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Introduction: Pathological personality traits have repeatedly been identified as important risk factors for suicidal ideation and behaviors. Moreover, impulsiveaggressive traits, have shown a consistent association with suicidal behaviors across the lifespan. Adolescence represents a critical period for the emergence of different personality traits, mood disorders, and suicidal behaviors, but the relationship between these variables remain poorly understood. Methods: These variables were examined in a cross-sectional case--control design involving three groups: 30 adolescents with a depressive disorder and past suicide attempt (Mean Age = 16.2, Females = 26), 38 adolescents with a depressive disorder but without past suicide attempt (Mean age = 16.0, Females = 29), and 34 healthy adolescent controls (Mean age = 15.2, Females = 22). Suicidal ideations were indexed using Suicidal Behavior Questionnaire (SBQ-R), psychiatric disorder assessed using a semi-structured questionnaire (K-SADS-PL), depressive symptoms with the Beck Depressive Inventory (BDI), symptoms characteristics of personality disorders with the Scheduled Clinical Interview for the DSM-IV (SCID-II) screening questionnaire, and impulsivity with the Barratt Impulsivesness Scale (BIS). Results: Findings showed that impulsivity (F =11.0, p <0.0001) and antisocial symptoms characteristics of personality disorders (p <0.001, d=0.70) displayed the most robust association with adolescent suicide attempts. Borderline symptoms characteristics of personality disorders did not discriminate attempters from non-attempters but presented high correlations with suicidal ideation and depression severity. In an item-wise analysis, suicide attempt status was uniquely correlated with symptoms characteristics of an antisocial personality disorder. Suicide attempt status also correlated with non-suicidal self-injury and a chronic feeling of emptiness. Discussion: The caveats of this cross-sectional study include the stability of symptoms characteristics of personality disorders in adolescence and the limited sample size. In sum, suicidal behaviors were characteristically correlated with increased impulsivity and antisocial symptoms characteristics of personality disorders, but other symptoms characteristics of personality disorders were relevant to adolescent depression and suicidal ideation. Understanding the emergence of symptoms characteristics of personality disorders and suicidal behaviors in a developmental context can ultimately inform not only the neurobiological origin of suicidal behaviors, but also provide new avenues for early detection and intervention. [ABSTRACT FROM AUTHOR]

Introduction: This meta-analysis examined the association between dimensional and categorical conceptualizations of attachment styles and suicidal thoughts and behaviors (STBs). Methods: Random-effects meta-analysis was conducted to examine the associations between categorical secure attachment, categorical insecure attachment, and insecure attachment dimensions and STBs. Methodological moderators were also explored. This protocol was registered in PROSPERO (CRD42020152604). Results: Systematic search for articles published by December 2020 returned 58 eligible studies and 159 cross-sectional effects. Secure attachment was inversely associated with suicidal thoughts and not associated with suicide attempts. All categorical insecure attachment styles were positively associated with suicidal thoughts. Only fearful and preoccupied attachment were associated with risk for suicide attempts. Dimensional attachment anxiety was more strongly associated with suicidal thoughts and attempts than dimensional attachment avoidance. Discussion: Overall, attachment styles characterized by high attachment anxiety were associated with greatest vulnerability to STBs. Longitudinal studies are needed to better understand the association between attachment insecurity and STBs. [ABSTRACT FROM AUTHOR]

Introduction: This study examined daily fluctuations in the unmet interpersonal needs of thwarted belongingness and perceived burdensomeness in response to daily negative social interactions, as well as the moderating role of respiratory sinus arrhythmia (RSA) across adolescents at lower and higher risk for suicidal ideation. Methods: Fifty five adolescents with major depressive disorder (MDD, i.e., higher‐risk group) and without MDD (i.e., lower‐risk group) completed measures of resting RSA, and daily measures of negative social interactions, perceived burdensomeness, and loneliness, as a proxy for thwarted belongingness, for 10 consecutive days. Within‐person analyses examined the association between daily negative social interactions and unmet interpersonal needs, and the moderating roles of RSA and higher‐risk group status. Between‐person analyses also examined the association between RSA and unmet interpersonal needs across groups. Results: At the within‐person level, participants reported more unmet interpersonal needs on days when they reported more negative social interactions. At the between‐person level, higher RSA was associated with decreased loneliness in both groups, and decreased burdensomeness among the higher‐risk group. Conclusions: Negative social interactions are associated with daily unmet interpersonal needs. Higher RSA may serve as a protective factor mitigating risk for unmet interpersonal needs, particularly burdensomeness, among adolescents at higher risk for suicidal ideation. [ABSTRACT FROM AUTHOR]

Brooding rumination is an intrapersonal emotion regulation strategy associated with negative interpersonal consequences. Resting respiratory sinus arrhythmia (RSA), a psychophysiological marker of self-regulatory capacity, may buffer the association between maladaptive emotion regulation and negative interpersonal behaviors. The current work examines the moderating effect of RSA on the association between brooding rumination and different negative interpersonal consequences. Across three convenience samples, individuals with lower RSA showed a stronger association between brooding rumination and more negative interpersonal behaviors as well as less perception of received instrumental social support (Study 1; n = 154), higher levels of interviewer-rated interpersonal stress (Study 2; n = 42) and a stronger indirect association between brooding rumination and depressive symptoms via daily interpersonal stress (Study 3; n = 222). These findings highlight the negative interpersonal consequences of brooding rumination, particularly among individuals with lower RSA. [ABSTRACT FROM AUTHOR]

Objective: This study sought to identify psychosocial predictors of trajectories of adherence to physical distancing alongside changes in public health measures during the COVID-19 pandemic. Design: A three-time point longitudinal survey during the first two waves of the COVID-19 pandemic. Methods: Participants (N = 1003) completed self-report measures of adherence to physical distancing over an 8-month period at the start (T1) and end (T2) of the first wave of the pandemic, and the start of the second wave of the pandemic (T3). Participants also completed measures of their health beliefs related to the self and others, social norms, emotional distress, and sociodemographic characteristics. Results: Using group-based trajectory modeling, four trajectories of adherence to physical distancing emerged: a high-adherence trajectory, a slow-declining trajectory, a fluctuating trajectory, and a fast-declining trajectory. The most important psychosocial predictors of poorer adherence trajectories included perceptions of lower self-efficacy and higher barriers to adherence, as well as lower prosocial attitudes towards physical distancing. Conclusion: Public health messages targeting these factors may be most relevant to promote sustained adherence to physical distancing over time in the context of a pandemic. [ABSTRACT FROM AUTHOR]

Respiratory sinus arrhythmia (RSA) has been conceptualized as a biomarker of a neurophysiological system supporting social behaviors. Capitalization, the interpersonal process of sharing positive experiences with close others, has been associated with improved intrapersonal and interpersonal functioning. The present study examined whether RSA moderated the within-person associations of daily capitalization with positive affect and relationship quality. Participants (N = 149) completed an electrocardiogram recording during a resting baseline and a worry induction period, as well as a 14-day daily diary assessment of capitalization, positive affect, and relationship quality. Results indicated that RSA reactivity moderated the within-person effects of daily capitalization on positive affect and relationship quality. On days when they did not capitalize, individuals with higher RSA reactivity experienced lower positive affect and poorer relationship quality than their counterparts with lower RSA reactivity. In contrast, no significant differences were observed between participants with lower and higher RSA reactivity on days when they capitalized. These results provide further evidence that RSA reactivity shapes sensitivity to social context, including one's responses to the lack of usual capitalization interactions. [ABSTRACT FROM AUTHOR]

Attachment style may influence the acculturation process by shaping the types of social relationships that individuals form and maintain. Social relationship quantity and quality have been linked to chronic low-grade systemic inflammation, an immune process associated with risk for age-related diseases. The goal of this study was to investigate whether attachment style moderates the change in systemic inflammation during the early phases of the acculturation process, a period associated with rapid changes in social functioning. In this 5-month longitudinal study, 58 new international students completed the Adult Attachment Scale and provided blood samples for C-reactive protein (CRP) analysis shortly after arrival in the host country as well as 2 and 5 months later. Results indicated that individuals with higher attachment anxiety experienced larger increases in CRP over time. During a period of rapid changes in social functioning, attachment anxiety promotes immune changes that may increase health risk over time. [ABSTRACT FROM AUTHOR]

Objective: Trends in rates of adolescent suicide and undetermined deaths in Canada from 1981 to 2012 were examined, focusing specifically on variations between Canadian regions. Exploratory hypotheses were formulated for regional variability in adolescent suicide rates over time in Canada. Methods: A descriptive time trend analysis using public domain vital statistics data was performed. All deaths from 1981 to 2012 among 15 to 19 year olds coded as suicides or undetermined intent according to the International Classification of Diseases, 9th and 10th Revisions were included. Results: While there was an overall stability in adolescent suicide and undetermined death rates across Canada, regional analyses showed that Quebec experienced a 7.6% annual reduction between 2001 and 2012 while the Prairies and Atlantic provinces experienced significant annual increases since 2001. Ontario and British Columbia have had non-significant fluctuations since 2001. The trends remained similar overall when excluding undetermined deaths from the analyses. Conclusions: Variations in adolescent suicide trends across provinces were found. Factors such as provincial suicide action and prevention legislation contributing to these variations remain to be studied, but these regional differences point towards the need for better consistency of suicide prevention strategies across the country. [ABSTRACT FROM AUTHOR]

Objective: A multi-informant approach is often used in child psychiatry. The Achenbach System of Empirically Based Assessment uses this approach, gathering parent reports on the Child Behaviour Checklist (CBCL) and youth reports on the Youth Self-Report (YSR), which contain scales assessing both the child's problems and competencies. Agreement between parent and youth perceptions of their competencies on these forms has not been studied to date. Method: Our study examined the parent-youth agreement of competencies on the CBCL and YSR from a sample of 258 parent-youth dyads referred to a specialized outpatient clinic for depressive and suicidal disorders. Intraclass correlation coefficients were calculated for all competency scales (activity, social, and academic), with further examinations based on youth's sex, age, and type of problem. Results: Weak-to-moderate parent-youth agreements were reported on the activities and social subscales. For the activities subscale, boys' ratings had a strong correlation with parents' ratings, while it was weak for girls. Also, agreement on activities and social subscales was stronger for dyads with the youth presenting externalizing instead of internalizing problems. Conclusion: Agreement on competencies between parents and adolescents varied based on competency and adolescent sex, age, and type of problem. [ABSTRACT FROM AUTHOR]

Close relationships are an important social context in which emotional experiences, regulation, and coregulation unfold. This interpersonal emotion regulation process is likely intertwined with the self-regulatory capacities and social skills of each individual dyad member. This study aimed to examine whether respiratory sinus arrhythmia (RSA), a physiological marker related to self-regulation, moderates the impact of rumination, a maladaptive emotion regulation strategy, on couples' conflict. A dyadic, longitudinal design examined the association among RSA, rumination, and couples' conflict in a sample of 83 cohabiting romantic partners raising young children. At baseline, rumination and RSA from each romantic partner were assessed. Couples' conflict was reported at 3 time points over the following 12 months. Actor-partner interdependence modeling examined the mutual contributions of each couple member's rumination to couples' conflict, as well as the moderating impact of RSA. Results indicated that rumination from both members of the dyad were independently associated with couples' conflict across the 12-month period. Furthermore, RSA moderated the association between one's partner's rumination and couples' conflict, such that high actor RSA attenuated the positive association between partner's rumination and couples' conflict. The findings highlight the interdependent nature of emotion regulation within close relationships, and the impact of RSA on interpersonal emotion regulation processes. (PsycINFO Database Record (c) 2019 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

Although global rates of suicide have dropped in the last 30 years, youth in low- and middle-income countries (LMICs) continue to be highly represented in suicide statistics yet underrepresented in research. In this review we present the epidemiology of suicide, suicidal ideation, and suicide attempts among youth in LMICs. We also describe population-level (attitudes toward suicide, socioeconomic, and societal factors) and individual-level clinical and psychosocial risk factors, highlighting specific considerations pertaining to youth in LMICs. These specific considerations in risk factors within this population can inform how multi-level prevention strategies may be targeted to meet their specific needs. Prevention and intervention strategies relying on the stepped-care framework focusing on population-, community-, and individual level targets while considering locally- and culturally relevant practices are key in LMICs. In addition, systemic approaches favoring school-based and family-based interventions are important among youth. Cross-culturally adapted multimodal prevention strategies targeting the heterogeneity that exists in healthcare systems, suicide rates, and risk factors in these countries should be accorded a high priority to reduce the burden of suicide among youth in LMICs., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Renaud, MacNeil, Vijayakumar, Spodenkiewicz, Daniels, Brent and Turecki.)