{"id":"https://openalex.org/W4389952289","doi":"https://doi.org/10.1002/jclp.23633","title":"Disclosures of self\u2010injurious thoughts and behaviors to parents in the context of adolescent therapy: A qualitative investigation","display_name":"Disclosures of self\u2010injurious thoughts and behaviors to parents in the context of adolescent therapy: A qualitative investigation","publication_year":2023,"publication_date":"2023-12-18","ids":{"openalex":"https://openalex.org/W4389952289","doi":"https://doi.org/10.1002/jclp.23633","pmid":"https://pubmed.ncbi.nlm.nih.gov/38111150","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10922370"},"language":"en","primary_location":{"id":"doi:10.1002/jclp.23633","doi":"https://doi.org/10.1002/jclp.23633","is_oa":false,"landing_page_url":"https://doi.org/10.1002/jclp.23633","pdf_url":null,"source":{"id":"https://openalex.org/S640450","display_name":"Journal of Clinical Psychology","issn_l":"0021-9762","issn":["0021-9762","1097-4679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Psychology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10922370/pdf/nihms-1950574.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044789815","display_name":"Alexandra H. Bettis","orcid":"https://orcid.org/0000-0002-4442-4951","observed_orcids":["https://orcid.org/0000-0002-4442-4951"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Alexandra H. Bettis","raw_affiliation_strings":["Department of Psychiatry & Behavioral Sciences Vanderbilt University Medical Center Nashville Tennessee USA","Department of Psychiatry & Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA"],"raw_orcid":"https://orcid.org/0000-0002-4442-4951","affiliations":[{"raw_affiliation_string":"Department of Psychiatry & Behavioral Sciences Vanderbilt University Medical Center Nashville Tennessee USA","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Department of Psychiatry & Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047507114","display_name":"Taylor A. Burke","orcid":"https://orcid.org/0000-0001-8816-1463","observed_orcids":["https://orcid.org/0000-0001-8816-1463"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Taylor A. Burke","raw_affiliation_strings":["Department of Psychiatry, Harvard Medical School/Massachusetts General Hospital, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, Harvard Medical School/Massachusetts General Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074183101","display_name":"Samantha Scott","orcid":"https://orcid.org/0000-0002-9563-6145","observed_orcids":["https://orcid.org/0000-0002-9563-6145"]},"institutions":[{"id":"https://openalex.org/I131651094","display_name":"University of Denver","ror":"https://ror.org/04w7skc03","country_code":"US","type":"education","lineage":["https://openalex.org/I131651094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Samantha R. Scott","raw_affiliation_strings":["Department of Psychology, University of Denver, Denver, Colorado, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology, University of Denver, Denver, Colorado, USA","institution_ids":["https://openalex.org/I131651094"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093532480","display_name":"Cara Bedock","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cara Bedock","raw_affiliation_strings":["Department of Psychiatry & Behavioral Sciences Vanderbilt University Medical Center Nashville Tennessee USA","Department of Psychiatry & Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry & Behavioral Sciences Vanderbilt University Medical Center Nashville Tennessee USA","institution_ids":["https://openalex.org/I901861585"]},{"raw_affiliation_string":"Department of Psychiatry & Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093532481","display_name":"Caroline Ambriano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Caroline Ambriano","raw_affiliation_strings":["Department of Psychological Sciences, Vanderbilt University, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychological Sciences, Vanderbilt University, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009810788","display_name":"Jordan Parrish","orcid":"https://orcid.org/0000-0001-6204-8737","observed_orcids":["https://orcid.org/0000-0001-6204-8737"]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jordan Parrish","raw_affiliation_strings":["Department of Psychological Sciences, Vanderbilt University, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychological Sciences, Vanderbilt University, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114110550","display_name":"Destinee Marsh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Destinee Marsh","raw_affiliation_strings":["Department of Psychological Sciences, Vanderbilt University, Nashville, Tennessee, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychological Sciences, Vanderbilt University, Nashville, Tennessee, USA","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091338398","display_name":"Kathryn R. Fox","orcid":"https://orcid.org/0000-0002-2697-7771","observed_orcids":["https://orcid.org/0000-0002-2697-7771"]},"institutions":[{"id":"https://openalex.org/I131651094","display_name":"University of Denver","ror":"https://ror.org/04w7skc03","country_code":"US","type":"education","lineage":["https://openalex.org/I131651094"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathryn R. Fox","raw_affiliation_strings":["Department of Psychology, University of Denver, Denver, Colorado, USA"],"raw_orcid":"https://orcid.org/0000-0002-2697-7771","affiliations":[{"raw_affiliation_string":"Department of Psychology, University of Denver, Denver, Colorado, USA","institution_ids":["https://openalex.org/I131651094"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5044789815"],"corresponding_institution_ids":["https://openalex.org/I901861585"],"apc_list":{"value":3450,"currency":"USD","value_usd":3450},"apc_paid":null,"fwci":2.6119,"has_fulltext":true,"cited_by_count":9,"citation_normalized_percentile":{"value":0.89266402,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":98},"biblio":{"volume":"80","issue":"3","first_page":"537","last_page":"558"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10376","display_name":"Suicide and Self-Harm Studies","score":0.9922000169754028,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10214","display_name":"Psychotherapy Techniques and Applications","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/self-injurious-thoughts-and-behaviors","display_name":"self-injurious thoughts and behaviors","score":0.9959999918937683},{"id":"https://openalex.org/keywords/parental-notification","display_name":"parental notification","score":0.6309999823570251},{"id":"https://openalex.org/keywords/adolescent-psychotherapy","display_name":"adolescent psychotherapy","score":0.49399998784065247},{"id":"https://openalex.org/keywords/suicidal-ideation","display_name":"suicidal ideation","score":0.7429999709129333},{"id":"https://openalex.org/keywords/non-suicidal-self-injury","display_name":"non-suicidal self-injury","score":0.9750000238418579},{"id":"https://openalex.org/keywords/parental-reactions","display_name":"parental reactions","score":0.5839999914169312},{"id":"https://openalex.org/keywords/adolescent-experiences","display_name":"adolescent experiences","score":0.5550000071525574},{"id":"https://openalex.org/keywords/clinical-guidelines","display_name":"clinical guidelines","score":0.5130000114440918}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7361205816268921},{"id":"https://openalex.org/C71745522","wikidata":"https://www.wikidata.org/wiki/Q2476929","display_name":"Confidentiality","level":2,"score":0.7062925100326538},{"id":"https://openalex.org/C175202939","wikidata":"https://www.wikidata.org/wiki/Q2892912","display_name":"Self-disclosure","level":2,"score":0.6721808314323425},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6622386574745178},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.6143248677253723},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5056424140930176},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.44206345081329346},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.39493635296821594},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.3937200903892517},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.3487549424171448},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.17012125253677368},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010290","descriptor_name":"Parents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013406","descriptor_name":"Suicide, Attempted","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D016728","descriptor_name":"Self-Injurious Behavior","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D016728","descriptor_name":"Self-Injurious Behavior","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D030881","descriptor_name":"Disclosure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D059020","descriptor_name":"Suicidal Ideation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1002/jclp.23633","doi":"https://doi.org/10.1002/jclp.23633","is_oa":false,"landing_page_url":"https://doi.org/10.1002/jclp.23633","pdf_url":null,"source":{"id":"https://openalex.org/S640450","display_name":"Journal of Clinical Psychology","issn_l":"0021-9762","issn":["0021-9762","1097-4679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Psychology","raw_type":"journal-article"},{"id":"pmid:38111150","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38111150","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of clinical psychology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10922370","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10922370","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10922370/pdf/nihms-1950574.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"J Clin Psychol","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:10922370","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10922370","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10922370/pdf/nihms-1950574.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"J Clin Psychol","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[{"id":"https://openalex.org/G1281265873","display_name":"Multimodal Dynamics of Parent-child Interactions and Suicide Risk","funder_award_id":"R21MH130767","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G2695081828","display_name":"Emotion Regulation Flexibility and Suicide Risk","funder_award_id":"K23MH122737","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G2915415865","display_name":"Leveraging Computer Vision to Augment Suicide Risk Prediction","funder_award_id":"R21MH127231","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"},{"id":"https://openalex.org/G8994423693","display_name":null,"funder_award_id":"YIG\u20101\u2010020\u201020","funder_id":"https://openalex.org/F4320306598","funder_display_name":"American Foundation for Suicide Prevention"},{"id":"https://openalex.org/G9000884745","display_name":"Passive Assessment of Behavioral Warning Signs for Suicide Risk in Adolescents: An Idiographic Approach","funder_award_id":"K23MH126168","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320306076","display_name":"National Science Foundation","ror":"https://ror.org/021nxhr62"},{"id":"https://openalex.org/F4320306598","display_name":"American Foundation for Suicide Prevention","ror":"https://ror.org/01zcf4n33"},{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4389952289.pdf","grobid_xml":"https://content.openalex.org/works/W4389952289.grobid-xml"},"referenced_works_count":57,"referenced_works":["https://openalex.org/W579924594","https://openalex.org/W1568955415","https://openalex.org/W1730662991","https://openalex.org/W1931442426","https://openalex.org/W1956573559","https://openalex.org/W1972966033","https://openalex.org/W1990401619","https://openalex.org/W1991550933","https://openalex.org/W1996990046","https://openalex.org/W2038077601","https://openalex.org/W2049994098","https://openalex.org/W2053767696","https://openalex.org/W2063358626","https://openalex.org/W2075735133","https://openalex.org/W2076250399","https://openalex.org/W2081568229","https://openalex.org/W2099471620","https://openalex.org/W2105556222","https://openalex.org/W2107067184","https://openalex.org/W2114969649","https://openalex.org/W2132662856","https://openalex.org/W2135536644","https://openalex.org/W2140034517","https://openalex.org/W2157629025","https://openalex.org/W2170748745","https://openalex.org/W2485805342","https://openalex.org/W2573501649","https://openalex.org/W2734821702","https://openalex.org/W2736840387","https://openalex.org/W2787947299","https://openalex.org/W2799884047","https://openalex.org/W2807141524","https://openalex.org/W2846110109","https://openalex.org/W2890978033","https://openalex.org/W2894930775","https://openalex.org/W2895258613","https://openalex.org/W2909963822","https://openalex.org/W2921223602","https://openalex.org/W2946184333","https://openalex.org/W2948961911","https://openalex.org/W2964756638","https://openalex.org/W2999415665","https://openalex.org/W3009567799","https://openalex.org/W3012460983","https://openalex.org/W3016383410","https://openalex.org/W3019844407","https://openalex.org/W3133711685","https://openalex.org/W3156645004","https://openalex.org/W3159055697","https://openalex.org/W3163873451","https://openalex.org/W3169660864","https://openalex.org/W3199674540","https://openalex.org/W3209514932","https://openalex.org/W4220809431","https://openalex.org/W4230498762","https://openalex.org/W4255552701","https://openalex.org/W4318928761"],"related_works":["https://openalex.org/W3209514932","https://openalex.org/W4404181610","https://openalex.org/W4382631229","https://openalex.org/W4404717850","https://openalex.org/W4304620039","https://openalex.org/W7204495348","https://openalex.org/W2091088260","https://openalex.org/W20292382","https://openalex.org/W7095365138","https://openalex.org/W4387504067"],"abstract_inverted_index":{"Self-injurious":[0],"thoughts":[1],"and":[2,10,28,56,125,131,158,163,173,190],"behaviors":[3],"(SITBs),":[4],"including":[5],"suicidal":[6],"thoughts,":[7],"suicide":[8],"attempts,":[9],"nonsuicidal":[11],"self-injury,":[12],"are":[13,85],"highly":[14],"prevalent":[15],"among":[16,60],"adolescents.":[17],"Identifying":[18],"adolescents":[19,97,112,185],"at":[20],"risk":[21],"for":[22,178,193],"SITBs":[23,187],"relies":[24],"on":[25],"their":[26,83,121,126,150,168],"disclosure,":[27],"these":[29],"disclosures":[30],"commonly":[31],"occur":[32],"in":[33,71,104,188,196],"therapy":[34,73,106,189],"context.":[35,74,107],"Moreover,":[36],"therapists":[37],"often":[38],"breach":[39],"confidentiality":[40,142],"to":[41,58,113,170],"inform":[42],"adolescents'":[43,67,80],"parent":[44],"or":[45,146],"guardian":[46],"when":[47,82,184],"they":[48],"disclose":[49,186],"SITBs.":[50],"Research":[51],"has":[52],"explored":[53],"rates":[54],"of":[55,69,141,181],"barriers":[57],"disclosure":[59,70,103,118],"adolescents,":[61],"yet":[62],"no":[63,76],"studies":[64,77],"have":[65,78,176],"examined":[66,79,92],"experiences":[68,81],"the":[72,105,116,179],"Further,":[75],"parents":[84,122,166],"then":[86],"informed.":[87],"In":[88],"this":[89],"study,":[90],"we":[91],"qualitative":[93],"responses":[94],"from":[95],"1495":[96],"who":[98],"had":[99],"experienced":[100],"a":[101],"SITB":[102,117,198],"Qualitative":[108],"questions":[109],"included":[110],"asking":[111],"describe":[114],"how":[115,120],"occurred,":[119],"were":[123],"informed,":[124],"parents'":[127,151],"reactions.":[128],"Using":[129],"open":[130],"axial":[132],"coding,":[133],"several":[134],"themes":[135],"emerged.":[136],"Adolescents":[137,148],"described":[138,149],"therapist":[139],"breaches":[140],"as":[143],"collaborative,":[144],"noncollaborative,":[145],"unclear.":[147],"affective":[152],"responses,":[153,160,162],"communication":[154],"about":[155],"SITBs,":[156],"validating":[157],"invalidating":[159],"treatment-oriented":[161],"ways":[164],"that":[165],"restricted":[167],"access":[169],"people,":[171],"places,":[172],"activities.":[174],"Findings":[175],"implications":[177],"development":[180],"clinical":[182],"guidelines":[183],"highlight":[191],"areas":[192],"future":[194],"research":[195],"adolescent":[197],"disclosure.":[199]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-12-20T00:00:00"}