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<p>Suicide ideation and attempts account for over half of emergency department visits among adolescents in the United States. Social connectedness has been identified as a protective factor, yet little is known about its role in the moments during a suicidal crisis. We examined adolescents’ retrospective anticipation of others’ emotional reactions to their prospective death by suicide as an indicator of perceived social (dis)connectedness during a suicidal crisis. Qualitative responses from a clinical sample of 104 adolescents (79 female), ages 12–19, with recent suicide ideation or attempt were analyzed using reflexive thematic analysis. Three superordinate themes were developed: (1) <i>living for others: social bonds as protective anchors</i>, (2) <i>social disconnection and emotional disengagement</i>, and (3) <i>navigating dynamic social connections: protective or risk amplifying</i>. These findings suggest that suicide-related interventions should address adolescents’ perceptions of social (dis)connectedness and target both interpersonal and intrapersonal factors during moments of crisis to improve clinical outcomes.</p>

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Anticipated Emotional Reactions as Indicators of Adolescents’ Perceived Social (dis) Connectedness During the Moment of Suicidal Crisis: A Reflexive Thematic Analysis

  • 期刊论文

  • 发表日期：

    2026年2月3日

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  • Felix Yirdong,
  • Shahrika Taiyeba,
  • Judelysse Gomez,
  • Teresa López-Castro,
  • Julia Lechuga,
  • Regina Miranda

摘要

Suicide ideation and attempts account for over half of emergency department visits among adolescents in the United States. Social connectedness has been identified as a protective factor, yet little is known about its role in the moments during a suicidal crisis. We examined adolescents’ retrospective anticipation of others’ emotional reactions to their prospective death by suicide as an indicator of perceived social (dis)connectedness during a suicidal crisis. Qualitative responses from a clinical sample of 104 adolescents (79 female), ages 12–19, with recent suicide ideation or attempt were analyzed using reflexive thematic analysis. Three superordinate themes were developed: (1) living for others: social bonds as protective anchors, (2) social disconnection and emotional disengagement, and (3) navigating dynamic social connections: protective or risk amplifying. These findings suggest that suicide-related interventions should address adolescents’ perceptions of social (dis)connectedness and target both interpersonal and intrapersonal factors during moments of crisis to improve clinical outcomes.