Association Between Exposure to Suicidal Behaviors and Suicide Attempts Among Adolescents: The Moderating Role of Prior Psychiatric Disorders

Kline, Emily A.; Ortin-Peralta, Ana; Polanco-Roman, Lillian; Miranda, Regina

doi:10.1007/s10578-021-01129-2

Cited by 3 publications

(4 citation statements)

References 44 publications

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“…In a study of 518 youth and young adults ages 12–21, results suggested that among youth with a mood, anxiety, or substance-related diagnosis at baseline, race/ethnicity did not predict a suicide attempt at follow-up, but among those without a diagnosis, race/ethnicity was a significant predictor. Specifically, relative to White teens, Black and Asian teens had over eight times higher odds of a suicide attempt within a 4- to 6-year follow-up period, adjusting for sex, lifetime suicide attempts, and exposure to suicide attempts (Kline et al, 2022).…”

Section: Part 1: Existing Suicide Assessment Instruments and Approach...mentioning

confidence: 99%

Culturally responsive assessment of suicidal thoughts and behaviors in youth of color.

Molock¹,

Boyd²,

Álvarez³

et al. 2023

American Psychologist

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The significance of youth suicide as a public health concern is underscored by the fact that it is the second-leading cause of death for youth globally. While suicide rates for White groups have declined, there has been a precipitous rise in suicide deaths and suicide-related phenomena in Black youth; rates remain high among Native American/Indigenous youth. Despite these alarming trends, there are very few culturally tailored suicide risk assessment measures or procedures for youth from communities of color. This article attempts to address this gap in the literature by examining the cultural relevancy of currently widely used suicide risk assessment instruments, research on suicide risk factors, and approaches to risk assessment for youth from communities of color. It also notes that researchers and clinicians should consider other, nontraditional but important factors in suicide risk assessment, including stigma, acculturation, and racial socialization, as well as environmental factors like health care infrastructure and exposure to racism and community violence. The article concludes with recommendations for factors that should be considered in suicide risk assessment for youth from communities of color.

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Section: Part 1: Existing Suicide Assessment Instruments and Approach...mentioning

confidence: 99%

Culturally responsive assessment of suicidal thoughts and behaviors in youth of color.

Molock¹,

Boyd²,

Álvarez³

et al. 2023

American Psychologist

Self Cite

View full text Add to dashboard Cite

show abstract

“…Other factors known to be related to suicide risk in SMVs, such as substance use, depression, anxiety, insomnia, PTSD symptoms, and interpersonal theory variables (e.g., thwarted belongingness, fearlessness about death) (Graziano et al, 2021; Hom et al, 2019; Pompili et al, 2013; Pruitt et al, 2019), have yet to be concurrently examined in relation to suicide risk after suicide exposure in this population. Increased mental health symptoms, reliance on substance use, and feeling like one does not belong could all be important for understanding the impact of suicide exposure given prior evidence that these factors can increase suicidal desire following an extremely stressful experience, such as losing someone to suicide (Gradus et al, 2013; Kline et al, 2022). Fearlessness about death is also important to consider in the context of suicide exposure as suicide exposure has been associated with decreased fearlessness about death (i.e., increase capability for suicide; Soberay et al, 2020); suicide‐exposed SMVs with increased fearlessness and suicidal desire may be more likely to attempt suicide (Van Orden et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Suicide risk profiles among service members and veterans exposed to suicide

Peterson,

Chen,

Bozzay

et al. 2023

J Clin Psychol

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ObjectivesRates of suicide exposure are high among service members and Veterans and are especially concerning given the link between suicide exposure and subsequent suicide risk. However, to date, it is unclear which individuals who are exposed to suicide are subsequently at high risk for suicide. Latent profile analysis (LPA) can provide information on unique risk profiles and subgroups of service members and Veterans who have higher suicide risk after suicide exposure, which has not yet been empirically studied. The purpose of this study was to utilize LPA to identify subgroups of service members and Veterans who are at the highest risk for suicidal thoughts and behaviors following suicide exposure.MethodsWe analyzed data using LPA from 2570 service members and Veterans (82.1% male, 69.5% White, and 12.1% Latino/a/x) who completed the Military Suicide Research Consortium's Common Data Elements, a battery of self‐report suicide‐related measures. Psychopathology, substance use, mental health service utilization, interpersonal theory of suicide, and suicide exposure variables were used to validate classes.ResultsThree latent classes emerged from analyses, one low‐risk class and two‐high risk classes with differing profile compositions (one primarily differentiated by anxiety symptoms and one differentiated by substance use).ConclusionClass‐specific recommendations for suicide prevention efforts will be discussed.

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“…However, most studies included all psychiatric disorders under the umbrella term of ‘psychopathology’ or ‘mental disorders’ or included only limited psychiatric diagnoses (Kline, Ortin-Peralta, Polanco-Roman, & Miranda, 2022 ; Page et al, 2014 ). Thus, the effects of distinct psychiatric disorders are unknown.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the effects of distinct psychiatric disorders are unknown. In addition, the study samples of past studies were mostly individuals with suicidal ideation or suicidal attempts (Chan et al, 2009 ; Kline et al, 2022 ; Nock et al, 2013 ). The transition from suicidal ideation and suicidal attempts to actual suicide in youth is a highly complex process, and those who present with suicidal ideation and attempt and those who die by suicide might be very different vulnerable groups.…”

Section: Introductionmentioning

confidence: 99%

Population-attributable risk of psychiatric disorders for suicide among adolescents and young adults in Taiwan

et al. 2022

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Background Youth suicide rates have increased markedly in some countries. This study aimed to estimate the population-attributable risk of psychiatric disorders associated with suicide among Taiwanese youth aged 10–24 years. Methods Data were obtained from the National Death Registry and National Health Insurance (NHI) claims database between 2007 and 2019. Youth who died by suicide were included, and comparisons, 1:10 matched by age and sex, were randomly selected from the Registry for NHI beneficiaries. We used multivariable logistic regression to estimate suicide odds ratios for psychiatric disorders. The population-attributable fractions (PAF) were calculated for each psychiatric disorder. Results A total of 2345 youth suicide and 23 450 comparisons were included. Overall, 44.8% of suicides had a psychiatric disorder, while only 7.9% of the comparisons had a psychiatric disorder. The combined PAF for all psychiatric disorders was 55.9%. The top three psychiatric conditions of the largest PAFs were major depressive disorder, dysthymia, and sleep disorder. In the analysis stratified by sex, the combined PAF was 45.5% for males and 69.2% for females. The PAF among young adults aged 20–24 years (57.0%) was higher than among adolescents aged 10–19 years (48.0%). Conclusions Our findings of high PAF from major depressive disorder, dysthymia, and sleep disorder to youth suicides suggest that youth suicide prevention that focuses on detecting and treating mental illness may usefully target these disorders.

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Association Between Exposure to Suicidal Behaviors and Suicide Attempts Among Adolescents: The Moderating Role of Prior Psychiatric Disorders

Cited by 3 publications

References 44 publications

Culturally responsive assessment of suicidal thoughts and behaviors in youth of color.

Culturally responsive assessment of suicidal thoughts and behaviors in youth of color.

Suicide risk profiles among service members and veterans exposed to suicide

Population-attributable risk of psychiatric disorders for suicide among adolescents and young adults in Taiwan

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