P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 This page intentionally left blank ii P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 OUT OF OPTIONS Thisbooktacklesanareaofadolescentbehaviorthatpresentsasignificantchal- lenge for parents, teachers, and professionals the world over. Although much hasbeenwrittenonthetopicofadolescentsuicide,weseecontinuedhighrates throughout industrialized nations. The overlap between suicidal behaviors and otherformsofseriousrisk-takingisarelativelynewavenueofresearchandgives insightintothemotivationsofsomeadolescents.Thecognitivemodeldeveloped and evaluated in this book provides further insight into the progression from earlyproblemsfacedbyyoungpeopletotheseriousoutcomesofsuicideandrisk- taking.Themodelallowsustosuggestpointsofinterventionforyoungpeople andtodemonstratethat,althoughthereareoverlappingfeaturesbetweensuicidal andrisk-takingbehaviors,attemptstointervenewouldtargetdifferentproblem areasforsuicidaladolescentsthanforrisk-takingadolescents. Kate Sofronoff is currently a Lecturer in Clinical Psychology in the School of PsychologyattheUniversityofQueensland,Brisbane,Australia.Shecompleted aPh.D.inclinicalpsychologyin1998intheareaofadolescentsuicideandrisk- taking.Priortoundertakingstudiesinpsychology,sheworkedasahighschool teacherfor10years,soshehasconsiderableexperienceworkingwithadolescents. Dr.Sofronoffiscontinuingtopursueresearchinterestsintheareaofadolescent behavioraswellasinotherareasofclinicalpsychology. LenDalglieshisaSeniorLecturerinJudgementandDecisionMakingintheSchool ofPsychologyattheUniversityofQueensland.From1981to1988,hewasaLec- turer in the Department of Social Work, where his interest in child protection decisionmakingdeveloped.Hehasgivenmanykeynotetalks,conferencepresen- tations,andworkshopsonriskassessmentanddecisionmaking.Heiscurrently preparingabook,RiskandDecisionsinChildProtection.Heisontheeditorialboard ofChildAbuseReview. RobertKosky,M.D.,isEmeritusProfessorofChildPsychiatryattheUniversityof Adelaide.Hehaswrittenextensivelyintheareasofyouthsuicide,delinquency, andearlyintervention.HewasChairoftheNationalCollaboratingCentresfor the child and adolescent component of the Australian Government’s National SurveyofMentalHealthandWellbeing. i P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 ii P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 CAMBRIDGE STUDIES IN CHILD AND ADOLESCENT HEALTH SteeringCommittee: KlausHurrelmann,UniversityofBielefeld,Germany CandaceCurrie,UniversityofEdinburgh,UnitedKingdom VivianB.Rasmussen,WHORegionalOfficeforEurope,Copenhagen,Denmark JohnSchulenberg,UniversityofMichigan TheISCAHseriespublishesbooksonthehealthanddiseasestatusofchildren, adolescents,andyoungadultsandoninterventionstrategiesinmedicine,psy- chology,sociology,publichealth,andpoliticalscience.Theseriesissupportedby theinternationalresearchnetworkHealthBehaviorinSchoolChildren(HBSC) andissponsoredbytheWorldHealthOrganization(WHO)RegionalOfficefor Europe. Inthisseries: DiabeticAdolescentsandTheirFamilies,IngeSeiffge-Krenke HowChildrenLearntoBeHealthy,BarbaraJ.Tinsley GenderDifferencesatPuberty,ChrisHayward iii P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 iv P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 OUT OF OPTIONS A Cognitive Model of Adolescent Suicide and Risk-Taking KATE SOFRONOFF UniversityofQueensland LEN DALGLIESH UniversityofQueensland ROBERT KOSKY UniversityofAdelaide v cambridge university press Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo Cambridge University Press The Edinburgh Building, Cambridge cb2 2ru, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521812382 © Kate Sofronoff, Len Dalgliesh, and Robert Kosky 2005 This publication is in copyright. Subject to statutory exception and to the provision of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published in print format 2004 isbn-13 978-0-511-21157-7 eBook (EBL) isbn-10 0-511-21334-4 eBook (EBL) isbn-13 978-0-521-81238-2 hardback isbn-10 0-521-81238-0 hardback Cambridge University Press has no responsibility for the persistence or accuracy of urls for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 Wededicatethisbooktothemanyyoungpeople whohelpedusbytalkingtoussoopenlyatdifficult timesintheirlivesandbyanswering questionnairesthatwereundoubtedlytediousfor them.Manyoftheseyoungpeopleespousedahope thatbyhelpingustheywouldinsomewaybe helpingotheradolescents.Althoughweknowthat movementinthisareaisslow,therearecurrently projectsandinterventionsinprogressthatmaysee thishelpeventuateforsomeyoungpeople. SpecialthanksmustalsogotoKateLilley,whose workinproofreadingandeditingmadethefinal draftofthismanuscriptpossible. vii P1:KOD/KWK P2:KOD CB742-FM CB742/Sofronoff-FM 0521812380 July5,2004 14:9 viii
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