Attachment Styles as Predictors of Suicidal Behavior in School Going Adolescents

Authors

  • Jonathan Muema Mwania Department of Educational Psychology, South Eastern Kenya University
  • Walter Odera Owino Department of Education Foundation and Psychology, Maasai Mara University
  • Josphert Ngui Kimatu Department of Life Sciences, South Eastern Kenya University

DOI:

https://doi.org/10.47604/ijp.2049

Keywords:

Suicide, Suicidal Behavior, Attachment Styles, Secure Attachment, Insecure Attachment

Abstract

Purpose: Secondary school students face numerous challenges as they balance academic challenges, parental and peer pressures, emotional issues related to puberty changes and adolescence expectations. They also grapple about not knowing what the future holds in terms of career paths. As a result of these challenges, it is common for adolescents to have suicidal thoughts that may lead to suicide attempts.. Suicide is among the leading cause of death in young people and is prevalent worldwide. Suicidal behavior has been associated with attachment security in studies but few of these studies have been done in Kenyan adolescents. This study filled this gap by investigating whether attachment styles predicted suicidal behavior in students attending secondary schools in Nairobi, Kenya.

Methodology: The study was correlational in design and was based on the attachment theory. Three hundred and sixty seven randomly selected students completed self-report measures consisting of the Attachment Styles Questionnaire and a Suicidal Behavior Scale.

Findings: Results of multiple regression showed that that attachment styles significantly predicted suicidal behavior (F = 36.125, P < .000) and 30% of variance in suicidal behavior was attributed to the attachment styles (R2 = .300). Preoccupied (β = .487, P < .001) and dismissing (β = .122, P = .018) attachment styles predicted suicidal behaviors. 

Unique Contribution to Theory, Practice and Policy: The contribution to knowledge of this paper is that it provides a theoretical and practical contribution on the importance of  attachment styles in predicting suicidal behaviours. The results of the study show that attachment security plays an important role in adolescents' suicide behavior as insecurely attached students have a higher risk of suicide.Basically, the study contributed to a theoretical enhancement of the current level of knowledge on the existing literature on attachment styles and suicidal behaviours, achieved by testing empirically the adolescent behaviour. Therefore, suicide prevention programs should take into account adolescents' attachment styles.

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References

Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Lawrence Erlbaum.

Allen, J. P., Porter, M., McFarland, C., McElhaney, K. B., & Marsh, P. (2007). The Relation of attachment security to adolescents' paternal and peer relationships, depression, and externalizing behavior. Child Development, 78(4), 1222-1239. https://doi.org/10.1111/j.1467-8624.2007.01062.x

Allison, P. D. (2012). Multiple regression: A primer. Pine Forge Press.

Ammaniti, M., Van Ijzendoorn, M. H., Speranza, A. M., & Tambelli, R. (2000). Internal working models of attachment during late childhood and early adolescence: an exploration of stability and change. Attachment & Human Development, 2(3), 328-346. https://doi.org/10.1080/14616730010001587

Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61(2), 226-244. https://doi.org/10.1037//0022-3514.61.2.226

Bertolote, J., & Wasserman, D. (2009). Development of definitions of suicidal behaviours. In Wasserman, D., & Wasserman, C. (Eds). Suicidology and suicide prevention: a global perspective (pp. 87-90). Oxford University Press.

Bitta, M. A., Bakolis, I., Kariuki, S. M., Nyutu, G., Mochama, G., Thornicroft, G., & Newton, C. R. J. C. (2018). Suicide in a rural area of coastal Kenya. BMC Psychiatry, 18(1). https://doi.org/10.1186/s12888-018-1855-z

Bowlby, J. (1969). Attachment and loss: Vol. 1 Attachment. Basic books.

Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. Basic Books.

Brennan, K. A., & Shaver, P. R. (1995). Dimensions of adult attachment, affect regulation, and romantic relationship functioning. Personality and Social Psychology Bulletin, 21(3), 267-283. https://doi.org/10.1177/0146167295213008

Brumariu, L. E., & Kerns, K. A. (2010). Parent-child attachment and internalizing symptoms in childhood and adolescence: A review of empirical findings and future directions. Development and Psychopathology, 22(1), 177-203. https://doi.org/10.1017/s0954579409990344

Cantazaro, A., & Wei, M. (2010). Adult attachment, dependence, self-criticism, and depressive symptoms: A test of a mediational model. Journal of Personality, no-no. https://doi.org/10.1111/j.1467-6494.2010.00645.x

Chan, Y. Y., Lim, K. H., Teh, C. H., Kee, C. C., Ghazali, S. M., Lim, K. K., Khoo, Y. Y., Tee, E. O., Ahmad, N. A., & Ibrahim, N. (2016). Prevalence and risk factors associated with suicidal ideation among adolescents in Malaysia. International Journal of Adolescent Medicine and Health, 30(3). https://doi.org/10.1515/ijamh-2016-0053

Cooper, D., & Schindler, P. (2003). Business research methods (8th Ed.). Tata McGrawhill.

Collins, N. L. (1996). Working models of attachment: Implications for explanation, emotion, and behavior. Journal of Personality and Social Psychology, 71, 810-832.

Cuenca, J. (2013). Self-harm in relation to attachment theory and the cry of pain model: attachment insecurities and feelings of entrapment as vulnerability factors. [Unpublished Thesis, University of Nottingham]

Davaji, R. B. O., Valizadeh, S., & Nikamal, M. (2010). The relationship between attachment styles and suicide ideation: The study of Turkmen students, Iran. Procedia - Social and Behavioral Sciences, 5, 1190-1194. https://doi.org/10.1016/j.sbspro.2010.07.259

Falgares, G., Marchetti, D., De Santis, S., Carrozzino, D., Kopala-Sibley, D. C., Fulcheri, M., & Verrocchio, M. C. (2017). Attachment styles and suicide-related behaviors in adolescence: The mediating role of self-criticism and dependency. Frontiers in Psychiatry, 8. https://doi.org/10.3389/fpsyt.2017.00036

Fino, E., Iliceto, P., Sabatello, U., Petrucci, F., & Candilera, G. (2014). Self/other perception mediates between personality and suicidal ideation in young adults. The European Journal of Psychiatry, 28(2), 104-113. https://doi.org/10.4321/s021361632014000200004

Fraley, R.C. (2002). Attachment stability from infancy to adulthood: Meta-analysis and dynamic modeling of developmental mechanisms. Personality and Social Psychology Review, 6(2), 123-151. https://doi.org/10.1207/s15327957pspr0602_03

George, D., & Mallery, P. (2019). IBM SPSS statistics 25 step by step (15th ed). Routledge.

Green, J., Berry, K., Danquah, A., & Pratt, D. (2021). Attachment security and suicide ideation and behaviour: The mediating role of reflective functioning. International Journal of Environmental Research and Public Health, 18(6), 3090. https://doi.org/10.3390/ijerph18063090

Greydanus, D. E., & Calles, J. (2007). Suicide in children and adolescents. Primary Care: Clinics in Office Practice, 34(2), 259-273. https://doi.org/10.1016/j.pop.2007.04.013

Greydanus, D. E., Bacopoulou, F., & Tsalamanios, E. (2009). Suicide in adolescents: a worldwide preventable tragedy. The Keio Journal of Medicine, 58(2), 95-102. https://doi.org/10.2302/kjm.58.95

Grunebaum, M. F., Galfalvy, H. C., Mortenson, L. Y., Burke, A. K., Oquendo, M. A., & Mann, J. J. (2010). Attachment and social adjustment: Relationships to suicide attempt and major depressive episode in a prospective study. Journal of Affective Disorders, 123(1-3), 123-130. https://doi.org/10.1016/j.jad.2009.09.010

Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511-524. https://doi.org/10.1037//0022-3514.52.3.511

Hope, K.J. (2009) A Reason to Live: The Protective Influence of Close Friendships on College Students. [Unpublished Thesis, University of Florida]

Hope, K. J., & Smith-Adcock, S. (2011). An attachment model for assessing suicidal risk. Journal of Counseling Research and Practice, 2(1), 55-63.

Kacmarski, J. A. (2016). Attachment Styles and the Interpersonal Psychological Theory of Suicide: An Examination of Interrelationships. [Unpublished Dissertation, University of Northern Colorado]

Khosravi, M., & Kasaeiyan, R. (2020). The relationship between neuroticism and suicidal thoughts among medical students: Moderating role of attachment styles. Journal of Family Medicine and Primary Care, 9(6), 2680. https://doi.org/10.4103/jfmpc.jfmpc_1200_19

Kidd, S., & Shahar, G. (2008). Resilience in homeless youth: The key role of self-esteem. American Journal of Orthopsychiatry, 78(2), 163-172. https://doi.org/10.1037/0002-9432.78.2.163

KirÅ¡a, I., Juretić, J., & ŽivÄić-bećirević, I. (2016). Hopelessness , impulsivity and attachment as possible predictors of nonsuicidal self-injury and suicide ideations in Croatian college students. Addiction and Drug Sensitization, 1(1), 41-47.

Langhinrichsen-Rohling, J., Thompson, K., Selwyn, C., Finnegan, H., & Misra, T. (2017). Maladaptive schemas mediate poor parental attachment and suicidality in college students. Death Studies, 41(6), 337-344. https://doi.org/10.1080/07481187.2017.1280714

Lizardi, D., Grunebaum, M. F., Burke, A., Stanley, B., Mann, J. J., Harkavy-Friedman, J., & Oquendo, M. (2011). The effect of social adjustment and attachment style on suicidal behaviour. Acta Psychiatrica Scandinavica, 124(4), 295-300. https://doi.org/10.1111/j.1600-0447.2011.01724.x

Mikulincer, M., & Shaver, P. R. (2012). An attachment perspective on psychopathology. World Psychiatry, 11(1), 11-15. https://doi.org/10.1016/j.wpsyc.2012.01.003

Mikulincer, M., & Shaver, P. R. (2016). Attachment in adulthood: Structure, dynamics, and change, (2nd ed). Guildford Press.

Miniati, M., Callari, A., & Pini, S. (2017). Adult attachment style and suicidality. Psychiatria Danubina, 29(3), 250-259. https://doi.org/10.24869/psyd.2017.250

Mugambi, P., Munene, A., & Mogute, M. (2020). Prevalence of suicidal behavior among adolescents with depressive disorders and posttraumatic stress in informal settlements of Nairobi, Kenya. African Journal of Clinical Psychology, 03(01), 1-25

Muris, P., Meesters, C., & van den Berg, S. (2003). Internalizing and externalizing problems as correlates of self- reported attachment style and perceived parental rearing in normal adolescents. Journal of Child and Family Studies, 12(2), 171-183. https://doi.org/10.1023/a:1022858715598

Ngondi, J. M. (2016). The Relationship between K.C.S.E Examination Scores and Symptoms of Anxiety, Depression and Suicide Ideation among Adolescents in Nairobi, Kenya. [Unpublished Masters Thesis, United States International University].

Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents. JAMA Psychiatry, 70(3), 300. https://doi.org/10.1001/2013.jamapsychiatry.55

Ozer, U., Yildirim, E. A., & Erkoc, S. N. (2015). Relationship of suicidal ideation and behavior to attachment style in patients with major depression. Noro Psikiyatri Arsivi, 52(3), 283-288. https://doi.org/10.5152/npa.2015.7459

Palmier, J. B. (2011). Prevalence and correlates of suicidal ideation among students in sub-Saharan Africa. Unpublished Masters Thesis, Georgia State University

Pereira, A. A. G., & Cardoso, F. M. dos S. (2018). Searching for psychological predictors of suicidal ideation in university students. Psicologia: Teoria E Pesquisa, 33(0). https://doi.org/10.1590/0102.3772e33420

Sheftall, A. H., Mathias, C. W., Furr, R. M., & Dougherty, D. M. (2013). Adolescent attachment security, family functioning, and suicide attempts. Attachment & Human Development, 15(4), 368-383. https://doi.org/10.1080/14616734.2013.782649

Sheftall, A. H., Schoppe-Sullivan, S. J., & Bridge, J. A. (2014). Insecure attachment and suicidal behavior in adolescents. Crisis, 35(6), 426-430. https://doi.org/10.1027/0227-5910/a000273

Souza, L. D. de M., Silva, R. A. da, Jansen, K., Kuhn, R. P., Horta, B. L., & Pinheiro, R. T. (2009). Suicidal ideation in adolescents aged 11 to 15 years: prevalence and associated factors. Revista Brasileira de Psiquiatria, 32(1), 37-41. https://doi.org/10.1590/s1516-44462009005000011

Sroufe, L. A. (2005). Attachment and development: A prospective, longitudinal study from birth to adulthood. Attachment & Human Development, 7(4), 349-367. https://doi.org/10.1080/14616730500365928

Stepp, S. D., Morse, J. Q., Yaggi, K. E., Reynolds, S. K., Reed, L. I., & Pilkonis, P. A. (2008). The role of attachment styles and interpersonal problems in suicide-related behaviors. Suicide and Life-Threatening Behavior, 38(5), 592-607. https://doi.org/10.1521/suli.2008.38.5.592

Van Oudenhoven, J. P. L. M., Hofstra, J., & Bakker, W. (2003). Ontwikkeling en evaluatie van de Hechtingstijllijst [Development and evaluation of the Attachment Styles Questionnaire]. Nederlands Tijdschrift voor de Psychologie en haar Grensgebieden, 58, 95-102.

Venta, A., & Sharp, C. (2014). Attachment organization in suicide prevention research. Crisis, 35(1), 60-66. https://doi.org/10.1027/0227-5910/a000231

Ward, M. J., Lee, S. S., & Polan, H. J. (2006). Attachment and psychopathology in a community sample. Attachment & Human Development, 8(4), 327-340. https://doi.org/10.1080/14616730601048241

Wasserman, D., Cheng, Q., & Jiang, G.-X. (2005). Global suicide rates among young people aged 15-19. World Psychiatry, 4(2), 114-120.

Wichstrøm, L. (2000). Predictors of adolescent suicide attempts: A nationally representative longitudinal study of Norwegian adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 39(5), 603-610. https://doi.org/10.1097/00004583-200005000-00014

World Health Organization. (2014). Suicide [Fact sheet no. 398]. Available from http://www.who.int/mediacentre/factsheets/fs398/en/01912

Wrath, A. J., & Adams, G. C. (2018). Self-injurious behaviors and adult attachment: A review of the literature. Archives of Suicide Research, 1-24. https://doi.org/10.1080/13811118.2018.1486251

Zisk, A., Abbott, C. H., Ewing, S. K., Diamond, G. S., & Kobak, R. (2016). The Suicide Narrative Interview: Adolescents' attachment expectancies and symptom severity in a clinical sample. Attachment & Human Development, 19(5), 447-462. https://doi.org/10.1080/14616734.2016.1269234

Zortea, T. C., Gray, C. M., & O'Connor, R. C. (2020). The relationship between adult attachment and suicidal thoughts and behaviors: A systematic review. Archives of Suicide Research, 1-36. https://doi.org/10.1080/13811118.2019.1661893

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Published

2023-07-30

How to Cite

Mwania, J., Owino, W., & Kimatu, J. . (2023). Attachment Styles as Predictors of Suicidal Behavior in School Going Adolescents. International Journal of Psychology, 8(2), 31–44. https://doi.org/10.47604/ijp.2049

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