Understanding Patterns of Adolescent Suicide Ideation: Implications for Risk Assessment

Miranda, Regina; Ortin-Peralta, Ana; Rosario-Williams, Beverlin; Kelly, Tara Flynn; Macrynikola, Natalia; Sullivan, Sarah R.

doi:10.1007/978-3-030-82465-5_9

Cited by 6 publications

(2 citation statements)

References 114 publications

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“…The correlations between the objective measures and the psychological distress found in the current study were in the expected direction, as found in previous research (Zohar et al, 2013;Miranda et al, 2021). We found an association between suicide-related attentional bias and cardiac stress and psychological distress.…”

Section: Discussionsupporting

confidence: 91%

Implicit Measures of Extreme Psychological Distress in Young Healthy Adults: Cardiac Autonomic Activity and Attentional Bias

H. Zohar,

Levi-Belz,

Linetzky

2023

PSYCH

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Background: There is research showing that cardiac sympathetic autonomous activity is elevated and cardiac parasympathetic autonomous activity is decreased in individuals contending with serious psychopathology. There is also work showing that attentional bias to emotionally distressing stimuli is affected by depression and anxiety. This study hypothesized that individuals who were high on suicide-related attention bias (AB) and cardiac sympathetic activity (SNS index) would also have elevated psychological distress, even in the absence of a diagnosable disorder. Methods: Participants were 181 healthy college students, 42.5% male. Personality traits, depression, hopelessness and suicidal ideation/behaviour were self-reported. Cardiac activity was measured using bodyguard2, and the SNS index was used as a measure of stress. AB was measured using stimuli salient in the context of death and suicide. Results: Correlations were in the expected direction. Cluster analysis using AB and the SNS index produced three clusters, of which Cluster 3, 19.7% of the sample, had elevated AB and SNS index, and by far the most distressed psychological profile, above the clinical cut-off point for depression. Conclusions: The study results indicate a strong association between objective and subjective measures of distress uncovered by cluster analysis. Such result may help to identifying a group of extremely distressed individuals among healthy adults. Individuals with a distressed personality profile, who are depressed and reject life, can be distinguished by their cardiac stress and AB.

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Section: Discussionsupporting

confidence: 91%

Implicit Measures of Extreme Psychological Distress in Young Healthy Adults: Cardiac Autonomic Activity and Attentional Bias

H. Zohar,

Levi-Belz,

Linetzky

2023

PSYCH

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“…When suicide assessments are conducted, the tools that are used have not been specifically designed for use with TAY nor validated with the population. As such, even the most commonly used tools may not accurately assess risk levels among these youth (Bernanke et al, 2017 ; Giddens et al, 2014 ; Miranda et al, 2021a , b ). Further, most suicide assessment tools lack a planning component to guide workers on the appropriate next steps depending on the assessment outcome.…”

Section: Introductionmentioning

confidence: 99%

Screening and Assessment of Suicidal Behavior in Transition-Age Youth with Foster Care Involvement

Katz

Gopalan

Wall³

et al. 2023

Child Adolesc Soc Work J

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Transition-age youth with foster care involvement (TAY, ages 17–22) are at heightened risk for suicidal behavior. Despite this, mental health screenings are not standardized across child welfare (CW) systems and existing assessment tools are not designed for use with this specific population. As such, TAY are unlikely to be adequately screened for suicide risk and connected with needed services. In this paper, we sought to identify screening and assessment tools that could be effective for use with TAY in CW settings. Using PubMed and PsycINFO, we conducted a search of the current literature to identify some of the most commonly used screening and assessment tools for youth. We then narrowed our focus to those tools that met predefined inclusion criteria indicating appropriateness of use for TAY in CW settings. As a result of this process, we identified one brief screening tool (the ASQ) and four assessments (the SIQ-JR, the C-SSRS, the SHBQ, and the SPS) that demonstrated specific promise for use with TAY. The strengths and limitations of the tools are discussed in detail, as well as the ways that each could be used most effectively in CW settings. We highlight three key points intended to guide social work practice and policy: (1) systematic, routine assessment of mental health and suicide risk across CW settings is critical; (2) the protocol for assessing suicidal behavior in TAY must account for the wide variations in context and service provision; and (3) CW workers administering assessments must be thoughtfully trained on risk identification and the protocol implementation.

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Content and Process of Adolescent Suicide Ideation: Implications for Risk Assessment

Miranda,

Ortin-Peralta,

Macrynikola

et al. 2023

Res Child Adolesc Psychopathol

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Understanding Patterns of Adolescent Suicide Ideation: Implications for Risk Assessment

Cited by 6 publications

References 114 publications

Implicit Measures of Extreme Psychological Distress in Young Healthy Adults: Cardiac Autonomic Activity and Attentional Bias

Implicit Measures of Extreme Psychological Distress in Young Healthy Adults: Cardiac Autonomic Activity and Attentional Bias

Screening and Assessment of Suicidal Behavior in Transition-Age Youth with Foster Care Involvement

Content and Process of Adolescent Suicide Ideation: Implications for Risk Assessment

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