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Parameters of suicidal ideation: efficacy of a brief preventive intervention for suicidal ideation and the course of suicidal ideation and its correlates

Fitzpatrick, Kathleen Kara
http://rave.ohiolink.edu/etdc/view?acc_num=osu1115341196

Abstract Details

2005, Doctor of Philosophy, Ohio State University, Psychology.
One promising area for intervention with suicidal youth relates to coping skills. The cognitive, behavioral and affective limitations invoked in the face of problem situations may inhibit appropriate behavior and encourage suicidal ideation. The current study aimed to further assess the role of problem-solving deficits among suicidal ideators as well as assessing the benefits of a brief prevention intervention based on the PST model. The current study found little direct support for the role of problem-solving deficits in predicting suicidal ideation. More specifically, the influence of problem-solving deficits was mediated by depression and likely exerts an influence on suicide through its influence on mood. Despite this, ideating individuals clearly experience greater psychopathology and problem-solving deficits relative to their non-ideating peers. Exposure to a brief video intervention regarding problem-solving and coping skills was sufficient to elicit significant decreases in suicidal ideation and depression. Though both time limited and of modest clinical impact, this confirms the importance of incorporating problem-solving and coping skills modules into suicide treatment programs. Despite the effectiveness of the problem-solving video on decreasing targeted measures of psychopathology, the intervention had no appreciable impact on problem-solving skills and behaviors themselves. Assessment of the course of suicidal ideation and its correlates of depression and hopelessness suggest that these are not stable variables, but may evidence considerable fluctuation over the short-term. A variable pattern, indicative of emotional lability, is suggestive of greater pathology and associated with greater risk, particularly when combined with a history of previous suicide attempts. In contrast, high mean scores of depression and ideation did not significantly predict changes in course or risk, nor did they interact with attempt status. However, an interaction of mean levels and variability in depression, hopelessness and suicidal ideation did influence course, with the suggestion that higher levels potentiated risk. In general, variability in course of ideation, depression and hopelessness emerged as an important variable influencing suicide risk. This may be due to underlying difficulties in affect regulation, resulting in impaired interpersonal relationships and problem-solving deficits.
Steven Beck (Advisor)
211 p.
Psychology, Clinical
suicide; suicidal ideation; problem-solving; coping; adolescents; depression; hopelessness

Recommended Citations

Citations

  • Fitzpatrick, K. K. (2005). Parameters of suicidal ideation: efficacy of a brief preventive intervention for suicidal ideation and the course of suicidal ideation and its correlates [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1115341196

    APA Style (7th edition)

  • Fitzpatrick, Kathleen. Parameters of suicidal ideation: efficacy of a brief preventive intervention for suicidal ideation and the course of suicidal ideation and its correlates. 2005. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1115341196.

    MLA Style (8th edition)

  • Fitzpatrick, Kathleen. "Parameters of suicidal ideation: efficacy of a brief preventive intervention for suicidal ideation and the course of suicidal ideation and its correlates." Doctoral dissertation, Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1115341196

    Chicago Manual of Style (17th edition)

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This open access ETD is published by The Ohio State University and OhioLINK.