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

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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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YETİŞKİNLERDE PSİKOLOJİK YARDIM ALMAYA İLİŞKİN TUTUMLARI YORDAYAN DEĞİŞKENLERİN İNCELENMESİ: PSİKOLOJİK BELİRTİLER, İÇGÖRÜ, DAMGALANMA VE DEMOGRAFİK DEĞİŞKENLER
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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: Pisani, Anthony R.
Gunzler, Douglas
Petrova, Mariya
Goldston, David B.
Tu, Xin
Wyman, Peter A.
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: green
europepmc.org
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
Health Sciences › Medicine › Psychiatry and Mental health › 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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Associations Between Suicidal High School Students’ Help-Seeking and Their Attitudes and Perceptions of Social Environment

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