By Alec L. Miller PsyD, Jill H. Rathus Phd, Marsha M. Linehan PhD ABPP, Charles R. Swenson MD
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Extra resources for Dialectical Behavior Therapy with Suicidal Adolescents
White youth have higher rates than African American youth, with Asians/Pacific Islanders having the lowest rates. Based on a significant increase in suicide among African American males between 1986 and 1994, the long-standing difference between African Americans and white has declined. , 2003). There are no clear explanations for this decline during the past decade. Hispanics have a relatively low suicide completion rate, but are significantly more likely than either white or African American adolescents to report suicidal ideation and to have made a suicide attempt (Kann, Kinchen, Williams, & Ross, 2000; Reynolds & Mazza, 1992; Tortolero & Roberts, 2001).
Families of most attempting girls were usually mobilized by the attempts. This list of findings serves as an initial profile of risk factors for suicidal behavior among inner-city Hispanic adolescent females. However, given the small sample size and the fact that some reported findings did not reach statistical significance, the study’s conclusiveness is limited. Socioeconomic Status The data are mixed regarding the effect of SES and suicide. Several studies have found youth attempting suicide to have lower SES than community controls, even after other social and mental health risk factors are controlled for (Beautrais, Joyce, & Mulder, 1996; Fergusson, Woodward, & Horwood, 2000; Wunderlich, Bronish, & Wiichen, 1998).
In Chapter 2 we review the research on existing treatments, including preliminary findings on DBT adaptations for suicidal adolescents. We describe DBT, with those adaptations that we feel are most effective for multiproblem suicidal adolescents, in subsequent chapters. DEFINING ADOLESCENT SUICIDAL BEHAVIORS “Suicidal behaviors” include completed suicide, suicide attempts, and suicidal ideation. , 1996; Reynolds & Mazza, 1994). We include NSIB within the general category of suicidal behaviors for a number of reasons.