ADOLESCENTS' PERCEPTIONS OF STRESSORS CONTRIBUTING TO SUICIDAL BEHAVIOUR

Authors

  • Henriëtte van den Berg University of the Free State
  • Hester Tancred University of the Free State
  • Dap Louw University of the Free State

DOI:

https://doi.org/10.25159/2415-5829/2243

Keywords:

adolescence, suicidal ideation, individual risk factors, social risk factors, Conservation of Resources theory

Abstract

South African adolescents show increased levels of suicidal behaviour. This article explores the perceptions of adolescents at risk of suicide regarding the psychosocial stressors they believe contribute to suicidal behaviour among South African adolescents. This study was conducted on 214 adolescents from the Western Cape Province with a high suicide risk. The group was selected on the basis of their high scores on the Suicidal Ideation Questionnaire. A qualitative content analysis was performed with their responses on a question about the reasons for adolescent suicide. The analysis highlighted risk factors relating to substance abuse, negative emotional experiences, lack of self-esteem, problem-solving ability and hope for the future; negative family environment and conflict in family relationships; peer group and romantic relationships; stressful life events; and socioeconomic factors. Guided by the Conservation of Resources (COR) theory suggestions were made for adolescent resource development to counter-act the impact of the various stressors they experience.

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References

Aldwin, C.M. (2007). Stress, Coping, and Development: An Integrative Perspective New York: Guilford Press.

Amoateng, A.Y., Barber, B.K. and Erickson, L.D. (2006). “Family Predictors of Adolescent Substance Use: The Case of High School Students in the Cape Metropolitan Area, Cape Town, South Africa†Journal of Child and Adolescent Mental Health 18(1):7-15. DOI: https://doi.org/10.2989/17280580609486612

Basson, N. and Van den Berg, H.S. (2009). Exposure to Stressors and Access to Resources as Experienced by a Group of Adolescents Association for Child and Adolescent Psychiatry and Associated Professions Conference, Bloemfontein, South Africa, July 2009.

Beautrais, A.L. (2000). “Risk Factors for Suicide and Attempted Suicide Among Young People†Australian and New Zealand Journal of Psychiatry 34(3):420-436. DOI: https://doi.org/10.1080/j.1440-1614.2000.00691.x

Becker-Weidman, E.G., Jacobs, R.H., Reinecke, M.A., Silva, S.G. and March, J.S. (2010). “Social Problem-solving Among Adolescents Treated for Depression†Behaviour Research and Therapy 48(1):11-18. DOI: https://doi.org/10.1016/j.brat.2009.08.006

Bertolote, J., Fleischmann, A., De Leo, D., Bolhari, J., Botega, N., De Silva, D., Thanh, H., Phillips, M., Schlebusch, L., Värnik, A., Vijayakumar, L. and Wasserman, D. (2005). “Suicide Attempts, Plans and Ideation in Culturally Diverse Sites: The WHO SUPRE-MISS Community Survey†Psychological Medicine 35(10):1457-1465. DOI: https://doi.org/10.1017/S0033291705005404

Botha, A. (2014). The Influence of Risk and Resilience Factors on the Life Satisfaction of Adolescents (Unpublished Doctoral Thesis) University of the Free State, Bloemfontein.

Call, K.T., Riedel, A.A., Hein, K., McLoyd, V., Petersen, A. and Kipke, M. (2002). “Adolescent Health and Well-being in the Twenty-first Century: A Global Perspective†Journal of Research on Adolescence 12(1):69-98. DOI: https://doi.org/10.1111/1532-7795.00025

Catan, L. (2004). Becoming Adult: Changing Youth Transitions in the 21st Century: A Synthesis of Findings from the ESRC Research Programmes. Youth, Citizenship and Social Change 1998-2003 Brighton: Trust for the Study of Adolescence.

Center for Disease Control and Prevention. (2008). “Youth Risk Behavior Surveillance - United States, 2007: Surveillance Summaries†Morbidity and Mortality Weekly Report, 57(4), http://www.cdc.gov/mmwr/PDF/ss/ss 5704.pdf (Accessed on 27/01/2010).

Cluver, L. and Gardner, F. (2006). “The Psychological Well-being of Children Orphaned by AIDS in South Africa†Annals of General Psychiatry 5:8-9. DOI: https://doi.org/10.1186/1744-859X-5-8

Coleman, J. and Hagell, A. (2007). Adolescence, Risk and Resilience: Against the Odds Sussex: John Wiley and Sons.

Corrigall, J., Lund, C., Patel, V., Plagerson, S. and Funk, M.K. (2008). “Poverty and Mental Illness: Fact of Fiction? A Commentary on Das, Do,Friedman, McKenzie and Scott (65:3, 2007, 467-480)†Social Science andMedicine 66(9):2061-2063. DOI: https://doi.org/10.1016/j.socscimed.2008.01.005

Crause, E.J. and Booyens, M.G. (2010). “Demographic Tragedy or Opportunity? Are Micro-issues Necessitating a New Social Contract with the Youth in South Africa?†Commonwealth Youth and Development 8(2):2-15.

Du Plessis, E.D. (2012). Psychosocial Factors as Predictors of Suicidal Ideation amongst Adolescents in the Free State Province: A Cross-cultural Study (Unpublished Doctoral Thesis) University of the Free State, Bloemfontein.

Evans, E., Hawton, K. and Rodham, K. (2004). “Factors Associated with Suicidal Phenomena in Adolescents: A Systematic Review of Populationbased Studies†Clinical Psychology Review 24(8):957-979. DOI: https://doi.org/10.1016/j.cpr.2004.04.005

Fleischmann, A., Bertolote, J.M., Belfer, M. and Beautrais, A. (2005). “Completed Suicide and Psychiatric Diagnoses in Young People: A Critical Examination of the Evidence†American Journal of Orthopsychiatry 75(4):676-683. DOI: https://doi.org/10.1037/0002-9432.75.4.676

Flisher, A., Liang, H., Laubscher, R. and Lombard, C. (2004). “Suicide Trends in South Africa, 1968-90†Scandinavian Journal of Public Health 32(6):411-418. DOI: https://doi.org/10.1080/14034940410029469

Furman, W., McDunn, C. and Young, B.J. (2009). “The Role of Peer and Romantic Relationships on Adolescents Affective Development†in Allen, N.B. and Sheeber, L. (Eds.). Adolescent Emotional Development and the Emergence of Depressive Disorders New York: Guilford Press, 299-317. DOI: https://doi.org/10.1017/CBO9780511551963.016

George, A.A. (2005). The Influence of Psychosocial Factors and Resources on Suicidal Ideation of Adolescents (Unpublished Master’s Dissertation) University of the Free State, Bloemfontein.

George, A.A. and Van den Berg, H.S. (2012). “The Influence of Psychosocial Variables on Adolescent Suicidal Ideation†Journal of Child and Adolescent Mental Health 24(1):45-57. DOI: https://doi.org/10.2989/17280583.2011.620961

Heckler, H., Taute, C.E., Krüger, G., De Wet, D., Calitz, F.J.W., Van der Merwe, L.M. and Raubenheimer, J.E. (2012). “Profile of Stress Factors Associated with Mental Disorders in Children and Adolscents Referred for Evaluation and Treatment to the Free State Psychiatric Complex, 2007†South African Journal of Psychology 18(2):61-67. DOI: https://doi.org/10.4102/sajpsychiatry.v18i2.328

Herrman, H., Saxena, S., and Moodie, R. (2005). “Promoting Mental Health: Concepts, Emerging Evidence, Practiceâ€, Summary Report / a Report from the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. Geneva: World Health Organization, DOI: https://doi.org/10.1037/e538802013-009

http://www.who.int/mental_health/evidence/MH_Promotion_Book.pdf (Accessed on 25/04/2010).

Hobfoll, S.E. (1988). The Ecology of Stress New York: Hemisphere Publishing Corporation.

Hobfoll, S.E. (1989). “Conservation of Resources: A New Attempt at Conceptualizing Stress†American Psychologist 44(3):513-524. DOI: https://doi.org/10.1037/0003-066X.44.3.513

Hobfoll, S.E. (1998). Stress, Culture and Community: The Psychology and Philosophy of Stress New York: Plenum Press. DOI: https://doi.org/10.1007/978-1-4899-0115-6

Hobfoll, S.E. (2001). “The Influence of Culture, Community, and the Nestedself in the Stress Process: Advancing Conservation of Resources Theory: Applied Psychology†An International Review 50(3):337-421. DOI: https://doi.org/10.1111/1464-0597.00062

Hobfoll, S.E. (2002). “Social and Psychological Resources and Adaptation†Review of General Psychology 6(4):307-324. DOI: https://doi.org/10.1037/1089-2680.6.4.307

Hobfoll, S.E., Freedy, J.R., Green, B.L. and Solomon, S.D. (1996). “Coping in Reaction to Extreme Stress: The Roles of Resource Loss and Resource Availability†in Zeidner, M. and Endler, N.S. (Eds.). Handbook of Coping New York: John Wiley and Sons, Inc., 322-349.

Holahan, C.J., Moos, R.H., Holahan, C.K. and Cronkite, R.C. (1999). “Resource Loss, Resource Gain and Depressive Symptoms: A 10-year Model†Journal of Personality and Social Psychology 77(3):620-629. Ittel, A., Kretchmer, T. and Pike, A. (2010). Siblings in Adolescence Abingdon: Psychology Press. DOI: https://doi.org/10.1037/0022-3514.77.3.620

Kaminer, D., Hardy, A., Heath, K., Mosdell, J. and Bawa, U. (2013). “Gender Patterns in the Contribution of Different Types of Violence to Posttraumatic Stress Symptoms among South African Urban Youth†Child Abuse and Neglect 37:320-330. DOI: https://doi.org/10.1016/j.chiabu.2012.12.011

Kaniasty, K. and Norris, F. (1995). “In Search of Altruistic Community: Patterns of Social Support Mobilization Following Hurricane Hugo†American Journal of Community Psychology 23(4):447-477. DOI: https://doi.org/10.1007/BF02506964

Kaye, D.K. (2008). “Negotiating the Transition from Adolescence to Motherhood: Coping with Prenatal and Parenting Stress in Teenage Mothers in Mulago Hospital, Uganda†BMC Public Health 8:83-88. DOI: https://doi.org/10.1186/1471-2458-8-83

La Greca, A.M. and Harrison, H.M. (2005). “Adolescent Peer Relations,

Friendships and Romantic Relationships: Do they Predict Social Anxiety and Depression?†Journal of Clinical and Child and Adolescent Psychology 34(1):49-61. DOI: https://doi.org/10.1207/s15374424jccp3401_5

La Greca, A.M., Davila, J. and Siegel, R. (2009). “Peer Relations, Friendships and Romantic Relationships: Implications for the Development and Maintenance of Depression in Adolescents†in Allen, N.B. and Sheeber, L.B. (Eds.). Adolescent Emotional Development and the Emergence of Depressive Disorders Cambridge: Cambridge University Press, 318-336. DOI: https://doi.org/10.1017/CBO9780511551963.017

Larson, R.W., Wilson, S. and Mortimer, J.T. (2002). “Conclusions: Adolescents’ Preparation for the Future†Journal of Research on Adolescence 12(1):159-166. DOI: https://doi.org/10.1111/1532-7795.00029

Loots, S. (2008). The Role of Exposure to Suicide and Coping Strategies in the Suicidal Ideation of Adolescents (Unpublished Master’s Dissertation) University of the Free State, Bloemfontein.

Louw, A.E., Louw, D.A. and Ferns, I. (2007). “Adolescence†in Louw, D.A. and Louw, A.E. (Eds.). Child and Adolescent Development Bloemfontein: Psychology Publications, 278-347.

Louw, D.A., Mokhosi, M. and Van den Berg, H.S. (2012). Stressors, Resources and Coping Skills among Double AIDS-orphans Child Abuse Research: A South African Journal 13(2):1-12.

Maphula, A. and Mudhovozi, P. (2012). “Suicide Ideation: A Study of Secondary School Learners in Limpopo Province, South Africa†African Journal for Physical, Health Education, Recreation and Dance September 2012 (Supplement):104-116.

Mashego, T.A.B. and Madu, S.N. (2009). “Suicide-related Behaviours among Secondary School Adolescents in the Welkom and Bethlehem Areas of the Free State Province (South Africa)†South African Journal of Psychology 39(4):489-497. DOI: https://doi.org/10.1177/008124630903900410

Meehan, S., Peirson, A. and Fridjhon, P. (2007). “Suicidal Ideation in Adolescent South Africans: The Role of Gender and Coping Strategies†South African Journal of Psychology 37(3):552-575. DOI: https://doi.org/10.1177/008124630703700311

Mhlongo, T. and Peltzer, K. (1999). “Parasuicide among Youth in a General Hospital in South Africa†Curationis 22(2):72-76. DOI: https://doi.org/10.4102/curationis.v22i2.735

Morojele, N.K. and Brook, J.S. (2006). “Substance Use and Multiple Victimization among Adolescents in South Africa†Addictive Behaviours 31(7):1163-1176. DOI: https://doi.org/10.1016/j.addbeh.2005.09.009

Neuman, W.L. (1997). Social Research Methods, Qualitative and Quantitative Approaches Boston: Allyn and Bacon.

Newman, B.M., Lohman, B.J. and Newman, P.R. (2007). “Peer Group Membership and a Sense of Belonging: Their Relationship to Adolescent Behaviour Problems†Adolescence 42(166):241-263.

Noble, M., Wright, G. and Cluver, L. (2006). “Developing a Child-focused and Multidimensional Model of Child Poverty for South Africa†Journal of Children and Poverty 12(1):39-53. DOI: https://doi.org/10.1080/10796120500502136

O’Brien, C. and Scott, J. (2007). “The Role of the Family†in Coleman, J. and Hagell, A. (Eds.). Adolescence, Risk and Resilience Against the Odds Chichester: John Wiley and Sons, Ltd., 17-40.

Olsson, C.A., Bond, L., Burns, J.M., Vella-Brodrick, D.A. and Sawyer, S.M. (2003). “Adolescent Resilience: A Concept Analysis†Journal of Adolescence 26(1):1-11. DOI: https://doi.org/10.1016/S0140-1971(02)00118-5

Patel, V., Flisher, A.J., Nikapota, A. and Malhotra, S. (2008). “Promoting Child and Adolescent Mental Health in Low and Middle Income Countries†Journal of Child Psychology and Psychiatry 49(3):313-334. DOI: https://doi.org/10.1111/j.1469-7610.2007.01824.x

Patel, V. and Kleinman, A. (2003). “Poverty and Common Mental Disorders in Developing Countries†Bulletin of the World Health Organization 81(8):609-615.

Peltzer, K., Kleintjies, S., Van Wyk, B., Thompson, E.A. and Mashego, T.B. (2008). “Correlates of Suicide Risk Among Secondary School Students in Cape Town†Social Behavior and Personality 36(4):493-502. DOI: https://doi.org/10.2224/sbp.2008.36.4.493

Pillay, A.L. and Wassenaar, D.R. (1997). “Family Dynamics, Hopelessness and Psychiatric Disturbance in Parasuicidal Adolescents†Australian and New Zealand Journal of Psychiatry 31(2):227-231. DOI: https://doi.org/10.3109/00048679709073825

Reddy, S.P., James, S., Sewpaul, R., Koopman, F., Funani, N.I., Sifunda, S., Josie, J., Masuka, P., Kambaran, N.S. and Omardien, R.G. (2010). “Umthente uhlaba usamila – The 2nd South African National Youth Risk Behaviour Survey†Cape Town: South African Medical Research Council, http://www.timeslive.co.za/multimedia/archive/00609/yrbs_2008_f inal_rep_609325a.pdf (Accessed on 24/04/2010).

Reddy, S.P., Panday, S., Swart, D., Jinabhai, C.C., Amosum, S.L., Monyeki, K.D., Stevens, G., Morejele, N., Kambaran, N.S., Omardien, R.G. and Van den Borne, H.W. (2003). “Umthenthe uhlaba usamila: The 1st South African National Youth Risk Behaviour Survey 2002â€, Cape Town: South African Medical Research Council, http://www.mrc.ac.za//healthpromotion/YRBS part2.pdf (Accessed on 13/04/2009).

Republic of South Africa. (2006). “Children’s Act No. 38 of 2005†Government Gazette, 492 (No. 28944), http://www.info.gov.za/view/ DownloadFileAction?id=67892 (Accessed on 17/03/2010).

Reynolds, W.M. (1999). Suicidal Ideation Questionnaire for Adolescents Odessa, Florida: Psychological Assessment Resource.

Richter, L.M., Norris, S.A. and Ginsburg, C. (2006). “The Silent Truth of Teenage Pregnancies: Birth to Twenty Cohort’s Next Generation†South African Medical Journal 96(2):122-124.

Schlebusch, L. (2005). Suicidal Behaviour in South Africa Scottsville, South Africa: University of KwaZulu-Natal Press.

Stark, K., Joubert, G., Struwig, M., Pretorius, M., Van der Merwe, N., Botha, H., Kotzé, J. and Krynauw, D. (2010). Suicide Cases Investigated at the State Mortuary in Bloemfontein, 2003-2007 South African Family Practice 52(4):332-335. DOI: https://doi.org/10.1080/20786204.2010.10874001

Suliman, S., Kaminer, D., Seedat, S. and Stein, D.J. (2005). “Assessing Posttraumatic Stress Disorder in South African Adolescents: Using the Child and Adolescent Trauma Survey (CATS) as a Screening Tool†Annals of General Psychiatry 4(2):1-10.

Van Renen, L.J. and Wild, L.G. (2008). “Family Functioning and Suicidal Ideation/Behaviour in Adolescents: A Pilot Study†Journal of Child and Adolescent Mental Health 20(2):111-121. DOI: https://doi.org/10.2989/JCAMH.2008.20.2.7.690

Venta, A. and Sharp, C. (2014). “Attachment Organization in Suicide Prevention Research: Preliminary Findings and Future Directions in a Sample of Inpatient Adolescents†Crisis Journal of Crisis Intervention and Suicide Prevention 35(1):60-66. DOI: https://doi.org/10.1027/0227-5910/a000231

Waldvogel, J.L., Rueter, M. and Oberg, C.N. (2008). “Adolescent Suicide: Risk Factors and Prevention Strategies†Current Problems in Paediatric Adolescent Health Care 38(4):110-125. DOI: https://doi.org/10.1016/j.cppeds.2008.01.003

Wild, L.G., Flisher, A.J. and Lombard, C. (2004). “Suicidal Ideation and Attempts in Adolescents: Association with Depression and Six Domains of Self-esteem†Journal of Adolescence 27(6):611-624. DOI: https://doi.org/10.1016/j.adolescence.2004.03.001

Wild, L.G., Flisher, A.J. and Robertson, B.A. (2011). “Risk and Resilience in Orphaned Adolescents Living in a Community Affected by AIDS†Youth and Society 45(1):140-162. DOI: https://doi.org/10.1177/0044118X11409256

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2017-03-02

How to Cite

van den Berg, Henriëtte, Hester Tancred, and Dap Louw. 2014. “ADOLESCENTS’ PERCEPTIONS OF STRESSORS CONTRIBUTING TO SUICIDAL BEHAVIOUR”. Southern African Journal of Social Work and Social Development 26 (2):192-213. https://doi.org/10.25159/2415-5829/2243.

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