Suicidal ideation and help-negation: Not just hopelessness or prior help.

Few distressed young people seek professional psychological help and little is known about what sources of help young people seek for different problems. In suicidal youth, the process of help-negation may exacerbate poor help-seeking. Three hundred and two undergraduate university students completed a questionnaire measuring suicidal ideation, hopelessness, prior help-seeking experience, and help-seeking intentions. Participants indicated they would seek help from different sources of help for different types of problems, but friends consistently were rated as the most likely source of help. Help-negation was suggested by higher levels of suicidal ideation being associated with lower help-seeking intentions. However, the negative suicidal ideation/help-seeking-intentions relationship was not explained by hopelessness or prior help-seeking. Help-negation appears to involve more than just negative expectations regarding the future. The discussion proposes social problem-solving orientation as one of a number of potential explanatory variables.

[1]  John M. Davis Suicidal Ideation Questionnaire , 1992 .

[2]  J. Hinson,et al.  Willingness to Seek Help as a Function of Self‐Disclosure and Problem Severity , 1993 .

[3]  M. Friedlander,et al.  Differential attitudes of international students toward seeking professional psychological help. , 1982 .

[4]  C. Neuringer,et al.  Problem-solving behavior in suicidal adolescents. , 1971, Journal of consulting and clinical psychology.

[5]  R. Weissberg,et al.  Healthy children 2010: Enhancing children's wellness. , 1997 .

[6]  R. Marcus,et al.  The friendships of delinquents. , 1996, Adolescence.

[7]  A. Cepeda-Benito,et al.  Self-Concealment, Avoidance of Psychological Services, and Perceived Likelihood of Seeking Professional Help. , 1998 .

[8]  Depression and social problem solving. , 1992, Journal of abnormal psychology.

[9]  R. Holden,et al.  Are all suicidal ideas closely linked to hopelessness? , 1996, Acta psychiatrica Scandinavica.

[10]  L. Range,et al.  Hope, Hopelessness, and Suicidality in College Students , 1994, Psychological reports.

[11]  F. Deane,et al.  Attitudes and Intentions to Seek Professional Psychological Help for Personal Problems or Suicidal Thinking , 1996 .

[12]  C. Pfeffer Prevention of youth suicide. , 1992, New York state journal of medicine.

[13]  T. F. Cash,et al.  When Counselors Are Heard But Not Seen: Initial Impact of Physical Attractiveness. , 1975 .

[14]  R. Schweitzer,et al.  Suicidal Ideation and Behaviours among University Students in Australia , 1995, The Australian and New Zealand journal of psychiatry.

[15]  J. Kalafat,et al.  Suicide prevention in an educational context: broad and narrow foci. , 1995, Suicide & life-threatening behavior.

[16]  F. Deane,et al.  Impact of attitudes, ethnicity and quality of prior therapy on New Zealand male prisoners' intentions to seek professional psychological help , 1999 .

[17]  D Lester,et al.  The measurement of pessimism: the hopelessness scale. , 1974, Journal of consulting and clinical psychology.

[18]  A. Spirito,et al.  A multisystems analysis of adolescent suicide attempters , 1995, Journal of abnormal child psychology.

[19]  B. Katz,et al.  Students' self-reports of help-seeking: The impact of psychological problems, stress, and demographic variables on utilization of formal and informal support , 1999 .

[20]  R A Steer,et al.  Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpatients. , 1999, Suicide & life-threatening behavior.

[21]  P. O'Carroll,et al.  Attempted suicide among young adults: progress toward a meaningful estimate of prevalence. , 1992, The American journal of psychiatry.

[22]  V. Braithwaite,et al.  Social-psychological factors affecting help-seeking for emotional problems. , 1994, Social science & medicine.

[23]  T. Joiner,et al.  Effectiveness of an outpatient intervention targeting suicidal young adults: preliminary results. , 1996, Journal of consulting and clinical psychology.

[24]  T. Joiner,et al.  Disentangling the interrelations between hopelessness, loneliness, and suicidal ideation. , 1996, Suicide & life-threatening behavior.

[25]  R. Neimeyer,et al.  Cognitive predictors of suicide risk among hospitalized psychiatric patients: a prospective study. , 1993, Death studies.

[26]  G. Davies,et al.  Children's help-seeking behaviour. , 1995, Child: care, health and development.

[27]  Barry J. Fallon,et al.  Adolescent help-seeking: what do they get help for and from whom? , 1995 .

[28]  H. Protinsky,et al.  An empirical investigation of adolescent suicidal ideation. , 1992, Adolescence.

[29]  M. Rudd,et al.  Problem-solving appraisal in suicide ideators and attempters. , 1994, The American journal of orthopsychiatry.

[30]  Brian W. Mcneill,et al.  Cultural commitment and attitudes toward seeking counseling services in American Indian college students. , 1992 .

[31]  R. Blum,et al.  Formal help-seeking behavior of adolescents identifying themselves as having mental health problems. , 1994, Journal of the American Academy of Child and Adolescent Psychiatry.

[32]  F. Deane,et al.  Impact of attitudes and suicidal ideation on adolescents' intentions to seek professional psychological help. , 2000, Journal of adolescence.

[33]  S. Stuart Handbook of Psychotherapy and Behavior Change, 4th ed , 1995 .

[34]  J. Kauffman,et al.  Regular Classroom Sociometric Status of Behaviorally Disordered Adolescents , 1985 .

[35]  J. Fawcett,et al.  Review of empirical risk factors for evaluation of the suicidal patient. , 1992 .

[36]  H. Ross,et al.  GP referrals to adult psychological services: a research agenda for promoting needs-led practice through the involvement of mental health clinicians. , 1999, British Journal of Medical Psychology.

[37]  G. Metalsky,et al.  Vulnerability to depressive symptomatology: a prospective test of the diathesis-stress and causal mediation components of the hopelessness theory of depression. , 1992, Journal of personality and social psychology.

[38]  D F Klein,et al.  COGNITIVE THERAPY , 2016 .

[39]  E. Dubow,et al.  Demographic Differences in Adolescents' Health Concerns and Perceptions of Helping Agents , 1990 .

[40]  T. Joiner,et al.  Help negation after acute suicidal crisis. , 1995, Journal of consulting and clinical psychology.

[41]  M. Linehan,et al.  Presenting problems of parasuicides versus suicide ideators and nonsuicidal psychiatric patients. , 1986, Journal of consulting and clinical psychology.

[42]  D. Offer,et al.  To whom do adolescents turn for help? Differences between disturbed and nondisturbed adolescents. , 1991, Journal of the American Academy of Child and Adolescent Psychiatry.

[43]  C. Boyer,et al.  How do people come to use mental health services? Current knowledge and changing perspectives. , 1999 .