Qiong Wu1, Jing Zhang2, Laura Walsh3, Natasha Slesnick3. 1. Department of Family and Child Sciences, College of Human Sciences, Florida State University, 322 Sandels Building, 120 Convocation Way, Tallahassee, FL, 32306, USA. Electronic address: qwu3@fsu.edu. 2. Department of Human Development and Family Studies, School of Lifespan Development and Educational Sciences, Kent State University, 406G White Hall, 150 Terrace Drive, P.O. Box 5190, Kent, OH, 44242, USA. 3. Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, Campbell Hall Room 135, 1787 Neil Ave., Columbus, OH, 43210, USA.
Abstract
OBJECTIVE: Limited research has evaluated the efficacy of suicide prevention interventions among homeless youth, especially considering how their connectedness with their family would impact treatment outcomes. METHOD:Suicidal homeless youth (N = 150) between the ages of 18-24 years were recruited from a local drop-in center. Youth were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) or Treatment as Usual alone. Youth reported their family network satisfaction at the baseline assessment, whereas their suicidal ideation, perceived burdensomeness and thwarted belongingness were assessed at baseline and three additional times during a nine-month period. RESULTS: A multiple-group autoregressive cross-lagged model suggests that CTSP was associated with lower suicidal ideation and lower thwarted belongingness only among those with high family network satisfaction. Among both groups, perceived burdensomeness predicted higher suicidal ideation, which in turn predicted lower perceived burdensomeness and thwarted belongingness. Additionally, only among youth with low family network satisfaction, thwarted belongingness predicted lower suicidal ideation. CONCLUSIONS: Findings suggest that family network satisfaction may be an important factor when considering cognitive interventions with homeless youth, with implications to improve treatment efforts and to reduce premature mortality, hospitalization and loss of human capital in a very high-risk population.
RCT Entities:
OBJECTIVE: Limited research has evaluated the efficacy of suicide prevention interventions among homeless youth, especially considering how their connectedness with their family would impact treatment outcomes. METHOD: Suicidal homeless youth (N = 150) between the ages of 18-24 years were recruited from a local drop-in center. Youth were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) or Treatment as Usual alone. Youth reported their family network satisfaction at the baseline assessment, whereas their suicidal ideation, perceived burdensomeness and thwarted belongingness were assessed at baseline and three additional times during a nine-month period. RESULTS: A multiple-group autoregressive cross-lagged model suggests that CTSP was associated with lower suicidal ideation and lower thwarted belongingness only among those with high family network satisfaction. Among both groups, perceived burdensomeness predicted higher suicidal ideation, which in turn predicted lower perceived burdensomeness and thwarted belongingness. Additionally, only among youth with low family network satisfaction, thwarted belongingness predicted lower suicidal ideation. CONCLUSIONS: Findings suggest that family network satisfaction may be an important factor when considering cognitive interventions with homeless youth, with implications to improve treatment efforts and to reduce premature mortality, hospitalization and loss of human capital in a very high-risk population.
Authors: Kimberly A Van Orden; Tracy K Witte; Kelly C Cukrowicz; Scott R Braithwaite; Edward A Selby; Thomas E Joiner Journal: Psychol Rev Date: 2010-04 Impact factor: 8.934
Authors: Rachael McDonnell Murray; Eilis Conroy; Michelle Connolly; Diarmuid Stokes; Kate Frazer; Thilo Kroll Journal: Int J Environ Res Public Health Date: 2021-06-22 Impact factor: 3.390