RESIDENTIAL MOBILITY AND ATTEMPTED SUICIDE AMONG ADOLESCENTS: An Individual-Level Analysis

Building on the Durkheimian legacy's emphasis on social integration as a determinant of suicidal behavior, many macrolevel studies have observed an association between aggregate rates of geographical mobility and suicide, but little research has explored this connection at the individual level. We use data from 9,594 respondents who participated in two waves of the National Longitudinal Study of Adolescent Health to examine the effect of recent residential mobility on attempted suicide one year later and to explore the mechanisms that potentially transmit this effect. We find that among adolescent girls, recent movers are about 60 percent more likely than nonmovers to report having attempted suicide during the following year and that this difference cannot be readily explained by mover versus nonmover differences in preexisting demographic and family background characteristics. Some of the apparent effect of residential mobility on females' risk of attempting suicide operates through higher rates of victimization and delinquency, lower levels of school attachment, higher rates of social isolation, and a tendency for movers to associate with peers who exhibit delinquent behaviors and who themselves have attempted suicide. In contrast, we find no evidence that mobile female adolescents' deficit of parental social capital or lower levels of school engagement can account for the difference in attempted suicide risk between movers and nonmovers. We also find that residential mobility is not significantly associated with suicide attempts among adolescent males.     

Threatened and attempted suicide by partner-violent male respondents petitioned to family violence court

The authors examined threatened and attempted suicide among partner-violent male respondents in a family court domestic violence intervention court based on the reports of 101 women petitioning the court for orders of protection. Suicidal behavior was prevalent; 45.5% of respondents had a history of threatened suicide and 12.9% had a history of suicide attempts. Most recent threats were clustered in the previous 6 months (70.5%) with one-fourth occurring within a week of the petition, potentially indicating a desperate response to a deteriorating relationship. Attempts were not clustered in recent months. Men with a history of threatened or attempted suicide were shown to have been more violent at the index offense and greater domestic violence severity overall, potentially indicating a subsample of more severely partner-violent men also at particularly heightened risk for suicide. The study of suicidal behavior in partner-violent men may inform the prevention of suicide and severe domestic violence.     

Risk factors for suicide attempts among African American women experiencing recent intimate partner violence

The purposes of this study were to identify risk factors for suicide attempts among 200 African American abused women (100 attempters, 100 nonattempters) and to test a cumulative risk model to determine if a woman's likelihood of making a suicide attempt increased as the number of risk factors increased. Results revealed that attempters were significantly more likely than nonattempters to report high levels of depressive symptoms, hopelessness, drug abuse, and childhood abuse and neglect. Results from the cumulative risk model revealed a linear association between the number of risk factors and the odds of making a suicide attempt. Compared to women with no risk factors, women with two risk factors, women with three risk factors, and women with four to five risk factors were 10, 25, and 107 times, respectively, more likely to attempt suicide. The identification of risk variables highlights the importance of designing interventions to address these factors in order to reduce the risk of suicidal behavior in abused, African American women.     

Differences in psychological health and family dysfunction by sexual victimization type in a clinical sample of African American

We examined levels of sexual victimization among a sample of 249 14‐ to 19‐year‐old African American adolescent women. Victimization was common: 32.1% reported having been raped, 33.7% had experienced sexual coercion, and 10.8% reported an attempted rape. Only 23.4% had never been victimized. We investigated whether levels of psychological health and family dysfunction varied as a function of the type of sexual victimization. Girls who had been raped had lower levels of self‐esteem and mastery and higher levels of depression compared to girls who reported no sexual victimization. Significantly higher levels of family cohesion and significantly lower levels of family support were reported by girls who had been raped versus girls who reported no sexual victimization. These findings are a starting point for future studies by providing evidence that levels of mental health and family dysfunction vary by the type of sexual victimization experienced.     

Family Factors,Theft, Vandalism,and Major Deviance Among a Multiracial/Multiethnic Sample of Adolescent Girls

This article reports on a study of 503 African-American, Hispanic, and White non-Hispanic adolescent girls attending public schools in Miami, Florida. The primary objectives of the study were to determine the prevalence of 13 self-reported delinquent behaviors in the sample, to compare these rates among the three groups of students, and to explore the predictive influences of several family factors that correlate with delinquency. It was found that 37.5% of the sample engaged in one or more acts of serious delinquency, with African-Americans reporting they had engaged in significantly more of these behaviors. The best predictors of theft/vandalism were low family pride and family substance abuse for Hispanics, low family communication for African-Americans, and low family pride for White non-Hispanics. The findings indicate that traditional family factors that have been used repeatedly to understand delinquency by male adolescents were not strong predictors of delinquency among the adolescent girls in the sample.     

Family Factors, Theft, Vandalism, and Major Deviance Among a Multiracial/Multiethnic Sample of Adolescent Girls

This article reports on a study of 503 African-American, Hispanic, and White non-Hispanic adolescent girls attending public schools in Miami, Florida, The primary objectives of the study were to determine the prevalence of 13 self-reported delinquent behaviors in the sample, to compare these rates among the three groups of students, and to explore the predictive influences of several family factors that correlate with delinquency. It was found that 37.5% of the sample engaged in one or more acts of serious delinquency, with African-Americans reporting they had engaged in significantly more of these behaviors. The best predictors of theft/vandalism were low family pride and family substance abuse for Hispanics, low family communication for African-Americans, and low family pride for White non-Hispanics. The findings indicate that traditional family factors that have been used repeatedly to understand delinquency by male adolescents were not strong predictors of delinquency among the adolescent girls in the sample.     

Suicide ideation,attempts and abuse among incarcerated gang and nongang delinquents

The present study examines suicide ideation and attempts as well as reported levels of physical and sexual abuse among gang and nongang-involved incarcerated youth. The self-report survey data were collected from 334 males and 61 females who were incarcerated in Nevada youth correctional facilities in the summer of 1994. Over half (58.3 percent) of the males and nearly half (45.2 percent) of the females reported being gang members. Surprisingly high rates of abuse (more than 70 percent for both physical and sexual abuse) were found among the incarcerated females of this study. Females reported significantly more suicide attempts and were more likely to have been physically and sexually abused than males. Nongang males reported significantly more suicide attempts and were more likely to report sexual abuse than gang-involved males. Among the gang-involved delinquents, females reported significantly more suicide attempts than males. In addition, gang members who reported sexual abuse were more likely to have higher levels of suicide ideationand to have attempted suicide. Implications for youth correction specialists and social workers are discussed.The data for this study were collected under Grant #000616 from the Nevada Agricultural Experiment Station.     

Suicidal behavior and associated factors in sexually abused adolescents

Objectives

The aim of the present study is to determine the rate of suicidal ideation and suicide attempts in sexually abused adolescents and to determine the factors associated with suicidal behavior.

Method

106 adolescents between the ages of 12–18 (94 girls, 12 boys) who were exposed to sexual abuse and referred for the preparation of forensic reports were included in the study. The investigators retrospectively examined the case files, forensic reports and social worker reports.

Results

It has been found that in cases exposed to sexual abuse, suicidal ideation developed in 63.2% (n = 67) of the individuals and 24.5% (n = 26) of them attempted suicide. The rate of suicidal ideation and suicide attempts was higher in cases who live separately from one or both parents, those who have ASD or PTSD after sexual abuse, cases in which abuse involved penetration, cases who were abused by someone known or someone from the family, cases where sexual abuse was accompanied by coercion and physical violence, and those who were exposed to abuse continuously. Among girls, in cases who have suicide history before sexual abuse and those who were abused by more than one abuser, the rate of suicidal ideation was higher.

Conclusion

It has been shown in many studies that sexual abuse in childhood increases the risk of suicidal behavior. Consideration of the factors associated with suicidal behavior in victims of sexual abuse will be helpful to clinicians in preventing suicide attempts.     

Age at Entry into Prostitution: Relationship to Drug Use,Race, Suicide,Education Level,Childhood Abuse,and Family Experiences

This study seeks to explore factors related to age at entry into prostitution. Participants were 389 women arrested for prostitution who had attended a diversion program. Women who entered prostitution as minors were found to be more likely to be African-American; report having a family member with a substance use problem; have a history of attempted suicide; and not have completed middle or high school. The age at first drug use was found to significantly impact the reported age at entry. Key areas for intervention should include improving school connectedness and preventing adolescent substance abuse, specifically for African-Americans.     

Collective efficacy, family attachment, and urban adolescent suicide attempts

The suicide rate among American adolescents between the ages of 14-25 has dramatically increased during the last 50 years, and this fact has been the focus of extensive social-scientific investigation. To date, however, research focusing on the joint effects of mental health, family, and contextual-level predictors on adolescents' suicidal behaviors is scarce. Drawing on Durkheim's classic macro-level approach to suicide and collective efficacy theory, we use data from the Project on Human Development in Chicago Neighborhoods (PHDCN) to examine the effect of informal social controls on adolescents' suicide attempts. Analyzing reports from 990 youth, we examine the hypothesis that neighborhood-level collective efficacy and family-level integration and social control independently affect suicide attempts. We also examine the extent to which they interact in their effects on suicidal behavior. Overall, results from multilevel logit models support the Durkheimian expectation that family attachment reduces the probability that adolescents will attempt suicide. The effect of collective efficacy is interactive in nature. Specifically, we find that collective efficacy significantly enhances the protective effect of family attachment and support on adolescent suicidal behaviors. We discuss findings within the context of social control theory.     

Dying in jail: The phenomenon of adolescent suicide in correctional facilities

Adolescent suicide is increasing in the United States and the incidence of suicide gestures and attempts in juvenile correctional facilities is high. The attitudes of correctional staff toward adolescents and toward suicidal behavior may contribute to the increase. Suicide is often the outcome of a progression of problems that have isolated the adolescent from meaningful social relationships. Correctional staff must be aware of the phenomenon of adolescent suicide and be given training to deal with it effectively within the institution. Institutional staff have commonly seen suicide gestures or attempts as acting out behavior rather than a symptom of low self-esteem or inability to cope with institutional placement. This discussion examines the phenomenon of adolescent suicide and the impact the juvenile justice system has on its occurrence. It will also include an examination of interdisciplinary interventive strategies which can be used in an institutional setting.     

Family Process and Child Development in Unlabeled (Normal) Families*

Preliminary data are reported from an ongoing project devoted to the study of normal families. The research emphasizes the effects of system-level variables and the micro patterns of conversational interaction on the development of children within the family. Our theoretical model focuses on the individuation process, and the way in which accuracy of interpersonal perception and mutual validation among family members contribute to and are affected by the personal development and functioning of individual family members. The data derive from two-hour interviews with 99 families in their homes, plus psychological, sociometric and achievement data on an adolescent girl in each family. We have found both structural factors and patterns of conversational interaction among parents that distinguish families of the adolescent girls who score high on the individual functioning measures from families of adolescent girls who score low on these same measures.     

Signs of resilience in sexually abused adolescent girls in the foster care system

In a sample of 99 sexually abused adolescent girls in the foster care system (64% in congregate living situations and 36% in family/foster care homes), nearly half were psychologically functioning well despite having experienced moderate-to-severe emotional, physical, and sexual abuse. It was hypothesized that these girls with resilient trajectories would differ from the currently symptomatic girls on several protective factors: education, future orientation, family support, peer influence, and religion. The results revealed that the girls with resilient trajectories were significantly more certain of their educational plans and optimistic about their future and had more positive peer influences.     

ADOLESCENT WORK AND BOYS' AND GIRLS' ORIENTATIONS TO THE FUTURE

This study compares adolescent boys' and girls' aspirations and plans concerning achievement, family, and other adult life spheres, and examines the effects of adolescent work experience on these future orientations. The data were obtained from 1001 students, chosen randomly from a list of enrolled ninth graders in a large Midwestern city. Girls were not found to have lower achievement orientations than boys. Examination of the interrelations of achievement and family plans suggests that boys see their future educational, work, and family roles as more closely integrated than do girls. Just as work and family roles are mutually supportive for adult men but in conflict for adult women, so too do employed adolescent boys appear to be developing traditional family orientations, while employed girls, especially those much exposed to formal work, expect less involvement in marriage and family life. The analyses indicate that paid work is traditionalizing for boys, promoting optimism about, and commitment to, numerous adult life domains; but for girls, formal work lessens interest in traditional female gender roles.     

Correlates of Sexual Abuse in a Sample of Adolescent Girls Admitted to Psychiatric Inpatient Care

We examined correlations of child sexual abuse among 300 adolescent girls in psychiatric inpatient treatment. Diagnostic and Statistical Manual of Mental Disorders (4th ed.)-based psychiatric diagnoses were obtained from the Schedule for Affective Disorder and Schizophrenia for School-Age Children—Present and Lifetime and from data on family and behavioral characteristics from the European Addiction Severity Index (EuropASI). A total of 79 girls (26.3%) had experienced child sexual abuse during their lifetime. Child sexual abuse was associated with an adolescent’s home environment, sibling status, smoking, posttraumatic stress disorder diagnosis, self-mutilating behavior, and suicidal behavior. At least 62% of the perpetrators were acquaintances of the victims. Correlates of child sexual abuse can be used to identify child sexual abuse victims and persons at heightened risk for child sexual abuse.     

Hispanic Adolescent Girls’ Attitudes Toward School

Hispanic adolescent girls are at elevated risk for dropping out of school. The authors interviewed 54 Hispanic adolescent girls who were attending after-school programs in the New York metropolitan area. The study investigated how the multiple factors of mother–daughter and friend mutuality, coping, acculturation, self-esteem, depression and family environment influenced the way these girls felt about school. The final logistical regression analysis appeared to support our hypothesis that girls who have a higher degree of mutuality with their mothers will be more likely to like school a lot. In addition, girls who liked school a lot were significantly more likely to have higher overall grades and to be somewhat religious. Findings are discussed within the context of the empirical and theoretical literature and implications for prevention of school drop-out are considered.     

Pathways to early coital debut for adolescent girls: a recursive partitioning analysis

This study examined pathways to early coital debut among early to middle adolescent girls in the United States. In a two-year longitudinal study of 104 adolescent girls, recursive partitioning (RP) analyses were conducted to examine the specific factors that were related to engaging in first intercourse by the 10th grade among adolescent girls who had not yet engaged in sexual intercourse by the 8th grade. RP analyses identified subsamples of girls who had low, medium, and high likelihoods of engaging in early coital debut based on six variables (i.e., school aspirations, early physical intimacy experiences, depression, body objectification, body image, and relationship inauthenticity). For example, girls in the lowest likelihood group (3% had engaged in sex by the 10th grade) reported no prior experiences with being touched under their clothes, low body objectification, high aspirations to complete graduate education, and low depressive symptoms; girls in the highest likelihood group (75% had engaged in sex by the 10th grade) also reported no prior experiences with being touched under their clothes, but had high levels of body objectification. The implications of these analyses for the development of female adolescent sexuality, as well as for advances in quantitative methods, are discussed.     

A review of literature: An examination of the correlation between attachment styles and adolescent girls’ sexual behaviors

ABSTRACT

This literature review examines eight studies of parental attachment styles, sexual behavior, and health outcomes among adolescent girls. The review focuses on studies that analyzed the perceived relationships between parents and their adolescent daughters and whether instabilities of life experiences correlated with risky sexual behaviors and if high-risk sexual behaviors were associated with an increase of sexually transmitted infections, unplanned pregnancies, and other poor health outcomes in adolescent girls. Findings show adolescent girls with insecure parental attachment styles were at a higher risk of sexual behaviors, early pregnancies, and transmission of sexually transmitted infections (STI’s). The most common finding in the studies reviewed was the significant association of how higher parental communication and monitoring may prevent risky sexual behaviors at an earlier age. Recommendations for mental and health care providers include the development of treatment programs to address the importance of parent-attachment relationships and multifaceted health needs of adolescents girls. Programs can be strengthened by involving other family members, improving parent-daughter communication and relationships and emphasizing system-level change (policy, procedure, practice). Adding these elements may ultimately lead to sustained improvements over time. Future research on other family social factors (e.g., divorce and separation of attachment figure, poverty, and single-parent homes) associated with attachment and high-risk behaviors is warranted. More research is needed to exam how secure attachments among adolescent girls may prevent earlier sexual encounters, unplanned pregnancies, and STI’s.     

Parent – Adolescent Relationships and Girls’ Unhealthy Eating: Testing Reciprocal Effects

This longitudinal study tested the direction of associations between parent –adolescent relationships and adolescent girls’ unhealthy eating. Girls (N= 184) were seen at Time 1 (M age = 14.30 years), and then again 2 years later (Time 2; M age = 16.04 years). At both assessment periods, they completed measures that assessed their eating attitudes and behaviors, relationships with their parents, height, weight, and age of menarche. Whereas unhealthy family relationships have been hypothesized as a precursor to unhealthy eating attitudes and behaviors, it is also possible that increases in these behaviors contribute to more negative relationships within the family. Structural equation modeling was employed to simultaneously investigate the longitudinal influence of parent – adolescent relationships on girls’ unhealthy eating, and girls’ unhealthy eating on parent – adolescent relationships. The model was tested with the following controls: body mass (kg/m²), pubertal timing and age. A longitudinal direct effect was found for unhealthy eating on parent– adolescent relationships; however, no direct effect was found for parent– adolescent relationships on unhealthy eating over time. For middle– and late–adolescent girls, it appears that unhealthy eating behaviors and attitudes are predictive of less positive parent – adolescent relationships over time.