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Cited by 138Suicide and Self-Harm StudiesMental Health Treatment and AccessGrief, Bereavement, and Mental Health

Associations Between Suicidal High School Students’ Help-Seeking and Their Attitudes and Perceptions of Social Environment

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Pisani, Anthony R., Schmeelk-Cone, Karen, Gunzler, Douglas, Petrova, Mariya, Goldston, David B., Tu, Xin, Wyman, Peter A.·2012·Journal of Youth and Adolescence
DOI 10.1007/s10964-012-9766-7PMC PMC3534737
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Abstract

Suicide is a leading cause of death among adolescents, many of whom fail to disclose suicide concerns to adults who might help. This study examined patterns and predictors of help-seeking behavior among adolescents who seriously considered suicide in the past year. 2,737 students (50.9 % female, 46.9 % male; racial distribution 79.5 % Caucasian, 11.9 % Hispanic/Latino, and 3.6 % Black/African-American) from 12 high schools in rural/underserviced communities were surveyed to assess serious suicide ideation (SI) in the past year, disclosure of SI to adults and peers, attempts to get help, attitudes about help-seeking, perceptions of school engagement, and coping support. Help-seeking was defined as both disclosing SI to an adult and perceiving oneself as seeking help. The relationship between adolescents' help-seeking disclosure and (1) help-seeking attitudes and (2) perceptions of social resources was examined among suicidal help-seeking youth, suicidal non-help-seeking youth, and non-suicidal youth. Of the 381 (14 %) students reporting SI, only 23 % told an adult, 29 % sought adult help, and 15 % did both. Suicidal help-seekers were similar to non-suicidal peers on all measures of help-seeking attitudes and social environment perceptions. Positive attitudes about help-seeking from adults at school, perceptions that adults would respond to suicide concerns, willingness to overcome peer secrecy requests, and greater coping support and engagement with the school were associated with students' increased disclosure of SI and help-seeking. This study supports prevention strategies that change student norms, attitudes and social environments to promote help-seeking among adolescents with SI. Promising intervention targets include increasing students' perceptions of the availability and capability of adults to help them, and strengthening students' understanding of how existing resources can help them cope.

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  • Seven studies did not find significant differences between genders in help-seeking barriers and facilitators.

    “Seven studies did not find significant differences between genders [28, 39, 40, 42, 46, 51, 69].”

    From What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review (2020) · cites this paper as [39]

    In Results > Characteristics of Help-Seeking Students with SI (page unavailable), the paper reports minimal evidence that sex moderated the links between attitudes, social resources, and help-seeking. It also reports a significant exception: coping resources were more strongly associated with help-seeking for boys than girls. Results > Help-Seeking Behavior Among Suicidal Students further reports a significant sex difference in disclosure to friends, so the unqualified claim of no gender differences overstates this study. (LLM, conf=0.87)

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Research works printed but not linked: 1

  1. Costello EJ Pescosolido B Angold A Burns BJ Morrissey JP A family network-based model of access to child mental health services Research in community and mental health: Social networks and mental illness 1998 Vol. 9 Stamford, CT JAI Press 165 190

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Authors
Pisani, A. R., Schmeelk-Cone, K., Gunzler, D., Petrova, M., Goldston, D. B., Tu, X., & Wyman, P. A.
Affiliations
  • University of Rochester Medicine (US)
  • MetroHealth Medical Center (US)
  • Duke University (US)
Corresponding author
Pisani, Anthony R.
ORCID
Venue
Journal of Youth and Adolescence
Publisher
Springer Science and Business Media LLC
Published
2012-05-06
Volume
41
Issue
10
Pages
1312-1324
ISSN
  • 0047-2891 (ISSN-L)
  • 1573-6601
DOI
10.1007/s10964-012-9766-7
PMC
PMC3534737
OpenAlex
W2023452652
Cited by
138
References
82
Citations by year
2026: 7 · 2025: 10 · 2024: 14 · 2023: 10 · 2022: 13 · 2021: 12 · 2020: 13 · 2019: 16 · 2018: 6 · 2017: 7 · 2016: 11 · 2015: 7 · 2014: 9 · 2013: 1 · 2012: 2
FWCI
6.88
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Youth and Adolescence (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • American Psychological Association
  • University of Rochester
  • Georgia Clinical and Translational Science Alliance
  • National Institutes of Health (5t32mh020061-25)
  • National Institute of Mental Health (T32 MH20061, T32-MH020061, K24MH066252)
  • National Center for Research Resources (KL2RR024136)
  • National Center for Advancing Translational Sciences
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Keywords
adolescent suicide, suicidal ideation, help-seeking, help-seeking attitudes, social environment perception, school engagement, coping support, rural and underserved communities, suicide prevention
MeSH terms
Adaptation, Psychological, Adolescent, Adolescent Behavior, Adult, Female, Humans, Male, Patient Acceptance of Health Care, Peer Group, Surveys and Questionnaires, Severity of Illness Index, Social Support, Students, Suicide, Attempted, Self Efficacy, Suicidal Ideation

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