a Department of Psychiatry , The Ohio State University Wexner Medical Center , Columbus , OH , USA.
b Department of Pediatrics , Baylor College of Medicine/Texas Children's Hospital , Houston , TX , USA.
Arch Suicide Res. 2019 Jul-Sep;23(3):455-470. doi: 10.1080/13811118.2018.1470949. Epub 2018 Nov 17.
Both bereavement and thwarted belongingness serve as risk markers for youth suicide-related behaviors. This study examined candidate predictors of thwarted belongingness among bereaved youth, including caregiver cause of death and surviving caregiver coping style. A group of 43 caregiver-bereaved families (58 children aged 7-13-years-old) participated in a longitudinal study investigating associations between hypothesized bereavement-related contextual factors and youth thwarted belongingness. Cause of caregiver deaths included anticipated deaths preceded by illness (37%; = 16), sudden natural deaths (25.6%; = 11), accidental deaths (20.9%; = 9), death by suicide (9.3%; = 4), and death from drug overdose (7.0%; = 3). Children's thwarted belongingness was significantly higher among youth bereaved by suicide compared to youth bereaved by sudden natural death, accident, and anticipated death by illness. Surviving caregivers' use of behavioral disengagement and positive reinterpretation and growth as coping strategies at Time 1 predicted lower thwarted belongingness in children at Time 2. Implications for risk screening and assessment of suicide risk among bereaved youth are discussed.
丧亲和归属感受挫都可作为青年自杀相关行为的风险标志物。本研究考察了丧亲青年中归属感受挫的预测因素，包括照顾者的死因和幸存照顾者的应对方式。一组 43 个照顾者-丧亲家庭（58 名 7-13 岁的儿童）参与了一项纵向研究，调查了假设的丧亲相关情境因素与青年归属感受挫之间的关联。照顾者死因包括患病前预期死亡（37%；16 人）、突发自然死亡（25.6%；11 人）、意外死亡（20.9%；9 人）、自杀死亡（9.3%；4 人）和药物过量死亡（7.0%；3 人）。与突发自然死亡、意外和预期因病死亡的丧亲青年相比，自杀丧亲的青年其归属感受挫程度明显更高。照顾者在第 1 次使用行为脱离和积极重新解释和成长作为应对策略，预测了儿童在第 2 次的归属感受挫程度更低。本文讨论了对自杀风险的风险筛查和评估的意义。
