Social support buffers the effect of interpersonal life stress on suicidal ideation and self-injury during adolescence
Social support buffers the effect of interpersonal life stress on suicidal ideation and self-injury during adolescence
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DOI：
10.1017/s0033291716003275
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发表时间：
2017-04-01
影响因子：
6.9
通讯作者：
Klein, D. N.
中科院分区：
文献类型：
--
作者：
Mackin, D. M.;Perlman, G.;Klein, D. N.
背景资料。生活压力对青春期自杀症状的影响是有据可查的。应激性生活事件可能会引发自杀，但大多数青少年都很有弹性，目前还不清楚哪些因素可以保护他们免受压力的有害影响。社会支持被认为是其中一个因素。因此，我们调查了特定的社会支持来源(父母和同伴)对生活压力(人际和非人际)在预测青春期自杀症状方面的缓冲作用。为了测试这种应激缓冲的特异性，我们还检查了它的烦躁情绪。数据来自青少年情绪和人格特征发展(Adet)项目，该项目从长岛招募了550名年龄在13.5-15.5岁的青少年女性。在基线时评估自我报告的社会支持、自杀倾向和烦躁不安，在9个月的随访中再次评估自杀和烦躁不安。随访时采用访谈法进行生活压力评估。高水平的父母支持保护青春期女孩不会在应激源后出现自杀症状。对于同伴支持，这种影响就不那么明显了。此外，社会支持并没有缓冲非人际压力的致病效应。最后，社会支持并不能缓解生活压力对焦虑症的影响。综上所述，我们的结果强调了自杀症状发展的不同于焦虑症的不同于父母支持的不同的发展路径，并表明了社会支持在预防青春期女孩自杀方面的重要性和特异性。
Background. The effect of life stress on suicidal symptoms during adolescence is well documented. Stressful life events can trigger suicidality, but most adolescents are resilient and it is unclear which factors protect against the deleterious impact of stress. Social support is thought to be one such factor. Therefore, we investigated the buffering effect of specific sources of social support (parental and peer) on life stress (interpersonal and non-interpersonal) in predicting suicidal symptoms during adolescence. In order to test the specificity of this stress buffering, we also examined it with regard to dysphoric mood.Method. Data come from the Adolescent Development of Emotions and Personality Traits (ADEPT) Project, a cohort of 550 adolescent females aged 13.5-15.5 recruited from Long Island. Self-reported social support, suicidality, and dysphoria were assessed at baseline and suicidality and dysphoria were assessed again at 9-month follow-up. Life stress was assessed by interview at the follow-up.Results. High levels of parental support protected adolescent girls from developing suicidal symptoms following a stressor. This effect was less pronounced for peer support. Also, social support did not buffer the pathogenic effects of non-interpersonal stress. Finally, social support did not buffer the effect of life stress on dysphoric symptoms.Conclusions. Altogether, our results highlight a distinct developmental pathway for the development of suicidal symptoms involving parental support that differs from the development of dysphoria, and signifies the importance and specificity of social support in protecting against suicidality in adolescent girls.