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Cited by 254Suicide and Self-Harm StudiesGrief, Bereavement, and Mental HealthMental Health Treatment and Access

Teenagers’ attitudes about coping strategies and help-seeking behavior for suicidality.

GOULD, MADELYN S., VELTING, DREW, KLEINMAN, MARJORIE, LUCAS, CHRISTOPHER, THOMAS, JOHN GRAHAM, CHUNG, MICHELLE·2004·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/01.chi.0000132811.06547.31
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Abstract

Objective To identify youths' attitudes about coping and help-seeking strategies for suicidal ideation/behavior and examine their demographic and clinical correlates. Method A self-report survey was completed by high school students (N = 2,419) in six New York State schools from 1998 through 2001. The relationship between suicide attitudes and gender, depression, substance problems, serious suicidal ideation/behavior, and first-hand experience with a suicidal peer was examined. Results Two factors that approximate avoidance and approach coping responses, maladaptive coping strategies and help-seeking strategies, respectively, were identified. Boys scored higher than girls (t = 7.96, df = 2341, p < .001), and depressed youths (t = 15.56, df = 2323, p < .001), students with substance problems (t = 11.07, df = 2340, p < .001), and suicidal youths (t = 15.14, df = 2341, p < .001) scored significantly higher than their healthy counterparts on the maladaptive coping strategies factor. Students with first-hand experience with a suicidal peer scored significantly higher on the maladaptive coping strategies factor than those without this experience (t = 7.95, df = 2321, p < .001). Lower risk groups scored significantly higher on an adaptive help-seeking strategies factor. Conclusions High-risk adolescents' attitudes are characterized by core beliefs that support the use of maladaptive coping strategies in response to depression and suicidal thoughts and behaviors. Targeting such attitudes is a recommended component of youth suicide prevention efforts.

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  • Research links explicit and implicit beliefs about suicide to suicide attempts and even death.

    “Recognizing – and measuring – this may be a useful pathway for future research to examine; particularly given research linking explicit and implicit beliefs about suicide to suicide attempts and even death (Gould et al., 2004; Nock et al., 2010; Phillips and Luth, 2018).”

    From The Social Roots of Suicide: Theorizing How the External Social World Matters to Suicide and Suicide Prevention (2021) · cites this paper as Gould et al., 2004

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Authors
GOULD, M. S., VELTING, D., KLEINMAN, M., LUCAS, C., THOMAS, J. G., & CHUNG, M.
Affiliations
Novartis (United States) (US)
Corresponding author
GOULD, MADELYN S.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2004-09
Volume
43
Issue
9
Pages
1124-1133
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/01.chi.0000132811.06547.31
OpenAlex
W2065641489
Cited by
254
References
60
Citations by year
2026: 2 · 2025: 4 · 2024: 7 · 2023: 7 · 2022: 6 · 2021: 15 · 2020: 12 · 2019: 10 · 2018: 12 · 2017: 10 · 2016: 12 · 2015: 21 · 2014: 15 · 2013: 16 · 2012: 33
FWCI
9.19
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01mh052827-04)
  • National Institute of Mental Health (K02MH01298, R01MH52827)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
suicidal ideation, suicidal behavior, adolescents, coping strategies, help-seeking, maladaptive coping, attitudes toward suicide, depression, problematic substance use, suicide prevention, gender differences
MeSH terms
Suicide Prevention, Adaptation, Psychological, Adolescent, Attitude, Depressive Disorder, Female, Humans, Male, New York, Peer Group, Social Support, Statistics as Topic, Suicide, Suicide, Attempted, Comorbidity, Risk Assessment, Substance-Related Disorders

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