Immersive and reflective processing of a suicidal episode: implications for assessment and treatment of adolescents
| Author(s) | Zisk, Abigail | |
| Date Accessioned | 2022-02-03T15:11:36Z | |
| Date Available | 2022-02-03T15:11:36Z | |
| Publication Date | 2021 | |
| SWORD Update | 2021-09-30T19:12:44Z | |
| Abstract | The following studies assessed and tested individual differences in two modes of processing, Recall Intensity (RI) and Meaning Making (MM), during the Suicide Narrative Interview (SNI). RI was viewed as a vulnerability to become immersed in suicidal thoughts and feelings, while MM was viewed as a protective capacity for developing new perspectives and understandings by reflecting on suicidal thoughts and feelings. Three studies tested the validity and clinical utility of RI and MM in a sixteen-week randomized clinical trial (RCT) for depressed and suicidal adolescents. Study 1 examined the convergent, divergent, and concurrent validity of pretreatment MM and RI. Results generally supported expectations, with baseline MM associated with protective factors that reduce suicidality and baseline RI associated with elevated scores across several suicide risk factors and more pre-treatment suicidal ideation. Study 2 used baseline MM and RI to predict adolescents’ treatment response. Findings indicated that adolescents with higher levels of MM and lower levels of RI experienced the greatest symptom reductions during treatment. Study 3 examined whether MM and RI changed from the beginning to end of treatment and whether initial gains in therapeutic alliance (TA) or reductions in suicidal ideation mediated change in RI and MM. Initial improvements in TA predicted increases in both MM and RI, while initial reductions in suicidal ideation predicted declines in RI but had no effect on MM. These studies support MM and RI as two distinct modes of processing suicidal thoughts and feelings and highlight RI as an indicator of risk and MM as a potential protective factor in assessing and treating adolescent suicidality. ☐ Keywords: adolescence, suicide, meaning making, suicide narrative, treatment response | en_US |
| Advisor | Kobak, R. Rogers | |
| Degree | Ph.D. | |
| Department | University of Delaware, Department of Psychological and Brain Sciences | |
| DOI | https://doi.org/10.58088/hkw8-qr25 | |
| Unique Identifier | 1294940510 | |
| URL | https://udspace.udel.edu/handle/19716/30253 | |
| Language | en | |
| Publisher | University of Delaware | en_US |
| URI | https://login.udel.idm.oclc.org/login?url=https://www.proquest.com/dissertations-theses/immersive-reflective-processing-suicidal-episode/docview/2592196865/se-2?accountid=10457 | |
| Keywords | Adolescence | |
| Keywords | Meaning making | |
| Keywords | Suicide | |
| Keywords | Suicide narrative | |
| Keywords | Treatment response | |
| Title | Immersive and reflective processing of a suicidal episode: implications for assessment and treatment of adolescents | en_US |
| Type | Thesis | en_US |