Master of Arts (M.A.)
Degree Granting Department
Jonathan Rottenberg, Ph.D.
Kristen Salomon, Ph.D.
Fallon Goodman, Ph.D.
Recovery, Thriving, Suicidality, Protective Factors
After a non-fatal suicide attempt, survivors commonly endorse the goal of building a life worth living; however, there have been few investigations of good outcomes after non-fatal suicide attempts. Our prior study of a national sample of United States youth found that 7 years after a non-fatal suicide attempt, approximately 13% of adolescents (75 out of 574) achieved a well-being profile at or above the top quartile of non-suicidal peers, a status which we term as good future well-being (FWB). The present investigation focused on potential predictors of FWB, including self-esteem, positive mood, family connectedness, and school belongingness, drawn from Wave I and Wave III data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). Wave I self-esteem (OR = 3.49, 95% CI [2.01, 6.08], p < 0.001), positive mood (OR = 1.81, 95% CI: [1.08, 3.03], p < 0.05), family connectedness (OR = 1.82, 95% CI [1.14, 2.90], p < 0.05), and school belongingness (OR = 1.69, 95% CI [1.14, 2.52], p < 0.05) respectively predicted a higher likelihood of FWB at Wave III. After controlling Wave I self-esteem, positive mood, family connectedness, and school belongingness were no longer significant predictors of FWB (p > 0.05). By contrast, Wave I self-esteem remained a robust predictive factor of Wave III FWB (OR = 4.97, 95% CI: 2.53 - 9.76], p < 0.001), after controlling for demographic (e.g., biological sex) and clinical variables (e.g., depression, suicide attempt severity, positive mood). The current findings suggest the value of incorporating self-esteem into routine assessment and treatment-outcome studies of suicide-related phenomena.
Scholar Commons Citation
Tong, Bingjie, "Predicting Future Well-Being Among United States Youth Who Attempted Suicide and Survived" (2022). USF Tampa Graduate Theses and Dissertations.