Psychopathology Associated With Suicidal Ideation and Attempts Among Children and Adolescents

Gould, Madelyn S.; King, Robert A.; Greenwald, Steven; Fisher, Prudence; Schwab‐Stone, Mary; Kramer, Rebecca K.; Flisher, Alan J.; Goodman, Sherryl H.; Canino, Glorisa; Shaffer, David

doi:10.1097/00004583-199809000-00011

Cited by 513 publications

(495 citation statements)

References 37 publications

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“…This study 11 did not include pure bullies, and those defined as bully-victims were not found to be at increased risk of suicide ideation. 11 Suicide ideation has been repeatedly observed in child populations, 11,25,26 and crucially, there is consistent evidence linking preadolescent suicidal ideation with later suicide attempts in adolescence. 27,28 With adolescence comes an increased risk of psychopathology, more freedom and cognitive resources; 1 all of which may heighten the risk of acting upon suicide ideation.…”

Section: Introductionmentioning

confidence: 95%

See 1 more Smart Citation

Involvement in Bullying and Suicide-Related Behavior at 11 Years: A Prospective Birth Cohort Study

Winsper

Lereya

Zanarini

et al. 2012

Journal of the American Academy of Child & Adolescent Psych

193

145

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Objective To study the prospective link between involvement in bullying (bully, victim, bully/victim), and subsequent suicide ideation and suicidal/self-injurious behavior, in preadolescent children in the United Kingdom.Method 6043 children in the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort were assessed to ascertain involvement in bullying between 4 and 10 years and suicide ideation at 11.7 years.

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Section: Introductionmentioning

confidence: 95%

“…Further, the extent to which these associations were independent of other risk factors for suicide was tested. Both psychopathological (internalizing and externalizing problems 17,26 ) and psychosocial (abuse, domestic violence 25 and harsh parenting 29 ) risk factors were incorporated into the analyses.…”

Section: Introductionmentioning

confidence: 99%

Involvement in Bullying and Suicide-Related Behavior at 11 Years: A Prospective Birth Cohort Study

Winsper

Lereya

Zanarini

et al. 2012

Journal of the American Academy of Child & Adolescent Psych

193

145

View full text Add to dashboard Cite

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“…Keywords depression; children; adolescents; psychotherapy; meta-analysis Depression in children and adolescents (herein referred to collectively as youths) is a significant, persistent, and recurrent public health problem that undermines social and school functioning, generates severe family stress, and prompts significant use of mental health services (Angold et al, 1998;Clarke, DeBar, & Lewinsohn, 2003). Youth depression is also linked to increased risk of other psychiatric disorders (Angold & Costello, 1993) as well as drug use and suicide (Gould et al, 1998;Rohde, Lewinsohn, & Seeley, 1991), which is the third most common cause of death among adolescents (Arias, MacDorman, Strobino, & Guyer, 2003). Relapse rates have been reported at 12% within 1 year and 33% within 4 years (Lewinsohn, Clarke, Seeley, & Rohde, 1994), and by the age of 18 years, some 20% of youths will have met criteria for a diagnosis of major depressive disorder at least once (Birmaher et al, 1996).…”

mentioning

confidence: 99%

Effects of psychotherapy for depression in children and adolescents: A meta-analysis.

Weisz¹,

McCarty²,

Valeri³

2006

Psychological Bulletin

745

641

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Serious sequelae of youth depression, plus recent concerns over medication safety, prompt growing interest in the effects of youth psychotherapy. In previous meta-analyses, effect sizes (ESs) have averaged .99, well above conventional standards for a large effect and well above mean ES for other conditions. The authors applied rigorous analytic methods to the largest study sample to date and found a mean ES of .34, not superior but significantly inferior to mean ES for other conditions. Cognitive treatments (e.g., cognitive-behavioral therapy) fared no better than noncognitive approaches. Effects showed both generality (anxiety was reduced) and specificity (externalizing problems were not), plus short-but not long-term holding power. Youth depression treatments appear to produce effects that are significant but modest in their strength, breadth, and durability. Keywords depression; children; adolescents; psychotherapy; meta-analysis Depression in children and adolescents (herein referred to collectively as youths) is a significant, persistent, and recurrent public health problem that undermines social and school functioning, generates severe family stress, and prompts significant use of mental health services (Angold et al., 1998;Clarke, DeBar, & Lewinsohn, 2003). Youth depression is also linked to increased risk of other psychiatric disorders (Angold & Costello, 1993) as well as drug use and suicide (Gould et al., 1998;Rohde, Lewinsohn, & Seeley, 1991), which is the third most common cause of death among adolescents (Arias, MacDorman, Strobino, & Guyer, 2003). Relapse rates have been reported at 12% within 1 year and 33% within 4 years (Lewinsohn, Clarke, Seeley, & Rohde, 1994), and by the age of 18 years, some 20% of youths will have met criteria for a diagnosis of major depressive disorder at least once (Birmaher et al., 1996). Prospective longitudinal research has shown substantial continuity of youth depression into adulthood, with impaired functioning in work, social, and family life, and markedly elevated risk of adult suicide attempts and completed suicide (see, e.g., Costello et al., 2002;Weissman et al., 1999). The extent, impact, and long-term sequelae of youth depression underscore the need for effective treatment. A primary purpose of the current article was to assess the effects of the most extensively tested genre of youth depression treatment: psychotherapy. In this article, we seek to answer the six questions listed below. What Is the Overall Effect of Psychotherapy on Youth Depression?The need to examine psychotherapy effects is underscored not only by evidence on the extent, impact, and sequelae of youth depression but also by recent debate over medication risks. Selective serotonin reuptake inhibitors (SSRIs) have become a widely used treatment for depressed youths (Safer, 1997; Treatment for Adolescents with Depression Study [TADS] Team, 2004;Weisz & Jensen, 1999), but concerns over possible risks, including suicidal ideation and suicide attempts (Vitiello & Swedo, 2004;Whittington...

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“…When suicide attempters and suicides are compared, the attempters need to be drawn from a geographically defined nonreferred sample, similar to the type usually used in psychological autopsy studies of suicides. Two attempter studies of that type (Andrews and Lewinsohn, 1992;Gould et al, 1998) found broadly similar diagnostic profiles to those reported in suicide completers (Shaffer et al, 1996a;Brent et al, 1993a). Failure to find robust differences between the two groups may reflect the requirement in some studies that the attempted-suicide controls be people who made "serious attempts.…”

Section: Differences Between Completed and Attempted Suicidementioning

confidence: 89%

“…There have been very few risk-factor comparisons between completed and attempted suicides (Brent et al, 1988;Gould et al, 1998;Shaffer et al, 1996a). Brent et al found attempters less likely than completers to be bipolar, have a firearm in the home, have high suicidal intent, or have combinations of mood and nonmood disorders.…”

Section: Differences Between Completed and Attempted Suicidementioning

confidence: 99%

Suicidal ideation and behaviour

Korczak¹

2015

Paediatrics &Amp; Child Health

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Suicidal behavior is a matter of great concern for clinicians who deal with the mental health problems of children and adolescents. The incidence of suicide attempts reaches a peak during the mid-adolescent years, and mortality from suicide, which increases steadily through the teen years, is the third leading cause of death at that age. Clinicians need to know how to identify those at greatest risk for suicide from among the large number of suicide attempters who have a benign prognosis; how to provide treatment for the suicidal patient; how to advise and counsel the child, adolescent, and parental survivors of individual suicides; and how to provide expert consultation to educational and public health authorities on appropriate and inappropriate directions for suicide prevention programs. The parameter was written to aid clinicians in the assessment and treatment of children and adolescents exhibiting suicidal behavior or harboring suicidal ideation. EXECUTIVE SUMMARYThis summary provides an overview of the assessment and treatment recommendations contained in the Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. This summary includes many of the most important points and recommendations that are in these practice guidelines. However, the treatment and assessment of suicidal patients requires the consideration of many important factors that cannot be conveyed fully in a summary, and the reader is encouraged to review the entire document. Each recommendation in the executive summary is identified as falling into one of the following categories of endorsement, indicated by an abbreviation in brackets following the statement. These categories indicate the degree of importance or certainty of each recommendation."Minimal Standards" [MS] are recommendations that are based on substantial empirical evidence (such as well controlled, double-blind trials) or overwhelming clinical consensus. Minimal standards are expected to apply more than 95% of the time, i.e., in almost all cases. When the practitioner does not follow this standard in a particular case, the medical record should indicate the reason."Clinical Guidelines" [CG] are recommendations that are based on empirical evidence (such as open trials, case studies) and/or strong clinical consensus. Clinical guidelines apply approximately 75% of the time. These practices should always be considered by the clinician, but there are exceptions to their application."Options" [OP] are practices that are acceptable but not required. There may be insufficient empirical evidence to support recommending these practices as minimal standards or clinical guidelines. In some cases they may be the perfect thing

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Psychopathology Associated With Suicidal Ideation and Attempts Among Children and Adolescents

Cited by 513 publications

References 37 publications

Involvement in Bullying and Suicide-Related Behavior at 11 Years: A Prospective Birth Cohort Study

Involvement in Bullying and Suicide-Related Behavior at 11 Years: A Prospective Birth Cohort Study

Effects of psychotherapy for depression in children and adolescents: A meta-analysis.

Suicidal ideation and behaviour

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