Graduate Thesis Or Dissertation
 

The Relationship between Student Health Behaviors, Demographic Variables and Suicide: A Secondary Analysis of Health Behaviors in School-Age Children (HBSC 2009-2010)

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  • Counselors, therapists and other mental health professionals are dedicated to finding more useful ways to prevent, assess and treat adolescents experiencing suicidal ideation. Recent research has shown that the use of Interpersonal-Psychological Theory of Suicide (IPTS) components in suicidal assessment and treatment have been effective for treating adults. However, a lack of theory development on suicidal behaviors for adolescents exists. Several predictors have been constant in suicidal ideation in adolescents including health behaviors, age, gender and race/ethnicity. Even so, counseling professionals do not often have a specific theory of suicidal behavior that they follow. Understanding the relationship between the IPTS components perceived burdensomeness (PB), thwarted belongingness (TB) and acquired capacity of suicide (AC) and the intervention and treatment of adolescents experiencing suicidal ideation can be beneficial. It can give counselors, therapist and mental health professionals the opportunity to utilize a specific theory of suicidal behavior when working with clients experiencing suicidal thoughts. This study, which used a cross-sectional design of archival data has two arms; the first arm (A) focuses on the use of Health Behaviors in School-Aged children (HBSC) survey items to identify IPTS components and the second arm (B) examined the relationship of age, gender and race/ethnicity to PB, TB and AC in adolescents. The first arm (A) of the study asked the following question: “To what extent are the Interpersonal-Psychological Theory of Suicidal Behavior's components identifiable from the 16 items selected from the Health Behavior in School-Aged Children instrument?” This arm employed a confirmatory factor analysis (CFA) to understand whether selected questions selected from the HBSC could be used as proxies for the IPTS components. There were 19 variables in study one; 16 variables were items from the HBSC and three were the latent variables from the IPTS. The CFA was found not to be a good fit. The second arm (B) of the study asked the following questions: (1) “What is the predictive relationship between age, gender, and race/ethnicity and perceived burdensomeness?” (2) “What is the predictive relationship between age, gender, and race/ethnicity and thwarted belongingness?” and (3) “What is the predictive relationship between age, gender, and race/ethnicity and acquired capacity for suicide?” This arm employed a multiple linear regression. The predictor variables were age, gender, race/ethnicity. The criterion variables were PB, TB and AC. The findings showed a statistically significant relationship between IPTS components and age, gender, race/ethnicity. The results indicate the use of IPTS components can be beneficial in the assessment, intervention and treatment of adolescents experiencing suicidal ideation. When both research arms are considered as a whole, the results illustrate that the IPTS components can be a predictor in identifying suicidal ideations in adolescents. The results from this study have implications for future intervention and assessment used to treat this population, transforming how counselors are trained in assessing and treating adolescents experiencing suicidal ideation. Further research can explore the IPTS components of PB, TB and AC to help counselors have a better understanding of a difficult problem that impacts so many young people.
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  • Pending Publication
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  • 2020-12-10 to 2023-01-10

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