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Emotion regulation difficulties, youth-adult relationships, and suicide attempts among high school students in underserved communities
Open accessAbstract
To develop and refine interventions to prevent youth suicide, knowledge is needed about specific processes that reduce risk at a population level. Using a cross-sectional design, the present study tested hypotheses regarding associations between self-reported suicide attempts, emotion regulation difficulties, and positive youth-adult relationships among 7,978 high-school students (48.6% male, 49.9% female) in 30 high schools from predominantly rural, low-income communities. 683 students (8.6%) reported a past-year suicide attempt. Emotion regulation difficulties and a lack of trusted adults at home and school were associated with increased risk for making a past-year suicide attempt, above and beyond the effects of depressive symptoms and demographic factors. The association between emotion regulation difficulties and suicide attempts was modestly lower among students who perceived themselves as having higher levels of trusted adults in the family, consistent with a protective effect. Having a trusted adult in the community (outside of school and family) was associated with fewer suicide attempts in models that controlled only for demographic covariates, but not when taking symptoms of depression into account. These findings point to adolescent emotion regulation and relationships with trusted adults as complementary targets for suicide prevention that merit further intervention studies. Reaching these targets in a broad population of adolescents will require new delivery systems and "option rich" (OR) intervention designs.
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“Pisani et al. [22] reported that emotion dysregulation was associated with increased risk for previous suicide attempts, above and beyond the effects of depressive symptoms and demographic factors.”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [22]
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Emotion Regulation in Daily Life among Adults with Suicidal ThoughtsPreprint
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Wang, J., Gong, F., Gan, Q., He, H., Li, X., Xu, T., Yang, X. L., & Hu, Y. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1751101
García, N. M. S., Moreta‐Herrera, R., Rodas, J. A., Shugulí-Zambrano, C., Laz-Figueroa, K. L., & Gallegos, M. (2026) · Illness Crisis & Loss · doi:10.1177/10541373261491915
Akbulut, Ö. F., Kütük, H., Akyıl, Y., Okur, S., & Erdinç, B. (2026) · Current Psychology · doi:10.1007/s12144-026-10127-3
Metadata
- Authors
- Pisani, A. R., Wyman, P. A., Petrova, M., Schmeelk-Cone, K., Goldston, D. B., Xia, Y., & Gould, M. S.
- Affiliations
- University of Rochester Medicine (US)
- Duke University (US)
- University of Rochester (US)
- New York State Psychiatric Institute (US)
- Corresponding author
- Pisani, Anthony R.
- ORCID
- Venue
- Journal of Youth and Adolescence
- Published
- 2012-12-18
- Volume
- 42
- Issue
- 6
- Pages
- 807-820
- ISSN
- 0047-2891 (ISSN-L)
- 1573-6601
- PMC
- PMC3654393
- OpenAlex
- W2029472717
- Cited by
- 183
- References
- 111
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 17 · 2023: 10 · 2022: 17 · 2021: 17 · 2020: 19 · 2019: 24 · 2018: 15 · 2017: 11 · 2016: 7 · 2015: 11 · 2014: 15 · 2013: 4
- FWCI
- 10.88
- 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
- University of Rochester
- Georgia Clinical and Translational Science Alliance
- National Institute of Mental Health (R01MH091452, 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 › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- suicide attempts, emotional dysregulation, adult-youth relationships, trusted adults, suicide prevention, adolescents, depressive symptoms, underserved populations, high school students, protective factors
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Affective Symptoms, Child, Cross-Sectional Studies, Female, Humans, Male, Students, Suicide, Attempted, Intergenerational Relations, Young Adult
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