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Carolina Hausmann-Stabile, PhD, LMSW

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.

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Carolina Hausmann-Stabile, PhD, LMSW






Presentation on theme: " Carolina Hausmann-Stabile, PhD, LMSW"— Presentation transcript:

Slide1

Carolina Hausmann-Stabile, PhD, LMSWMarch 27, 2015

Prevention and Treatment Intervention for Suicidal Latinas

Long Island Crisis Center

Breakfast

and

Educational Forum

Slide2

Slide3

Family

Sociocultural

Environment

Subjective Experience of Family Crisis

Teen’s Psychosocial

Functioning

Zayas et al., 2005

The conceptual model to understand suicidal behaviors

Slide4

Pre-suicide attempt

Post-suicide attempt

Crisis intervention

E.R.

Peds

Outpatient

Inpatient

Interventions: Timing and targets

Slide5

Pre-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

Slide6

T

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)

Slide7

CRISIS

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

Slide8

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

Slide9

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

Externalizer: Anger and frustration

Internalizer: Sadness and loss

Slide10