Psychiatric Risk Factors for Adolescent Suicide: A Case-Control Study

Brent, David A.; Perper, Joshua A.; Moritz, Grace; Allman, Chris; Friend, Amy; Roth, Claudia; Schweers, Joy; Balach, Lisa; Baugher, Marianne

doi:10.1097/00004583-199305000-00006

Cited by 792 publications

(616 citation statements)

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“…After decades of research on specific risk factors for suicide, depression remains the best known, although other specific risk factors have also been recognized, such as conduct disorder, and substance abuse [2]. While suicide is a major problem in the general population youth, it has even greater magnitude in specific populations, particularly in detained juvenile delinquents [27].…”

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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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: 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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“…While family discord, lack of family warmth, and disturbed parent-child relationship are commonly associated with child and adolescent psychopathology (violent behavior, mood disorder, alcohol and substance abuse disorders) (Brent et al, 1994b;Pfeffer et al, 1994), these factors do not play an especially important role in suicide .…”

Section: Psychosocial Stressorsmentioning

confidence: 99%

“…A family history of suicidal behavior (Brent et al, 1996a;, parental psychopathology, parental depression, and parental substance abuse (Brent et al, 1994b; are all additional risk factors for teen suicide. Whether these family histories indicate a genetic vulnerability or environmental stressors, or a combination of the two, is under study.…”

Section: Facilitating Factorsmentioning

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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“…Présenter un trouble anxieux augmente le risque suicidaire chez les adolescents de la population en général (Brent et al, 1993 ;Esposito et Clum, 2002 ;Beautrais, 2003a ;Vermeiren et al, 2003 ;Connor et Rueter, 2006) et chez les adolescents délinquants ou hébergés en centres de réadaptation Hukkanen et al, 2003 ;Penn et al, 2003).…”

Section: Facteurs Individuels Psychopathologieunclassified

“…Pour l'année 2006, les taux de mortalité par suicide étaient de 7,4/100 000 pour les 15-19 ans et de 14,9/100 000 pour les 20-34 ans (St-Laurent et Gagné, 2008). Plusieurs études, pour la plupart réalisées aux États-Unis (Battle et al, 1993 ;Brent et al, 1993 ;Brent et al, 1994 ;Brent et al, 1996 ;Renaud et al, 1999 ;Langhinrichsen-Rohling et al, 2004 ;Hayes, 2005 ;Brent et Bridge, 2007 ;Abram et al, 2008) et en Nouvelle-Zélande (Beautrais, 2000(Beautrais, , 2001(Beautrais, , 2002(Beautrais, , 2003aFergusson et al, 2005) ont examiné les facteurs associés aux comportements suicidaires chez les adolescents. Tout comme c'est le cas pour les adultes, ces études montrent que la psychopathologie est fortement associée aux idéations suicidaires, aux tentatives de suicide et aux suicides complétés.…”

Section: Introductionunclassified

Modèle interactif du risque suicidaire chez les jeunes contrevenants

Laurier

Chagnon

2011

crimino

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Bien que l’on observe une diminution marquée de la mortalité par suicide chez les jeunes au cours des dernières années, le suicide représente la deuxième cause de mortalité chez les 15-19 ans et la première chez les 20-34 ans. Les délinquants juvéniles constituent un groupe à risque accru de comportements suicidaires, mais les facteurs de risque chez cette population sont encore peu étudiés. Cet article présente les principaux facteurs de risque et de protection associés au risque suicidaire chez les jeunes contrevenants en les intégrant dans un modèle interactif. Parmi les facteurs pris en compte dans le modèle se trouvent les facteurs liés aux événements de vie, les facteurs individuels (psychopathologie, consommation de substances psychotropes et/ou d’alcool, caractéristiques individuelles et de personnalité), les facteurs sociaux (famille, réseau social) et les facteurs résidentiels (milieu de vie et voisinage, école, milieu résidentiel pour jeunes contrevenants). Afin d’appuyer le modèle interactif présenté, le cas d’un adolescent jeune contrevenant, Olivier, est exposé.Although a marked decrease is observed in recent years, suicide is the second cause of mortality for 15-19 year olds, and the first cause for 20-34 year olds. Juvenile offenders have a higher risk of suicidal behaviours, but risk factors in this population are not well studied. This paper presents the principal risk and protection factors associated with juvenile offender suicide risk by integrating them in an interactive model. Among the factors taken into account in the model are factors related to life events, individual factors (psychopathology, substance abuse, individual and personality characteristics), social factors (family, social network) and living factors (life environment and neighbourhood, school, residential facilities for young offenders). The case study of a teenage young offender – Olivier – is presented in order to support the interactive model.Aunque ha disminuido considerablemente en años recientes, el suicidio es la segunda causa de mortalidad para la población de 15 a 19 años y la primera en la de 20 a 34 años. A pesar de que la delincuencia es un factor de riesgo de suicidio adicional entre los jóvenes, los estudios al respecto son todavía escasos. Este artículo presenta los principales factores de riesgo y de protección asociados al suicidio entre los jóvenes infractores, integrando dichos factores en un modelo interactivo. Entre los factores tomados en cuenta en el modelo tenemos los ligados a eventos de sus vidas, los individuales (psicopatología, consumo de sustancias psicotrópicas o alcohol, características individuales y de personalidad), y factores sociales (familia, red social) y los factores residenciales (medio de vida y vecindario, escuela, medio residencial para jóvenes infractores). Se presenta también el caso de Olivier, joven infractor, con el fin de ilustrar el funcionamiento del modelo interactivo

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Psychiatric Risk Factors for Adolescent Suicide: A Case-Control Study

Cited by 792 publications

References 54 publications

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

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

Suicidal ideation and behaviour

Modèle interactif du risque suicidaire chez les jeunes contrevenants

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