Article1990

Problem-solving deficits in suicidal patients: Trait vulnerability or state phenomenon?

David E. Schotte · Joseph Cools · Susan Payvar

103 citations0/0 files storedJournal of Consulting and Clinical Psychology

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Suicide and Self-Harm Studies Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Problem Solving Skills Development

Abstract

A diathesis-stress model has been proposed (Schotte & Clum, 1982, 1987), in which deficits in interpersonal problem-solving skills are said to predispose individuals under chronic stress to depression, hopelessness, and suicide ideation. The present study examined the stability of interpersonal problem-solving skills in a short-term, longitudinal study of hospitalized suicide ideators (N = 36). The Ss displayed marked changes in depressive symptoms, state anxiety, hopelessness, and suicide intent over time, and these improvements were associated with improvements in interpersonal problem-solving skills. It is concluded that interpersonal problem-solving deficits may be a concomitant, rather than a cause, of depression, hopelessness, and suicide intent.

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References

1961An Inventory for Measuring Depression 1970Manual for the State-Trait Anxiety Inventory 1974The measurement of pessimism: The Hopelessness Scale.1979Assessment of suicidal intention: The Scale for Suicide Ideation.1988Psychosocial functioning and depression: Distinguishing among antecedents, concomitants, and consequences.1973Hopelessness, Depression, and Attempted Suicide 1987Problem-solving skills in suicidal psychiatric patients.1982Suicide ideation in a college population: A test of a model.

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