학술논문

Interpersonal Life Stress and Inflammatory Reactivity as Prospective Predictors of Suicide Attempts in Adolescent Females
Document Type
article
Source
Research on Child and Adolescent Psychopathology. 51(7)
Subject
Clinical and Health Psychology
Social and Personality Psychology
Psychology
Pediatric
Prevention
Mind and Body
Clinical Research
Behavioral and Social Science
Basic Behavioral and Social Science
Mental Health
Suicide
2.3 Psychological
social and economic factors
Aetiology
Mental health
Inflammatory and immune system
Humans
Adolescent
Female
Suicide
Attempted
Cytokines
Inflammation
Suicidal Ideation
Interleukin-6
Stress
Psychological
Life stress
Social stress
Adolescence
Developmental & Child Psychology
Applied and developmental psychology
Clinical and health psychology
Social and personality psychology
Language
Abstract
Adolescents' suicidal behavior frequently is preceded by interpersonal stress, but not all who experience distress attempt to end their lives. Recent theories have posited individual differences in stress-related inflammatory reactivity may be associated with psychopathology risk; this study examined inflammatory reactivity as a moderator of the prospective association between interpersonal stress and adolescents' suicidal behavior. Participants included 157 at-risk adolescent females (ages 12 to 16 years) and assessed individual differences in proinflammatory cytokine responses to a brief laboratory-based social stressor, both interpersonal and non-interpersonal life events, and suicidal behavior over an 18-month follow-up period. Measuring levels of the key proinflammatory cytokines interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) before and after an experimentally-induced social stressor, results revealed that blunted cytokine reactivity heightened the effect of high interpersonal stress exposure on risk for suicidal behaviors over the subsequent 9 months. Significant effects were not revealed for non-interpersonally themed stress. Finding highlight the urgent need for more research examining inflammation reactivity among adolescents.