(Press-News.org) PROVIDENCE, R.I. [Brown University] — Among the negative feelings that can plague a teen's psyche is a perception of "invalidation," or a lack of acceptance. A new study by Brown University and Butler Hospital researchers suggests that independent of other known risk factors, measuring teens' sense of invalidation by family members or peers can help predict whether they will try to harm themselves or even attempt suicide.
In some cases, as with peers, that sense of invalidation could come from being bullied, but it could also be more subtle. In the case of family, for example, a teen who is gay may feel a strong degree of invalidation if he or she perceives that parents would either disapprove or be disappointed upon finding out, said study lead author Shirley Yen, associate professor of psychiatry and human behavior in the Warren Alpert Medical School of Brown University.
For the study, which appears online in the Journal of Child and Adolescent Psychopharmacology, Yen and her colleagues followed a group of 99 teens, each admitted to a psychiatric facility because they had tried to kill themselves or presented a serious risk of doing so, for six months of follow-up. Along the way they assessed the teens' sense of family and peer invalidation as well as other demographic and psychiatric data. They also tracked whether the teens (or their parents) reported new suicide attempts or related events by the teen, or whether the teen was engaging in cutting or other forms of self-harm.
Assessing family invalidation involved asking questions such as, "Were there times when you did not feel accepted by your family? Or that you could not express your true thoughts and feelings? Or that if you did express your thoughts and feelings that you would be dismissed, punished, ignored or made fun of?" There were similar questions about peers.
The researchers assessed invalidation upon hospital admission. Then, at the six-month mark, the teens were asked to recall the degree of such feelings anchored in notable events. Ratings were assigned for each week of that past half-year.
After statistically accounting for other known risk factors such as low positive affect or high levels of aggression, Yen found that a moderate to high perception of family invalidation proved a statistically significant predictor of a later suicide event among boys. A strong degree of peer invalidation, meanwhile, predicted engagement in self-harm behaviors in the overall group (boys and girls).
"What this points to is the importance of assessing for the teen's individual feelings of invalidation," Yen said. "This is different than a lack of social support."
Yen said doctors and psychologists may find the measure of invalidation especially helpful in the context seen in the study: identifying a distinctly higher suicide or self-mutilation risk within a group of teens already understood to be very troubled.
Yen has worked for years to understand the different risk factors of suicide and self-mutilation among troubled youths. Her goal is to understand the key risk factors, such as family and peer invalidation, well enough to produce new, effective clinical interventions or inform existing ones.
INFORMATION:
In addition to Yen, the paper's other authors are Kevin Kuehn, Katherine Tezanos, Lauren Weinstock, Dr. Joel Solomon, and Anthony Spirito.
The National Institute of Mental Health supported the study (grant K23 MH06990).
NEW YORK, NY - A century's worth of cultural and historical forces have contributed to the rise in the incidence of melanoma, including changes in fashion and clothing design, according to an intriguing, retrospective research study conducted by investigators in the Ronald O. Perelman Department of Dermatology at NYU Langone Medical Center.
Their findings are the subject of a report, "More Skin, More Sun, More Tan, More Melanoma," in the October 6, 2014 issue of the American Journal of Public Health.
The authors surmised that early diagnosis and improved reporting ...
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The researchers examined herbivore damage on leaves ...
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For the first time, a study published in European Psychiatry approaches Durkheim's premise through the lens of Judaism. According to the research, conducted by Dr. Gal Shoval and Dr. Ben Amit of Tel Aviv University's Sackler School of Medicine and Clalit Health Service's ...
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Researchers found that, in general, people use social media to connect with people who are posting positive and success-oriented updates.
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Building on the poverty relief success achieved through self-sustaining high-tech "smart villages," Malaysian innovators have created blueprints for an urban counterpart that combines affordable homes, food security and sustainable jobs, aiming to solve the growing global problem of squalid city slums.
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The majority of wines are produced from around 20 different types of grape, all of which have their own typical aroma. This is due to the terpenes, a diverse category of chemical substances including cholesterol and estrogen. Scientists from Technische Universität München (TUM), the Hochschule Geisenheim and the Universität Bonn have now identified two enzymes that determine the terpene content – and thus the aroma intensity – of grapes. The findings could play an important role in the future development of grape varieties.
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October 2, 2014 – A parent coaching intervention brings meaningful benefits for preschool-aged children with autism-spectrum disorders (ASD), according to a clinical trial in the October Journal of Developmental & Behavioral Pediatrics, the official journal of the Society for Developmental and Behavioral Pediatrics. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
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Have you ever ordered more food at a restaurant than you intended? There are elements of dining rooms that actually prime you to eat more food. One such element is the weight of those dining with or near you. This new Cornell University study found that the body type of your dining partner, or that of those dining nearby, may actually influence how much you serve yourself and how much you eat!
The study investigated the impact the presence of an overweight diner on healthy and unhealthy food choices and found you are more likely to serve and eat more unhealthy foods ...