01 00:00:00pages
3741-55issue
4eissn
1661-7827issn
1660-4601pii
ijerph120403741journal_volume
12pub_type
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journal_title:International journal of environmental research and public health
pub_type: 杂志文章
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章,随机对照试验
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