Suicidal Thoughts and Behaviors Among Adolescent Psychiatric Inpatients

Alqueza, Kira L.; Pagliaccio, David; Durham, Katherine; Srinivasan, Apoorva; Stewart, Jessica; Auerbach, Randy P.

doi:10.1080/13811118.2021.1999874

Cited by 20 publications

(15 citation statements)

References 51 publications

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“…This assumption is called the monotonicity hypothesis, and it implies that capability does not decrease in response to positive life events, or treatment-related improvements in functioning. Despite its theoretical importance, monotonicity hypothesis is rarely tested, and clinical samples are underrepresented in the literature (Alqueza et al, 2021;Hom et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Changes in suicide capability during short-term partial hospital treatment

Stewart¹,

Meddaoui²,

Kaufman³

et al. 2023

Journal of Affective Disorders Reports

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Section: Introductionmentioning

confidence: 99%

Changes in suicide capability during short-term partial hospital treatment

Stewart¹,

Meddaoui²,

Kaufman³

et al. 2023

Journal of Affective Disorders Reports

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“…In doing so, we aimed to shed light on which type(s) of proximal stressors are most strongly associated with the transition from suicide ideation to behaviors, a critical question in suicidology (Klonsky & May, 2014). Together, these two studies cover developmental periods that are central to understanding the course of MDD: early adolescence, the period immediately preceding a surge in rates of depression and other forms of psychopathology (Avenevoli et al, 2015) and late adolescence, where the lifetime prevalence of MDD approximates adult levels (Kessler et al, 2005) and suicidal thoughts and behaviors are relatively common (Nock et al, 2013), particularly in psychiatric samples (Alqueza et al, 2021). Thus, they provide a comprehensive picture of how life stress is linked to depression and its clinical correlates across a continuum of severity.…”

Section: Stress Exposure In At-risk Depressed and Suicidal Adolescentsmentioning

confidence: 99%

“…However, to provide support for the hypotheses the model makes about life stress, research must assess stress severity across multiple types (e.g., acute events, chronic difficulties) and domains (e.g., interpersonal, independent) and determine their relation to suicidal thinking, in general, versus suicide attempts, specifically. Indeed, many variablesincluding depressive disorders and psychiatric symptom severity-are consistently associated with STBs in youth (see Cha et al, 2018) but are not related to suicide attempts among ideators STRESS, DEPRESSION, AND SUICIDAL THOUGHTS AND BEHAVIORS (Allison et al, 2021;Alqueza et al, 2021;Nock et al, 2013;Stewart et al, 2019).…”

Section: Theoretical Formulations Of Stress and Suicidementioning

confidence: 99%

“…Childhood maltreatment is a wellestablished correlate of adolescent STBs (Cha et al, 2018). Hospitalized adolescent attempters report more severe maltreatment than ideators (Stewart et al, 2019), particularly physical abuse (Alqueza et al, 2021;; however, large community samples have not consistently shown these effects (Georgiades et al, 2019;King et al, 2001;Mars et al, 2019). Peer victimization (i.e., being bullied) is a chronic life stressor that is presumed to have an important influence on suicide risk among adolescents (Cheek, Reiter-Lavery, et al, 2020;Miller & Prinstein, 2019).…”

Section: Theoretical Formulations Of Stress and Suicidementioning

confidence: 99%

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Stress exposure in at-risk, depressed, and suicidal adolescents

Stewart¹,

Pizzagalli²,

Auerbach³

2022

Preprint

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Stress exposure contributes to the onset, maintenance, and recurrence of Major Depressive Disorder (MDD) in adolescents. However, the precise stress features (e.g., chronicity, domain) most strongly linked to outcomes at different stages along the depression severity continuum remain unclear. Across two studies, we employed a gold-standard contextual stress interview to comprehensively assess stress exposure among: (a) healthy youth with (High-Risk) and without (Low-Risk) a maternal history of MDD and (b) adolescents with current MDD and healthy community controls. In Study 1, compared to Low-Risk, High-Risk status was associated with more severe chronic stress, as well as more severe independent (e.g., a parent’s chronic medical condition) and interpersonal events. In Study 2, more severe interpersonal event threat was uniquely associated with: (a) being depressed (versus non-depressed) and (b) experiencing a recent suicide attempt. Collectively, these results underscore the increased saliency of interpersonal stress in understanding depression and suicide, particularly among adolescents with more severe clinical presentations.

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“…This assumption is called the monotonicity hypothesis, and proposes that once capability is established, risk is elevated for the remainder of the person's life, regardless of subsequent positive life events, or adaptive shifts in functioning that may accompany treatment. Despite important theoretical and clinical implications, the monotonicity hypothesis is rarely tested, and clinical samples are underrepresented in the literature (Alqueza et al, 2021;Hom et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Changes in suicide capability during short-term partial hospital treatment

Stewart¹,

Meddaoui²,

Kaufman³

et al. 2022

Preprint

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Background. Suicide capability (fearlessness about death [FAD], preparation, and perceived capability [PC]) is presumed to be static, or to increase with exposure to provocative events. However, tests of this assumption have primarily used non-clinical samples. We examined short-term changes in capability among patients in a partial hospital program. Methods. We enrolled 296 adult patients (186 [62.7%] female; Mage=36.13, SDage=14.75) who completed diagnostic interviews and questionnaires assessing demographics, capability, and suicide ideation (SI) at intake. Capability was re-assessed twice during treatment and again at discharge, and SI was re-assessed at discharge. We used latent growth modeling (LGM) to quantify changes in capability. Results. FAD, preparation, and PC decreased from intake to discharge (ps<.001, ds=0.24-0.63) and unconditional LGM models suggested that all facets changed significantly throughout treatment. FAD was positively associated with preparation (r=0.57) and PC (r=0.25) at intake (ps<.001), but changes in FAD did not predict changes in other facets. Greater SI at intake was concurrently associated with higher capability (βs=0.26-1.83, ps<.01) and predicted steeper declines in preparation (β=-0.23) and PC (β=-0.04), ps=.04. Finally, higher intake preparation predicted more severe SI at discharge (β=0.16, p<.001). Limitations. There was no control group and there was unequal spacing between in-treatment assessments among participants. Results for SI may have been impacted by floor effects. Conclusions. Results suggest that aspects of capability can change over a short time. Conceptually related facets of capability did not change together; thus, future investigations of the short-term dynamics of capability should not treat it as a unitary construct.

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Suicidal Thoughts and Behaviors Among Adolescent Psychiatric Inpatients

Cited by 20 publications

References 51 publications

Changes in suicide capability during short-term partial hospital treatment

Changes in suicide capability during short-term partial hospital treatment

Stress exposure in at-risk, depressed, and suicidal adolescents

Changes in suicide capability during short-term partial hospital treatment

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