@article{ref1,
title="Understanding grief reactions, thwarted belongingness, and suicide ideation in bereaved adolescents: toward a unifying theory",
journal="Journal of clinical psychology (Hoboken)",
year="2019",
author="Hill, Ryan M. and Kaplow, Julie B. and Oosterhoff, Benjamin and Layne, Christopher M.",
volume="75",
number="4",
pages="780-793",
abstract="OBJECTIVE: Childhood bereavement is linked to suicide-related behaviors in adolescence and adulthood, but candidate mechanisms through which bereavement may lead to suicide-related behaviors have not been explored. One candidate pathway is that grief reaction arising from bereavement lead to increased perceived burdensomeness and/or thwarted belongingness, resulting in increased suicide ideation. This cross-sectional study of bereaved adolescents explored indirect effects between grief reactions as distal predictors, perceived burdensomeness and thwarted belongingness as proximal predictors, and suicide ideation. <br><br>METHOD: Participants were 58 bereaved youth, 12-17 years of age (mean = 14.21, SD = 1.65; 81.0% female; 51.7% Hispanic, 17.2% African American, and 22.4% Caucasian), and their parents/guardians seeking services at a trauma and grief specialty outpatient clinic. <br><br>RESULTS: The indirect effect of grief reactions on suicide ideation via thwarted belongingness, but not perceived burdensomeness, was statistically significant. <br><br>CONCLUSIONS: Clinicians may wish to consider signs of thwarted belongingness as possible indicators of suicide risk among bereaved youth.<br><br>© 2019 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0021-9762",
doi="10.1002/jclp.22731",
url="http://dx.doi.org/10.1002/jclp.22731"
}