Adolescent depression and suicide risk

Hallfors, Denise Dion; Waller, Martha W.; Ford, Carol A.; Halpern, Carolyn Tucker; Brodish, Paul; Iritani, Bonita J.

doi:10.1016/j.amepre.2004.06.001

Cited by 147 publications

(81 citation statements)

References 32 publications

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“…Evidence suggests that smoking mediates other psychosocial causes of suicidal ideation (e.g., depression) and is likely not a causal pathway [37]. Other researchers have also shown that among adolescent females, sexual activity and sexual risk-taking is associated with increased suicidal ideation and suicide attempts [36, 38–43]. Both male and female adolescents who used alcohol at the time of sexual intercourse were found to have greater odds of considering a suicide attempt [36].…”

Section: Discussionmentioning

confidence: 99%

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Fuller‐Thomson

Hamelin

Granger

2013

ISRN Family Medicine

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Introduction. This study investigated the relationship between suicidal ideation and demographic characteristics, health conditions, depression, and health care utilization patterns among adolescents. Methods. Secondary analysis of the regionally representative Canadian Community Health Survey conducted in 2000/2001 (response rate 85%). Adolescents aged 15 to 19 who reported suicidal ideation in the previous year (n = 260) were compared with their peers who did not (n = 5528). The association between suicidal ideation and socio-demographic and health characteristics were investigated. Findings. Almost three-quarters (73%) of suicidal adolescents had not spoken with any health professional about mental health issues in the preceding year. Despite the fact that 80% of suicidal adolescents had regular contact with their family doctor, only 5% had consulted with them about mental health issues. In addition to the well-known risk factors of depression and stress, suicidal ideation was highly elevated in adolescents with two or more chronic health conditions, self-reported poor health, migraines, and back pain and those whose activities were prevented by pain (P < .05). Other characteristics significantly correlated with suicidal ideation included smoking, living in single parent families, and having lower levels of social support. Conclusions. Family physicians should regularly screen for suicidal thoughts in their adolescent patients with these characteristics.

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Section: Discussionmentioning

confidence: 99%

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Fuller‐Thomson

Hamelin

Granger

2013

ISRN Family Medicine

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“…Approximately 50% of 12-to 18-year olds who presented to the emergency room after a suicide attempt had drank alcohol in the previous 3 months, 1/3 reported having been drunk in the previous 3 months, and 1/5 met criteria for alcohol problems (4). Hallfors et al (1) found that adolescents' use of marijuana and other illegal drugs was associated with a particularly high risk of suicide ideation and suicide attempts.…”

Section: Adolescent Suicide Alcohol and Substance Abusementioning

confidence: 99%

Psychotherapy in the treatment of alcohol and substance abusing adolescents with suicidal behavior

Conason

Oquendo²,

Sher³

2006

International Journal of Adolescent Medicine and Health

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Adolescence is a unique time period in an individual's life, one in which suicide and substance abuse become substantial health risks. Currently, suicide accounts for approximately 14% of all deaths among 15-24 year olds in the USA. Drug, alcohol abuse and dependence are the most prevalent causes of adolescent morbidity and mortality in the USA. Numerous studies have demonstrated the link between adolescent alcohol, substance abuse and suicide. When compared to community controls, the rate of a substance abuse disorder was 8.5 times higher in a sample of adolescent suicide completers and the rate of alcohol abuse was 7.5 times higher. Genetic and biological variables may also be responsible for either alcohol and substance abuse or suicide or both alcohol and substance abuse and suicide. There is little empirical research evaluating the effectiveness of alcohol and substance abuse treatments for adolescents. Therapies such as multisystemic therapy, functional family therapy, motivational interviewing, community reinforcement, the 12-step approach and contingency management reinforcement seem to be effective treatments. Despite the strong association between adolescent alcohol and substance use and suicidal behaviors, few studies have investigated the combined treatment of these two issues. Cognitive behavioral therapy, particularly dialectical behavior therapy, seems to be a promising psychotherapy treatment for suicidality in alcohol and substance abusing adolescents. Further research is needed to determine the efficacy of various treatments of alcohol and substance abusing adolescents with suicidal behavior.

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“…Adolescent substance use has been associated with accidental injuries (Boden & Fergusson, 2011) and poor mental health (Hallfors et al, 2004). In addition to the direct health implications of participation in delinquent activities such as violence, arrest and institutionalization for juvenile offenses is linked to numerous markers of poor mental health for adults (Lanctôt, Cernkovich, & Giordano, 2007; Massoglia 2008, while early onset of sexual behavior exposes adolescents to a wide range of adverse outcomes, such as sexually transmitted infections (Weinstock, Berman, & Cates, 2004), unintended/unwanted pregnancies (Santelli & Melnikas, 2010), and poor mental health (Hallfors et al, 2004; Meier, 2007). We consider the effects of eco-network reinforcement after controlling for individual and household characteristics, and a host of neighborhood structural and social process controls.…”

Section: Introductionmentioning

confidence: 99%

Neighborhoods and adolescent health-risk behavior: An ecological network approach

Browning

Soller

Jackson

2015

Social Science & Medicine

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This study integrates insights from social network analysis, activity space perspectives, and theories of urban and spatial processes to present an innovative approach to neighborhood effects on health-risk behavior among youth. We suggest spatial patterns of neighborhood residents’ non-home routine activities may be conceptualized as ecological, or “eco”-networks, which are two-mode networks that indirectly link residents through socio-spatial overlap in routine activities. We further argue structural configurations of eco-networks are consequential for youth’s behavioral health. In this study we focus on a key structural feature of eco-networks—the neighborhood-level extent to which households share two or more activity locations, or eco-network reinforcement—and its association with two dimensions of health-risk behavior, substance use and delinquency/sexual activity. Using geographic data on non-home routine activity locations among respondents from the Los Angeles Family and Neighborhood Survey (L.A.FANS), we constructed neighborhood-specific eco-networks by connecting sampled households to “activity clusters,” which are sets of spatially-proximate activity locations. We then measured eco-network reinforcement and examined its association with adolescent dimensions of health risk behavior employing a sample of 830 youth ages 12-17 nested in 65 census tracts. We also examined whether neighborhood-level social processes (collective efficacy and intergenerational closure) mediate the association between eco-network reinforcement and the outcomes considered. Results indicated eco-network reinforcement exhibits robust negative associations with both substance use and delinquency/sexual activity scales. Eco-network reinforcement effects were not explained by potential mediating variables. In addition to introducing a novel theoretical and empirical approach to neighborhood effects on youth, our findings highlight the importance of eco-network reinforcement for adolescent behavioral health.

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Adolescent depression and suicide risk

Cited by 147 publications

References 32 publications

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Suicidal Ideation in a Population-Based Sample of Adolescents: Implications for Family Medicine Practice

Psychotherapy in the treatment of alcohol and substance abusing adolescents with suicidal behavior

Neighborhoods and adolescent health-risk behavior: An ecological network approach

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