Pregnancy loss and suicidal behavior: Investigating the mediating role of depressive mood.

BACKGROUND: Pregnancy loss is arguably a traumatic and stressful life event that potentially impacts the emotional and behavioral health of those who experience it, especially adolescents. Research assessing this relationship has primarily focused on adult women populations. METHODS: Using data from National Longitudinal Study of Adolescent to Adult Health, a cross-sectional research design was employed to investigate whether pregnancy loss outcomes are associated with depressive mood and suicidal behavior (i.e., suicidal thoughts and suicide attempt) among adolescent girls (N = 6, 913). We also investigated the mediating effect of depressive mood. Initially, an all-encompassing pregnancy loss variable was used, which included abortions and miscarriages. Acknowledging the differences between these pregnancy loss outcomes, we created separate measures for each. RESULTS: Using the all-encompassing pregnancy loss variable, findings from logistic regression analyses showed that pregnancy loss is positively and significantly associated with depressive mood and suicidal behaviors. Depressive mood mediated the relationship between pregnancy loss and suicidal behaviors. Miscarriage was positively and significantly associated with suicidal thoughts as well as attempting suicide. Depressive mood mediated the relationship between miscarriage and suicidal thoughts, while only partially mediating the relationship between miscarriage and suicide attempt. No significant effects were observed for abortion on outcomes of interest. LIMITATIONS: Cross-sectional analyses were performed limiting our ability to make casual inferences. CONCLUSIONS: Pregnancy loss is associated with depressive mood and suicidal behavior, especially among adolescent girls who experience a miscarriage. Adolescent pregnancy and pregnancy loss should remain a focus of scholars and health professionals.

The effects of low familial support and depressive symptomatology on suicide attempt among adolescents: A sex-based assessment.

INTRODUCTION: Researchers have traditionally tested the benefits of social support, showing that it promotes positive health outcomes. There is a lack of research assessing the deleterious impact of poor social support. Low familial support can serve as a stressor in the lives of adolescents, ultimately fostering negative emotions and maladaptive coping, such as attempted suicide. METHODS: Guided by general strain theory, this study uses two waves of data from the National Study of Adolescence to Adult Health (N = 13,827; n = 7105 for females, n = 6722 for males) to test the effect of low familial support on depressive symptomatology and whether the latter mediates the effect of low familial support on suicide attempt for both males and females. RESULTS: The analyses reveal that low familial support is positively and significantly associated with depressive symptomatology for male and female adolescents. Regarding suicide attempt, adolescents with lower levels of familial support and higher depressive symptomatology were likely to report attempting suicide. Contrary to theoretical expectations, depressive symptomatology did not mediate the relationship between low familial support and suicide attempt. CONCLUSIONS: Overall, the results provide justification for efforts to provide resources to adolescents who lack familial support.

Vicarious Victimization, Negative Emotions, and Maladaptive Coping: Investigating the Role of Violent Peers.

According to general strain theory's (GST) vicarious strain hypothesis, individuals' behavior is influenced by witnessing or having knowledge of others' stressful experiences, especially those within their network. Drawing on Agnew's GST, the current study examines the relationship between peer victimization and violent offending, as well as the potential intervening factors in this relationship. The primary research questions are: (a) does vicarious strain occur through having friends who are victimized? And (b) what role does violent peers play in the coping process? Data for the analysis were obtained from the National Longitudinal Study of Adolescents to Adult Health's friendship network data. Results from multivariate analysis show that victimization of ones' friend (or peer victimization) is associated with depression as well as personal involvement in violent offending. This relationship, however, is fully mediated by depression. Regarding deviant peers, a three-way interaction effect was observed, specifically peer victimization, involvement with peers, and associating violent peers was a significant predictor of violent offending. Findings from the current study highlight the importance of considering the role of deviant peers in the coping process. Results lend support to Agnew's GST. Implications for theory and research are discussed.