Autobiographical memory, interpersonal problem solving, and suicidal behavior in adolescent inpatients.
OBJECTIVE
The aim of the study was to test Williams' (Williams JMG. Depression and the specificity of autobiographical memory. In: Rubin D, ed. Remembering Our Past: Studies in Autobiographical Memory. London: Cambridge University Press; 1996:244-267.) theory of suicidal behavior in adolescents and young adults by examining the relationship among suicidal behaviors, defective ability to retrieve specific autobiographical memories, impaired interpersonal problem solving, negative life events, repression, and hopelessness.


METHODS
Twenty-five suicidal adolescent and young adult inpatients (16.5 y +/- 2.5) were compared with 25 nonsuicidal adolescent and young adult inpatients (16.5 y +/- 2.5) and 25 healthy controls. Autobiographical memory was tested by a word association test; problem solving by the means-ends problem solving technique; negative life events by the Coddington scale; repression by the Life Style Index; hopelessness by the Beck scale; suicidal risk by the Plutchik scale, and suicide attempt by clinical history.


RESULTS
Impairment in the ability to produce specific autobiographical memories, difficulties with interpersonal problem solving, negative life events, and repression were all associated with hopelessness and suicidal behavior. There were significant correlations among all the variables except for repression and negative life events.


CONCLUSIONS
These findings support Williams' notion that generalized autobiographical memory is associated with deficits in interpersonal problem solving, negative life events, hopelessness, and suicidal behavior. The finding that defects in autobiographical memory are associated with suicidal behavior in adolescents and young adults may lead to improvements in the techniques of cognitive behavioral therapy in this age group.
Arie
Miri
M
Department of Psychology, Tel Aviv University, Tel Aviv 69978, Israel.
Apter
Alan
A
Orbach
Israel
I
Yefet
Yael
Y
Zalsman
Gil
G
Zalzman
Gil
G
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D002648:Child; D016002:Discriminant Analysis; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007297:Inpatients; D007398:Interpersonal Relations; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000523:psychology; D011939:Mental Recall; D011340:Problem Solving; D011569:Psychiatric Status Rating Scales; D011930:Reaction Time; D012094:Repression, Psychology; D013406:Suicide, Attempted / Q000523:psychology*