March 27 2015 Prevention and Treatment Intervention for Suicidal Latinas Long Island Crisis Center Breakfast and Educational Forum Family Sociocultural Environment Subjective Experience of Family Crisis ID: 776010
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Slide1
Carolina Hausmann-Stabile, PhD, LMSWMarch 27, 2015
Prevention and Treatment Intervention for Suicidal Latinas
Long Island Crisis Center
Breakfast
and
Educational Forum
Slide2Slide3Family
Sociocultural
Environment
Subjective Experience of Family Crisis
Teen’s Psychosocial
Functioning
Zayas et al., 2005
The conceptual model to understand suicidal behaviors
Slide4Pre-suicide attempt
Post-suicide attempt
Crisis intervention
E.R.
Peds
Outpatient
Inpatient
Interventions: Timing and targets
Slide5Pre-Attempt Interventions & Targets
Family intervention
aiming at improving
functioning by increasing adaptability and cohesiveness
Parenting intervention aiming at helping parents acculturate
Individual 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
Slide6T
rauma 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)
Slide7CRISIS
INTERVENTION
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
Slide8HIGH 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
Slide9Post-Suicide Attempt: Two types of attempters, two types of approaches
Externalizer: Anger and frustration
Internalizer: Sadness and loss
Slide10