Improving youth mental health through family-based prevention in family homeless shelters

This exploratory study examines changes in suicidal ideation among a sample (N = 28) of homeless youth, ages 11–14, residing within family shelters in a large metropolitan area. Changes in suicidal ideation from pretest to posttest are compared across two group approaches to delivering HIV prevention. Youth and their families participating in the HOPE Family Program, incorporating a family strengthening approach, are compared to those receiving a traditional health education-only approach. Multivariate analyses reveal that youth in the HOPE Family Program were 13 times more likely to report a decrease of suicidal ideation. These findings indicate that health education programs integrating a family strengthening approach hold promise for positively impacting mental health outcomes for vulnerable youth.     

Treatment For Suicidal Thoughts and Behavior: A Review of Family‐Based Interventions

The purpose of this article is to review the scientific evidence on the effects of family based interventions for suicidal ideation and behavior. We conducted an extensive search of electronic databases using a comprehensive search strategy. This search resulted in 16 studies that tested 13 interventions for treating suicidal ideation and behavior using family based interventions. Of the interventions identified, three yielded an overall improvement in suicidal ideation and behavior while an additional three interventions produced partial improvement in mental health symptoms. These studies targeted suicidal ideation and behavior in youth or adolescents while no studies examined family interventions for adults with suicidal ideation and behavior. The limitations of these studies and the need for additional research are examined.     

Young Adult Suicide and Sexual Orientation

ABSTRACT

The current project focused on the suicidal ideation and risk potential of young adults (N = 312) and explored scores on self-report measures of suicidal ideation inclusive of various sexual orientations. Results suggest that the Lesbian, Gay, and Bisexual (LGB) youth surveyed (N = 73) differ in their display of suicide risk with significantly higher Beck Hopelessness Scale (BHS) and Suicide Probability Scale (SPS) scores. Social support served as a mitigating factor relating significantly to lower levels of hopelessness and suicidal ideation, especially among those LGB participants. The SPS held a significant relationship to suicide attempt in the past year, while the BHS held a significant relationship to suicide attempt in the past six months. Implications for counselors serving young adults are addressed, including specific suggestions to enhance counselor education and supervision related to suicide assessment and LGB counselor competency.     

Sexual Orientation–Based Depression and Suicidality Health Disparities: The Protective Role of School‐Based Health Centers

This study's purpose was to examine whether school‐based health centers (SBHCs) support mental health indicators among sexual minority youth (SMY). Data came from the 2015 Oregon Healthy Teens Survey with 13,608 11th graders in 137 public high schools in Oregon. Regression results revealed significant SBHC by SMY status interactions indicating relative reductions in likelihood of depressive episodes (30%), suicidal ideation (34%), and suicide attempts (43%) among SMY in schools with SBHCs. SMY students in SBHC schools reported lower likelihood of a past‐year depressive episode, suicidal ideation, and suicide attempt versus those attending non‐SBHC schools. Conversely, no differences in these outcomes were observed for non‐SMY by SBHC status. SBHCs may help reduce mental health disparities among SMY, a marginalized, underserved population.     

Attachment‐Based Family Therapy With a 13‐Year‐Old Girl Presenting With High Risk for Suicide

This article describes the application of Attachment‐Based Family Therapy (ABFT) to the treatment of a 13‐year‐old female adolescent presenting with high risk of suicide, complicated by a history of depression and sexual trauma. The article begins with an overview of ABFT, including (a) how attachment theory guides treatment; (b) the structure of the clinical model; and (c) the data that provide empirical support. A case example is then presented that exemplifies the primary clinical procedures used to reach therapeutic goals in ABFT, including attachment repair and autonomy/competence promotion. Weekly changes in suicide ideation and depression scores are presented. The article concludes with a discussion about implications for family‐based treatment of suicidal youth.     

Tagging Walls and Planting Seeds: Creating Spaces for Youth Civic Action

Youth civic spaces are environments in which youth participation in civic action is fostered—the pathways, structures, and vehicles that provide opportunities for young people to engage in critical discussion, dialogue, and action. The concept of youth civic space includes the formal and informal places in which youth civic engagement can occur and how the lived experience of those places contributes to young people's development as civic actors. It extends discussions regarding the physical locations of youth civic engagement to include the activities, perceptions, and interactions within them. Drawing on archival materials from 2 multiyear projects, this article explores the role of community-based organizations in mediating youth civic action and understanding the characteristics and qualities of the organizations that facilitate youth engagement in community action and social change. We use this analysis of empirical examples to develop a conceptual framework for strengthening practice.     

Developmental Trends in Adolescent Suicidal Ideation

Research using retrospective or cross‐sectional data suggests that suicidal ideation rates peak during mid‐adolescence. This study used a longitudinal, community sample of adolescents who reported suicidal ideation repeatedly over 7 years to examine suicidal ideation trends. We hypothesized that a mid‐adolescence peak in ideation is limited to adolescents exposed to friends' or family members' suicidality. Ideation trends were compared across groups exposed and not exposed to others' suicidality and statistically assessed using growth curve analyses. Overall, ideation rates peaked at age 15 years. Group comparisons revealed that the peak was limited to adolescents whose parents reported suicidality.     

Three Psychotherapies for Suicidal Adolescents: Overview of Conceptual Frameworks and Intervention Techniques

Suicide is the second leading cause of death among youth, and as many as one in five youth report having had at least one serious thought of suicide in the past year. Despite the enormous emotional pain and suffering associated with suicidal thoughts and behaviors, up to 40 % of suicidal youth never receive treatment. Given that social workers are employed in multiple settings where suicidal children and adolescents are encountered (e.g. schools, homeless shelters, emergency departments, outpatient mental health agencies, private practice), they play a critical role in the identification and treatment of suicidal youth. In the past decade, evidence has emerged that attachment-based family therapy, integrated cognitive behavioral therapy, and dialectical behavior therapy can reduce suicidal ideation and/or suicide attempt in youth. The purpose of this article is to review the theoretical assumptions, conceptual frameworks and key intervention techniques for these three interventions so that clinicians can integrate these approaches into their practice with suicidal youth and families. Implications for practice are integrated throughout the review.     

Collaborative Teams for Youth Engagement

SUMMARY

Youth engagement on collaborative teams is a viable approach to healthier youth development and community development. This article examines four characteristics of engagement in the research literature and a specific school-community-university project: adult support, a youth-friendly environment, the completion of meaningful tasks, and the learning and utilization of new skills.     

Suicidal Thoughts/Behaviors in Sexually Abused Children

This study examined the frequency of suicidality based on self-report and parent report in 430 sexually abused outpatient youth ages 3 to 17. Thirty-four percent of youth experienced suicidal ideation or behavior. However, when both parent and child completed measures, the rate of suicidality increased to 45.3%. The prevalence of suicidal thoughts and behavior was not higher based on relationship to the perpetrator, race, or previous placement outside the home. Suicidal youth rated themselves as more depressed, anxious, and angry on self-reports. Child self-reports of post-traumatic stress disorder were greater among the suicidal youth. Parent reports of depression and post-traumatic stress disorder were greater among suicidal youth. A logistic regression model including Trauma Symptom Checklist for Children Depression and Anger scores correctly classified 74.2% of suicidal and nonsuicidal children and adolescents, but not self-criticism, was predicted by depression and anger. These findings support the need for formal multi-informant evaluations of suicidality in sexually abused youth.     

Promoting Empowerment Among LGBTQ Youth: A Social Justice Youth Development Approach

Lesbian, gay, bisexual, transgender and queer-identified (LGBTQ) youth are a population with a unique set of service needs. Existing research on effective service methods with LGBTQ youth is limited. Youth empowerment holds potential as an approach that can impact well-being among youth who face discrimination. The current study explores the relationship between the social justice youth development framework (Ginwright and James, New Directions Youth Dev 96:27–46, 2002) and youth empowerment in a sample of LGBTQ youth. Multiple regression analysis of data collected through a community-based youth program identified critical consciousness and community engagement as significant predictors of empowerment. Findings suggest that programs that promote these factors among LGBTQ youth using the social justice youth development framework may enhance empowerment thereby increasing other aspects of well-being.     

Youth councils in municipal government: Examination of activities,impact and barriers

This study reports on youth councils in 24 municipalities in one major metropolitan area. Semi-structured interviews were conducted with one key adult stakeholder in each municipality in order to understand the scope, structure, functioning, activities, and impact of youth councils. These data were supplemented with review of documents and websites that described the councils. Findings indicated that youth councils were engaged in a wide-range of activities suggesting the model is fluid to meet the needs of both the youth and the community. Specific impacts were identified by participants some of which were directly related to the delivery of activities and others which influenced policy change. Among the barriers identified was the continuing need to identify a broader range of youth to participate in these initiatives. Despite a societal need for greater youth civic engagement and the generally positive attitude toward this idea, youth councils remain limited in practice and the research base is under-developed. Our study contributes to advancing both practice and research.     

Social Support and Academic Engagement Among Reconnected Youth: Adverse Life Experiences as a Moderator

Using motivational theories of engagement and adopting a multidimensional perspective of academic engagement, the authors investigate the associations among teacher and parent support, students’ academic self‐efficacy, and academic engagement among a sample of reconnected youth who have returned to academic pursuit after dropping out (N = 938, mean age = 16.50, SD = 1.78). In addition, they examine how youth's adverse life experiences moderate the pathways in this model, an analysis notably missing from much of the academic engagement literature. They find that students’ academic self‐efficacy mediates parent and teacher support and youth academic engagement. Moreover, participants’ adverse life experiences moderate the connections among perceived support from parents, academic self‐efficacy, and academic engagement. Implications for practice and future directions are discussed.     

A systematic review of psychosocial interventions for suicidal adolescents

Suicide is a leading cause of death for young people and rates of serious suicidal thoughts are even higher. Due to these high rates and potential harm to youth, effective interventions are necessary. The purpose of this systematic review was to determine the impact of interventions designed for suicidal adolescents. Both quasi-experimental and experimental designs in the published and unpublished literature were included, and a total of 17 studies were located. According to meta-analysis, intervention group participants were slightly less likely to have suicidal and self-harm events than control group participants. However, when studies assessed outcome at a later period than immediately after intervention, experimental group participants were slightly more likely to have suicidal and self-harm events than control group participants. For studies that measured suicidal ideation at posttest, intervention group participants were slightly less likely to report suicidal ideation than control group participants, both at posttest and at follow-up. These contradictory findings are explored and discussed.     

Engaging Youth in Municipal Government: Moving Toward a Youth-Centric Practice

Youth councils are one mechanism to engage youth in community governance; yet, there is scant research to guide practice. This study examined the extent to which youth are engaged in the origin, structure, and activities of municipal youth councils. Interviews were conducted with 24 adult stakeholders involved in the operations of youth councils. Data were analyzed using thematic analysis. Results demonstrated that youth-centric practice builds upon theoretical frames of positive youth development, social justice, and civic engagement. Youth-centric practice consists of youth representation, leadership, initiative, and decision-making. Results can assist practitioners and policy makers in engaging youth in municipal government.     

Using the Constructs Multifinality,Work Hope,and Possible Selves With Urban Minority Youth

This article describes and highlights the potential contributions that the constructs multifinality, work hope, and possible selves make for designing career counseling interventions and for better understanding possible career‐related factors associated with academic engagement and achievement among urban minority youth. Multifinality may serve as a superordinate orientation because it conceptualizes development as discontinuous and relatively plastic, allowing for youth deemed at risk to follow more hopeful pathways. Work hope and possible selves emphasize the utility of providing urban minority youth with space to answer questions related to what they might achieve and do in the future and who they might become. Together, multifinality, work hope, and possible selves provide a hopeful conceptual framework for career researchers and practitioners.     

Summer Engagement for At-Risk Youth: Preliminary Outcomes from the New York State Workforce Development Study

The goal of engaging high-risk youth in pro-social activities is to reduce involvement in the criminal justice system and create experiences that increase the youth’s chance of success in education and employment in the future. However, the literature does not support this assumption. The current study looks at the Summer Youth Engagement Program in New York State (NYSYEP). NYSYEP attempts to engage youth in a variety of pro-social activities including employment; education programs; organized recreation programs; and, volunteer work or community service. The hypothesis for the study was that youth who were engaged in pro-social activities would be more likely to be rearrested than youth who were not engaged. The number of hours of youth engagement was found to reduce the odds of being rearrested, but by only 2 %.     

Health attitudes and suicidal ideation among university students

ABSTRACT

Objective: The purpose of this study was to examine whether positive health attitudes are associated with suicidal ideation among university students after accounting for other health risk factors linked to suicidal ideation. Participants: Participants were 690 undergraduates from a large midwestern university during fall semester 2011. Methods: Participants reported demographics and health characteristics. Regression models compared individuals who reported suicidal ideation and those who did not. Results: In unadjusted models, suicidal ideation was significantly negatively associated with positive health attitudes, and positively associated with depression, drug use problems, sleep problems, and being overweight. In adjusted models, more positive health attitudes continued to be significantly negatively associated with suicidal ideation. Conclusions: This study suggests a link between positive health attitudes and lower probability of suicidal ideation. Additional research is needed to assess enhancing general health attitudes as a suicide prevention effort.     

Mechanisms of Family Impact on African American Adolescents' HIV‐Related Behavior

A longitudinal model that tested mediating pathways between protective family processes and HIV‐related behavior was evaluated with 195 African American youth. Three waves of data were collected when the youth were 13, 15, and 19 years old. Evidence of mediation and temporal priority were assessed for 3 constructs: academic engagement, evaluations of prototypical risk‐taking peers, and affiliations with risk‐promoting peers. Structural equation modeling indicated that protective family processes assessed during early adolescence were associated with HIV‐related behavior during emerging adulthood and that academic engagement, evaluations of prototypical risk‐taking peers, and affiliations with risk‐promoting peers accounted for this association. Evidence of a specific pathway emerged: protective family processes→academic engagement→negative evaluations of prototypical risk‐taking peers→affiliations with risk‐promoting peers→HIV‐related behavior. Academic engagement also was a direct predictor of HIV‐related risk behavior.