Disclosures of self-injurious thoughts and behaviors to parents in the context of adolescent therapy: A qualitative investigation.
adolescent
parent-child communication
psychotherapy
self-injury
suicide
Journal
Journal of clinical psychology
ISSN: 1097-4679
Titre abrégé: J Clin Psychol
Pays: United States
ID NLM: 0217132
Informations de publication
Date de publication:
18 Dec 2023
18 Dec 2023
Historique:
revised:
20
11
2023
received:
15
03
2023
accepted:
02
12
2023
medline:
19
12
2023
pubmed:
19
12
2023
entrez:
19
12
2023
Statut:
aheadofprint
Résumé
Self-injurious thoughts and behaviors (SITBs), including suicidal thoughts, suicide attempts, and nonsuicidal self-injury, are highly prevalent among adolescents. Identifying adolescents at risk for SITBs relies on their disclosure, and these disclosures commonly occur in therapy context. Moreover, therapists often breach confidentiality to inform adolescents' parent or guardian when they disclose SITBs. Research has explored rates of and barriers to disclosure among adolescents, yet no studies have examined adolescents' experiences of disclosure in the therapy context. Further, no studies have examined adolescents' experiences when their parents are then informed. In this study, we examined qualitative responses from 1495 adolescents who had experienced a SITB disclosure in the therapy context. Qualitative questions included asking adolescents to describe how the SITB disclosure occurred, how their parents were informed, and their parents' reactions. Using open and axial coding, several themes emerged. Adolescents described therapist breaches of confidentiality as collaborative, noncollaborative, or unclear. Adolescents described their parents' affective responses, communication about SITBs, validating and invalidating responses, treatment-oriented responses, and ways that parents restricted their access to people, places, and activities. Findings have implications for the development of clinical guidelines when adolescents disclose SITBs in therapy and highlight areas for future research in adolescent SITB disclosure.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : American Foundation for Suicide Prevention
ID : YIG-1-020-20
Organisme : Mental Research Institute
Organisme : National Science Foundation
Organisme : Upswing Foundation
ID : MH-130767
Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
Adrian, M., Berk, M. S., Korslund, K., Whitlock, K., McCauley, E., & Linehan, M. (2018). Parental validation and invalidation predict adolescent self-harm. Professional Psychology: Research and Practice, 49, 274-281.
Adrian, M., McCauley, E., Berk, M. S., Asarnow, J. R., Korslund, K., Avina, C., Gallop, R., & Linehan, M. M. (2019). Predictors and moderators of recurring self-harm in adolescents participating in a comparative treatment trial of psychological interventions. Journal of Child Psychology and Psychiatry, 60, 1123-1132.
Asarnow, J. R., Baraff, L. J., Berk, M., Grob, C. S., Devich-Navarro, M., Suddath, R., Piacentini, J. C., Rotheram-Borus, M. J., Cohen, D., & Tang, L. (2011). An emergency department intervention for linking pediatric suicidal patients to follow-up mental health treatment. Psychiatric Services, 62, 1303-1309.
Bernert, R. A., Hom, M. A., & Roberts, L. W. (2014). A review of multidisciplinary clinical practice guidelines in suicide prevention: Toward an emerging standard in suicide risk assessment and management, training and practice. Academic Psychiatry, 38, 585-592.
Boukouvalas, E., El-Den, S., Murphy, A. L., Salvador-Carulla, L., & O'Reilly, C. L. (2019). Exploring health care professionals' knowledge of, attitudes towards, and confidence in caring for people at risk of suicide: A systematic review. Archives of Suicide Research, 24, S1-S31.
Calear, A. L., & Batterham, P. J. (2019). Suicidal ideation disclosure: Patterns, correlates and outcome. Psychiatry Research, 278, 1-6.
Cramer, R. J., Johnson, S. M., McLaughlin, J., Rausch, E. M., & Conroy, M. A. (2013). Suicide risk assessment training for psychology doctoral programs: Core competencies and a framework for training. Training and Education in Professional Psychology, 7, 1-11.
Cwik, M. F., O'Keefe, V. M., & Haroz, E. E. (2020). Suicide in the pediatric population: Screening, risk assessment and treatment. International Review of Psychiatry, 32(3), 254-264.
Czyz, E. K., Horwitz, A. G., Yeguez, C. E., Foster, C. E., & King, C. A. (2017). Parental self-efficacy to support teens during a suicidal crisis and future adolescent emergency department visits and suicide attempts. Journal of Clinical Child and Adolescent Psychology, 47, S384-S396.
Daukantaitė, D., Lundh, L.-G., Wångby-Lundh, M., Claréus, B., Bjärehed, J., Zhou, Y., & Liljedahl, S. I. (2021). What happens to young adults who have engaged in self-injurious behavior as adolescents? A 10-year follow-up. European Child & Adolescent Psychiatry, 30, 475-492.
De Los Reyes, A., & Epkins, C. C. (2023). Introduction to the special issue. A dozen years of demonstrating that informant discrepancies are more than measurement error: Toward guidelines for integrating data from multi-informant assessments of youth mental health. Journal of Clinical Child & Adolescent Psychology, 52(1), 1-18.
Donath, C., Graessel, E., Baier, D., Bleich, S., & Hillemacher, T. (2014). Is parenting style a predictor of suicide attempts in a representative sample of adolescents? BMC Pediatrics, 14, 113.
Duncan, R. E., Hall, A. C., & Knowles, A. (2015). Ethical dilemmas of confidentiality with adolescent clients: Case studies from psychologists. Ethics & Behavior, 25(3), 197-221.
Encrenaz, G., Kovess-Masféty, V., Gilbert, F., Galéra, C., Lagarde, E., Mishara, B., & Messiah, A. (2012). Lifetime risk of suicidal behaviors and communication to a health professional about suicidal ideation. Crisis, 33, 127-136.
Eskin, M. (2003). A cross-cultural investigation of the communication of suicidal intent in Swedish and Turkish adolescents. Scandinavian Journal of Psychology, 44(1), 1-6.
Eskin, M. (2003). Self-reported assertiveness in Swedish and Turkish adolescents: A cross-cultural comparison. Scandinavian Journal of Psychology, 44, 7-12.
Ewell Foster, C., Magness, C., Czyz, E., Kahsay, E., Martindale, J., Hong, V., Baker, E., Cavataio, I., Colombini, G., Kettley, J., Smith, P. K., & King, C. (2022). Predictors of parent behavioral engagement in youth suicide discharge recommendations: Implications for family-centered crisis interventions. Child Psychiatry and Human Development, 53, 1240-1251. https://doi.org/10.1007/s10578-021-01176-9
Farley, J. P., & Kim-Spoon, J. (2014). The development of adolescent self-regulation: Reviewing the role of parent, peer, friend, and romantic relationships. Journal of Adolescence, 37(4), 433-440.
Fox, K. R., Bettis, A. H., Burke, T. A., Hart, E. A., & Wang, S. B. (2022). Exploring adolescent experiences with disclosing self-injurious thoughts and behaviors across settings. Research on Child and Adolescent Psychopathology, 50, 669-681.
Fox, K. R., Harris, J. A., Wang, S. B., Millner, A. J., Deming, C. A., & Nock, M. K. (2020). Self-injurious thoughts and behaviors interview-Revised: Development, reliability, and validity. Psychological Assessment, 32, 677-689.
Glenn, C. R., Esposito, E. C., Porter, A. C., & Robinson, D. J. (2019). Evidence base update of psychosocial treatments for self-injurious thoughts and behaviors in youth. Journal of Clinical Child & Adolescent Psychology, 48, 357-392. https://doi.org/10.1080/15374416.2019.1591281
Gratch, I., Fernandes, S. N., Bell, K.-A., Pollak, O. H., Fox, K. R., Tezanos, K., Ebo, T., & Cha, C. B. (2021). Self-Injurious Thoughts and Behaviors Interview-Revised (SITBI-R): Reliability, validity, and inter-informant agreement in an adolescent sample. Journal of Clinical Child & Adolescent Psychology, 51, 484-494.
Gullone, E., Hughes, E. K., King, N. J., & Tonge, B. (2010). The normative development of emotion regulation strategy use in children and adolescents: A 2-year follow-up study. Journal of Child Psychology and Psychiatry, 51(5), 567-574.
Hawton, K., Saunders, K. E., & O'Connor, R. C. (2012). Self-harm and suicide in adolescents. The Lancet, 379, 2373-2382. https://doi.org/10.1016/S0140-6736(12)60322-5
Heron, M. (2018). Deaths: Leading causes for 2016, National Vital Statistics Reports (Vol. 67, pp. 1-77). National Center for Health Statistics. https://www.cdc.gov/%0Ahttps://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf
Hill, J. P., & Holmbeck, G. N. (1986). Attachment and autonomy during adolescence. Annals of Child Development, 3(45), 145-189.
Hom, M. A., Stanley, I. H., Podlogar, M. C., & Joiner, Jr., T. E. (2017). “Are you having thoughts of suicide?” Examining experiences with disclosing and denying suicidal ideation. Journal of Clinical Psychology, 73, 1382-1392.
Husky, M. M., Olfson, M., He, J., Nock, M. K., Swanson, S. A., & Merikangas, K. R. (2012). Twelve-month suicidal symptoms and use of services among adolescents: Results from the National Comorbidity Survey. Psychiatric Services, 63, 989-996.
Jones, J. D., Boyd, R. C., Calkins, M. E., Ahmed, A., Moore, T. M., Barzilay, R., Benton, T. D., & Gur, R. E. (2019). Parent-adolescent agreement about adolescents' suicidal thoughts. Pediatrics, 143, e20181771.
Kang, B.-H., Kang, J.-H., Park, H.-A., Cho, Y.-G., Hur, Y.-I., Sim, W. Y., Byeon, G.-R., & Kim, K. (2017). The mediating role of parental support in the relationship between life stress and suicidal ideation among middle school students. Korean Journal of Family Medicine, 38, 213.
Lothen-Kline, C., Howard, D., Hamburger, E., Worrell, K., & Boekeloo, B. (2003). Truth and consequences: Ethics, confidentiality, and disclosure in adolescent longitudinal prevention research. Journal of Adolescent Health, 33, 385-394.
Mann, J. J., & Michel, C. A. (2016). Prevention of firearm suicide in the United States: What works and what is possible. American Journal of Psychiatry, 173, 969-979.
Martakis, K., Brand, H., & Schröder-Bäck, P. (2018). Developing child autonomy in pediatric healthcare: Towards an ethical model. Archivos Argentinos de Pediatria, 116(3), e401-e408.
Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., Larsson, B. S., Stanley, B. H., Miller, A. L., Sund, A. M., & Grøholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: A randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53(10), 1082-1091.
McGillivray, L., Rheinberger, D., Wang, J., Burnett, A., & Torok, M. (2022). Non-disclosing youth: A cross sectional study to understand why young people do not disclose suicidal thoughts to their mental health professional. BMC Psychiatry, 22(1), 3.
Mérelle, S., Foppen, E., Gilissen, R., Mokkenstorm, J., Cluitmans, R., & Van Ballegooijen, W. (2018). Characteristics associated with non-disclosure of suicidal ideation in adults. International Journal of Environmental Research and Public Health, 15, 943.
Miller, A. B., Esposito-Smythers, C., & Leichtweis, R. N. (2015). Role of social support in adolescent suicidal ideation and suicide attempts. Journal of Adolescent Health, 56, 286-292.
Mitchels, B., & Bond, T. (2011). Legal issues across counselling & psychotherapy settings: A guide for practice (4). Sage.
Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development, 16, 361-388.
Moses, T. (2011). Adolescents' perspectives about brief psychiatric hospitalization: What is helpful and what is not? Psychiatric Quarterly, 82, 121-137.
Neuendorf, K. A. (2002). Defining content analysis. In Content analysis guidebook (pp. 1-35). Sage.
Neuendorf, K. A. (2018). 18 Content analysis and thematic analysis. In P. Brough (Ed.), Advanced research methods for applied psychology: Design, analysis and reporting (pp. 211-223). Routledge.
Nuij, C., van Ballegooijen, W., de Beurs, D., Juniar, D., Erlangsen, A., Portzky, G., O'Connor, R. C., Smit, J. H., Kerkhof, A., & Riper, H. (2021). Safety planning-type interventions for suicide prevention: Meta-analysis. The British Journal of Psychiatry, 219, 419-426.
Pettit, J. W., Buitron, V., & Green, K. L. (2018). Assessment and management of suicide risk in children and adolescents. Cognitive and behavioral practice, 25(4), 460-472.
Rae, W. A. (2002). Adolescent health risk behavior: When do pediatric psychologists break confidentiality? Journal of Pediatric Psychology, 27, 541-549.
Smith, D. M., Lipson, S. M., Wang, S. B., & Fox, K. R. (2022). Online methods in adolescent self-injury research: Challenges and recommendations. Journal of Clinical Child & Adolescent Psychology, 51(2), 143-154.
Stanley, B., Brown, G. K., Brenner, L. A., Galfalvy, H. C., Currier, G. W., Knox, K. L., Chaudhury, S. R., Bush, A. L., & Green, K. L. (2018). Comparison of the safety planning intervention with follow-up vs usual care of suicidal patients treated in the emergency department. JAMA Psychiatry, 75, 894-900. https://doi.org/10.1001/jamapsychiatry.2018.1776
Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014). Prevalence of nonsuicidal self-injury in nonclinical samples: Systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior, 44, 273-303.
Wadley, G., Smith, W., Koval, P., & Gross, J. J. (2020). Digital emotion regulation. Current Directions in Psychological Science, 29(4), 412-418.
Ward-Ciesielski, E. F., & Rizvi, S. L. (2021). The potential iatrogenic effects of psychiatric hospitalization for suicidal behavior: A critical review and recommendations for research. Clinical Psychology: Science and Practice, 28(1), 60.
Wilkinson, P. O., Qiu, T., Neufeld, S., Jones, P. B., & Goodyer, I. M. (2018). Sporadic and recurrent non-suicidal self-injury before age 14 and incident onset of psychiatric disorders by 17 years: Prospective cohort study. The British Journal of Psychiatry, 212, 222-226.
Youth Risk Behavior Survey Data. (2022).
Zimmer-Gembeck, M. J., & Collins, W. A. (2003). Autonomy development during adolescence. In G. R. Adams & M. Berzonsky, (Eds.), Blackwell handbook of adolescence (pp. 175-204). Blackwell Publishers.