Attachment organization and history of suicidal behavior in clinical adolescents

被引:130
作者
Adam, KS
SheldonKeller, AE
West, M
机构
[1] MCMASTER UNIV,DEPT PSYCHIAT,HAMILTON,ON,CANADA
[2] UNIV VIRGINIA,DEPT PSYCHIAT MED,CHARLOTTESVILLE,VA 22903
[3] UNIV CALGARY,DEPT PSYCHIAT,CALGARY,AB,CANADA
关键词
D O I
10.1037/0022-006X.64.2.264
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
One hundred thirty-three adolescents in psychiatric treatment participated in a case-comparison study investigating the association of attachment patterns with a history of suicidal behaviors. The comparison group comprised 64 adolescents who had never experienced suicidal ideation or behaviors; the case group included 69 adolescents with histories of suicidal behavior (n = 53) and severe suicidal ideation (n = 16). Attachment patterns were assessed using the Adult Attachment Interview. In accordance with definitions provided in the scoring system, 86% of case and 78% of comparison adolescents in psychiatric treatment had experienced attachment-related trauma. Lapses in the monitoring of reasoning or discourse occurred during the attempted discussion of these events in 73% of adolescents in the case group but in only 44% of adolescents in the clinical comparison group (p = .002), suggesting that cognitive disorganization may be an important variable mediating between traumatic experience and suicidal behavior. Female adolescents and older adolescents were significantly more likely than other adolescents to be in the case group. Preoccupied attachment, in interaction with unresolved-disorganized attachment, was associated with the case group, whereas dismissing attachment was associated with the comparison group.
引用
收藏
页码:264 / 272
页数:9
相关论文
共 46 条
[11]  
BENOIT D, 1994, CHILD DEV, V65, P1444, DOI 10.2307/1131510
[12]  
BLUMENTHAL SJ, 1990, PSYCHIAT CLIN N AM, V13, P511
[13]   DEVELOPMENTAL PSYCHOPATHOLOGY IN SUICIDAL AND NONSUICIDAL ADOLESCENT GIRLS [J].
BORST, SR ;
NOAM, GG .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1993, 32 (03) :501-508
[14]  
Bowlby J., 1973, ATTACHMENT LOSS VOL, V2
[15]  
Bowlby J., 1969, ATTACHMENT LOSS, V1
[16]  
BRENT DA, 1990, SUICIDE LIFE CYCLE R
[17]   ATTACHMENT, INDIVIDUATION, AND RISK OF SUICIDE IN LATE ADOLESCENCE [J].
DEJONG, ML .
JOURNAL OF YOUTH AND ADOLESCENCE, 1992, 21 (03) :357-373
[18]  
DEWILDE EJ, 1992, AM J PSYCHIAT, V149, P45
[19]   MATERNAL REPRESENTATIONS OF ATTACHMENT DURING PREGNANCY PREDICT THE ORGANIZATION OF INFANT-MOTHER ATTACHMENT AT ONE YEAR OF AGE [J].
FONAGY, P ;
STEELE, H ;
STEELE, M .
CHILD DEVELOPMENT, 1991, 62 (05) :891-905
[20]  
GARFINKEL BD, 1982, AM J PSYCHIAT, V139, P1257