Lifetime and current self-harm thoughts and behaviors and their relationship to parent and peer attachment

Background: Previous research suggests attachment is a vulnerability factor for self-harm thoughts and behaviors in adults. Yet, few studies have investigated this relationship during adolescence, although adolescence is a critical period for changes in attachment relationships and self-harm onset. Whether and how attachment relates to self-harm thoughts and behaviors as measured in daily life is also […]

The role of attachment style in predicting repetition of adolescent self-harm: A longitudinal study

This study investigated whether insecure attachment is associated with poorer outcomes at 6-month follow-up in adolescents who self-harm. At baseline the Child Attachment Interview was administered to 52 adolescents (13-17 years) referred to specialist child and adolescent mental health services and with a recent history of self-harm. Participants also completed self-report measures of self-harm, peer […]

The association between parental attachment and youth suicidal ideation: A three-level meta-analysis

Youth suicidal ideation is regarded as a serious psychological problem that hinders their mental health development. Parental attachment is considered a critical factor linked with youth suicidal ideation, but existing findings are still inconsistent. The present study was based on the PRISMA method; it employed a three-level meta-analysis to obtain reliable estimates of effect size […]

Pet attachment and the interpersonal theory of suicide

Background: Pet ownership is often assumed to have mental health benefits, but the effect of pets on suicide risk has a scant literature. Aims: Using the interpersonal theory of suicide, we examined the relationships between perceived  burdensomeness (PB), thwarted belongingness (TB), overall attachment to one’s pet, pet attachment avoidance or anxiety, and suicide risk. The […]

Attachment, loneliness, and social connection as prospective predictors of suicidal ideation during the COVID-19 pandemic: A relational diathesis-stress experience sampling study

Introduction Concerns about the impact of the COVID-19 pandemic on mental health have led to efforts to understand how pandemic-specific factors, such as decreased social contact during periods of social distancing, may relate to suicide risk. The present study evaluated personality-based risk factors and frequency of social contact as prospective predictors of suicidal ideation (SI) […]

Perceptions of past parenting and adult attachment as vulnerability factors for suicidal ideation in the context of the Integrated Motivational-Volitional Model of Suicidal Behavior

Objective We aimed to investigate whether perceptions of past parenting and current attachment orientations are associated with key components of the Integrated Motivational–Volitional (IMV) Model of Suicidal Behavior. We investigated the relationship between perceptions of past parenting, attachment, suicide ideation, defeat, entrapment, coping, and resilience. Method A total of 730 adult participants responded to an […]

Attachment-related representations and suicidal ideations in nonsuicidal self-injury adolescents with and without suicide attempts: A pilot study

Objectives Consistent with the debate surrounding the association between nonsuicidal self-injury (NSSI), suicidal intent, and suicidal behavior, and between NSSI and dysregulation processes, we attempted to analyze suicide intent and emotion dysregulation in NSSI adolescents, in the framework of the attachment representations and exploring these clues of emotion dysregulation characteristics of insecure attachment. Furthermore, we […]

Disrupted attachments: A social context complex trauma framework and the lives of Aboriginal peoples in Canada

The idea of “disrupted attachments” speaks to the multiple levels on which the historic and contemporary assaults on Aboriginal peoples in Canada have resonated. Not only have the policies of colonialism expressly aimed to sever the attachment of Canada’s First Nations to their land, customs, culture, modes of self-governance, languages and ways of life, but […]

Attachment-based family therapy for sexual and gender minority young adults and their nonaccepting parents

This pilot open trial examined the efficacy of attachment-based family therapy (ABFT) for Israeli sexual and gender minority (SGM) young adults and their persistently nonaccepting parents. Thirty families received up to 26 weeks of treatment, with parental rejection, parental acceptance, and young adults’ attachment avoidance and attachment anxiety assessed at baseline, 8, 16, 24, and 36 weeks […]

The relationship between adult attachment and suicidal thoughts and behaviors: A systematic review

We aimed to (1) determine the extent of the relationship between attachment and suicidal thoughts and behaviors (STB), (2) investigate whether any gender differences exist, and (3) conduct a theoretical synthesis of the included studies. A systematic search of the databases Web of Science; EBSCO Host Medical and Psychology-related resources, which includes CINAHL, Health Source: […]

The role of psychological and social factors in the relationship between attachment and suicide: A systematic review

Insecure attachment is widely accepted to be a risk factor for suicidal thoughts and behaviour. To increase our understanding of this distal association, the current systematic review aimed to evaluate empirical evidence that has investigated the role of psychosocial mechanisms within this relationship. Sixteen original research articles were identified, with the majority carrying out mediational […]

Schools and suicide: The importance of the attachment bond

This editorial will attempt to address the piece of the puzzle that is missing, with an emphasis from a Caribbean perspective, as local and regional bodies continue to lobby for change in policies and procedures that address at risk behaviors such as self-harm and suicide attempts in schools. The editorial will also examine attachment styles, […]

Psychological factors of vulnerability to suicide ideation: Attachment styles, coping strategies, and dysfunctional attitudes

BACKGROUND: Suicide ideation is one of the common mental health problems among university students. This study aimed to explain suicide ideation susceptibility by examining the relationships between psychological factors. METHODOLOGY: The population of the study included all female undergraduate students at the University of Isfahan in autumn 2018. A sample of 180 individuals were selected through multistage […]

Attachment and non-suicidal self-injury among young adolescents: The indirect role of behavioral problems

Non-suicidal self-injury (NSSI) often occurs before age 15, yet the majority of research on risk factors for this dangerous behavior has focused on samples of older participants. Insecure attachment has been previously identified as a risk factor for both NSSI and behavioral problems, and behavioral problems appear to be particularly associated with NSSI among young […]

Self-injurious behaviors and adult attachment: A review of the literature

Self-injurious behaviors (SIB) continue to afflict a significant segment of the clinical and general population, sometimes with fatal consequences. The development of SIB seems to share developmental pathways and mechanisms similar to attachment insecurity. To date, no reviews have explored their relationship. A search of publication databases PubMed and PsychInfo from 1969 through April 2018 […]

Attachment styles and posttraumatic growth among suicide-loss survivors: The mediating role of interpersonal factors

Background and aims: The world loses approximately one million people to suicide every year, leaving behind many suicide-loss survivors, family members and friends, who are significantly affected by the traumatic loss. Yet some suicide-loss survivors not only manage to cope with the loss, but actually experience posttraumatic growth (PTG). To date, no studies have fully […]

Attachment, emotion regulation, childhood abuse and assault: Examining predictors of NSSI among adolescents.

In this study we examined the relative risk of Non-Suicidal Self-Injury (NSSI) associated with a history of physical and sexual abuse/assault, poor attachment relationships, and poor emotion regulation among adolescents. A total of 2,637 adolescents (aged 12–15 years) completed questionnaires at 3 time-points: baseline, 12, and 24 months later. Across the study, 9.4% reported a […]

Attachment-based family therapy with a 13-year-old girl presenting with high risk for suicide.

This article describes the application of Attachment-Based Family Therapy (ABFT) to the treatment of a 13-year-old female adolescent presenting with high risk of suicide, complicated by a history of depression and sexual trauma. The article begins with an overview of ABFT, including (a) how attachment theory guides treatment; (b) the structure of the clinical model; […]

Do coping strategies mediate the relationship between parental attachment and self-harm in young people?

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Conceptualizing suicide bereavement from an attachment lens.

Suicide is a devastating event for individuals, families, and societies. With a conservative estimate of 1 million deaths worldwide per year as the result of suicide, it affects every fabric of society. In addition to managing the trauma of the death, it is family structure and processes that are altered in significant ways, specifically with […]

Attachment, continuing bonds, and complicated grief following violent loss: Testing a moderated model.

Continuing Bonds were less predictive of Complicated Grief symptomatology for individuals with high anxiety and low avoidance, and most predictive of intense grieving for bereaved people whose attachment styles were more highly avoidant and minimally anxious. These findings suggest the relevance of evaluating the appropriateness of clinical techniques that emphasize or deemphasize the CB for […]

Attachment-based family therapy interventions.

Attachment-Based Family Therapy is a treatment model designed specifically for depressed and suicidal adolescents. The primary goal of the treatment is to promote developmentally appropriate adolescentÐparent attachment. Three core interventions are discussed: relational reframes; focusing on primary emotions and unmet attachment needs; and facilitating corrective attachment episodes. For each intervention, the theoretical/clinical rationale is presented […]

Attachment security and problematic substance use in low-income, suicidal, African American women.

While secure attachment may buffer the effect of adverse early experiences on the development of behavioral problems in children, whether attachment security may provide resilience against problematic substance use in adulthood is less clear, and addressed by this study. Participants who reported greater attachment security were significantly less likely to engage in problematic substance use.