Attachment Styles as Predictors of Suicidal Behavior in School Going Adolescents
DOI:
https://doi.org/10.47604/ijp.2049Keywords:
Suicide, Suicidal Behavior, Attachment Styles, Secure Attachment, Insecure AttachmentAbstract
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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