Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill.
Department of Psychology and Neuroscience, Duke University.
J Psychopathol Clin Sci. 2023 Jul;132(5):610-620. doi: 10.1037/abn0000836. Epub 2023 May 25.
Adverse social experiences are often linked to suicidal behavior in adolescence, perhaps particularly for girls. Social problem-solving abilities may indicate more or less adaptive responses to adverse social experiences that contribute to adolescent girls' risk for suicidal behavior. While social problem-solving is implicated in cognitive and behavioral theories of suicidal behavior, prior work is largely cross-sectional and examines bivariate associations between social problem-solving, assessed in neutral conditions, and suicidal behavior. Using a novel performance-based task, this study assessed social problem-solving in adolescent girls ( = 185, = 14.66, = 1.41) before and after an experimentally simulated social stressor and examined associations between social problem-solving and past-year suicidal behavior. Prospective analyses tested whether greater changes in specific social problem-solving domains following the social stressor predicted greater likelihood of suicidal behavior over a 9-month follow-up in contexts of elevated, real-life interpersonal stress. Results revealed that adolescent girls who showed greater changes (i.e., reflecting declines) in problem-solving effectiveness following acute social stress were more likely to exhibit suicidal behavior over the following 9 months, but only if they also experienced elevated interpersonal stress in real life. State-dependent changes in social problem-solving may indicate a cognitive vulnerability following social stress that, in combination with cumulative interpersonal stress in real life, distinguishes adolescent girls at heightened risk for future suicidal behavior. Findings demonstrate the importance of examining suicide risk factors under conditions that may more closely mirror the interpersonal contexts in which adolescents' risk for suicidal behavior may be elevated. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
不良的社会经历通常与青少年时期的自杀行为有关，尤其是对女孩而言。社会问题解决能力可能表明对不良社会经历的适应程度更高或更低，而这些经历会增加少女自杀行为的风险。虽然社会问题解决能力与自杀行为的认知和行为理论有关，但之前的研究大多是横断面研究，检验了在中性条件下评估的社会问题解决能力与自杀行为之间的双变量关联。本研究使用一种新颖的基于表现的任务，在经历实验性模拟社会应激源前后评估了少女的社会问题解决能力（n=185，M=14.66，SD=1.41），并考察了社会问题解决能力与过去一年自杀行为之间的关联。前瞻性分析测试了在社会应激源后，特定社会问题解决领域的变化是否预示着在 9 个月的随访中，在现实生活中人际压力升高的情况下，自杀行为的可能性更大。结果表明，在急性社会应激后，在解决问题的有效性方面表现出更大变化（即反映下降）的少女在接下来的 9 个月中更有可能表现出自杀行为，但前提是她们在现实生活中也经历了更高的人际压力。社会问题解决能力的状态依赖性变化可能表明，在社会应激后存在认知脆弱性，如果与现实生活中累积的人际压力相结合，可能会区分出未来自杀行为风险较高的少女。研究结果表明，在可能更接近青少年自杀行为风险升高的人际环境的情况下，检查自杀风险因素的重要性。（PsycInfo 数据库记录（c）2023 APA，保留所有权利）。
