Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk / Judith BALAZS in Journal of Child Psychology and Psychiatry, 54-6 (June 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-6 (June 2013) . - p.670-677 Titre : Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk Type de document : texte imprimé Auteurs : Judith BALAZS, Auteur ; Mónika MIKLOSI, Auteur ; Ágnes KERESZTENY, Auteur ; Christina W. HOVEN, Auteur ; Vladimir CARLI, Auteur ; Camilla WASSERMAN, Auteur ; Alan APTER, Auteur ; Julio BOBES, Auteur ; Romuald BRUNNER, Auteur ; Doina COSMAN, Auteur ; Pádraig COTTER, Auteur ; Christian HARING, Auteur ; Miriam IOSUE, Auteur ; Michael KAESS, Auteur ; Jean-Pierre KAHN, Auteur ; Helen KEELEY, Auteur ; Dragan MARUSIC, Auteur ; Vita POSTUVAN, Auteur ; Franz RESCH, Auteur ; Pilar A. SAIZ, Auteur ; Merike SISASK, Auteur ; Avigal SNIR, Auteur ; Alexandra TUBIANA, Auteur ; Airi VARNIK, Auteur ; Marco SARCHIAPONE, Auteur ; Danuta WASSERMAN, Auteur Article en page(s) : p.670-677 Langues : Anglais (eng) Mots-clés : Categorical diagnostic model  dimensional diagnostic model  subthreshold-depression  subthreshold-anxiety  adolescent  suicide  SEYLE Index. décimale : PER Périodiques Résumé : Background: Subthreshold-depression and anxiety have been associated with significant impairments in adults. This study investigates the characteristics of adolescent subthreshold-depression and anxiety with a focus on suicidality, using both categorical and dimensional diagnostic models. Methods: Data were drawn from the Saving and Empowering Young Lives in Europe (SEYLE) study, comprising 12,395 adolescents from 11 countries. Based on self-report, including Beck Depression Inventory-II (BDI-II), Zung Self-Rating Anxiety Scale (SAS), Strengths and Difficulties Questionnaire (SDQ) and Paykel Suicide Scale (PSS) were administered to students. Based on BDI-II, adolescents were divided into three groups: nondepressed, subthreshold-depressed and depressed; based on the SAS, they were divided into nonanxiety, subthreshold-anxiety and anxiety groups. Analyses of Covariance were conducted on SDQ scores to explore psychopathology of the defined groups. Logistic regression analyses were conducted to explore the relationships between functional impairments, suicidality and subthreshold and full syndromes. Results: Thirty-two percent of the adolescents were subthreshold-anxious and 5.8% anxious, 29.2% subthreshold-depressed and 10.5% depressed, with high comorbidity. Mean scores of SDQ of subthreshold-depressed/anxious were significantly higher than the mean scores of the nondepressed/nonanxious groups and significantly lower than those of the depressed/anxious groups. Both subthreshold and threshold-anxiety and depression were related to functional impairment and suicidality. Conclusions: Subthreshold-depression and subthreshold-anxiety are associated with an increased burden of disease and suicide risk. These results highlight the importance of early identification of adolescent subthreshold-depression and anxiety to minimize suicide. Incorporating these subthreshold disorders into a diagnosis could provide a bridge between categorical and dimensional diagnostic models. En ligne : http://dx.doi.org/10.1111/jcpp.12016 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=200 [article] Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk [texte imprimé] / Judith BALAZS, Auteur ; Mónika MIKLOSI, Auteur ; Ágnes KERESZTENY, Auteur ; Christina W. HOVEN, Auteur ; Vladimir CARLI, Auteur ; Camilla WASSERMAN, Auteur ; Alan APTER, Auteur ; Julio BOBES, Auteur ; Romuald BRUNNER, Auteur ; Doina COSMAN, Auteur ; Pádraig COTTER, Auteur ; Christian HARING, Auteur ; Miriam IOSUE, Auteur ; Michael KAESS, Auteur ; Jean-Pierre KAHN, Auteur ; Helen KEELEY, Auteur ; Dragan MARUSIC, Auteur ; Vita POSTUVAN, Auteur ; Franz RESCH, Auteur ; Pilar A. SAIZ, Auteur ; Merike SISASK, Auteur ; Avigal SNIR, Auteur ; Alexandra TUBIANA, Auteur ; Airi VARNIK, Auteur ; Marco SARCHIAPONE, Auteur ; Danuta WASSERMAN, Auteur . - p.670-677. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 54-6 (June 2013) . - p.670-677 Mots-clés : Categorical diagnostic model  dimensional diagnostic model  subthreshold-depression  subthreshold-anxiety  adolescent  suicide  SEYLE Index. décimale : PER Périodiques Résumé : Background: Subthreshold-depression and anxiety have been associated with significant impairments in adults. This study investigates the characteristics of adolescent subthreshold-depression and anxiety with a focus on suicidality, using both categorical and dimensional diagnostic models. Methods: Data were drawn from the Saving and Empowering Young Lives in Europe (SEYLE) study, comprising 12,395 adolescents from 11 countries. Based on self-report, including Beck Depression Inventory-II (BDI-II), Zung Self-Rating Anxiety Scale (SAS), Strengths and Difficulties Questionnaire (SDQ) and Paykel Suicide Scale (PSS) were administered to students. Based on BDI-II, adolescents were divided into three groups: nondepressed, subthreshold-depressed and depressed; based on the SAS, they were divided into nonanxiety, subthreshold-anxiety and anxiety groups. Analyses of Covariance were conducted on SDQ scores to explore psychopathology of the defined groups. Logistic regression analyses were conducted to explore the relationships between functional impairments, suicidality and subthreshold and full syndromes. Results: Thirty-two percent of the adolescents were subthreshold-anxious and 5.8% anxious, 29.2% subthreshold-depressed and 10.5% depressed, with high comorbidity. Mean scores of SDQ of subthreshold-depressed/anxious were significantly higher than the mean scores of the nondepressed/nonanxious groups and significantly lower than those of the depressed/anxious groups. Both subthreshold and threshold-anxiety and depression were related to functional impairment and suicidality. Conclusions: Subthreshold-depression and subthreshold-anxiety are associated with an increased burden of disease and suicide risk. These results highlight the importance of early identification of adolescent subthreshold-depression and anxiety to minimize suicide. Incorporating these subthreshold disorders into a diagnosis could provide a bridge between categorical and dimensional diagnostic models. En ligne : http://dx.doi.org/10.1111/jcpp.12016 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=200

A longitudinal examination of the interpersonal theory of suicide and effects of school-based suicide prevention interventions in a multinational study of adolescents / Shira BARZILAY in Journal of Child Psychology and Psychiatry, 60-10 (October 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1104-1111 Titre : A longitudinal examination of the interpersonal theory of suicide and effects of school-based suicide prevention interventions in a multinational study of adolescents Type de document : texte imprimé Auteurs : Shira BARZILAY, Auteur ; Alan APTER, Auteur ; Avigal SNIR, Auteur ; Vladimir CARLI, Auteur ; Christina W. HOVEN, Auteur ; Marco SARCHIAPONE, Auteur ; Gergö HADLACZKY, Auteur ; Judith BALAZS, Auteur ; Ágnes KERESZTENY, Auteur ; Romuald BRUNNER, Auteur ; Michael KAESS, Auteur ; Julio BOBES, Auteur ; Pilar A. SAIZ, Auteur ; Doina COSMAN, Auteur ; Christian HARING, Auteur ; Raphaela BANZER, Auteur ; Elaine MCMAHON, Auteur ; Helen KEELEY, Auteur ; Jean-Pierre KAHN, Auteur ; Vita POSTUVAN, Auteur ; Tina PODLOGAR, Auteur ; Merike SISASK, Auteur ; Airi VARNIK, Auteur ; Danuta WASSERMAN, Auteur Article en page(s) : p.1104-1111 Langues : Anglais (eng) Mots-clés : Suicide  adolescence  belongingness  interpersonal theory of suicide  self-harm  suicide attempt  suicide prevention Index. décimale : PER Périodiques Résumé : BACKGROUND: Predictions of two different models for suicide attempts (SA) over 12 months, as differentially impacted by specific school-based suicide prevention interventions, were compared. These were as follows: (a) interpersonal theory (IPTS) and (b) a two-pathway model, one path associated with externalizing symptoms and continuum of self-harm behaviors, and the other with internalizing symptoms. METHODS: Self-report questionnaires were completed by 11,110 high school students from ten EU countries enrolled in the Saving and Empowering Young Lives in Europe (SEYLE) study. Baseline measures included perceived burdensomeness, thwarted belongingness from parents and peers, health risk behaviors, self-injury, suicide ideation (SI), and attempts (SA). SI and SA were reassessed at 12-month follow-up. Each model's predictions of SI and SA groups over time (i.e., repeated SA, remitted SA, SA onset, and no SA) were estimated in the no intervention/control group. The superior model was estimated across intervention groups. RESULTS: Interpersonal theory showed better fit compared to the two-pathway model. In partial agreement with IPTS predictions, parental low belongingness but not peer belongingness or burdensomeness predicted greater likelihood of SI. The likelihood of repeated SA versus no SA was higher among adolescents who reported SI, self-injury, risk behaviors, and particularly both SI and self-injury. All three interventions attenuated the combined effect of SI and self-injury. Youth Aware of Mental Health Program (YAM) additionally decreased the effect of risk behaviors on the likelihood of repeated SA. CONCLUSIONS: Interpersonal theory assumptions were partially supported. Perceived interpersonal difficulties with parents were primarily related with SI, and risk behaviors and self-injury were important predictors of SA. Suicide prevention interventions may be effective by mitigating the hazardous effect of varying self-harm behaviors and may be further advanced by increasing parental involvement. En ligne : http://dx.doi.org/10.1111/jcpp.13119 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406 [article] A longitudinal examination of the interpersonal theory of suicide and effects of school-based suicide prevention interventions in a multinational study of adolescents [texte imprimé] / Shira BARZILAY, Auteur ; Alan APTER, Auteur ; Avigal SNIR, Auteur ; Vladimir CARLI, Auteur ; Christina W. HOVEN, Auteur ; Marco SARCHIAPONE, Auteur ; Gergö HADLACZKY, Auteur ; Judith BALAZS, Auteur ; Ágnes KERESZTENY, Auteur ; Romuald BRUNNER, Auteur ; Michael KAESS, Auteur ; Julio BOBES, Auteur ; Pilar A. SAIZ, Auteur ; Doina COSMAN, Auteur ; Christian HARING, Auteur ; Raphaela BANZER, Auteur ; Elaine MCMAHON, Auteur ; Helen KEELEY, Auteur ; Jean-Pierre KAHN, Auteur ; Vita POSTUVAN, Auteur ; Tina PODLOGAR, Auteur ; Merike SISASK, Auteur ; Airi VARNIK, Auteur ; Danuta WASSERMAN, Auteur . - p.1104-1111. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1104-1111 Mots-clés : Suicide  adolescence  belongingness  interpersonal theory of suicide  self-harm  suicide attempt  suicide prevention Index. décimale : PER Périodiques Résumé : BACKGROUND: Predictions of two different models for suicide attempts (SA) over 12 months, as differentially impacted by specific school-based suicide prevention interventions, were compared. These were as follows: (a) interpersonal theory (IPTS) and (b) a two-pathway model, one path associated with externalizing symptoms and continuum of self-harm behaviors, and the other with internalizing symptoms. METHODS: Self-report questionnaires were completed by 11,110 high school students from ten EU countries enrolled in the Saving and Empowering Young Lives in Europe (SEYLE) study. Baseline measures included perceived burdensomeness, thwarted belongingness from parents and peers, health risk behaviors, self-injury, suicide ideation (SI), and attempts (SA). SI and SA were reassessed at 12-month follow-up. Each model's predictions of SI and SA groups over time (i.e., repeated SA, remitted SA, SA onset, and no SA) were estimated in the no intervention/control group. The superior model was estimated across intervention groups. RESULTS: Interpersonal theory showed better fit compared to the two-pathway model. In partial agreement with IPTS predictions, parental low belongingness but not peer belongingness or burdensomeness predicted greater likelihood of SI. The likelihood of repeated SA versus no SA was higher among adolescents who reported SI, self-injury, risk behaviors, and particularly both SI and self-injury. All three interventions attenuated the combined effect of SI and self-injury. Youth Aware of Mental Health Program (YAM) additionally decreased the effect of risk behaviors on the likelihood of repeated SA. CONCLUSIONS: Interpersonal theory assumptions were partially supported. Perceived interpersonal difficulties with parents were primarily related with SI, and risk behaviors and self-injury were important predictors of SA. Suicide prevention interventions may be effective by mitigating the hazardous effect of varying self-harm behaviors and may be further advanced by increasing parental involvement. En ligne : http://dx.doi.org/10.1111/jcpp.13119 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406

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