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Carolina Hausmann-Stabile, PhD, LMSWMarch 27, 2015 Prevention and Treatment Intervention for Suicidal Latinas Long Island Crisis Center Breakfast and Educational Forum

Family Sociocultural EnvironmentSubjective Experience of Family CrisisTeen’s Psychosocial FunctioningZayas et al., 2005 The conceptual model to understand suicidal behaviors

Pre-suicide attempt Post-suicide attempt Crisis interventionE.R.PedsOutpatientInpatient Interventions: Timing and targets

Pre-Attempt Interventions & Targets Family intervention aiming at improvingfunctioning by increasing adaptability and cohesivenessParenting intervention aiming at helping parents acculturateIndividual intervention aiming at normalizing their experiencePeer support aiming at building social support Identifying and curving problematic behaviors Emotional Vulnerability Family Functioning Adolescent Development Cultural Traditions

T rauma shapes mother’s parenting Some traumatized mothers become overprotective, fearing everything Other traumatized mothers are emotional neglectful, minimizing the teen’s developmental needsThe teen feels infantilized and hopeless The teen feels misunderstood and hopeless. Family Functioning German & Hausmann-Stabile (in preparation)

CRISIS INTERVENTION Suicide attempts follow a period of escalating tensionsThe crisis at home often involves problems at schoolParents: Culturally-competent conflict managementTeens: Focus on emotional regulation Family: Psychoeducation to reduce stigma

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

Post-Suicide Attempt: Two types of attempters, two types of approaches Externalizer: Anger and frustrationInternalizer: Sadness and loss