Suicidal ideation, deliberate self-harm behaviour and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders

Tuisku, Virpi; Pelkonen, Mirjami; Karlsson, Linnéa; Kiviruusu, Olli; Holi, Matti; Ruuttu, Titta; Punamäki, Raija‐Leena; Marttunen, Mauri

doi:10.1007/s00787-005-0522-3

Cited by 69 publications

(50 citation statements)

References 44 publications

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“…Moreover, despite differences in AIR-Y scores, there were no significant differences in risk for suicide between girls and boys. This is consistent with some prior work that has observed non-significant gender differences in adolescent suicidal behavior (e.g., Tuisku et al 2006), but inconsistent with the majority of evidence indicating girls, especially between ages 15 and 19 years, report higher rates of suicidal behaviors than boys, while boys are at greater risk for suicide (Nock et al 2008). Finally, the current sample lacked racial and ethnic diversity, and all participants self selected (and were compensated) to take part in the current study.…”

Section: Discussionsupporting

confidence: 92%

Risk for Suicide Among Treatment Seeking Adolescents: The Role of Positive and Negative Affect Intensity

et al. 2014

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Risk for suicide among adolescents remains a serious public health concern. Despite the relevance of individual differences in affective experience to clinically relevant problems generally, and risk for suicide more specifically, relatively little work has evaluated affect intensity in relation to adolescent risk for suicide. To address this notable gap in the literature, the current study evaluated the unique associations between dimensions of affect intensity and risk for suicide in a sample of 165 treatment-seeking adolescents ages 13-17 years. As predicted, low positive affectivity and high negative affect intensity accounted for unique variance in adolescent suicide risk. Findings are discussed in terms of the theoretical and applied implications of both positive and negative affect intensity in the context of adolescent risk for suicide.

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Section: Discussionsupporting

confidence: 92%

Risk for Suicide Among Treatment Seeking Adolescents: The Role of Positive and Negative Affect Intensity

et al. 2014

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“…Depression and mood disorders among adolescents are known predictors of NSSI (Bentley et al, 2015;Duggan et al, 2015;Tuisku et al, 2006), and have also been found in this study. The finding does lend support to the affect regulation theory.…”

Section: Discussionmentioning

confidence: 66%

“…The existing literature has also shown that mental health problems such as anxiety (Claes, Luyckx, Bijttebier et al, 2015), depression (Bentley, Cassiello-Robbins, Vittorio, Sauer-Zavala, & Barlow, 2015;Tuisku et al, 2006), and alcohol and substance use problems (Brausch & Boone, 2015;Gratz & Tull, 2010;Rossow et al, 2007) are significant predictors of NSSI among children and adolescents. Bentley et al (2015) conducted a meta-analysis on 56 studies that examined NSSI among individuals with and without emotional disorders and found that those diagnosed with emotional disorders, such as mood disorders, anxiety disorders, posttraumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD), were significantly more likely to report engaging in NSSI than their counterparts with no such diagnosis.…”

Section: U N C O R R E C T E D P R O O Fmentioning

confidence: 99%

The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

Baiden

Stewart

Fallon

2017

Child Abuse & Neglect

102

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The objectives of this study were to examine the prevalence of, and determine the effect of adverse childhood experiences on non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings. Data for this study were obtained from the interRAI Child and Youth Mental Health dataset. A total of 2038 children and adolescents aged 8-18 years (M = 12.49; SD = 2.88, 61.1% males) were analyzed. Binary logistic regression was fitted to identify predictors of non-suicidal self-injury as a function of adverse childhood experiences, depression, and social support while simultaneously controlling for age, gender, type of patient, legal guardianship, marital status of parents/caregivers, history of foster family placement, and mental health diagnoses. Of the 2038 children and adolescents examined, 592 (29%) of this clinical sample engaged in non-suicidal self-injury. In the multivariate logistic regression model, children and adolescents who were physically abused had 49% higher odds of engaging in non-suicidal self-injury and children and adolescents who were sexually abused had 60% higher odds of engaging in non-suicidal self-injury, when compared to their non-abused counterparts. Other predictors of non-suicidal self-injury include: older age, female gender, inpatient status, depression, attention deficit-hyperactivity disorder, disruptive behavior disorder, and mood disorders. Children and adolescents who had some form of social support had a 26% decrease in the odds of engaging in non-suicidal self-injury. Assessment procedures for indicators of mental health, particularly among children and adolescents with a history of adverse childhood experiences, should also take into account non-suicidal self-injury. In addition to bolstering social support networks, addressing depression and related emotion regulation skills in childhood may help prevent future non-suicidal self-injury behaviors.

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“…Depression is associated with completed or attempted suicide, whether with or without comorbidity (18). In this study, we found that 55.7% of the patients had major depression.…”

Section: Discussionmentioning

confidence: 53%

Evaluation of suicide attempts that referred to a university hospital emergency department

Asoğlu¹,

Bülbül²,

Altındağ³

2013

Dusunen Adam

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Evaluation of suicide attempts that referred to a university hospital emergency departmentObjective: The aim of this study is to evaluate the clinical and sociodemographic variables of suicide attempt cases that referred to a university hospital at Sanliurfa. Results: Among the patients with suicide attempts, 55.7% were diagnosed with major depressive disorder, 14.1% with generalized anxiety disorder and 5.3% with intermittant explosive disorder. It was observed that the most common way of suicide attempt was chemicals-drugs intoxication. 88.9% of the patients were under 35 years old, 12.2% had a history of psychiatric medication, 66.2% had referred to a practitioner MD and 12.2% of these had told about their suicidal ideation to their doctor. Suicide attempt rate was found to be higher in, women, single people, youngsters, uneducated/poorly educated people. However, the rate was found to be lower in married people and well-educated people. Conclusion:The physichiatrist should be more alert about women, single people, youngsters, uneducated/ poorly educated people over the course of psychiatric evaluation. Hastaların %12.2'sinde psikiyatrik tedavi öyküsünün bulunduğu, %66.2'sinin pratisyen hekim başvurusunun olduğu, %12.2'sinin de pratisyen hekime intihar düşüncesinden bahsettiği saptandı. Eğitimsiz veya eğitim düzeyi düşük olan kişilerde, kadınlarda, bekarlarda, genç yaşta olanlarda intihar girişim oranı fazla bulundu; eğitim düzeyi yüksek kişilerde ve evlilerde intihar girişimi daha az oranda saptandı.Sonuç: Psikiyatrik değerlendirme sırasında eğitim düzeyi düşük, kadın, bekar ve genç yaştaki hastalarda intihar riski açısından daha dikkatli olunmalıdır.

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Suicidal ideation, deliberate self-harm behaviour and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders

Abstract: Depressed mood disorders, whether comorbid or not, are associated with suicidal ideation and suicide attempts. Diagnostic assessment should be supplemented by self-report methods when assessing suicidal behaviour in depressed adolescents.

Cited by 69 publications

References 44 publications

Risk for Suicide Among Treatment Seeking Adolescents: The Role of Positive and Negative Affect Intensity

Risk for Suicide Among Treatment Seeking Adolescents: The Role of Positive and Negative Affect Intensity

The role of adverse childhood experiences as determinants of non-suicidal self-injury among children and adolescents referred to community and inpatient mental health settings

Evaluation of suicide attempts that referred to a university hospital emergency department

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