Coping with stress in adolescents with self-harm and suicidal behavior
Fedunina N.Y., Ph.D. in Psychology, research fellow of the Centre for emergency psychological assistance, Moscow State University of Psychology, Russia, natalia_fedunina@mail.ru Bannikov G.S., Ph.D. in Medicine, senior researcher, Center for Urgent Psychological Help, head of laboratory Scientific-methodical support of urgent psychological help, Moscow State Research Institute of Psychiatry, Ministry of Public Health and Social Development, Moscow State University of Psychology and Education, Moscow, Russia, bannikovgs@mgppu.ru Pavlova T.S., research associate, research laboratory «Scientific and Methodological Basis of Emergent Psychological Aid», Center for Emergent Psychological Aid, Moscow State University of Psychology & Education, Moscow, Russia, darzo@yandex.ru Vikhristuk O.V., Ph.D. in Psychology, director of the Urgent Psychological Aid Center, Moscow State University of Psychology and Education, Moscow, Russia, vikhristukov@mgppu.ru Bazhenova M.D., Center for Emergency Psychological Aid, Moscow State University of Psychology & Education, maribazh@gmail.com
The paper presents the results of the study of coping specifics in adolescents at risk of self-injurious and suicidal behavior (N=174). We hypothesized that profiles of coping depended on the types of actual stress. We took into consideration the following types of stressful circumstances: parental divorce, death of relatives or loved ones, conflict with parents, serious somatic disease, academic failure and school problems, unrequited love, other, no actual stress. We discovered both common and stress-specific coping strategies. One of the common coping strategies is avoidance that is used more often in all stressful situations. Moreover, the sample was distinguished by increasing low-level strategies, rather than decreasing high-level strategies (such as planning or reappraisal). Applications to prevention measures are discussed.
Bannikov G.S. Rol’ lichnostnykh osobennostei v
formirovanii struktury depressii i reaktsii dezadaptatsii. Diss. kand. med.
nauk. [The role of personal characteristics in the structure of depression and
non-adaptive reactions. Ph. D. (Medicine) diss.]. Moscow, 1998. 220 p.
Bannikov G.S., Fedunina N.Yu., Pavlova T.S., Vikhristyuk
O.V., Letova A.V., Bazhenova M.D. Vedushchie mekhanizmy samopovrezhdayushchego
povedeniya u podrostkov: po materialam monitoringa v obrazovatel’nykh
organizatsiyakh [Mechanisms of self-harm behavior in non-clinical adolescent
population: the results of monitoring in Moscow schools]. Konsul’tativnaya
psikhologiya i psikhoterapiya [ Counseling Psychology and
Psychotherapy], 2016. Vol. 24 (3), pp. 42—68. doi:10.17759/cpp.2016240304.
(In Russ., аbstr. in Engl.)
Dvorshchenko V.P. Diagnosticheskii test lichnostnykh
rasstroistv. [Diagnostic test of personal disorders]. Saint Petersburg: Rech’,
2008. 128 p.
Kryukova T.L., Kuftyak E.V. Oprosnik sposobov sovladaniya
(adaptatsiya metodiki WCQ). [Ways of coping questionnaire (adaptation of WCQ)].
Zhurnal prakticheskogo psikhologa [Journal of Practical
Psychologist], 2007, no. 3, pp. 93—112.
Pavlova T.S. Koping-strategii podrostkov s antivital’nymi
perezhivaniyami [Elektronnyi resurs] [Coping strategies in adolescents with
non-vital emotional experiences]. Psikhologicheskaya nauka i obrazovanie
psyedu.ru [ Psychological Science and Education psyedu.ru], 2013,
no. 1. Available at: http://psyjournals.ru/ psyedu_ru/2013/n1/59152.shtml
(Accessed 10.10.2017) (In Russ., аbstr. in Engl.).
Perchenko E.L. Osobennosti sovladayushchego povedeniya u
studentov s raznym urovnem uspevaemosti [The characteristics of coping in
students on different levels of academic achievement]. Nauchnye
issledovaniya i razrabotki v epokhu globalizatsii: sbornik statei
Mezhdunarodnoi nauchno-prakticheskoi konferentsii (25 noyabrya 2016 g., g.
Perm’). V 7 ch. Ch. 6. [Scientific studies and discoveries in the age of
globalization: proceedings of the International scientific-practical
conference (November 25th, 2016, Perm’). In 7 parts. Part 6]. Perm’: AETERNA,
2016, pp. 132—136.
Pol’skaya N.A. Prichiny samopovrezhdeniya v yunosheskom
vozraste (na osnove shkaly samootcheta) [The reasons of self-injurious behavior
in youth (based on a self-report scale)]. Konsul’tativnaya psikhologiya i
psikhoterapiya [ Counseling Psychology and Psychotherapy], 2014, no.
2, pp. 140—152. (In Russ., аbstr. in Engl.)
Sirota N.A., Yaltonskii V.M. Koping-povedenie i
psikhoprofilaktika psikhosotsial’nykh rasstroistv u podrostkov [Coping and
psychological prevention of mental and social disorders in adolescents].
Obozrenie psikhiatrii i meditsinskoi psikhologii im. V.M. Bekhtereva
[Review of psychiatry and medical psychology named after V.M.
Bekhterev], 1994, no. 1, pp. 63—74.
Syrokvashina K.V. Sovremennye psikhologicheskie modeli
suitsidal’nogo povedeniya v podrostkovom vozraste [Modern Psychological Models
Of Suicidal Behavior In Adolescents]. Konsul’tativnaya psikhologiya i
psikhoterapiya [Counseling Psychology and Psychotherapy], 2017. Vol.
25 (3), pp. 60—75. doi:10.17759/cpp.2017250304. (In Russ., аbstr. in
Engl.)
Fesenko Yu.A., Kholmogorova A.B. Sluchai suitsidov sredi
podrostkov kak sotsial’naya problema: po sledam V vserossiiskogo foruma “Nashi
deti zdorov’e detei i faktory, ego formiruyushchie” [Suicides Among Adolescents
As A Social Problem: 5th All- Russian Forum “Our Children. Children’s Health
And Its Factors”]. Konsul’tativnaya psikhologiya i psikhoterapiya
[Counseling Psychology and Psychotherapy]. 2017. Vol. 25 (2), pp.
188—193. doi:10.17759/cpp.2017250212. (In Russ., аbstr. in Engl.)
Fedunina N.Yu., Bannikov G.S., Vikhristyuk O.V., Bazhenova
M.D. Osobennosti samootsenki sostoyanii odinochestva i beznadezhnosti u
podrostkov s samopovrezhdayushchim povedeniem na fone raznykh stressovykh
situatsii [Self-assessment of loneliness and hopelessness in adolescents with
self-harm behavior under different actual stressors]. Perspektivy
psikhologicheskoi nauki i praktiki: sbornik statei Mezhdunarodnoi
nauchno-prakticheskoi konferentsii. RGU im. A.N. Kosygina, 16 iyunya 2017 g.
[Prospects of Psychological Science and Practice: Proceedings of
International Scientific-Practical Conference. Kosygin Russian State
University, June 16, 2017]. Moscow: FSBEI HE “Kosygin Russian State
University”, 2017, pp. 668—671.
American Psychological Association. Guidelines for
Prevention in Psychology // American Psychologist. 2014. Vol. 69 (3). P.
285—296. doi:10.1037/a0034569
Evans E., Hawton K., Rodham K. In what ways are
adolescents who engage in self-harm or experience thoughts of self-harm
different in terms of help-seeking, communication and coping strategies? //
Journal of Adolescence. 2005. Vol. 28 (4). P. 573—587.
doi:10.1016/j.adolescence.2004.11.001
Gould M.S., Velting D., Kleinman M., Lucas C., Thomas
J.G., Chung M. Teenagers’ Attitudes About Coping Strategies and Help-Seeking
Behavior for Suicidality // Journal of the American Academy of Child &
Adolescent Psychiatry. 2004. Vol. 43 (9). P. 1124—1133.
doi:10.1097/01.chi.0000132811.06547.31
Hayes S.C., Wilson K.G., Gifford E.V., Follette V.M.,
Strosahl K. Experiential avoidance and behavioral disorders: A functional
dimensional approach to diagnosis and treatment // Journal of Consulting and
Clinical Psychology. 1996. Vol. 64 (6). P. 1152—1168.
doi:10.1037/0022-006X.64.6.1152
Horwitz A.G., Hill R.M., King C.A. Specific Coping
Behaviors in Relation to Adolescent Depression and Suicidal Ideation // Journal
of Adolescence. 2011. Vol. 34 (5). P. 1077—1085.
doi:10.1016/j.adolescence.2010.10.004
Seiffge-Krenke I. Causal links between stressful events,
coping style, and adolescent symptomatology // Journal of Adolescence. 2000.
Vol. 23 (6). P. 675—691. doi:10.1006/jado.2000.0352
Kattimani S., Sarkar S., Rajkumar R.P., Menon V. Stressful
life events, hopelessness, and coping strategies among impulsive suicide
attempters // Journal of Neurosciences in Rural Practice. 2015. Vol. 6 (2). P.
171—176. doi:10.4103/0976-3147.153222
Lewis S.A., Johnson J., Cohen P., Garcia M., Noemi Velez
C. Attempted suicide in youth: Its relationship to school achievement,
educational goals, and socioeconomic status // Journal of Abnormal Child
Psychology. 1988. Vol. 16 (4). P. 459—471. doi:10.1007/BF00914175
Li Z., Zhang J. Coping skills, mental disorders, and
suicide among rural youths in China // The Journal of Nervous and Mental
Disease. 2012. Vol. 200 (10). P. 885— 890.
doi:10.1097/NMD.0b013e31826b6ecc
Mathew A., Nanoo S. Psychosocial stressors and patterns of
coping in adolescent suicide attempters // Indian Journal of Psychological
Medicine. 2013. Vol. 35 (1). P. 39—46. doi:10.4103/0253-7176.112200
Muehlenkamp J.J. Empirically supported treatments and
general therapy guidelines for non-suicidal self-injury // Journal of Mental
Health Counseling. 2006. Vol. 28 (2). P. 166—185.
doi:10.17744/mehc.28.2.6w61cut2lxjdg3m7
Mirkovic B., Labelle R., Guilé J.-M., Belloncle V., Bodeau
N., Knafo A., Condat A., Bapt-Cazalets N., Marguet C., Breton J.-J., Cohen D.,
Gérardin P. Coping Skills Among Adolescent Suicide Attempters: Results of a
Multisite Study // Canadian Journal of Psychiatry. 2015. Vol. 60 (2, suppl. 1).
P. 37—45.
Speckens A.E.M., Hawton K. Social problem solving in
adolescents with suicidal behavior: a systematic review // Suicide and
Life-Threatening Behavior. 2005. Vol. 35 (4). P. 365—387.
doi:10.1521/suli.2005.35.4.365
Spirito A., Overholser J., Stark L.J. Common problems and
coping strategies II: Findings with adolescent suicide attempters // Journal of
Abnormal Child Psychology. 1989. Vol. 17 (2). P. 213—221.
doi:10.1007/BF00913795
Stratta P., Capanna C., Carmassi C., Patriarca S., Di
Emidio G., Riccardi I., Collazzoni A., Dell’Osso L., Rossi A. The adolescent
emotional coping after an earthquake: A risk factor for suicidal ideation //
Journal of Adolescence. 2014. Vol. 37 (5). P. 605—611.
doi:10.1016/j.adolescence.2014.03.015
Vojudi B., Hashemi T., Abdolpour G., Mashinchi A.N.
Predicting suicide ideation based on identity styles and coping strategies //
Contemporary Psychology. 2015, Vol. 10 (1). P. 47—56.
Wilson K.G., Stelzer J., Bergman J.N., Kral M.J.,
Inayatullah M., Elliott C.A. Problem Solving, Stress, and Coping in Adolescent
Suicide Attempts // Suicide and Life-Threatening Behavior. 1995. Vol. 25 (2).
P. 241—252.
Yao Y-S., Chang W-W., Jin Y-L., Chen Y., He L-P. Zhang L.
Life satisfaction, coping, self-esteem and suicide ideation in Chinese
adolescents: a school-based study // Child: Care, Health and Development. 2014.
Vol. 40 (5). P. 747—752. doi:10.1111/cch.12142