When Self-Reliance Is Not Safe
Associations between Reduced Help-Seeking and Subsequent Mental Health Symptoms in Suicidal Adolescents
Bibliographic Data
| ID | 15465736 |
|---|---|
| Authors | Christa D Labouliere (0000-0003-1772-5481, New York Psychoanalytic Society and Institute), Christa Labouliere (Columbia University Irving Medical Center), A Kleinman (0000-0003-0721-2017, New York Psychoanalytic Society and Institute), Marjorie Kleinman (Columbia University Irving Medical Center), Madelyn Gould (Columbia University Irving Medical Center), Madelyn S Gould (0000-0002-2881-9152, New York Psychoanalytic Society and Institute, corresponding author) |
| Year | 2015 |
| Volume | 12 |
| Issue | 4 |
| Pages | 3741-3755 |
| Publication date | 2015-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph120403741 |
| PMID | 25837350 |
| PMCID | PMC4410213 |
| OpenAlex | W1997261002 |
| Language | EN |
| Citations received | 16 |
| References cited | 46 |
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
Environmental health · Injury prevention · Medical emergency · Mental health · Occupational safety and health · Poison control · Psychiatry · Suicide prevention · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Human Factors and Ergonomics · Medicine · Mental Health Treatment and Access · Psychology · Suicide and Self-Harm Studies
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| Unique citing works | 16 |
|---|---|
| Citations per year | 2 |
| Citation span | 2018 - 2026 (9) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 16 |