Family network satisfaction moderates treatment effects among homeless youth experiencing suicidal ideation.
Cognitive therapy
Homeless youth
Perceived burdensomeness
Suicidal ideation
The interpersonal-psychological theory of suicide
Thwarted belongingness
Journal
Behaviour research and therapy
ISSN: 1873-622X
Titre abrégé: Behav Res Ther
Pays: England
ID NLM: 0372477
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
received:
01
08
2019
revised:
28
10
2019
accepted:
29
12
2019
pubmed:
7
1
2020
medline:
12
8
2021
entrez:
6
1
2020
Statut:
ppublish
Résumé
Limited research has evaluated the efficacy of suicide prevention interventions among homeless youth, especially considering how their connectedness with their family would impact treatment outcomes. Suicidal homeless youth (N = 150) between the ages of 18-24 years were recruited from a local drop-in center. Youth were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) or Treatment as Usual alone. Youth reported their family network satisfaction at the baseline assessment, whereas their suicidal ideation, perceived burdensomeness and thwarted belongingness were assessed at baseline and three additional times during a nine-month period. A multiple-group autoregressive cross-lagged model suggests that CTSP was associated with lower suicidal ideation and lower thwarted belongingness only among those with high family network satisfaction. Among both groups, perceived burdensomeness predicted higher suicidal ideation, which in turn predicted lower perceived burdensomeness and thwarted belongingness. Additionally, only among youth with low family network satisfaction, thwarted belongingness predicted lower suicidal ideation. Findings suggest that family network satisfaction may be an important factor when considering cognitive interventions with homeless youth, with implications to improve treatment efforts and to reduce premature mortality, hospitalization and loss of human capital in a very high-risk population.
Identifiants
pubmed: 31901794
pii: S0005-7967(19)30234-7
doi: 10.1016/j.brat.2019.103548
pmc: PMC7012363
mid: NIHMS1547875
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
103548Subventions
Organisme : NIDA NIH HHS
ID : R34 DA037845
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest All the authors declare no conflict of interest.
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