Carolina Hausmann-Stabile, PhD, LMSW

March 27, 2015

Prevention and Treatment Intervention for Suicidal

LatinasLong Island Crisis Center Breakfast and

Educational Forum

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Family Sociocultural Environment

Subjective Experience of Family Crisis

Teen’s Psychosoci

al Functionin

g

Zayas et al., 2005

The conceptual model to understand suicidal behaviors

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Pre-suicide attempt Post-suicide attempt

Cri

sis

inte

rven

tion

E.R.PedsOutpatientInpatient

Interventions: Timing and targets

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Pre-Attempt Interventions & Targets

Family intervention aiming at improvingfunctioning by increasing adaptability and cohesiveness

Parenting intervention aiming at helping parents

acculturateIndividual intervention aiming at normalizing their

experience

Peer support aiming at

building social support

Identifying and curving problematic

behaviors

Emotional Vulnerability

Family Functioning

Adolescent Development

Cultural Traditions

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Trauma shapes mother’s parenting

Some traumatized mothers become overprotective, fearing everything

Other traumatized mothers are emotional neglectful, minimizing the teen’s developmental needs

The teen feels infantilized and hopeless

The teen feels misunderstood and hopeless.

Family Functioning

German & Hausmann-Stabile (in preparation)

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CR

ISISINTERVENTION

Suicide attempts follow a period of escalating tensions

The crisis at home often involves problems at school

Parents: Culturally-competent conflict management

Teens: Focus on emotional regulation

Family: Psychoeducation to reduce stigma

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HIGH conflict, LOW mutuality: “She did this to hurt me” “She did this to

get attention”

LOW conflict, LOW mutuality: “Everything was fine” “I need help”

LOW conflict, HIGH mutuality: “She needs help” “She changed”

Post-Suicide Attempt: Three types of families, three types of

responses

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Post-Suicide Attempt: Two types of attempters, two types of

approaches

Externalizer: Anger and frustration

Internalizer: Sadness and loss

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