TY - JOUR PY - 1993// TI - Developmental psychopathology in suicidal and nonsuicidal adolescent girls JO - Journal of the American Academy of Child and Adolescent Psychiatry A1 - Borst, S. R. A1 - Noam, Gil G. SP - 501 EP - 508 VL - 32 IS - 3 N2 - OBJECTIVE: This study presents two distinct profiles of female suicide attempters based on social-cognitive development and investigates the relationship of both developmental and suicide risk variables in these profiles. METHOD: The sample included 139 girls, aged 13-16, admitted to an inpatient psychiatric hospital. Patients were divided into four groups based on their suicidal status (attempter/nonsuicidal) and ego development (preconformist/conformist level). RESULTS: Results support two developmental types of female suicide attempters that differed significantly on symptomatology, diagnoses, and defensive style. Preconformist attempters, the "angry-defiant" suicidal type, present with both depression and aggression as well as externalizing defense mechanisms. Conformist attempters, the "self-blaming" suicidal type, present with depression, and use more internalizing defenses to cope with conflict. Comparing suicide attempters and nonsuicidal girls, depression was found to be a risk factor for suicide at all developmental levels. Defense mechanisms were only associated with suicide at the preconformist developmental level. CONCLUSIONS: Social-cognitive development has an important impact on the expression of suicidal behavior in adolescent girls.

Language: en

LA - en SN - 0890-8567 UR - http://dx.doi.org/ ID - ref1 ER -