Psychiatric Diagnosis in Child and Adolescent Suicide

Shaffer, David

doi:10.1001/archpsyc.1996.01830040075012

Cited by 1,110 publications

(938 citation statements)

References 21 publications

(6 reference statements)

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“…The SAHA includes both new scales developed specifically for this project and existing scales. In the past several years, the instrument has been modified substantially by the SAHA Research Evaluation Team [23]. The following scales were used for the present study.…”

Section: J Instrumentsmentioning

confidence: 99%

“…A study [29] in a schoolbased sample of adolescents has shown significant differences in mental health characteristics between suicidal-only and combined suicidal-violent individuals. With regard to clinical risk factors for suicide, the presence of oppositional defiant and conduct disorder was shown to predict suicide attempts in detained males [23]. In reverse, the absence of these two disorders was related to a higher rate of suicide attempts in incarcerated girls [24].…”

Section: Introductionmentioning

confidence: 99%

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Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

Suk

Mill

Vermeiren

et al. 2009

Eur Child Adolesc Psychiatry

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Background: The aim of this study was to investigate suicidal ideations and associated psychopathology in two groups of adolescents, a sample of detained youth and a general population sample. In both groups the comparisons of mental health characteristics between suicidal ideators and non-suicidal youth were conducted separately for girls and boys. Methods: The study sample consisted of 290 delinquent adolescents [228 boys and 62 girls] from three Flemish juvenile detention centers and 1,548 adolescents [811 boys and 737 girls] from an age-matched school-based sample. Both groups were administered the Social and Health Assessment [SAHA], a self-report survey investigating levels of psychopathology [internalizing and externalizing] and risk-taking behavior. Results: Suicidal ideations during the past year were reported by 21.5% of detained males, compared to 6.7% in the general population. In females, 58.1% of detained individuals reported suicidal thoughts during the past year, compared to 14.4% of the general population. In girls and boys from the general population, both internalizing and externalizing problems were higher in suicidal ideators than in non-suicidal youth, while in the detention group mainly internalizing problems were higher in suicidal ideators. When comparing detention suicidal ideators with those from the general population, male suicidal ideators scored higher on delinquency, while detained female suicidal ideators also scored higher on posttraumatic stress, but lower on prosocial beliefs. Limitations: Information used in this study was solely based on self-report measures only and limited to Flemish adolescents. Conclusion: Since suicidal ideation is a frequent problem in detained youth, adequate recognition and treatment seems clinically relevant. While both internalizing and externalizing psychopathology may be an indicator of suicidal ideation in the general population, internalizing problems may be the main clinical predictor in detained youth

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Section: J Instrumentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adolescent suicidal ideation: a comparison of incarcerated and school-based samples

Suk

Mill

Vermeiren

et al. 2009

Eur Child Adolesc Psychiatry

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show abstract

“…Lebensjahr [1]. In den USA rechnet man, dass fast 1 /4 aller Todesfälle bei Jugendlichen durch Suizide verursacht werden [2]. Für Europa gilt, dass in den meisten Ländern die Selbstmorde unter Minderjährigen zunehmen [3].…”

Section: Jahrgang / Heft 5-6 · 2006 12 April 2006unclassified

“…Als häufigste Risikofaktoren gelten für den Selbstmord im Kindes-und Jugendalter Depressionen, Substanzabusus, aggressive und impulsive Persönlichkeitsstörungen sowie sexueller oder physischer Missbrauch. Hinzuzufügen sind auch psychosoziale Risikofaktoren wie schulischer Stress, Mobbing, Straffällig-keit, gestörte Eltern-Kind-Kommunikation, sowie psychopathologische Auffälligkeiten der Eltern, allen voran Depression und Substanzmissbrauch [2,[4][5][6][7].…”

Section: Jahrgang / Heft 5-6 · 2006 12 April 2006unclassified

“…Der Rückgang der Suizidraten unter Wiener Jugendlichen stimmt aber überein mit dem berichteten Gesamtrückgang in der österreichi-schen Bevölkerung [9,13] [18]. Suizidales Verhalten ist meist mit einer psychischen Störung vergesellschaftet [2]. Aus diesem Grund ist eine frühzeitige Zuweisung an spezialisierte Institutionen (Kriseninterventionszentren, kinderpsychiatrische Ambulanzen, allfällig kinder-und jugendpsychiatrische stationäre Einrichtungen) notwendig [15].…”

Section: Jahrgang / Heft 5-6 · 2006 12 April 2006unclassified

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