OBJECTIVE The present study tested the validity and clinical utility of adolescents' reports of two distinct modes of processing during the recall of a suicidal episode in the Suicide Narrative Interview (SNI). Recall Intensity (RI) items were designed to capture a tendency to become immersed in thoughts and feelings during the interview, while Meaning Making (MM) items were designed to assess more distant and reflective processing. METHOD The construct and predictive validity of pretreatment MM and RI was tested in a 16-week randomized clinical trial (RCT) for depressed and suicidal adolescents (N = 113, Mage = 14.95, 84.1% female, 51.8% Black/African American). Adolescents rated MM and RI immediately following the SNI during a baseline assessment. RESULTS Baseline MM was associated with protective factors related to reduced suicidality, and RI was associated with several risk factors for suicidal symptoms. Adolescents who reported high MM and low RI reported greater reductions in both suicidal ideation and depressive symptoms during the RCT. CONCLUSIONS The results support MM and RI as two distinct modes of how adolescents process memories of suicidal episodes and highlight the potential clinical utility of RI and MM in assessing and treating suicidal adolescents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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对自杀事件的沉浸式和反思性回忆：对评估和治疗自杀青少年的影响。

目的 本研究测试了青少年在自杀叙事访谈（SNI）中回忆自杀事件时两种不同处理模式的报告的有效性和临床实用性。回忆强度（RI）项目旨在捕捉面试过程中沉浸在想法和感受中的倾向，而意义创造（MM）项目旨在评估更遥远和反思性的处理。方法 在一项针对抑郁和自杀青少年（N = 113，Mage = 14.95，84.1% 女性，51.8% 黑人/非裔美国人）的为期 16 周的随机临床试验 (RCT) 中测试了治疗前 MM 和 RI 的构建和预测有效性。在基线评估期间，青少年在 SNI 之后立即对 MM 和 RI 进行评分。结果 基线 MM 与自杀率降低相关的保护因素相关，RI 与自杀症状的几个危险因素相关。报告称，在随机对照试验期间，报告高 MM 和低 RI 的青少年的自杀意念和抑郁症状都有更大程度的减少。结论 结果支持 MM 和 RI 作为青少年处理自杀事件记忆的两种不同模式，并强调 RI 和 MM 在评估和治疗自杀青少年方面的潜在临床效用。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。