Adolescent suicide attempters: post-attempt course and implications for treatment

Spirito, Anthony; Boergers, Julie; Donaldson, Deidre

doi:10.1002/1099-0879(200007)7:3<161::aid-cpp233>3.0.co;2-c

Cited by 24 publications

(23 citation statements)

References 58 publications

(87 reference statements)

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“…It is well-documented in the literature that youth referred from ED settings after presenting with a suicide attempt have low attendance and adherence to aftercare. [17][18][19][20][21][22] Although some ED interventions have demonstrated modest gains in treatment adherence for this population, [17][18][19][20][21]23 these findings suggest that youth who present with a suicide attempt are unlikely to have had an outpatient provider and yet likely to have made a prior suicide attempt. This suggests that these youth remain at great risk for non-adherence to care and for repeat suicide attempts.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Frosch

McCULLOCH

Yoon

et al. 2009

J Behav Health Serv Res

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This study investigated the relationship between presenting complaints and prior mental health encounters in youth seen for emergency psychiatric consultation. Records of youths aged 9-17 years old receiving a psychiatric consultation in a pediatric emergency department from 2002 to 2007 were examined (N=1,900). Youth were classified by presenting complaint: suicide attempt, suicidal ideation, and behavioral problems. Nearly half of the youth presented with behavior problems, and 39% presented with suicidal ideation and/or attempt. Those presenting with both suicide attempt and behavior problems were most likely to have made a prior suicide attempt. Those presenting with suicide attempt alone were least likely to report current mental health treatment, while youth presenting with behavior problems alone were the most likely to report current mental health treatment. Further research is needed to better understand the role that emergency departments play in the course of care and to maximize the opportunity to make lasting and effective community-based care connections.

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Section: Discussionmentioning

confidence: 99%

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Frosch

McCULLOCH

Yoon

et al. 2009

J Behav Health Serv Res

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“…The suicidality literature has focused primarily on the etiologic role of psychological distress on suicidality, but much less on the long-term adjustment of suicide attempters (Spirito et al, 2000;Boergers & Spirito, 2003). Youths who attempt or contemplate suicide would be expected to have high levels of psychological distress following their suicidality.…”

Section: Suicidality and Psychological Distress At Follow-upmentioning

confidence: 99%

Psychological Distress Following Suicidality Among Gay, Lesbian, and Bisexual Youths: Role of Social Relationships

Rosario

Schrimshaw²,

Hunter³

2005

J Youth Adolescence

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Longitudinal relations between past suicidality and subsequent changes in psychological distress at follow-up were examined among gay, lesbian, and bisexual (GLB) youths, as were psychosocial factors (e.g., self-esteem, social support, negative social relationships) that might mediate or moderate this relation. Past suicide attempters were found to have higher levels of depressive symptoms, anxious symptoms, and conduct problems at a later time than youths who neither attempted nor ideated. Psychosocial factors failed to mediate this relation. The interaction among past suicidality, social support, and negative relationships was associated with subsequent changes in all three psychological distress indicators six months later. Specifically, high levels of support (either from family or friends) or negative relationships were found to predict increased psychological distress among those with a history of suicide attempts, but not among youths without a history of suicidality. The findings suggest that GLB youths who attempt suicide continue to have elevated levels of psychological distress long after their attempt and they highlight the importance of social relationships in the youths' psychological distress at follow-up. Keywordsgay; lesbian; bisexual adolescents; suicide attempts; suicidal ideation; psychological distress; conduct problems; self-esteem; social support; negative social relationships; longitudinal research Suicide is a critical public health concern among gay, lesbian, and bisexual (GLB) youths. These youths live in a society that stigmatizes and condemns homosexuality (e.g., Herek,To whom correspondence should be addressed at Department of Psychology, The City University of New York -The City College and Graduate Center, NAC Building 7-120, Convent Avenue and 138 th Street, New York, NY 10031. mrosario@gc.cuny.edu. Earlier versions of this paper were presented at the biannual meeting of the European Association for Research on Adolescence, Oxford, UK, September 2002; and, at . Thus, it is unsurprising that many GLB youths, given their young age and developmentally limited coping strategies, have considered or attempted suicide in response to the stigmatization (e.g., Bontempo & D'Augelli, 2002;Hershberger & D'Augelli, 1995). Indeed, the prevalence of suicidality is elevated among GLB youths (see below). However, nothing is known about the long-term implications of suicidality among GLB youths. The present report on GLB youths examines the relation of suicidality on subsequent psychological distress at follow-up and further investigates psychosocial factors that mediate or moderate the relation between suicidality and changes in psychological distress. Prevalence of Suicidality Among GLB YouthsStudies employing representative samples have found a significantly higher prevalence of suicide attempts among GLB youths than heterosexual youths: between 21% and 35% within the past year among GLB youths and between 4% and 14% among heterosexual youths (Faulkner & Cranston, 1998;Fergusson et al...

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“…3,4 The risk of a subsequent suicide attempt is especially high during the first year after a previous attempt. 5 …”

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confidence: 99%

Follow-up Treatment Utilization by Hospitalized Suicidal Adolescents

Yen¹,

Fuller²,

Solomon³

et al. 2014

Journal of Psychiatric Practice

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This study examines treatment utilization in a sample of 99 adolescents who were psychiatrically hospitalized due to a risk of suicide and followed for 6 months. Descriptive information regarding participants’ use of various forms of outpatient and intensive treatment, including emergency, inpatient, and residential care is presented. In addition, the relationships between utilization of mental health services and various characteristics of the adolescents and their families were assessed. Overall treatment engagement was high, with 78 participants (79%) receiving some care for the duration of the follow-up period and 91 (92%) participating in at least one session of outpatient treatment, although the extent of utilization was highly variable. In addition, 28 participants (28%) were rehospitalized during follow-up. Both family and individual characteristics were associated with differences in adolescents’ participation in follow-up treatment. Specifically, adolescents with a family history of mood disorders were more likely to participate in outpatient treatment and less likely to require intensive treatments. Conversely, more impaired baseline functioning and suicide attempts during the follow-up period were associated with greater utilization of intensive treatments and less utilization of outpatient therapy. Given that 19 participants (19%) in our sample attempted suicide during the follow-up interval, the findings of this study suggest that, in spite of high rates of outpatient treatment engagement, rates of suicide attempts and use of intensive treatment services remain high. These results suggest the need for improved outpatient care, as well as possibly longer inpatient stays and more elaborate discharge and transition planning.

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Adolescent suicide attempters: post-attempt course and implications for treatment

Cited by 24 publications

References 58 publications

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Pediatric Emergency Consultations: Prior Mental Health Service Use in Suicide Attempters

Psychological Distress Following Suicidality Among Gay, Lesbian, and Bisexual Youths: Role of Social Relationships

Follow-up Treatment Utilization by Hospitalized Suicidal Adolescents

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