Immersive and Reflective Recall of a Suicidal Episode: Implications for Assessing and Treating Suicidal Adolescents

Overview

Journal J Consult Clin Psychol

Specialty Psychology

Date 2023 Jun 1

PMID 37261740

Authors

Abigail Zisk

Caroline H Abbott

E Stephanie Krauthamer Ewing

Megan Haley Fitter

Guy S Diamond

Roger Kobak

Affiliations

Soon will be listed here.

Abstract

Objective: The present study tested the validity and clinical utility of adolescents' reports of two distinct modes of processing during the recall of a suicidal episode in the Suicide Narrative Interview (SNI). Recall Intensity (RI) items were designed to capture a tendency to become immersed in thoughts and feelings during the interview, while Meaning Making (MM) items were designed to assess more distant and reflective processing.

Method: The construct and predictive validity of pretreatment MM and RI was tested in a 16-week randomized clinical trial (RCT) for depressed and suicidal adolescents ( = 113, = 14.95, 84.1% female, 51.8% Black/African American). Adolescents rated MM and RI immediately following the SNI during a baseline assessment.

Results: Baseline MM was associated with protective factors related to reduced suicidality, and RI was associated with several risk factors for suicidal symptoms. Adolescents who reported high MM and low RI reported greater reductions in both suicidal ideation and depressive symptoms during the RCT.

Conclusions: The results support MM and RI as two distinct modes of how adolescents process memories of suicidal episodes and highlight the potential clinical utility of RI and MM in assessing and treating suicidal adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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