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Can J Psychiatry. 2015 Feb;60(2 Suppl 1):S37-45.

Coping skills among adolescent suicide attempters: results of a multisite study.

Author information

1
Psychiatrist, Fédération hospitalo-universitaire de psychiatrie de l'enfant et de l'adolescent, Centre Hospitalier Universitaire de Rouen, Rouen, France; PhD Student, Inserm U1079, Université de Rouen, Rouen, France.
2
Psychologist and Researcher, Clinique des troubles de l'humeur and Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Hôpital Rivière-des-Prairies, Montréal, Québec; Full Professor, Département de psychologie, Université du Québec à Montréal, Montréal, Québec; Associate Professor, Département de psychiatrie, Université de Montréal, Montréal, Québec.
3
Professor, Université de Picardie Jules-Verne, Amiens, France; Doctor, Service de psychiatrie de l'enfant et de l'adolescent, CHU d'Amiens Nord, Amiens, France.
4
Doctor, Service de psychiatrie de l'enfant et de l'adolescent, Centre hospitalier Le Rouvray, Sotteville-lès-Rouen, France.
5
Data Manager, Service de psychiatrie de l'enfant et de l'adolescent, Assistance Publique-Hôpitaux de Paris, Groupe hospitalier de la Pitié-Salpêtrière, Paris, France.
6
Doctor, Service de psychopathologie de l'enfant et de l'adolescent, Assistance Publique-Hôpitaux de Paris, CHU Bichat-Claude Bernard, Paris, France.
7
Doctor, Service de pédiatrie, Centre hospitalier de Meaux, Meaux, France.
8
Doctor, Service de psychiatrie de l'enfant et de l'adolescent, Etablissement Public de Santé Mentale, Creil, France.
9
Professor, Department of Pediatrics, Université de Rouen, Rouen, France; Pediatrist, Département de pédiatrie médicale, Centre Hospitalier Universitaire de Rouen, Rouen, France.
10
Professor, Département de psychiatrie, Université de Montréal, Montréal, Québec; Researcher, Centre de recherche Fernand-Seguin et Clinique des troubles de l'humeur, Hôpital Rivière-des-Prairies, Montréal, Québec.
11
Professor, Université Pierre-et-Marie-Curie, Paris, France; Doctor, Service de psychiatrie de l'enfant et de l'adolescent, Assistance Publique-Hôpitaux de Paris, Groupe hospitalier de la Pitié-Salpêtrière, Paris, France; Researcher, Unité mixte de recherche, Centre National de Recherche Scientifique-Unité Mixte Recherche-722, Institut des systèmes intelligents et de robotique, Université Pierre-et-Marie-Curie, Paris, France.
12
Professor and Department Head, Département de pédiatrie médicale, Fédération hospitalo-universitaire de psychiatrie de l'enfant et de l'adolescent (Centre Hospitalier Universitaire de Rouen et Centre hospitalier du Rouvray), Rouen et Rouvray, France; Researcher, Laboratoire Psy-NCA-EA-4700, Université de Rouen, Rouen, France.

Abstract

OBJECTIVES:

A multisite study was undertaken to advance our understanding of how coping skills, depression, and suicidal ideation are related among adolescents who attempt suicide. Two hypotheses were postulated: productive coping and nonproductive coping would be associated, respectively, with lower and higher depression scores when age, sex, and stressful life events (SLEs) were controlled; and productive coping and nonproductive coping would be associated, respectively, with the presence and absence of suicidal ideation when age, sex, and SLEs were controlled.

METHODS:

Participants were 167 adolescents (13 to 17 years of age) hospitalized for attempting suicide in 5 pediatric departments across France. Four instruments were administered: the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version, the Adolescent Coping Scale, the Life Events Questionnaire, and the Columbia-Suicide Severity Rating Scale. Descriptive analyses and univariate and multiple regression models were completed.

RESULTS:

Both hypotheses were confirmed. Focus on the positive emerged as a significant variable in both models; depression emerged as a significant variable in the suicidal ideation model. The only sex difference observed was that girls made greater use of wishful thinking and seek social support.

CONCLUSIONS:

These findings suggest that coping skills are important mechanisms through which depression and suicidal ideation are maintained after attempting suicide. In intervening with adolescents who have attempted suicide, it may be useful to emphasize cognitive work geared to looking on the bright side, positive thinking, and fighting depression.

PMID:
25886670
PMCID:
PMC4345847
[Indexed for MEDLINE]
Free PMC Article

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