@article{ref1,
title="Depressive symptom severity mediates the association between avoidant problem-solving style and suicidal ideation",
journal="Journal of affective disorders",
year="2020",
author="López, Roberto and Brick, Leslie Ann and Defayette, Annamarie B. and Whitmyre, Emma D. and Wolff, Jennifer and Frazier, Elisabeth and Spirito, Anthony and Esposito-Smythers, Christianne",
volume="274",
number="",
pages="662-670",
abstract="BACKGROUND: The contemporaneous association between avoidant style, a maladaptive social problem-solving strategy, and adolescent suicidal ideation has been well established. However, the mechanisms underlying this association are not well understood. Using cross-lagged panel modeling, the present study examined whether depressive symptom severity mediates the relation between avoidant style and severity of suicidal ideation. The specificity of depressive symptom severity as a mediator was also evaluated by simultaneously testing whether avoidant style mediates the association between depressive symptom and suicidal ideation severity.   METHODS: The sample included 110 adolescents enrolled in a randomized controlled clinical effectiveness trial. Avoidant style as well as depressive symptom and suicidal ideation severity were assessed via self-report with the Social Problem-Solving Inventory-Revised, Children's Depression Scale-2, and Suicidal Ideation Questionnaire-Junior, respectively, at baseline, 3-and 6-months.   RESULTS: After accounting for participant age, sex, and treatment condition, path analyses supported the specificity of 3-month depressive symptom severity as a mediator of the association between baseline levels of avoidant style and 6-month suicidal ideation severity.   LIMITATIONS: Results may not be generalizable to non-clinical samples. Causality cannot be inferred from study results. Data were exclusively collected via self-report.   CONCLUSIONS: Findings suggest that avoidant style is indirectly related to suicidal ideation through depressive symptom severity. Thus, treatment targeted at improving social problem-solving skills, particularly avoidant style, may help reduce depressive symptoms and lower suicide risk.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2020.05.120",
url="http://dx.doi.org/10.1016/j.jad.2020.05.120"
}