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Predictors of Hopelessness Among Clinically Depressed Youth

Published online by Cambridge University Press:  16 April 2009

Emily G. Becker-Weidman ,
Mark A. Reinecke ,
Rachel H. Jacobs ,
Zoran Martinovich ,
Susan G. Silva  and
John S. March
Emily G. Becker-Weidman*
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Mark A. Reinecke
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Rachel H. Jacobs
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Zoran Martinovich
Affiliation:
Northwestern University Feinberg School of Medicine, Chicago, USA
Susan G. Silva
Affiliation:
Duke University Medical Center, North Carolina, USA
John S. March
Affiliation:
Duke University Medical Center, North Carolina, USA
*
Reprint requests to Emily Becker-Weidman, Northwestern University Feinberg School of Medicine, Division of Psychology, Abbott Hall, Suite 1205, 710 N. Lake Shore Drive, Chicago, Illinois 60611, USA. E-mail: [email protected]
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Abstract

Background: Factors that distinguish depressed individuals who become hopeless from those who do not are poorly understood. Method: In this study, predictors of hopelessness were examined in a sample of 439 clinically depressed adolescents participating in the Treatment for Adolescents with Depression Study (TADS). The total score of the Beck Hopelessness Scale (BHS) was used to assess hopelessness at baseline. Multiple regression and logistic regression analyses were conducted to evaluate the extent to which variables were associated with hopelessness and determine which cluster of measures best predicted clinically significantly hopelessness. Results: Hopelessness was associated with greater depression severity, poor social problem-solving, cognitive distortions, and family conflict. View of self, view of the world, internal attributional style, need for social approval, positive problem-solving orientation, and family problems consistently emerged as the best predictors of hopelessness in depressed youth. Conclusions: Cognitive and familial factors predict those depressed youth who have high levels of hopelessness.

Keywords

Depressionhopelessnessadolescentspredictors
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 37 , Issue 3 , May 2009 , pp. 267 - 291
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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References

Abramson, L., Metalsky, G. and Alloy, L. (1989). Hopelessness depression: a theory-based subtype of depression. Psychological Review, 96, 358–372.CrossRefGoogle Scholar
Ahrens, A. H. and Haaga, D. F. (1993). The specificity of attributional style and expectations to positive and negative affectivity, depression, and anxiety. Cognitive Therapy and Research, 17, 83–98.CrossRefGoogle Scholar
Alford, B., Lester, J., Patel, R., Buchanan, J. and Giunta, L. (1995). Hopelessness predicts future depressive symptoms: a prospective analysis of cognitive vulnerability and cognitive content specificity. Journal of Clinical Psychology, 51, 331–339.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Asarnow, J. and Bates, S. (1988). Depression in child psychiatric inpatients: cognitive and attributional patterns. Journal of Abnormal Child Psychology, 16, 601–615.CrossRefGoogle ScholarPubMed
Asarnow, J. and Carlson, G. (1988). Suicide attempts in preadolescent child psychiatry inpatients. Suicide and Life-Threatening Behavior, 18, 129–136.CrossRefGoogle ScholarPubMed
Asarnow, J., Carlson, G. and Guthrie, D. (1987). Coping strategies, self-perceptions, hopelessness, and perceived family environments in depressed and suicidal children. Journal of Consulting and Clinical Psychology, 5, 361–366.CrossRefGoogle Scholar
Asarnow, J. and Guthrie, D. (1989). Suicidal behavior, depression, and hopelessness in child psychiatric inpatients: a replication and extension. Journal of Clinical Child Psychology, 18, 129–136.CrossRefGoogle Scholar
Barbe, R., Bridge, J., Birhamer, B., Kolko, D. and Brent, D. (2004). Suicidality and its relationship to treatment outcome in depressed adolescents. Suicide and Life-Threatening Behavior, 34, 44–55.CrossRefGoogle ScholarPubMed
Beck, A. T. (1963). Thinking and depression: idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324–333.CrossRefGoogle ScholarPubMed
Beck, A. T. (1967). Depression: clinical, experimental and theoretical aspects. New York: Harper and Row Publishers, Hoeber Medical Division.Google Scholar
Beck, A. T., Brown, G., Berchick, R., Stewart, B. and Steer, R. (1990). Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. American Journal of Psychiatry, 147, 190–195.Google ScholarPubMed
Beck, A., Rush, A., Shaw, B. and Emery, G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Beck, A. T. and Steer, R. A. (1988). Manual for the Beck Hopelessness Scale. San Antonio, Texas: Psychological Corporation.Google Scholar
Beck, A. T., Steer, R. A., Kovacs, M. and Gamion, B. (1985). Hopelessness and eventual suicide: a 10 year prospective study of patients hospitalized with suicidal intention. American Journal of Psychiatry, 142, 559–563.Google Scholar
Beck, A., Steer, R. and McElroy, M. (1982). Relationships of hopelessness, depression and previous suicide attempts to suicidal ideation in alcoholics. Journal of Studies on Alcohol, 43, 1042–1046.CrossRefGoogle ScholarPubMed
Beck, A., Steer, R., Beck, J. and Newman, C. (1993). Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression. Suicide and Life-Threatening Behavior, 23, 139–145.CrossRefGoogle ScholarPubMed
Beck, A., Wenzel, A., Riskind, J., Brown, G. and Steer, R. (2006). Specificity of hopelessness about resolving life problems: another test of the cognitive model of depression. Journal Cognitive Therapy and Research, 30, 773–781.CrossRefGoogle Scholar
Beevers, C. and Miller, I. (2004). Perfectionism, cognitive bias, and hopelessness as prospective predictors of suicidal ideation. Suicide and Life-Threatening Behavior, 34, 126–137.CrossRefGoogle ScholarPubMed
Blatt, S. and Zuroff, D. (1992). Interpersonal relatedness and self-definition: two prototypes for depression. Clinical Psychology Review, 12, 527–562.CrossRefGoogle Scholar
Bolland, J., Lian, B. and Formichella, C. (2005). The origins of hopelessness among inner-city African-American adolescents. American Journal of Community Psychology, 36, 293–305.CrossRefGoogle ScholarPubMed
Bonner, R. and Rich, A. (1988). Negative life stress, social problem-solving self-appraisal, and hopelessness: implications for suicide research. Cognitive Therapy and Research, 12, 549–556.CrossRefGoogle Scholar
Bonner, R. and Rich, A. (1991). Predicting vulnerability to hopelessness: a longitudinal analysis. Journal of Nervous and Mental Disease, 179, 29–32.CrossRefGoogle ScholarPubMed
Brown, G. W. and Harris, T. (1978). Social Origins of Depression. London: Tavistock.Google ScholarPubMed
Brown, L. K., Overholser, J., Spirito, A. and Fritz, G. K. (1991). The correlates of planning in adolescent suicide attempts. Journal of American Academy of Adolescent Psychiatry, 30, 95–99.CrossRefGoogle ScholarPubMed
Cannon, B., Mulroy, R., Otto, M., Rosenbaum, J., Fava, M. and Nierenberg, A. (1999). Dysfunctional attitudes and poor problem solving skills predict hopelessness in major depression. Journal of Affective Disorders, 55, 45–49.CrossRefGoogle ScholarPubMed
Chabon, B. and Robins, C. (1986). Cognitive distortions among depressed and suicidal drug abusers. International Journal of the Addictions, 21, 1313–1329.CrossRefGoogle ScholarPubMed
Chioqueta, A. and Stiles, T. (2005). Personality traits and the development of depression, hopelessness, and suicidal ideation. Personality and Individual Differences, 38, 1283–1291.CrossRefGoogle Scholar
Chioqueta, A., Stiles, T. and Tore, C. (2007). The relationship between psychological buffers, hopelessness, and suicidal ideation: identification of protective factors. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 28, 67–73.CrossRefGoogle ScholarPubMed
Cole, D. A. (1989). Psychopathology of adolescent suicide: hopelessness, coping beliefs, and depression. Journal of Abnormal Psychology, 98, 248–255.CrossRefGoogle ScholarPubMed
Conners, K., Wells, K., Parker, J., Sitarenios, G., Diamond, J. and Powell, J. (1997). A new self-report scale for assessment of adolescent psychopathology: factor structure, reliability, validity, and diagnostic sensitivity. Journal of Abnormal Child Psychology, 25, 487–497.CrossRefGoogle ScholarPubMed
Curry, J. F. and Craighead, W. E. (1990). Attributional style in clinically depressed and conduct disordered adolescents. Journal of Consulting and Clinical Psychology, 58, 109–115.CrossRefGoogle ScholarPubMed
Dixon, W., Heppner, P. and Anderson, W. (1991). Problem-solving appraisal, stress, hopelessness, and suicide ideation in a college population. Journal of Counseling Psychology, 38, 51–56.CrossRefGoogle Scholar
Donaldson, D., Spirito, A. and Farnett, E. (2000). The role of perfectionism and depressive cognitions in understanding the hopelessness experienced by adolescent suicide attempters. Child Psychiatry and Human Development, 31, 99–111.CrossRefGoogle ScholarPubMed
Dunkley, D., Sansilow, C., Grilo, C. and McGlasah, T. (2006). Perfectionism and depressive symptoms 3 years later: negative social interactions, avoidant coping, and perceived social support as mediators. Comprehensive Psychiatry, 47, 106–115.CrossRefGoogle ScholarPubMed
Duyan, V. (2005). Relationships between the sociodemographic and family characteristics, street life, experiences and the hopelessness of street children. Childhood: A Global Journal of Child Research, 12, 445–459.CrossRefGoogle Scholar
D'Zurilla, T., Chang, E., Nottingham, E. and Faccini, L. (1998). Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. Journal of Clinical Psychology, 54, 1091–1107.3.0.CO;2-J>CrossRefGoogle ScholarPubMed
D'Zurilla, T., Nezu, A. and Maydeu-Olivares, A. (1996). Manual for the Social Problem-Solving Inventory-Revised. North Tonawanda, NY: Multi-Health Systems.Google Scholar
D'Zurilla, T. J., Nezu, A. M. and Maydeu-Olivares, A. (2004). Social problem solving: theory and assessment. In Chang, E. C., D'Zurilla, T. J. and Sanna, L. J. (Eds.), Social Problem Solving: theory, research, and training (pp. 11–27). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Edelman, R. E., Ahrens, A. and Haaga, D. A. (1994). Inferences about the self, attributions, and overgeneralization as predictors of recovery from dysphoria. Cognitive Therapy and Research, 18, 551–566.CrossRefGoogle Scholar
Einstein, D., Lovibond, P. and Gaston, J. (2000). Relationship between perfectionism and emotional symptoms in an adolescent sample. Australian Journal of Psychology, 52, 89–93.CrossRefGoogle Scholar
Flett, G., Hewitt, P., Blankstein, K. and Mosher, S. (1991). Perfectionism, self-actualization, and personal adjustment. Journal of Social Behavior and Personality, 6, 147–160.Google Scholar
Fremouw, W., Callahan, T. and Kashden, J. (1993). Adolescent suicidal risk: pychological, problem solving, and environmental factors. Suicide and Life-Threatening Behavior, 23, 46–54.CrossRefGoogle Scholar
Fresco, D. M., Alloy, L. B. and Reilly-Harrington, N. (2006). Association of attributional style for negative and positive events and the occurrence of life events with depression and anxiety. Journal of Social and Clinical Psychology, 25, 1140–1160.CrossRefGoogle Scholar
Garber, J., Weiss, B. and Shanley, N. (1993). Cognitions, depressive symptoms, and development in adolescents. Journal of Abnormal Psychology, 102, 47–57.CrossRefGoogle ScholarPubMed
Gibb, B., Alloy, L., Abramson, L., Rose, D., Whitehouse, W., Donovan, P., Hogan, M., Cronholm, J. and Tierney, S. (2001). History of childhood maltreatment, negative cognitive styles, and episodes of depression in adulthood. Cognitive Therapy and Research, 25, 425–446.CrossRefGoogle Scholar
Ginsburg, G. S., Silva, S. G., Tonev, S., Kingery, J. N., Reinecke, M. A. and Curry, J. F. (2006). Cognitive measures of adolescent depression: Unique or unitary constructs? Manuscript submitted for publication.Google Scholar
Gladstone, T. R., Kaslow, N. J., Seeley, J. R. and Lewinsohn, P. M. (1997). Sex differences, attributional style, and depressive symptoms among adolescents. Journal of Abnormal Child Psychology, 25, 297–305.CrossRefGoogle ScholarPubMed
Gotlib, I. H., Lewinsohn, P. M., Seeley, J. R., Rohde, P. and Redner, J. E. (1993). Negative cognitions and attributional style in depressed adolescents: an examination of stability and specificity. Journal of Abnormal Psychology, 102, 607–615.CrossRefGoogle ScholarPubMed
Greening, L., Stoppelbein, L., Dhossche, D. and Martin, W. (2005). Psychometric evaluation of a measure of Beck's negative cognitive triad for youth: applications for African-American and Caucasian. Depression and Anxiety, 21, 161–169.CrossRefGoogle ScholarPubMed
Haaga, D., Fine, J., Terrill, D., Stewart, B. and Beck, A. T. (1995). Social problem-solving deficits, dependency, and depressive symptoms. Cognitive Therapy and Research, 19, 147–158.CrossRefGoogle Scholar
Hammond, W. and Romney, D. (1995). Cognitive factors contributing to adolescent depression. Journal of Youth and Adolescence, 24, 667–683.CrossRefGoogle Scholar
Hankin, B., Abramson, L., Miller, N. and Haeffel, G. (2004). Cognitive vulnerability-stress theories of depression: examining affective specificity in the prediction of depression versus anxiety in three prospective studies. Cognitive Therapy and Research, 28, 309–345.CrossRefGoogle Scholar
Heimberg, R., Vermilyea, J., Dodge, C., Becker, R. and Barlow, D. (1987). Attributional style, depression, and anxiety: an evaluation of the specificity of depressive attributions. Cognitive Therapy and Research, 11, 537–550.CrossRefGoogle Scholar
Hewitt, P., Flett, G. and Turnbull-Donovan, W. (1992). Perfectionism and suicidal potential. British Journal of Clinical Psychology, 31, 181–190.CrossRefGoogle Scholar
Hewitt, P., Newton, J., Flett, G. and Callander, L. (1997). Perfectionism and suicide ideation in adolescent psychiatric patients. Journal of Abnormal Child Psychology, 25, 95–101.CrossRefGoogle ScholarPubMed
Hewitt, P., Norton, R., Flett, G., Callander, L. and Cowan, T. (1998). Dimensions of perfectionism, hopelessness, and attempted suicide in a sample of alcoholics. Suicide and Life-Threatening Behavior, 28, 395–406.CrossRefGoogle Scholar
Hunter, E. and O'Conner, R. (in press). Hopelessness and future thinking in parasuicide: the role of perfectionism. British Journal of Clinical Psychology.Google Scholar
Ilardi, S. S., Craighead, W. E. and Evans, D. D. (1997). Modeling relapse in unipolar depression: the effects of dysfunctional cognitions and personality disorders. Journal of Consulting and Clinical Psychology, 65, 381–391.CrossRefGoogle ScholarPubMed
Imber, S., Pilkonis, P., Sotsky, S., Elkin, I., Watkins, J., Collins, J., Shea, M., Leber, W. and Glass, D.(1990). Mode-specific effects among three treatments for depression. Journal of Consulting and Clinical Psychology, 58, 352–359.CrossRefGoogle ScholarPubMed
Ingram, R. E., Miranda, J. and Segal, Z. V. (1998). Cognitive Vulnerability to Depression. New York: Guilford Press.Google Scholar
Jacobs, L. and Joseph, S. (1997). Cognitive triad inventory and its association with symptoms of depression and anxiety in adolescents. Personality and Individual Differences, 22, 769–770.CrossRefGoogle Scholar
Johnson, J. G., Crofton, A. and Feinstein, S. B. (1996). Enhancing attributional style and positive life events increased hopefulness among depressed. Motivation and Emotion, 20, 285–297.CrossRefGoogle Scholar
Joiner, T. and Rudd, D. (1996). Disentangling the interrelations between hopelessness, loneliness, and suicidal ideation. Suicide and Life-Threatening Behavior, 26, 19–26.CrossRefGoogle ScholarPubMed
Joiner, T., Rudd, D., Rouleau, M. and Wagner, K. (2000). Parameters of suicide crises vary as a function of previous suicide attempts in youth inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 876–880.CrossRefGoogle ScholarPubMed
Kashani, J., Canfield, L., Borduin, C., Soltys, S. and Reid, J. (1994). Perceived family and social support: impact on children. Journal of American Academy of Child and Adolescent Psychiatry, 33, 819–823.CrossRefGoogle ScholarPubMed
Kashani, J., Reid, J. and Rosenberg, T. (1989). Levels of hopelessness in children and adolescents: a developmental perspective. Journal of Consulting and Clinical Psychology, 57, 496–499.CrossRefGoogle ScholarPubMed
Kaslow, N., Stark, K., Printz, B., Livingston, R. and Tsai, S. L. (1992). Cognitive triad inventory for children: development and relation to depression and anxiety. Journal of Clinical Child Psychology, 21, 339–347.CrossRefGoogle Scholar
Kazdin, A., French, N., Unis, A., Esveldt-Dawson, K. and Sherick, R. (1983). Hopelessness, depression and suicidal intent among psychiatrically disturbed in-patient children. Journal of Consulting and Clinical Psychology, 51, 504–510.CrossRefGoogle Scholar
Kazdin, A., Rodgers, A. and Colbus, D. (1986). The Hopelessness Scale for Children: psychometric characteristics and concurrent validity. Journal of Consulting and Clinical Psychology, 54, 241–245.CrossRefGoogle ScholarPubMed
Kennedy, P. (2003). A Guide to Econometrics (5th edn.) Cambridge: MIT Press.Google Scholar
Kuyken, W. (2004). Cognitive therapy outcome: the effects of hopelessness in a naturalistic outcome study. Behaviour Research and Therapy, 42, 631–646.CrossRefGoogle Scholar
Martin, R. A., Kazarian, S. S. and Breiter, H. J. (1995). Perceived stress, life events, dysfunctional attitudes, and depression in adolescent psychiatric inpatients. Journal of Psychopathology and Behavioral Assessment, 17, 81–95.CrossRefGoogle Scholar
Marton, P., Churchard, M. and Kutcher, S. (1993). Cognitive distortion in depressed adolescents. Journal of Psychiatry and Neuroscience, 18, 103–107.Google ScholarPubMed
Maydeu-Olivares, A. and D'Zurilla, T. (1996). A factor-analytic study of the social problem-solving inventory: an integration of theory and data. Cognitive Therapy and Research, 20, 115–133.CrossRefGoogle Scholar
McCauley, E., Mitchell, J., Burke, P. and Moss, S. (1988). Cognitive attributes of depression in children and adolescents. Journal of Consulting and Clinical Psychology, 56, 903–908.CrossRefGoogle ScholarPubMed
McMillan, D., Gilbody, S., Beresford, E. and Neilly, L. (2007). Can we predict suicide and non-fatal self-harm with the Beck Hopelessness Scale? A meta-analysis. Psychological Medicine, 37, 769–778.CrossRefGoogle ScholarPubMed
Nezu, A. (1987). A problem-solving formulation of depression: a literature review and proposal of a pluralistic model. Clinical Psychology Review, 7, 121–144.CrossRefGoogle Scholar
O'Conner, R., O'Conner, D., Harper, S., Smallwood, J. and Miles, J. (2002). Hopelessness, stress and perfectionism: the moderating effects of future thinking. Manuscript submitted for publication.Google Scholar
Olinger, J., Kuiper, N. and Shaw, B. (1987). Dysfunctional attitudes and stressful life events: an interactive model of depression. Cognitive Therapy and Research, 11, 25–40.CrossRefGoogle Scholar
Perez-Smith, A., Spirito, A. and Boergers, J. (2002). Neighborhood predictors of hopelessness among adolescent suicide attempters: preliminary investigation. Suicide and Life-Threatening Behavior, 32, 139–145.CrossRefGoogle ScholarPubMed
Pinto, A. and Whisman, M. (1996). Negative affect and cognitive biases in suicidal and nonsuicidal hospitalized adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 158–165.CrossRefGoogle ScholarPubMed
Pozanski, E. and Mokros, H. (1996). Children's Depression Rating Scale, Revised (CDRS-R) Manual. Los Angeles, CA: Western Psychological Services.Google Scholar
Reynolds, W. M. (1987). Professional Manual for the Reynolds Adolescent Depression Scale. Odessa, FL: Psychological Assessment Resources.Google Scholar
Robin, A. and Foster, S. (1989). Negotiating Parent-Adolescent Conflict: a behavioral-family systems approach. New York: Guilford Press.Google Scholar
Rogers, G., Essex, M., Park, J., Klein, M., Curry, J. F. and Feeny, N. (2006). The Dysfunctional Attitudes Scale: psychometric properties in depressed adolescents. Manuscript submitted for publication.Google Scholar
Rotheram-Borus, M. and Trautman, P. (1988). Hopelessness, depression, and suicidal intent among adolescent suicide attempters. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 700–704.CrossRefGoogle ScholarPubMed
Rotheram-Borus, M., Trautman, P., Dopkins, S. and Shrout, P. (1990). Cognitive style and pleasant activities among female adolescent suicide attempters. Journal of Consulting and Clinical Psychology, 58, 554–561.CrossRefGoogle ScholarPubMed
Sadowski, C., Moore, L. A. and Kelley, M. (1994). Psychometric properties of the Social Problem Solving Inventory (SPSI) with normal and emotionally disturbed adolescents. Journal of Abnormal Child Psychology, 22, 487–500.CrossRefGoogle ScholarPubMed
Schotte, D. and Clum, G. (1987). Problem-solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 55, 49–54.CrossRefGoogle ScholarPubMed
Seligman, M., Peterson, C., Kaslow, N., Tanenbaum, R., Alloy, L. and Abramson, L. (1984). Attributional style and depressive symptoms among children. Journal of Abnormal Psychology, 93, 235–238.CrossRefGoogle ScholarPubMed
Shahar, G., Bareket, L., Rudd, D. and Joiner, T. (2006). In severely suicidal young adults, hopelessness, depressive symptoms, and suicidal ideation constitute a single syndrome. Psychological Medicine, 36, 913–922.CrossRefGoogle ScholarPubMed
Skinner, H., Steinhaur, P. and Santa-Barbara, J. (1983). The family assessment measure. Canadian Journal of Community Mental Health, 2, 91–105.CrossRefGoogle Scholar
Smith, J., Alloy, L. and Abramson, L. (2006). Cognitive vulnerability to depression, rumination, hopelessness, and suicidal ideation: multiple pathways to self-injurious thinking. Suicide and Life-Threatening Behavior, 36, 443–454.CrossRefGoogle ScholarPubMed
Speckens, A. and Hawton, K. (2005). Social problem solving in adolescents with suicidal behavior: a systematic review. Suicide and Life-Threatening Behavior, 35, 365–387.CrossRefGoogle ScholarPubMed
Spirito, A., Brown, L., Overholser, J. and Fritz, G. (1989). Attempted suicide in adolescence: review and critique of the literature. Clinical Psychology Review, 9, 335–363.CrossRefGoogle Scholar
Spirito, A., Williams, C., Stark, L. and Hart, K. (1988). The Hopelessness Scale for Children: pychometric properties and clinical utility with normal and emotionally disturbed adolescents. Journal of Abnormal Child Psychology, 17, 213–221.CrossRefGoogle Scholar
Steer, R. A., Kumar, G. and Beck, A. T. (1993). Self-reported suicidal ideation in adolescent psychiatric inpatients. Journal of Consulting and Clinical Psychology, 61, 1096–1099.CrossRefGoogle ScholarPubMed
TADS Team (2003). Treatment for Adolescents with Depression Study (TADS): rationale, design, and methods. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 531–542.CrossRefGoogle Scholar
TADS Team (2005). The Treatment for Adolescents with Depression Study (TADS): demographic and clinical characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 28–40.CrossRefGoogle Scholar
Thompson, E., Mazza, J., Herting, J., Randell, B. and Eggert, L. (2005). The mediating roles of anxiety, depression, and hopelessness on adolescent suicidal behaviors. Suicide and Life-Threatening Behavior, 35, 14–34.CrossRefGoogle ScholarPubMed
Topel, P. and Reznikoff, M. (1982). Perceived peer and family relationships., hopelessness, and locus of control as factors in adolescent suicide. Suicide and Life Threatening Behavior, 12, 141–150.Google Scholar
van Heeringen, C. and Vincke, J. (2000). Suicidal acts and ideation in homosexual and bisexual young people: a study of prevalence and risk factors. Social Psychiatry and Psychiatric Epidemiology, 35, 494–499.CrossRefGoogle ScholarPubMed
Weissman, A. and Beck, A. (1978). Development and Validation of the Dysfunctional Attitudes Scale: a preliminary investigation. Paper presented at the annual meeting of the American Educational Research Association, Toronto.Google Scholar
Wen-Hung, K., Gallo, J. and Eaton, W. (2004). Hopelessness, depression, substance disorder, and suicidality: a 13-year community-based study. Social Psychiatry and Psychiatric Epidemiology, 39, 497–501.Google Scholar
Whisman, M., Miller, I., Norman, W. and Keitner, G. (1995). Hopelessness depression in depressed inpatients: symptomology, patient characteristics, and outcome. Cognitive Therapy Research, 19, 377–398.CrossRefGoogle Scholar
Williams, S., Connolly, J. and Segal, Z. V. (2001). Intimacy in relationships and cognitive vulnerability to depression in adolescent girls. Cognitive Therapy and Research, 25, 477–496.CrossRefGoogle Scholar
Yorbik, O., Birmaher, B., Axelson, D., Williamson, D. and Ryan, N. (2004). Clinical characteristics of depressive symptoms in children and adolescents with major depressive disorder. Journal of Clinical Psychiatry, 65, 1654–1659.CrossRefGoogle ScholarPubMed
Young, M., Fogg, L., Scheftner, W. and Fawcett, J. (1996). Stable trait components of hopelessness: baseline and sensitivity to depression. Journal of Abnormal Psychology, 105, 155–165.CrossRefGoogle ScholarPubMed
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