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Cited by 51Suicide and Self-Harm StudiesBullying, Victimization, and AggressionDeath Anxiety and Social Exclusion

Preliminary Associations among Relational Victimization, Targeted Rejection, and Suicidality in Adolescents: A Prospective Study

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Massing-Schaffer, Maya, Helms, Sarah W., Rudolph, Karen D., Slavich, George M., Hastings, Paul D., Giletta, Matteo, Nock, Matthew K., Prinstein, Mitchell J.·2019·Journal of Clinical Child & Adolescent Psychology
DOI 10.1080/15374416.2018.1469093PMC PMC6314908
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Abstract

This study examined associations between multiple types of interpersonal and noninterpersonal stressors and the subsequent occurrence of suicide ideation and attempts among female adolescents. Adolescents ages 12 to 18 years old (n = 160) at elevated risk for suicidal thoughts and behaviors were followed for 18 months, divided into two 9-month epochs for data analysis (Periods 1 and 2). Exposure to acute relational victimization, targeted rejection, nonspecified interpersonal, and noninterpersonal life stressors over the first 9-month epoch (Period 1) was assessed using semistructured interviews and an independent life stress rating team. Participants also completed phone-based semistructured interviews of suicidal thoughts and behaviors. Preliminary analyses showed significant prospective associations between acute targeted rejection and nonspecified interpersonal stress during Period 1 and suicide ideation during Period 2, as well as relational victimization and noninterpersonal stress during Period 1 and suicide attempts during Period 2. However, in logistic regression analyses that adjusted for prior suicidality and depressive symptoms, relational victimization during Period 1 (but not targeted rejection, nonspecified interpersonal or noninterpersonal events) was associated with increased odds of suicide attempt during Period 2. Therefore, acute relational victimization exposure is associated with heightened risk for suicidal behaviors in female adolescents. Future studies should examine potential mediators and moderators of this association, and these stressors should be considered for inclusion in clinical screening tools.

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  • Peer-related stressors such as friendship alienation, romantic breakups, and bullying are among the most frequently reported precipitants to adolescents' suicidal behavior.

    “Note also that these peer-related stressors (e.g., friendship alienation, romantic breakups, bullying) are among the most frequently reported precipitants to adolescents’ suicidal behavior (Juvonen & Graham 2014, King & Merchant 2008, Massing-Schaffer et al. 2018).”

    From Adolescent Suicide as a Failure of Acute Stress-Response Systems. (2019) · cites this paper as Massing-Schaffer et al. 2018

    The paper’s introductory passages (page unavailable) say relationship breakups are a common precipitant of adolescent suicide attempts and link bullying and relational victimization with suicidality. They do not establish that friendship alienation, romantic breakups, and bullying are collectively among the most frequently reported precipitants. The Discussion also qualifies the findings for relational victimization, particularly among adolescent females. (LLM, conf=0.86)

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Cited by

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Authors
Massing-Schaffer, M., Helms, S. W., Rudolph, K. D., Slavich, G. M., Hastings, P. D., Giletta, M., Nock, M. K., & Prinstein, M. J.
Affiliations
  • Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill
  • University of North Carolina at Chapel Hill (US)
  • University of Illinois Urbana-Champaign (US)
  • University of California, Los Angeles (US)
  • University of California, Davis (US)
  • Tilburg University (NL)
  • Harvard University (US)
ORCID
Venue
Journal of Clinical Child & Adolescent Psychology
Publisher
Informa UK Limited
Published
2018-06-11
Volume
48
Issue
2
Pages
288-295
ISSN
  • 1537-4416 (ISSN-L)
  • 1537-4424
DOI
10.1080/15374416.2018.1469093
PMC
PMC6314908
OpenAlex
W2808524774
Cited by
51
References
10
Citations by year
2026: 1 · 2025: 10 · 2024: 7 · 2023: 7 · 2022: 4 · 2021: 7 · 2020: 7 · 2019: 8
FWCI
6.13
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Journal of Clinical Child & Adolescent Psychology (publishedVersion)
  • Research portal (Tilburg University) (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institute of Mental Health (5R01MH085505-03).)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Bullying, Victimization, and Aggression
  • Social Sciences › Psychology › Social Psychology › Death Anxiety and Social Exclusion
Keywords
relational victimization, suicidal ideation, suicide attempts, adolescent suicidality, adolescent girls, interpersonal stressors, life events, suicide risk screening
MeSH terms
Adolescent, Adolescent Behavior, Adult, Child, Female, Humans, Male, Prospective Studies, Rejection, Psychology, Suicide, Crime Victims, Young Adult

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