Positive future thinking among suicidal adolescents

有自杀倾向的青少年对未来的积极思考

• 批准号: 10649061
• 负责人: Christine B. Cha
• 金额: $ 22.28万
• 依托单位: COLUMBIA UNIVERSITY TEACHERS COLLEGE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-07 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10649061
• 关键词: Adolescence; Adolescent; Adolescent and Young Adult; Adult; Cause of Death; Characteristics; Child; Clinical; Cognition; Complex; Development; Distress; Ecological momentary assessment; Event; Feeling suicidal; Future; Goals; Intervention; Investigation; Laboratories; Learning; Life; Longevity; Measures; Mediating; Motivation; Nature; Outcome; Outcome Measure; Pattern; Personal Satisfaction; Persons; Positive Valence; Process; Psyche structure; Psychotherapy; Public Health; Recording of previous events; Research; Research Design; Risk; Risk Factors; Role; Sampling; Suicide; Task Performances; Teenagers; Testing; Thinking; Time; United States; Work; age group; clinical risk; cognitive process; depressive symptoms; experience; follow-up; innovation; motivational processes; novel; outcome prediction; phenomenological models; prevent; prospective; protective factors; psychologic; recruit; reducing suicide; simulation; standard care; suicidal; suicidal adolescent; suicidal behavior; suicidal individual; suicidal risk; therapy adverse effect

PROJECT SUMMARY Adolescence is a common period of time for suicidal ideation to emerge and thereby presents a critical opportunity for intervention. A key to reducing suicidal ideation during adolescence is to thoroughly understand how potential intervention targets may operate. The present investigation focuses on positive future thinking, a psychological process that has long been assumed to protect against risk of clinical outcomes such as suicide and thus increasingly become an intervention target. Recent work suggests that certain manifestations of positive future thinking may be counterintuitively harmful and may in fact confer greater risk of internal distress and suicidal thoughts and behaviors. Despite its potential clinical implications, there is surprisingly little work on this topic—mostly limited to measures of future thinking that may not generalize to real-world settings and limited to adult samples. Never has there been a formal study of potentially harmful effects of positive future thinking among suicidal adolescents. Aligned with our long-term goal to disrupt the trajectory toward suicide by intervening on malleable psychological mechanisms underlying suicide risk, the immediate goal of this R21 proposal is to study whether and how discrete aspects of positive future thinking may perpetuate suicidal ideation among adolescents. With a sample of 110 adolescents with past year history of suicidal ideation, the present research team will measure positive future thinking and corresponding motivational processes through baseline assessments and via ecological momentary assessment (EMA). Specific Aims are to: (1) Test whether adolescents’ experience of imagining ‘intrapersonal well-being’ (IWB)-themed desired future outcomes predicts subsequent suicidal ideation; (2) Test whether adolescents’ experience of imagining unattained desired future outcomes predicts subsequent suicidal ideation; and (3) Identify motivational processes that may account for the maladaptive effects of imagining IWB-themed and unattained desired future outcomes. This proposal is innovative because: (a) it features the most topographically rich examination of positive future thinking ever conducted among suicidal individuals; (b) it features the most ecologically valid assessment of positive future thinking ever conducted among suicidal individuals; and (c) it is conceptually radical. Exploring this highly novel yet plausible research question may not only inform the development of more focused interventions but also refine numerous extant interventions. Thoroughly vetting presumed intervention targets during a time when suicidal individuals begin engaging in psychotherapy may help prevent adverse effects of treatment and more definitively reduce suicide risk both in and out of standard treatment settings.

项目摘要 青春期是自杀想法出现的常见时期，从而提出了关键 干预的机会。在青少年期间减少自杀想法的关键是彻底理解 潜在的干预目标如何运作。本调查的重点是积极的未来思维，一个 长期以来一直认为可以防止自杀等临床结果的风险的心理过程 因此越来越成为干预目标。最近的工作表明 积极的未来思维可能在违反直觉上有害，实际上可能会涉及更大的内部困扰风险 以及自杀的思想和行为。尽管具有潜在的临床影响，但令人惊讶的是 这个主题 - 主要仅限于未来思维的衡量标准，这些思维可能不会推广到现实世界的设置和 仅限于成人样本。从来没有对积极未来的潜在有害影响进行正式研究 自杀青少年的思考。与我们的长期目标保持一致，以破坏自杀的轨迹 介入自杀风险潜在的可延展心理机制，这是R21的直接目标 建议是研究积极思维的分离方面以及如何使自杀永存 青少年的想法。有110名青少年的样本，具有自杀想法的历史， 目前的研究团队将通过 基线评估和通过生态瞬时评估（EMA）。具体目的是：（1）测试 青少年是否想象“人际福祉”（IWB）以主题为主题的未来结果 预测随后的自杀思想； （2）测试青少年是否想象无人的经验 期望的未来结果预测了随后的自杀思想； （3）确定激励过程 可能会解释以IWB为主题和未经鉴定的未来结果的不良适应性影响。 该建议具有创新性 自杀个体中曾经进行过思考； （b）它具有对生态上最有效的评估 自杀个体中曾经进行过积极的未来思想； （c）从概念上讲是激进的。探索 这个高度新颖而合理的研究问题不仅可能为更集中的发展提供信息 干预措施，但还可以完善许多额外的干预措施。彻底审查假定的干预目标 在自杀人开始进行心理治疗的时候， 治疗和更明确地降低自杀风险在标准治疗环境中和之外。