title: Coping skills among adolescent suicide attempters: results of a multisite study.
abstract: OBJECTIVE
  A multisite study was undertaken to advance our understanding of how coping skills, depression, and suicidal ideation are related among adolescents who attempt suicide. Two hypotheses were postulated: productive coping and nonproductive coping would be associated, respectively, with lower and higher depression scores when age, sex, and stressful life events (SLEs) were controlled; and productive coping and nonproductive coping would be associated, respectively, with the presence and absence of suicidal ideation when age, sex, and SLEs were controlled.
  
  
  METHODS
  Participants were 167 adolescents (13 to 17 years of age) hospitalized for attempting suicide in 5 pediatric departments across France. Four instruments were administered: the Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version, the Adolescent Coping Scale, the Life Events Questionnaire, and the Columbia-Suicide Severity Rating Scale. Descriptive analyses and univariate and multiple regression models were completed.
  
  
  RESULTS
  Both hypotheses were confirmed. Focus on the positive emerged as a significant variable in both models; depression emerged as a significant variable in the suicidal ideation model. The only sex difference observed was that girls made greater use of wishful thinking and seek social support.
  
  
  CONCLUSIONS
  These findings suggest that coping skills are important mechanisms through which depression and suicidal ideation are maintained after attempting suicide. In intervening with adolescents who have attempted suicide, it may be useful to emphasize cognitive work geared to looking on the bright side, positive thinking, and fighting depression.
authors.affiliation: Psychiatrist, Fédération hospitalo-universitaire de psychiatrie de l'enfant et de l'adolescent, Centre Hospitalier Universitaire de Rouen, Rouen, France; PhD Student, Inserm U1079, Université de Rouen, Rouen, France.
authors.forename: Bojan
authors.initials: B
authors.lastname: Mirkovic
authors.affiliation: Psychologist and Researcher, Clinique des troubles de l'humeur and Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Hôpital Rivière-des-Prairies, Montréal, Québec; Full Professor, Département de psychologie, Université du Québec à Montréal, Montréal, Québec; Associate Professor, Département de psychiatrie, Université de Montréal, Montréal, Québec.
authors.forename: Réal
authors.initials: R
authors.lastname: Labelle
authors.affiliation: Professor, Université de Picardie Jules-Verne, Amiens, France; Doctor, Service de psychiatrie de l'enfant et de l'adolescent, CHU d'Amiens Nord, Amiens, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Guilé
authors.affiliation: Doctor, Service de psychiatrie de l'enfant et de l'adolescent, Centre hospitalier Le Rouvray, Sotteville-lès-Rouen, France.
authors.forename: Vincent
authors.initials: V
authors.lastname: Belloncle
authors.affiliation: Data Manager, Service de psychiatrie de l'enfant et de l'adolescent, Assistance Publique-Hôpitaux de Paris, Groupe hospitalier de la Pitié-Salpêtrière, Paris, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Bodeau
authors.affiliation: Doctor, Service de psychopathologie de l'enfant et de l'adolescent, Assistance Publique-Hôpitaux de Paris, CHU Bichat-Claude Bernard, Paris, France.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Knafo
authors.affiliation: Doctor, Service de pédiatrie, Centre hospitalier de Meaux, Meaux, France.
authors.forename: Agnès
authors.initials: A
authors.lastname: Condat
authors.affiliation: Doctor, Service de psychiatrie de l'enfant et de l'adolescent, Etablissement Public de Santé Mentale, Creil, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Bapt-Cazalets
authors.affiliation: Professor, Department of Pediatrics, Université de Rouen, Rouen, France; Pediatrist, Département de pédiatrie médicale, Centre Hospitalier Universitaire de Rouen, Rouen, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Marguet
authors.affiliation: Professor, Département de psychiatrie, Université de Montréal, Montréal, Québec; Researcher, Centre de recherche Fernand-Seguin et Clinique des troubles de l'humeur, Hôpital Rivière-des-Prairies, Montréal, Québec.
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Breton
authors.affiliation: Professor, Université Pierre-et-Marie-Curie, Paris, France; Doctor, Service de psychiatrie de l'enfant et de l'adolescent, Assistance Publique-Hôpitaux de Paris, Groupe hospitalier de la Pitié-Salpêtrière, Paris, France; Researcher, Unité mixte de recherche, Centre National de Recherche Scientifique-Unité Mixte Recherche-722, Institut des systèmes intelligents et de robotique, Université Pierre-et-Marie-Curie, Paris, France.
authors.forename: David
authors.initials: D
authors.lastname: Cohen
authors.affiliation: Professor and Department Head, Département de pédiatrie médicale, Fédération hospitalo-universitaire de psychiatrie de l'enfant et de l'adolescent (Centre Hospitalier Universitaire de Rouen et Centre hospitalier du Rouvray), Rouen et Rouvray, France; Researcher, Laboratoire Psy-NCA-EA-4700, Université de Rouen, Rouen, France.
authors.forename: Priscille
authors.initials: P
authors.lastname: Gérardin
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000293:Adolescent; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D013406:Suicide, Attempted / Q000523:psychology*