@article{ref1,
title="The relationship between emotional clarity and suicidal ideation among trauma-exposed adolescents in inpatient psychiatric care: does distress tolerance matter?",
journal="Cognitive behaviour therapy",
year="2019",
author="Viana, Andres G. and Raines, Elizabeth M. and Woodward, Emma C. and Hanna, Abigail E. and Walker, Rheeda and Zvolensky, Michael J.",
volume="48",
number="5",
pages="430-444",
abstract="The present investigation examined associations between low emotional clarity (the extent to which individuals are confused about the specific emotions they are experiencing) and suicidal ideation in a diverse sample of trauma-exposed inpatient adolescents, as well as the moderating role of distress tolerance (DT) in this association. Participants (N = 50; 52.0% female; M = 15.1 years, SD = .51; 44% White) completed measures of emotion dysregulation, posttraumatic stress disorder (PTSD), and suicidal ideation/attempts, as well as a behavioral measure of DT. Controlling for age, gender, presence of mood disorder, and past history of attempts, results revealed a significant interaction between DT and low emotional clarity in relation to suicidal ideation. Specifically, lower emotional clarity was related to suicidal ideation at higher, but not lower, levels of DT. <br><br>FINDINGS suggest that presence of suicidal ideation among traumatized youth with low emotion clarity is most likely when these emotional deficits are coupled with a high tolerance for cognitive/psychological distress. Given that the ability to withstand distress is arguably a key factor in transitioning individuals from ideation to lethal suicidal behavior, attention to the presence of this construct in the context of clinical practice may be warranted.<p /> <p>Language: en</p>",
language="en",
issn="1650-6073",
doi="10.1080/16506073.2018.1536163",
url="http://dx.doi.org/10.1080/16506073.2018.1536163"
}