Positive and Negative Expectations of Hopelessness as Longitudinal Predictors of Depression, Suicidal Ideation, and Suicidal Behavior in High‐Risk Adolescents

2016/07/02 by Adam G. Horwitz, Johnny Berona, Ewa K. Czyz +3 · 5 citations
Medicine · Psychology · #Cardiac Arrest and Resuscitation #Heart Rate Variability and Autonomic Control #Suicide and Self-Harm Studies

paper · pdf · doi:10.1111/sltb.12273

openalex publication_date 2016/07/02 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/01

Abstract

The relationship between hopelessness and depression in predicting suicide-related outcomes varies based on the anticipation of positive versus negative events. In this prospective study of adolescents at elevated risk for suicide, we used two Beck Hopelessness Scale subscales to assess the impact of positive and negative expectations in predicting depression, suicidal ideation, and suicidal behavior over a 2- to 4-year period. In multivariate regressions controlling for depression, suicidal ideation, and negative-expectation hopelessness, positive-expectation hopelessness was the only significant predictor of depressive symptoms and suicidal behavior. Clinical interventions may benefit from bolstering positive expectations and building optimism.

Citations

• The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults

Cited by

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• Reciprocal developmental pathways between future-related thinking and symptoms of adolescent depression and anxiety: A systematic review and meta-analysis of longitudinal studies.
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