Difficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients
Abstract
This study aimed to examine the concurrent relation between six dimensions of emotion dysregulation, proposed by Gratz and Roemer (2004), and suicide ideation and attempt in a large sample of psychiatric adolescent inpatients. A sample of 547 adolescent inpatients completed measures on dimensions of emotion dysregulation, psychiatric diagnoses, and suicidal ideation and attempt. Binary logistic regression analyses revealed that limited access to emotion regulation strategies, difficulties in impulse control, and mood disorder diagnosis, were significantly associated with past year suicidal ideation, covarying for other emotion dysregulation subscales, anxiety and externalizing diagnoses, sex, and age. However, difficulties in impulse control was not significantly related to suicide ideation when analyses were conducted separately by sex. Binary logistic regressions also revealed that past year suicidal ideation uniquely and significantly associated with lifetime attempt, covarying for sociodemographics, psychiatric diagnoses, and all emotion dysregulation subscales; these results held when analyses were also conducted separately by sex. Results indicating an association between perceived limited emotion regulation strategies and suicide ideation are consistent with existing research and suicide-focused theory. This finding may have some tentative benefit to informing clinical assessment and treatment of suicidal thoughts. Other findings are discussed.
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These results are consistent with those of previous studies.
“These results are consistent with those of previous studies [21,78].”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [78]
The perceived inability to overcome emotional demands may represent a salient factor that leads to suicidal ideation and it is seen as an alternative strategy for managing intolerable emotions.
“These findings may indicate that the perceived inability to overcome emotional demands may represent a salient factor that leads to suicidal ideation and it is seen as an alternative strategy for managing intolerable emotions [77,78].”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [78]
The English DERS achieves moderate diagnostic accuracy among emotional disorders and nonsuicidal self-injury populations.
“Although there are no formal cutoff scores for the DERS, the English scale achieves moderate diagnostic accuracy (area under the curve [AUC]) among emotional disorders and nonsuicidal self-injury populations [53-55]”
From A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial (2023) · cites this paper as [53]
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“emotion dysregulation (Gratz and Roemer, 2004), and suggest that various aspects of emotion dysregulation play a role in suicidal ideation and behavior.”
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- Authors
- Hatkevich, C., Penner, F., & Sharp, C.
- Affiliations
- University of Houston (US)
- Corresponding author
- Sharp, Carla
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 271
- Pages
- 230-238
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2900725160
- Cited by
- 139
- References
- 38
- Citations by year
- 2026: 16 · 2025: 21 · 2024: 21 · 2023: 23 · 2022: 21 · 2021: 23 · 2020: 12 · 2019: 2
- FWCI
- 10.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- emotional dysregulation, suicidal ideation, suicide attempts, adolescents, adolescent inpatients, impulse control, mood disorders, sex differences, psychiatric diagnosis
- MeSH terms
- Adolescent, Anxiety, Emotions, Female, Humans, Inpatients, Male, Risk Factors, Suicide, Attempted, Logistic Models, Mood Disorders, Suicidal Ideation
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