Current Perspectives in Psychology This page intentionally left blank Suicidal Behavior in Children and Adolescents Barry M. Wagner YALE UNIVERSITY PRESS NEW HAVEN AND LONDON Copyright © 2009 by Yale University. All rights reserved. Th is book may not be reproduced, in whole or in part, including illustrations, in any form (beyond that copying permitted by Sections 107 and 108 of the U.S. Copyright Law and except by reviewers for the public press), without written permission from the publishers. Set in Adobe Garamond by IBT Global. Printed in the United States of America by IBT Global. Library of Congress Cataloging-in-Publication Data Wagner, Barry M. Suicidal behavior in children and adolescents / Barry M. Wagner. p. cm. (Current perspectives in psychology) Includes bibliographical references and index. ISBN 978-0-300-11250-4 (pbk. : alk. paper) 1. Teenagers—Suicidal behavior— United States. 2. High school students—Suicidal behavior—United States. 3. Suicide—United States. I. Title. HV6546.W34 2009 618.92'—dc A catalogue record for this book is available from the British Library. Th is paper meets the requirements of ANSI/NISO Z39.48-1992 (Permanence of Paper). 10 9 8 7 6 5 4 3 2 1 To Julia This page intentionally left blank Contents Series Foreword Alan E. Kazdin ix Acknowledgments xi CHAPTER 1 Introduction 1 CHAPTER 2 Nature and Scope of the Problem 7 CHAPTER 3 Theoretical and Developmental Considerations 43 CHAPTER 4 Social Relationships 78 CHAPTER 5 Stress, Coping, and Emotion Regulation 112 CHAPTER 6 Psychopathology 139 CHAPTER 7 Assessment and Treatment 159 CHAPTER 8 Prevention 219 References 263 Index 307 This page intentionally left blank Series Foreword Current Perspectives in Psychology presents the latest discoveries and devel- opments across the spectrum of the psychological and behavioral sci- ences. Th e series explores such important topics as learning, intelligence, trauma, stress, brain development and behavior, anxiety, interpersonal relationships, education, child-rearing, divorce and marital discord, and child, adolescent, and adult development. Each book focuses on critical advances in research, theory, methods, and applications and is designed to be accessible and informative to nonspecialists and specialists alike. Th is book focuses on suicidal behavior among children and ado- lescents. Dr. Barry Wagner provides a remarkably clear and integrative evaluation of the subject, and key topics are thoroughly covered, includ- ing a description of the problem, current theories to explain the problem, research on precursors, risk factors, and possible causes, and treatment and prevention techniques. Suicidal behavior among children and ado- lescents connects with many other lines of research that are fascinating and important in their own right. Examples include stress in peer and family relations, the availability of guns in the home, substance use and abuse among children and adolescents, contagion (the increase in sui- cide attempts and completions that occurs after a suicide is portrayed in the news), the eff ect of the media on specifi c behaviors leading to suicide (e.g., depictions of drug overdose), and medication of children and its side eff ects. Wagner makes these connections to suicide very clear and in the process shows that suicidal behavior is about the lives of individuals in multiple contexts. New material regarding the assessment of suicidal behavior among children, the obstacles to identifying suicide attempts, and the current methods of treatment make this a book that is without peer in scholarship and comprehensiveness. In light of Dr. Wagner’s sci- entifi c and clinical contributions on the topic and the impact his work has on improving the lives of children, his book is an important addition to the Current Perspectives in Psychology series. Alan E. Kazdin Series Editor ■ ix ■
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