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Emotion Regulation and Attachment Style as Predictors of Psychiatric Hospitalization Duration in Suicidal Adolescents.

Isack E, Ben-David S, Goltser-Dubner T, Segman R, Kianski E, Giesser R, Rahmani S, Blum Weinberg P, Ben-Ari A, Sela Y, Bar Nitsan M, Lotan A, Schechter T, Daninos M, Yishai S, Avraham Y, Benarroch F, Shalev A

Children (Basel, Switzerland) · 2026

Study snapshot

What this research can tell you

What is this?
An indexed scholarly work. The study design is not available in this public record.
Who did it?
Isack E, Ben-David S, Goltser-Dubner T, et al.
What did they study?
Population details are not available in this public record.
How should I read it?
FamilyPhD does not assign a strength rating without enough structured study detail.

What was found

The structured finding summary is not available. The study abstract is shown below.

Limitations

Structured limitations are not available in this public record. Absence here does not mean the study has no limitations.

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From the publication record

Study abstract

The abstract is publication text, not a FamilyPhD recommendation.

Background

Emotion regulation and attachment styles are interrelated and are critical factors in psychopathology and treatment outcomes, particularly in youths with suicidal behavior receiving psychiatric inpatient care. This study examined the influence of emotion regulation and attachment style on psychiatric hospitalization duration among adolescents admitted due to suicidal ideation or behavior.

Methods

Participants included 79 Israeli adolescents (mean age 15.35 years, 87.3% female) admitted to a tertiary psychiatric inpatient unit following a suicidal crisis. Data was collected using the Difficulties in Emotion Regulation Scale (DERS), the Experience in Close Relationships Scale (ECR), the Screen for Child Anxiety-Related Emotional Disorders (SCARED), the Patient Health Questionnaire (PHQ-9), and the Columbia-Suicide Severity Rating Scale (C-SSRS). Data were analyzed using correlation and multiple regression analyses.

Results

Analysis revealed that greater emotion regulation difficulties predicted longer hospitalization duration (β = 0.41, p < 0.001), while avoidant attachment style was associated with shorter hospitalization duration (β = -0.35, p < 0.001). Notably, the level of suicidality as well as psychopathology symptoms (depression and anxiety) did not predict hospitalization duration.

Conclusions

These findings underscore the important role of emotion regulation and attachment style in determining treatment duration in suicidal adolescents, beyond the severity of psychopathology and suicidality, suggesting their unique contribution to treatment planning. Clinical interventions targeting emotion regulation and attachment styles could enhance inpatient care effectiveness, offer a more personalized treatment approach and potentially reducing hospitalization duration.

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