Ga. Clum et al., AN EXPANDED ETIOLOGIC MODEL FOR SUICIDE BEHAVIOR IN ADOLESCENTS - EVIDENCE FOR ITS SPECIFICITY RELATIVE TO DEPRESSION, Journal of psychopathology and behavioral assessment, 19(3), 1997, pp. 207-222
This study tests both the stress/social support and the stress/problem
-solving etiological models for suicidality while controlling for depr
ession. To this end, a depressed, high-suicide-ideating sample (N = 68
) was compared to a depressed, low-suicide-ideating sample (N = 64). H
ierarchical multiple regression analyses were used to test the unique
contributions of stress, problem-solving orientation problem-solving s
kills. and perceived level of social support in predicting level of su
icidality. Hierarchical regression analyses were also used to test the
interactive contributions of problem-solving x stress and social supp
ort x stress in predicting level of suicidality. Regression models wer
e generated separately for men, women, and the entire sample using all
factors. The results clearly support the importance of social support
as an independent predictor of suicidality for men, women, and the en
tire sample. Ability to generate alternatives to identified problems p
redicted suicidality, but only for women and the entire sample. Proble
m-solving orientation was not uniquely predictive of suicidality and m
ay affect suicidal behavior via its relationship to depression.