The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.
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 [21,78].”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [78]
In the citing paper
“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]
In the citing paper
“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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Cites
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · cited 9×
“emotion dysregulation (Gratz and Roemer, 2004), and suggest that various aspects of emotion dysregulation play a role in suicidal ideation and behavior.”
BackgroundMethodInfluential(1993) · Cited by 7,136
Cognitive-Behavioral Treatment of Borderline Personality Disorder
Cary, G. L. (1994) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1994.48.1.155 · Cited by 6,299
SHAFFER, D., FISHER, P., LUCAS, C. P., DULCAN, M. K., & SCHWAB-STONE, M. E. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200001000-00014 · Cited by 3,505
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008) · Epidemiologic Reviews · doi:10.1093/epirev/mxn002 · Cited by 2,897
Cross-national prevalence and risk factors for suicidal ideation, plans and attempts
Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Beautrais, A., Bruffaerts, R., Chiu, W. T., de Girolamo, G., Gluzman, S., et al. (2008) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.040113 · Cited by 2,654
Prevalence of and Risk Factors for Lifetime Suicide Attempts in the National Comorbidity Survey
Kessler, R. C., Borges, G., & Walters, E. E. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.7.617 · Cited by 2,514
Baumeister, R. F. (1990) · Psychological Review · doi:10.1037/0033-295x.97.1.90 · Cited by 1,919 · cited 4×
“Theories of suicide-related phenomena and underlying emotion processes (Baumeister, 1990; Linehan, 1993; Selby et al., 2008; Williams, 2001) are aligned with the multidimensional approach to”
BackgroundInfluentialAdolescent Brain Development: A Period of Vulnerabilities and Opportunities. Keynote Address
DAHL, R. E. (2004) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1308.001 · Cited by 1,667
On determining the most appropriate test cut-off value: the case of tests with continuous results
Habibzadeh, F., Habibzadeh, P., & Yadollahie, M. (2016) · Biochemia Medica · doi:10.11613/bm.2016.034 · Cited by 696
Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications.
Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1996) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.1996.tb00056.x · Cited by 661
Suicide Rates After Discharge From Psychiatric Facilities: A Systematic Review and Meta-analysis
Chung, D. T., Ryan, C. J., Hadzi-Pavlovic, D., Singh, S. P., Stanton, C., & Large, M. M. (2017) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2017.1044 · Cited by 651
Dialectical behavior therapy adapted for suicidal adolescents
Rathus, J. H., & Miller, A. L. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.2.146.24399 · Cited by 635
Hofmann, S. G., Sawyer, A. T., Fang, A., & Asnaani, A. (2012) · Depression and Anxiety · doi:10.1002/da.21888 · Cited by 630
Johnson, E. O., Roth, T., Schultz, L., & Breslau, N. (2006) · Pediatrics · doi:10.1542/peds.2004-2629 · Cited by 616
Acceptability and suppression of negative emotion in anxiety and mood disorders.
Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006) · Emotion · doi:10.1037/1528-3542.6.4.587 · Cited by 579
Neumann, A., van Lier, P. A. C., Gratz, K. L., & Koot, H. M. (2010) · Assessment · doi:10.1177/1073191109349579 · Cited by 521
Measurement of emotion dysregulation in adolescents
Weinberg, A., & Klonsky, E. D. (2009) · Psychological Assessment · doi:10.1037/a0016669 · Cited by 477
Understanding the relationship between emotional and behavioral dysregulation: Emotional cascades
Selby, E. A., Anestis, M. D., & Joiner, T. E. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.02.002 · Cited by 443
An exploration of the emotional cascade model in borderline personality disorder
Selby, E. A., Anestis, M. D., Bender, T. W., & Joiner, T. E. (2009) · Journal of Abnormal Psychology · doi:10.1037/a0015711 · Cited by 290
Dialectical Behavior Therapy for Adolescents With Bipolar Disorder: A 1-Year Open Trial
GOLDSTEIN, T. R., AXELSON, D. A., BIRMAHER, B., & BRENT, D. A. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31805c1613 · Cited by 272
Jobes, D. A. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00119.x · Cited by 264
Emotion dysregulation and vulnerability to suicidal ideation and attempts
Rajappa, K., Gallagher, M., & Miranda, R. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9419-2 · Cited by 251
Thought suppression and self-injurious thoughts and behaviors
Najmi, S., Wegner, D. M., & Nock, M. K. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.09.014 · Cited by 218
Suicide Attempts Associated With Externalizing Psychopathology in an Epidemiological Sample
Verona, E., Sachs-Ericsson, N., & Joiner, T. E. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.3.444 · Cited by 205
Affective, Behavioral, and Cognitive Functioning in Adolescents with Multiple Suicide Attempts
Esposito, C. L., Spirito, A., Boergers, J., & Donaldson, D. L. (2003) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.33.4.389.25231 · Cited by 198
Perez, J., Venta, A., Garnaat, S., & Sharp, C. (2012) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9292-7 · Cited by 184
Adolescent Psychiatric Inpatients' Risk of Suicide Attempt at 6-Month Follow-up
BRENT, D. A., KOLKO, D. J., WARTELLA, M. E., BOYLAN, M. B., MORITZ, G., BAUGHER, M., & ZELENAK, J. P. (1993) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199301000-00015 · Cited by 183
Pisani, A. R., Wyman, P. A., Petrova, M., Schmeelk-Cone, K., Goldston, D. B., Xia, Y., & Gould, M. S. (2013) · Journal of Youth and Adolescence · doi:10.1007/s10964-012-9884-2 · Cited by 183
Impulsivity and suicidality in adolescent inpatients
Auerbach, R. P., Stewart, J. G., & Johnson, S. L. (2017) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-016-0146-8 · Cited by 166
Rasmussen, S. A., Fraser, L., Gotz, M., MacHale, S., Mackie, R., Masterton, G., McConachie, S., & O'Connor, R. C. (2010) · British Journal of Clinical Psychology · doi:10.1348/014466509x415735 · Cited by 160
van Heeringen, K. (2001) · Wiley eBooks · Cited by 145
Association Between Adolescent Suicide Ideation, Suicide Attempts and Emotional Self-Efficacy
Valois, R. F., Zullig, K. J., & Hunter, A. A. (2013) · Journal of Child and Family Studies · doi:10.1007/s10826-013-9829-8 · Cited by 127
Suicide Intent Scale in the prediction of suicide
Stefánsson, J. G., Nordström, P., & Jokinen, J. (2010) · Journal of Affective Disorders · doi:10.1016/j.jad.2010.11.016 · Cited by 115
Miranda, R., Tsypes, A., Gallagher, M., & Rajappa, K. (2013) · Cognitive Therapy and Research · doi:10.1007/s10608-013-9524-5 · Cited by 113
Neural Correlates of Emotion Regulation and Adolescent Suicidal Ideation
Miller, A. B., McLaughlin, K. A., Busso, D. S., Brueck, S., Peverill, M., & Sheridan, M. A. (2018) · Biological Psychiatry: Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2017.08.008 · Cited by 96 · cited 1×
“While multimethod research has investigated other markers of emotion regulation (e.g., neural correlates of emotion regulation; Miller et al., 2018) and adolescent suicide-related experiences, no studies have concurrently investigated difficulties in perceived abilities to identify, accept, and regulate affect (as put…”
BackgroundSharp, C., Green, K. L., Yaroslavsky, I., Venta, A. C., Zanarini, M. C., & Pettit, J. W. (2012) · Journal of Personality Disorders · doi:10.1521/pedi.2012.26.6.927 · Cited by 77
Suicide attempts and emotion regulation in psychiatric outpatients
Harris, L., Chelminski, I., Dalrymple, K., Morgan, T., & Zimmerman, M. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.02.054 · Cited by 34
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Ruch, D. A., Heck, K. M., Sheftall, A. H., Fontanella, C. A., Stevens, J. H., Zhu, M., Horowitz, L. M., Campo, J. V., & Bridge, J. A. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.15683 · Cited by 128
Berardis, D. D., Fornaro, M., Orsolini, L., Ventriglio, A., Vellante, F., & Giannantonio, M. D. (2020) · Brain Sciences · doi:10.3390/brainsci10090591 · Cited by 107
Brausch, A. M., Clapham, R. B., & Littlefield, A. K. (2021) · Journal of Youth and Adolescence · doi:10.1007/s10964-021-01525-w · Cited by 97
Conner, C. M., Golt, J., Righi, G., Shaffer, R., Siegel, M., & Mazefsky, C. A. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04370-1 · Cited by 77
Metadata
- 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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