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Model of psychosocial risk factors leading to suicidal ideation in young adolescents

Published online by Cambridge University Press:  31 October 2008

Susan Harter ,
Donna B. Marold  and
Nancy R. Whitesell
Susan Harter*
Affiliation:
University of Denver
Donna B. Marold
Affiliation:
University of Denver
Nancy R. Whitesell
Affiliation:
University of Denver
*
Address inquiries to: Susan Harter, Department of Psychology, University of Denver, 2155 S. Race Street, Denver, CO 80208.
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Abstract

The primary goal of this study was to examine a theoretically based model of psychosocial risk factors and mediators leading to suicidal ideation in a normative sample of young adolescents, ages 12–15 years. Three self-report instruments were employed to tap the constructs of interest, the Self-Perception Profile for Children (Harter, 1985a), The Dimensions of Depression Profile (Harter, Nowakowski, & Marold, 1988), and the Social Support Scale for Children (Harter, 1985b). Utilizing path-analytic techniques, the best-fitting model includes, as potential antecedents, two self-concept clusters—(a) appearance, peer likability, and athletic competence and (b) scholastic competence and behavioral conduct—and two sources of social support — peer approval and parent approval. Paths from each of these constructs lead to a depression composite of affect, global self-worth, and hopelessness. The composite, in turn, functions as a mediator with a direct path to suicidal ideation. Comparisons of two subgroups of depressed adolescents defined by this composite, those with and without suicidal ideation, are also presented. The findings are discussed in terms of the need for theoretically based models that have implications for prevention and intervention in normative populations of adolescents.

Type
Articles
Information
Development and Psychopathology , Volume 4 , Issue 1 , January 1992 , pp. 167 - 188
Copyright
Copyright © Cambridge University Press 1992

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References

Alcohol, Drug Abuse, and Mental Health Administration. (1989). Report of the Secretary's Task Force on Youth Suicide (DHHS Publication No. ADM 89–1621). Washington, DC: U.S. Government Printing Office.Google Scholar
Battle, J. (1987). Relationship between self-esteem and depression among children. Psychological Reports, 60, 1187–1190.CrossRefGoogle ScholarPubMed
Baumeister, R. F. (1990). Suicide as escape from self. Psychological Review, 97, 90–113.CrossRefGoogle Scholar
Beck, A. T. (1975). Depression: Causes and treatments. Philadelphia: University of Pennsylvania Press.Google Scholar
Beck, A. T. (1987, 05 25–30). Hopelessness as a prediction of ultimate suicide. Paper presented at the joint meeting of the American Association of Suicidology and the International Association for Suicide Prevention, San Francisco.Google Scholar
Bibring, E. (1953). The mechanism of depression. In Greenacre, P. (Ed.), Affective disorders: Psychoanalytic contribution to their study. New York: International Universities Press.Google Scholar
Blatt, S. J. (1974). Levels of object representation in anaclitic and introjective depression. Psychoanalytic Study of the Child, 29, 107–157.CrossRefGoogle ScholarPubMed
Bonner, R. L., & Rich, A. R. (1987). Toward a predictive model of suicidal ideation and behavior: Some preliminary data in college students. Suicide and Live-Threatening Behavior, 17(1), 50–63.CrossRefGoogle Scholar
Brown, B. (1990). Peer groups and peer cultures. In Feldman, S. S. & Elliot, G. R. (Eds.), At the threshold: The developing adolescent (pp. 171–196). Cambridge, MA: Harvard University Press.Google Scholar
Carlson, G. A., & Cantwell, D. P. (1982). Suicidal behavior and depression in children and adolescents. Journal of the American Academy of Child Psychiatry, 21, 361–368.CrossRefGoogle ScholarPubMed
Carlson, G. A., & Garber, J. (1986). Developmental issues in the classification of depression in children. In Rutter, M., Izard, C. E., & Read, P. B. (Eds.), Depression in young people: Developmental and clinical perspectives (pp. 399–434). New York: Guilford.Google Scholar
Cicchetti, D., & Aber, J. L. (1986). Early precursors of later depression: An organizational perspective. In Lipsitt, L. & Rovee-Collier, C. (Eds.), Advances in infancy research (Vol. 4, pp. 87–137). Norwood, NJ: Ablex.Google Scholar
Cicchetti, D., & Schneider-Rosen, K. (1986). An organizational approach to childhood depression. In Rutter, M., Izard, C. E., & Read, P. (Eds.), Depression in young people: Clinical and developmental perspectives (pp. 71–134). New York: Guilford.Google Scholar
Cooley, C. H. (1902). Human nature and the social order. New York: Charles Schribner's Sons.Google Scholar
Cooper, C. R., Grotevant, H. D., & Condon, S. M. (1983). Individuality and connectedness: Both father adolescent identity formation and role taking skills. In Grotevant, H. D. & Cooper, C. R. (Eds.), Adolescent development in the family: New directions for child development. San Francisco: Jossey-Bass.Google Scholar
Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–16.CrossRefGoogle ScholarPubMed
Emery, P. E. (1983). Adolescent depression and suicide. Adolescence, 18, 245–258.Google ScholarPubMed
Freud, S. (1968). Mourning and melancholia. In Strachey, J. (Ed.), The standard edition of the complete works of Sigmund Freud (Vol. 14). London: Hogarth Press (Original work published 1917).Google Scholar
Garmezy, N., & Rutter, M. (Eds.). (1985). Stress, coping, and development in children. New York: R. R. Donnelley and Sons.Google Scholar
Garrison, C. Z. (1989). The study of suicidal behavior in the schools. Suicide and Life-Threatening Behavior, 19, 120–130.CrossRefGoogle Scholar
Grotevant, H. D., & Cooper, C. R. (1986). Individuation in family relationships. Human Development, 29, 83–100.CrossRefGoogle Scholar
Hammen, C., Burge, D., & Stansbury, K. (1990). Relationship of mother and child variables to child outcomes in a high-risk sample: A causal modeling analysis. Developmental Psychology, 26, 24–30.CrossRefGoogle Scholar
Hammen, C., & Goodman-Brown, T. (1990). Self-schemas and vulnerability to specific life stress in children at risk for depression. Cognitive Therapy and Research, 14, 215–227.CrossRefGoogle Scholar
Harter, S. (1982). The perceived competence scale for children. Child Development, 53, 87–97.CrossRefGoogle Scholar
Harter, S. (1985a). The Self-Perception Profile for Children: Revision of the Perceived Competence Scale for Children. Manual, University of Denver, Denver, CO.Google Scholar
Harter, S. (1985b). The Social Support Scale for Children. Manual, University of Denver, Denver, CO.Google Scholar
Harter, S. (1986). Processes underlying the construction, maintenance and enhancement of the self-concept in children. In Suls, J. & Greenwald, A. (Eds.), Psychological perspectives on the self (Vol. 3, pp. 136–182). Hillsdale, NJ: Erlbaum.Google Scholar
Harter, S. (1987). The determinants and mediational role of global self-worth in children. In Eisenberg, N. (Ed.), Contemporary issues in developmental psychology (pp. 219–242). New York: Wiley.Google Scholar
Harter, S. (1989). Causes, correlates and the functional role of global self-worth: A life-span perspective. In Kolligian, J. & Sternberg, R. (Eds.), Perceptions of competence and incompetence across the life-span (pp. 67–97). New Haven, CT: Yale University Press.Google Scholar
Harter, S. (1990). Self and identity development. In Feldman, S. S. & Elliot, G. R. (Eds.), At the threshold: The developing adolescent (pp. 352–387). Cambridge, MA: Harvard University Press.Google Scholar
Harter, S., & Marold, D. B. (in press). A model of the determinants and mediational role of self-worth: Implications for adolescent depression and suicidal ideation. In Goethals, G. & Strauss, J. (Eds.), The self: An interdisciplinary approach. New York: Springer-Verlag.Google Scholar
Harter, S., Marold, D., & Jackson, B. (1991, 04). The directionality of low self-worth and depressed affect as experienced by young adolescents. Paper presented at the Society for Research in Child Development, Seattle, WA.Google Scholar
Harter, S., & Nowakowski, M. (1987). The Dimensions of Depression Profile for Children and Adolescents. Manual, University of Denver, Denver, CO.Google Scholar
Harter, S., Nowakowski, M., & Marold, D. B. (1985). The Dimensions of Depression Profile for Children and Adolescents: Revision. Manual, University of Denver, Denver, CO.Google Scholar
Harter, S., & Robinson, N. (1988). The function and source of different types of social support and their impact on global self-worth. Unpublished manuscript, University of Denver, Denver, CO.Google Scholar
Hawton, K. (1986). Suicide and attempted suicide among children and adolescents. Beverly Hills, CA: Sage.Google Scholar
Higgins, E. T. (1987). Self-discrepancy: Theory relating self and affect. Psychological Review, 94, 319–340.CrossRefGoogle ScholarPubMed
Hoffman, M. (1986). Affect, cognition and motivation. In Sorrentino, R. M. & Higgins, E. T. (Eds.), Handbook of motivation and cognition (pp. 244–280). New York: Guilford.Google Scholar
James, W. (1892). Psychology: The briefer course. New York: Henry Holt & Co.CrossRefGoogle Scholar
Kaslow, N. J., Rehm, L. P., & Siegel, A. W. (1984). Social cognitive and cognitive correlates of depression in children. Journal of Abnormal Child Psychology, 12, 605–620.CrossRefGoogle ScholarPubMed
Kazdin, A. E. (1990). Applications of self-report measures with children and adolescents. In La Greca, A. M. (Ed.), Through the eyes of the child (pp. 189–233). Boston, MA: Allyn and Bacon.Google Scholar
Kendall, P. C., Cantwell, D. P., & Kazdin, A. E. (1989). Depression in children and adolescents: Assessment issues and recommendations. Cognitive Therapy and Research, 13, 109–146.CrossRefGoogle Scholar
Kendall, P. C., Stark, K. D., & Adam, T. (1990). Journal of Abnormal Child Psychology, 18, 255–270.CrossRefGoogle Scholar
Kovacs, M., & Beck, A. T. (1977). An empirical clinical approach toward a definition of childhood depression. In Schulterbrandt, J. G. & Raskin, A. (Eds.), Depression in childhood: Diagnosis, treatment, and conceptual models (pp. 143–169). New York: Raven.Google Scholar
Kovacs, M., & Beck, A. T. (1978). Maladaptive cognitive structures in depression. American Journal of Psychiatry, 135, 525–533.Google ScholarPubMed
Lazarus, R. S. (1982). Thoughts on the relations between emotion and cognition. American Psychologist, 37, 1019–1024.CrossRefGoogle Scholar
Lazarus, R. S. (1984). On the primacy of cognition. American Psychologist, 39, 124–129.CrossRefGoogle Scholar
Levejithal, H. L., & Scherer, K. (1987). The relation-ship of emotion to cognition: A functional approach to a semantic controversy. Cognition and Emotion, 1, 3–28.CrossRefGoogle Scholar
Maris, R. (1985). The adolescent suicide problem. Suicide and Life-Threatening Behavior, 15, 91–109.CrossRefGoogle ScholarPubMed
Marold, D. B. (1987). Correlates of suicidal ideation among young adolescents. Unpublished doctoral dissertation, University of Denver, Denver, CO.Google Scholar
Mead, G. H. (1934). Mind, self, and society. Chicago: University of Chicago Press.Google Scholar
Peterson, C., & Seligman, M. E. P. (1984). Causal explanations as a risk factor for depression: Theory and evidence. Psychological Review, 91, 347–374.CrossRefGoogle ScholarPubMed
Pfeffer, C. (1986). The suicidal child. New York: Guilford.Google Scholar
Pfeffer, C. R. (1988). Risk factors associated with youth suicide. Psychiatric Annals, 18, 652–656.Google Scholar
Pfeffer, C., Lipkins, M. A., Plutchik, R., & Mizruchi, M. (1988). Normal children at risk for suicidal behavior: A two-year follow-up study. Journal of American Academy of Child and Adolescent Psychiatry, 27(1), 34–41.CrossRefGoogle ScholarPubMed
Pfeffer, C., Zuckerman, S., Plutchik, R., & Mizruchi, M. (1984). Suicidal behavior in normal school children: A comparison with child psychiatric inpatients. Journal of the A merican Academy of Child Psychiatry, 23(4), 416–423.CrossRefGoogle ScholarPubMed
Plutchick, R., & Conte, H. (1989). Self-report scales for the measurement of depression. Psychiatric Annals, 19(1), 367–371.CrossRefGoogle Scholar
Pozanski, E. O. (1982). The clinical phenomenology of childhood depression. American Journal ofOrthopsychiatry, 52, 308–313.CrossRefGoogle Scholar
Renouf, A. G., & Harter, S. (1990). Low self-worth and anger as components of the depressive experience in young adolescents. Manuscript submitted for publication.CrossRefGoogle Scholar
Rosenberg, M. (1979). Conceiving the self. New York: Basic Books.Google Scholar
Rosenberg, M. (1986). Self-concept from middle childhood through adolescence. In Suls, J. & Greenwald, A. G. (Eds.), Psychological perspectives on the self (Vol. 3, pp. 107–135). Hillsdale, NJ: Erlbaum.Google Scholar
Rudd, M. D. (1989). The prevalence of suicidal ideation among college students. Suicide and Life-Threatening Behavior, 19(2), 173–183.CrossRefGoogle ScholarPubMed
Rutter, M. (1988). Epidemiological approaches to developmental psychopathology. Archives of General Psychiatry, 45, 486–495.CrossRefGoogle ScholarPubMed
Rutter, M. (1989). Isle of Wight revisited: Twenty-five years of child psychiatric epidemiology. Journal of the American Academy of Child Adolescent Psychiatry, 28(5), 633–653.CrossRefGoogle ScholarPubMed
Rutter, M., Izard, C., & Read, P. (Eds.). (1985). Depression in childhood: Developmental perspectives. New York: Guilford.Google Scholar
Savin-Williams, R. C., & Berndt, T. (1990). Friendship during adolescence. In Feldman, S. S. & Elliot, G. R. (Eds.), At the threshold: The developing adolescent (pp. 277–307). Cambridge, MA: Harvard University Press.Google Scholar
Saylor, C. F., Finch, A. J., Baskin, C. H., Furey, W., & Kelly, M. M. (1984). Construct validity for measures of childhood depression: Application of multitrait-multimethod methodology. Journal of Consulting and Clinical Psychology, 52, 977–985.CrossRefGoogle ScholarPubMed
Seligman, M. E. P. (1975). Helplessness: On depression, development, and death. San Francisco: Freeman.Google Scholar
Shaffer, D. (1985). Depression, mania, and suicidal acts. In Rutter, M. & Hersov, L. (Eds.), Child and adolescent psychiatry: Modern approaches. London: Blackwell.Google Scholar
Shaffer, D., & Fischer, P. (1981). The epidemiology of suicide in children and young adolescents. Journal of American Academic Child Psychiatry, 20, 545–565.CrossRefGoogle ScholarPubMed
Smith, K., & Crawford, S. (1986). Suicidal behavior among normal high school students. Suicide and Life-Threatening Behavior, 16, 313–325.CrossRefGoogle ScholarPubMed
Spirato, A., Brown, L., Overholser, J., & Fritz, G. (1989). Attempted suicide in adolescence: A review and critique of the literature. Clinical Psychology Review, 9, 335–363.CrossRefGoogle Scholar
Sroufe, L. A. (1983). Infant-caregiver attachment and patterns of adaptation in the preschool: The roots of competence and maladaption. In Perlmutter, M. (Ed.), Minnesota Symposium in Child Psychology (Vol. 16, pp. 41–83). Hillsdale, NJ: Erlbaum.Google Scholar
Sroufe, L. A., & Rutter, M. (1985). The domain of developmental psychopathology. Child Development, 55, 17–29.CrossRefGoogle Scholar
Steinberg, L. (1990). Autonomy, conflict, and harmony in the family. In Feldman, S. S. & Elliot, G. R. (Eds.), At the threshold: The developing adolescent (pp. 255–276). Cambridge, MA: Harvard University Press.Google Scholar
Tesser, A., & Campbell, J. (1983). Self-definition and self-evaluation maintenance. In Suls, J. & Greenwald, A. (Eds.), Psychological perspectives on the self (Vol. 2, pp. 1–32). Hillsdale, NJ: Erlbaum.Google Scholar
Weinberg, W. A., Rutman, J., Sullivan, L., Penick, E. C., & Dietz, S. G. (1973). Journal of Pediatrics, 83, 1065–1072.CrossRefGoogle Scholar
Weiner, B. (1985). An attributional theory of achievement motivation and emotion. Psychological Review. 92, 271–282.CrossRefGoogle ScholarPubMed
Worchel, F. F., Hughes, J. N., Hall, B. M., Stanton, S. B., Stanton, H., & Little, V. Z. (1990). Evaluation of subclinical depression in children using self-, peer-, and teacher-report measures. Journal of Abnormal Child Psychology, 18.CrossRefGoogle ScholarPubMed
Zajonc, R. B. (1980). Feeling and thinking: Preferences need no inferences. American Psychologist.CrossRefGoogle Scholar
Zajonc, R. B. (1984). On the primacy of affect. American Psychologist, 39, 117–123.CrossRefGoogle Scholar