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The Effects of Harm Avoidance on Suicidal Ideation Among Adolescents: Mediation Effects of Worry and Catastrophizing

Abstract

This study aimed to identify the effect of harm avoidance on suicidal ideation in adolescents and to examine the mediation effects of worry and catastrophizing. A total of 438 adolescents in Seoul and Kyunggi completed self-report questionnaires, including the Suicidal Ideation Questionnaire, Junior Temperament and Character Inventory 12-18, Penn State Worry Questionnaire, and Korea Cognitive Emotion Regulation Questionnaire. The results were as follows. First, significant correlations were found among harm avoidance, worry, catastrophizing, and suicidal ideation. Second, the relationship of harm avoidance and suicidal ideation was significantly mediated by worry, and the serial multiple mediation effect was also significant from harm avoidance to worry, catastrophizing, and suicidal ideation successively. It is presumed that adolescents’ harm avoidance can affect suicidal ideation by mediating maladaptive cognitions. An intervention for adolescents’ negative cognition is important in preventing suicidal ideation. Implications and limitations of this study were further discussed.

keywords
harm avoidance, worry, catastrophizing, suicidal ideation, adolescents, 위험회피 기질, 걱정, 파국화, 자살사고, 청소년

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