What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population‐based birth cohort study

Mars, Becky; Heron, Jon; Klonsky, E. David; Moran, Paul; O’Connor, Rory C.; Tilling, Kate; Wilkinson, Paul; Gunnell, David

doi:10.1111/jcpp.12878

Cited by 141 publications

(158 citation statements)

References 32 publications

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“…A key strength of the study was the longitudinal design allowing for the temporal lag between suicidal thoughts and behaviours; although the temporal relationship between auditory HEs and suicidal ideation was less clear (we assumed a relationship between suicidal ideation to auditory HEs to suicide attempts, but it is possible auditory HEs in fact preceded suicidal ideation ). Previous research on the ideation‐to‐attempt transition has been largely cross‐sectional and retrospective reporting, of both risk factors and suicidal outcomes, where the temporal direction of associations (particularly between suicidal thoughts and behaviours) is unclear . The present study was the first to investigate the complete IPTS theory in a longitudinal community sample of adolescents.…”

Section: Discussionmentioning

confidence: 88%

“…Our study fills an important gap in the wider literature examining the ideation‐to‐attempt transition, by allowing for the temporal lag between suicidal thoughts and subsequent suicidal behaviours. Few studies have explored factors that predict the progression from suicidal ideation to attempts over time . The current study also addresses gaps in the broader literature on the explanatory role of the IPTS theory.…”

Section: Discussionmentioning

confidence: 98%

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Investigating the role of hallucinatory experiences in the transition from suicidal thoughts to attempts

Hielscher

DeVylder

Connell

et al. 2019

Acta Psychiatr Scand

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Objective Psychotic experiences, including auditory hallucinatory experiences (HEs), are strongly associated with both suicidal thoughts and behaviour. This study examined their role in the ideation‐to‐attempt transition in adolescents, including their direct and indirect effect via potential mediators. Method Participants were from an Australian prospective longitudinal cohort of 1669 adolescents (12–17 years); of which a subsample endorsing baseline suicidal ideation (n = 216) was the focus of most analyses. Suicidal thoughts and behaviours were measured using the Self‐Harm Behaviour Questionnaire. The Diagnostic Interview Schedule for Children was used to assess auditory HEs. Potential mediators of interest were psychological distress and Interpersonal Theory of Suicide (IPTS) constructs. Results Among adolescents reporting suicidal ideation at baseline (n = 216), 6.5% had attempted suicide during follow‐up. The size of auditory HEs’ univariate effect suggests a possible strong relationship with increased risk of incident suicide attempts (OR = 2.40; 95%CI = 0.76–7.56); however, there was inadequate statistical power to produce a precise estimate. When HEs were accompanied by distress there was a nine‐fold increased risk of acting on suicidal thoughts. Distress was independently associated with risk of attempt transition (OR = 4.09), whereas IPTS constructs were poor explanatory variables in most models. Conclusion Adolescents with psychological distress and auditory HEs are at high risk of incident suicide attempts. Further investigations on the role of negative/distressing content of hallucinations in the ideation‐to‐attempt transition are warranted.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 98%

Investigating the role of hallucinatory experiences in the transition from suicidal thoughts to attempts

Hielscher

DeVylder

Connell

et al. 2019

Acta Psychiatr Scand

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“…This commentary will look at the two accompanying papers by Mars et al. () and Beckman et al. (); which seek to increase our understanding of which children and young people may proceed to engage with self‐harm and die by suicide…”

mentioning

confidence: 99%

No better than chance? Developments in predicting adolescent suicide, a commentary on Mars et al. (2018) and Beckman et al. (2018)

Sedgwick

Ougrin

2018

Child Psychology Psychiatry

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Suicide is the second leading cause of death in young people aged 10–24 globally (Patton et al., 2009) and it is therefore of vital importance that we understand more about how to identify those at risk. Many of those who proceed to die by suicide will not have interacted with mental health services (Kidger et al., 2012), and therefore predictors of suicide attempts and completed suicides are relevant not only to mental health services but also to schools and communities. Despite years of research, it continues to be challenging to identify those young people who undergo transition from thinking about suicide to attempting suicide as well as those young people who undergo transition from self‐harm to completed suicide. This commentary will look at the two accompanying papers by Mars et al. (2018) and Beckman et al. (2018); which seek to increase our understanding of which children and young people may proceed to engage with self‐harm and die by suicide.

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“…Depressive disorder, behavioral disorder, anxiety disorder, exposure to self-harm in others, friend/family self-harm, and smoking were found to be the strongest risk factors that differentiated between individuals who have thought of suicide and who have attempted suicide. The next category of risk factors that were less likely but still strongly associated with suicide attempts versus ideation were lower IQ, being female, higher intensity seeking, more life events, lower conscientiousness, body dissatisfaction, hopelessness, and illicit drug use (Mars et al, 2018). Findings suggest that exposure to selfharm in others and mental health related problems are likely contributions to an adolescents suicide attempt, and are important to consider in assessing risk of suicide in this age group.…”

Section: Risk Factors Of Adolescent Suicidementioning

confidence: 88%

“…Because evidence suggests there are ways to moderate severe risks to suicidal ideation, more action should be taken to make sure students are feeling supported and good about themselves (Brausch & Decker, 2014). Mars, Heron, Klonsky, Moran, O'Connor, Tilling, Wilkinson, & Gunnell (2018) sent a survey to 4,772 of the Avon Longitudinal Study of Parents and Children members within the United Kingdom. The study's main goal was to examine the differences between 16-year-olds who reported no suicidal ideation or attempts, suicidal ideation only, and suicide attempts.…”

Section: Risk Factors Of Adolescent Suicidementioning

confidence: 99%

Supporting Marin County Youth Suffering from Anxiety and Depression

Grajeda¹

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This toolkit was created to help shed light on the impact a stressful high school environment can have on today's youth, and provide teachers, students, and parents with up-to-date information on what resources are available within the county of Marin. When working with adolescents, it is important to consider environmental threats to their mental health (i.e., lack of sleep) in order to make proper referrals and treatment plans. A study done by Kelley, Lockley, Kelley, & Evans (2017) implemented a 10:00 a.m. start time at an urban school in England. By delaying school start times, Kelley et al., found that absences related to illness were reduced by 50 percent compared to national rates. In general, school systems in the United States are not currently structured to ensure students can function at their maximum potential, and their academics, health, and relationships are deteriorating as a result. More importantly, suicide is becoming more prevalent in high schools within the United States, which means prevention programs need to be reevaluated or implemented to help Marin youth cope with academic and social stress. This guide will provide the community with psychoeducation on depression and anxiety; potential risk factors, how to help, and what treatment options are available. iv Acknowledgement I cannot emphasize enough how incredibly fortunate I am to be surrounded by so many supportive friends, family, colleagues, and leaders. I would like to thank my thesis instructor, Carlos Molina, Ed.D., LMFT, for his unwavering flexibility and encouragement throughout my entire project. I am incredibly grateful for the profound lessons he has taught me as an instructor in the Counseling Psychology program. His tireless ability to advocate for his clients will forever inspire my work in this field. Mark Jaime (the Associate Director of Alumni Relations) and Jessica Jordan (the AVP for Alumni Engagement, Annual Fund, and Advancement Services) have been wonderful in helping me balance working full-time, taking classes part-time, completing this formidable final project, and interning at the National Alliance on Mental Illness Marin. For the generous way they have supported me through the times I have needed to adjust my work schedule, I am forever grateful. My mom, Shelley Grajeda, proofread this entire manual, and did so with awe-inspiring devotion and enthusiasm. She and my dad, Jeff Grajeda, have been the two utmost important influences in my life, and there will never be enough words to fully express my love and gratitude for the way they have supported me as a student, a professional, and as a person. Thank you to Kelli Finley (Executive Director of NAMI Marin) for imparting your invaluable wisdom on me, Ana Do Rosario Sousa and Trae Carpenter for being my companions throughout this ambitious adventure, and to Michael Pujals for sharing his expansive Microsoft Word expertise. Finally, to Nicolette Grajeda, Beverly Morris, Ken Morris, Bryan Grevera, and Barbara Grevera, I am blessed to have your kindness, humor, and s...

show abstract

What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population‐based birth cohort study

Cited by 141 publications

References 32 publications

Investigating the role of hallucinatory experiences in the transition from suicidal thoughts to attempts

Investigating the role of hallucinatory experiences in the transition from suicidal thoughts to attempts

No better than chance? Developments in predicting adolescent suicide, a commentary on Mars et al. (2018) and Beckman et al. (2018)

Supporting Marin County Youth Suffering from Anxiety and Depression

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