Adolescent suicide risk and experiences of dissociation in daily life
Open accessAbstract
Dissociation is associated with risk for suicide in adults, but this link is not well studied in adolescents, in spite of their marked suicide risk. This study assessed adolescents' dissociative experiences in daily life and evaluated the association between dissociative experiences and suicide risk, including the independence of this relationship from related affective and clinical states and demographic characteristics. Clinically referred early adolescents (N = 162; aged 11-13) were assessed via multi-informant clinical interview, questionnaires, and 4-day ecological momentary assessment protocol. Adolescents were classified as being at elevated suicide risk using multi-informant, multi-method reports of suicide risk behavior and/or at elevated proximal risk using the 4-day EMA only. Suicide risk was associated with daily dissociative experiences, and this relationship was independent of daily negative and positive affect and co-occurring borderline personality symptoms. Gender differences emerged, such that the relationship between daily dissociative experiences and suicide risk was only significant in adolescent girls. Overall, findings suggest dissociation may be independently relevant to adolescent suicide risk, above and beyond effects of psychopathology and affective disturbance, and especially in girls. Daily dissociative experiences may help understand and detect suicide risk among early adolescents and warrant further research.
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Most reviewed studies (78%, n = 18) were conducted in adult samples, and less frequently in adolescent samples (22%, n = 5).
“Most studies (78%, n = 18) were conducted in adult, and less frequently in adolescent samples [22%, n = 5; (45, 67, 72, 80, 85)].”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [67]
EMA-measured momentary suicidal ideation correlated highly with the BSSI (passive ideation: r = 0.73, active ideation: r = 0.76).
“EMA-measured momentary suicidal ideation correlated highly1 with the BSSI [passive ideation: r = 0.73, active ideation: r = 0.76 (67)].”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [67]
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- Authors
- Vine, V., Victor, S. E., Mohr, H., Byrd, A. L., & Stepp, S. D.
- Affiliations
- University of Pittsburgh (US)
- Texas Tech University (US)
- Corresponding author
- Vine, Vera
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-05
- Volume
- 287
- Pages
- 112870
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC7983062
- OpenAlex
- W3007547828
- Cited by
- 36
- References
- 76
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 1 · 2023: 1 · 2022: 9 · 2021: 9 · 2020: 1
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- adolescent suicide risk, dissociation, early adolescents, emptiness, gender differences, borderline symptoms, suicide risk identification, ecological momentary assessment
- MeSH terms
- Activities of Daily Living, Adolescent, Borderline Personality Disorder, Child, Dissociative Disorders, Female, Humans, Interview, Psychological, Male, Surveys and Questionnaires, Risk Factors, Sex Factors, Suicide
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