Social Connectedness and One-Year Trajectories Among Suicidal Adolescents Following Psychiatric Hospitalization
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This study examined the extent to which posthospitalization change in connectedness with family, peers, and nonfamily adults predicted suicide attempts, severity of suicidal ideation, and depressive symptoms across a 12-month follow-up period among inpatient suicidal adolescents. Participants were 338 inpatient suicidal adolescents, ages 13 to 17, who were assessed at 3, 6, and 12 months posthospitalization. General liner models were fitted for depressive symptoms and suicidal ideation outcomes, and logistic regression was used for the dichotomous suicide attempt outcome. The moderating effects of gender and multiple attempt history were examined. Adolescents who reported greater improvements in peer connectedness were half as likely to attempt suicide during the 12-month period. Improved peer connectedness was also associated with less severe depressive symptoms for all adolescents and with less severe suicidal ideation for female individuals, but only at the 3-month assessment time point. Improved family connectedness was related to less severe depressive symptoms and suicidal ideation across the entire year; for suicidal ideation, this protective effect was limited to nonmultiple suicide attempters. Change in connectedness with nonfamily adults was not a significant predictor of any outcome when changes in family and peer connectedness were taken into account. These results pointing to improved posthospitalization connectedness being linked to improved outcomes following hospitalization have important treatment and prevention implications given inpatient suicidal adolescents' vulnerability to suicidal behavior.
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Naturally occurring improvements in positive social functioning (e.g., connectedness, social group integration) predict reduced subsequent risk for depression.
“naturally occurring improvements in positive social functioning (e.g., connectedness, social group integration) predict reduced subsequent risk for depression (Cruwys et al., 2013; Czyz, Liu, & King, 2012).”
From Enhancing social connectedness in anxiety and depression through amplification of positivity: Preliminary treatment outcomes and process of change (2020) · cites this paper as Czyz, Liu, & King, 2012
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“It should be noted, however, that few studies linking social support to suicidality in teens have used clinical samples (e.g., Czyz et al. 2012; Kerr et al. 2006).”
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“Treatment targets the suicidal youth’s feelings of burdensomeness and disconnectedness (Czyz et al., 2012; Joiner, 2005; King et al., 2010) by promoting social supports and connection to one’s social network (family, peer, school, community).”
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- Authors
- Czyz, E. K., Liu, Z., & King, C. A.
- Affiliations
- University of Michigan (US)
- Corresponding author
- King, Cheryl A.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2012-03
- Volume
- 41
- Issue
- 2
- Pages
- 214-226
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC3742020
- OpenAlex
- W2003851434
- Cited by
- 144
- References
- 52
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 12 · 2023: 13 · 2022: 12 · 2021: 19 · 2020: 7 · 2019: 8 · 2018: 15 · 2017: 7 · 2016: 8 · 2015: 9 · 2014: 12 · 2013: 1 · 2012: 1
- FWCI
- 8.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K24MH077705, R01MH063881)
- National Center for Research Resources (UL1RR024986)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- adolescent suicide, suicidal ideation, suicide attempts, psychiatric hospitalization, social connectedness, peer connection, family connectedness, depressive symptoms, repeated suicide attempts, gender differences, suicide prevention
- MeSH terms
- Adolescent, Adolescent Behavior, Adult, Female, Follow-Up Studies, Hospitalization, Humans, Inpatients, Interpersonal Relations, Male, Peer Group, Risk Factors, Sex Factors, Social Behavior, Social Support, Suicide, Attempted, Suicidal Ideation
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