Sexual orientation and adolescent suicide attempt and self-harm: a co-twin control study / L. M. O'REILLY in Journal of Child Psychology and Psychiatry, 62-7 (July 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-7 (July 2021) . - p.834-841 Titre : Sexual orientation and adolescent suicide attempt and self-harm: a co-twin control study Type de document : Texte imprimé et/ou numérique Auteurs : L. M. O'REILLY, Auteur ; E. PETTERSSON, Auteur ; K. DONAHUE, Auteur ; P. D. QUINN, Auteur ; E. D. KLONSKY, Auteur ; S. LUNDSTRÖM, Auteur ; H. LARSSON, Auteur ; P. LICHTENSTEIN, Auteur ; B. M. D'ONOFRIO, Auteur Article en page(s) : p.834-841 Langues : Anglais (eng) Mots-clés : Adolescent  Female  Heterosexuality  Humans  Male  Self-Injurious Behavior  Sexual Behavior  Suicidal Ideation  Suicide, Attempted  Sexual behavior  suicidal behavior  twins Index. décimale : PER Périodiques Résumé : BACKGROUND: Research has demonstrated that individuals who identify as a sexual minority (e.g., gay/lesbian, bisexual) are at increased risk for suicidality-related outcomes. However, previous research is primarily limited by the lack of adjustment for unmeasured (i.e., genetic and environmental) confounding factors and previous psychopathology. METHODS: Using the Child and Adolescent Twin Study in Sweden, we employed a co-twin control design to examine the extent to which the association between sexual orientation and adolescent suicide attempt and self-harm (SA/SH) was independent of genetic and environmental factors shared by twins, as well as measured symptoms of childhood psychopathology. RESULTS: Adolescents who identified as a sexual minority (i.e., gay/lesbian, bisexual, or other sexual orientation) were at two-fold increased odds for SA/SH (OR, 2.01 [95% confidence interval, 1.63-2.49) compared to heterosexual adolescents. When adjusting for all genetic and shared environmental factors that make twins similar and for measured childhood psychopathology, the association remained positive but attenuated to OR, 1.55 (1.11-2.16). CONCLUSIONS: Identifying as a sexual minority was associated with approximately 50% increased odds of SA/SH in adolescence after adjusting for unmeasured genetic and environmental factors shared by twins and for childhood psychopathology. The results support that environmental factors specifically associated with identifying as a sexual minority likely increase risk for SA/SH. Our findings highlight the need to monitor suicidality risk among this group. En ligne : http://dx.doi.org/10.1111/jcpp.13325 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 [article] Sexual orientation and adolescent suicide attempt and self-harm: a co-twin control study [Texte imprimé et/ou numérique] / L. M. O'REILLY, Auteur ; E. PETTERSSON, Auteur ; K. DONAHUE, Auteur ; P. D. QUINN, Auteur ; E. D. KLONSKY, Auteur ; S. LUNDSTRÖM, Auteur ; H. LARSSON, Auteur ; P. LICHTENSTEIN, Auteur ; B. M. D'ONOFRIO, Auteur . - p.834-841. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-7 (July 2021) . - p.834-841 Mots-clés : Adolescent  Female  Heterosexuality  Humans  Male  Self-Injurious Behavior  Sexual Behavior  Suicidal Ideation  Suicide, Attempted  Sexual behavior  suicidal behavior  twins Index. décimale : PER Périodiques Résumé : BACKGROUND: Research has demonstrated that individuals who identify as a sexual minority (e.g., gay/lesbian, bisexual) are at increased risk for suicidality-related outcomes. However, previous research is primarily limited by the lack of adjustment for unmeasured (i.e., genetic and environmental) confounding factors and previous psychopathology. METHODS: Using the Child and Adolescent Twin Study in Sweden, we employed a co-twin control design to examine the extent to which the association between sexual orientation and adolescent suicide attempt and self-harm (SA/SH) was independent of genetic and environmental factors shared by twins, as well as measured symptoms of childhood psychopathology. RESULTS: Adolescents who identified as a sexual minority (i.e., gay/lesbian, bisexual, or other sexual orientation) were at two-fold increased odds for SA/SH (OR, 2.01 [95% confidence interval, 1.63-2.49) compared to heterosexual adolescents. When adjusting for all genetic and shared environmental factors that make twins similar and for measured childhood psychopathology, the association remained positive but attenuated to OR, 1.55 (1.11-2.16). CONCLUSIONS: Identifying as a sexual minority was associated with approximately 50% increased odds of SA/SH in adolescence after adjusting for unmeasured genetic and environmental factors shared by twins and for childhood psychopathology. The results support that environmental factors specifically associated with identifying as a sexual minority likely increase risk for SA/SH. Our findings highlight the need to monitor suicidality risk among this group. En ligne : http://dx.doi.org/10.1111/jcpp.13325 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456

What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population-based birth cohort study / B. MARS in Journal of Child Psychology and Psychiatry, 60-1 (January 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-1 (January 2019) . - p.91-99 Titre : What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population-based birth cohort study Type de document : Texte imprimé et/ou numérique Auteurs : B. MARS, Auteur ; J. HERON, Auteur ; E. D. KLONSKY, Auteur ; P. MORAN, Auteur ; R. C. O'CONNOR, Auteur ; K. TILLING, Auteur ; P. WILKINSON, Auteur ; D. GUNNELL, Auteur Article en page(s) : p.91-99 Langues : Anglais (eng) Mots-clés : Alspac  Suicide attempt  ideation  self-harm  suicidal thoughts Index. décimale : PER Périodiques Résumé : BACKGROUND: Only one-third of young people who experience suicidal ideation attempt suicide. It is important to identify factors which differentiate those who attempt suicide from those who experience suicidal ideation but do not act on these thoughts. METHODS: Participants were 4,772 members of the Avon Longitudinal Study of Parents and Children (ALSPAC), a UK population-based birth cohort. Suicide ideation and attempts were assessed at age 16 years via self-report questionnaire. Multinomial regression was used to examine associations between factors that differentiated adolescents in three groups: no suicidal ideation or attempts, suicidal ideation only and suicide attempts. Analyses were conducted on an imputed data set based on those with complete outcome data (suicidal thoughts and attempts) at age 16 years (N = 4,772). RESULTS: The lifetime prevalence of suicidal ideation and attempts in the sample was 9.6% and 6.8% respectively. Compared to adolescents who had experienced suicidal ideation, those who attempted suicide were more likely to report exposure to self-harm in others (adjusted OR for family member self-harm: 1.95, for friend self-harm: 2.61 and for both family and friend self-harm: 5.26). They were also more likely to have a psychiatric disorder (adjusted OR for depression: 3.63; adjusted OR for anxiety disorder: 2.20; adjusted OR for behavioural disorder: 2.90). Other risk factors included female gender, lower IQ, higher impulsivity, higher intensity seeking, lower conscientiousness, a greater number of life events, body dissatisfaction, hopelessness, smoking and illicit drug use (excluding cannabis). CONCLUSIONS: The extent of exposure to self-harm in others and the presence of psychiatric disorder most clearly differentiate adolescents who attempt suicide from those who only experience suicidal ideation. Further longitudinal research is needed to explore whether these risk factors predict progression from suicidal ideation to attempts over time. En ligne : http://dx.doi.org/10.1111/jcpp.12878 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=374 [article] What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population-based birth cohort study [Texte imprimé et/ou numérique] / B. MARS, Auteur ; J. HERON, Auteur ; E. D. KLONSKY, Auteur ; P. MORAN, Auteur ; R. C. O'CONNOR, Auteur ; K. TILLING, Auteur ; P. WILKINSON, Auteur ; D. GUNNELL, Auteur . - p.91-99. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-1 (January 2019) . - p.91-99 Mots-clés : Alspac  Suicide attempt  ideation  self-harm  suicidal thoughts Index. décimale : PER Périodiques Résumé : BACKGROUND: Only one-third of young people who experience suicidal ideation attempt suicide. It is important to identify factors which differentiate those who attempt suicide from those who experience suicidal ideation but do not act on these thoughts. METHODS: Participants were 4,772 members of the Avon Longitudinal Study of Parents and Children (ALSPAC), a UK population-based birth cohort. Suicide ideation and attempts were assessed at age 16 years via self-report questionnaire. Multinomial regression was used to examine associations between factors that differentiated adolescents in three groups: no suicidal ideation or attempts, suicidal ideation only and suicide attempts. Analyses were conducted on an imputed data set based on those with complete outcome data (suicidal thoughts and attempts) at age 16 years (N = 4,772). RESULTS: The lifetime prevalence of suicidal ideation and attempts in the sample was 9.6% and 6.8% respectively. Compared to adolescents who had experienced suicidal ideation, those who attempted suicide were more likely to report exposure to self-harm in others (adjusted OR for family member self-harm: 1.95, for friend self-harm: 2.61 and for both family and friend self-harm: 5.26). They were also more likely to have a psychiatric disorder (adjusted OR for depression: 3.63; adjusted OR for anxiety disorder: 2.20; adjusted OR for behavioural disorder: 2.90). Other risk factors included female gender, lower IQ, higher impulsivity, higher intensity seeking, lower conscientiousness, a greater number of life events, body dissatisfaction, hopelessness, smoking and illicit drug use (excluding cannabis). CONCLUSIONS: The extent of exposure to self-harm in others and the presence of psychiatric disorder most clearly differentiate adolescents who attempt suicide from those who only experience suicidal ideation. Further longitudinal research is needed to explore whether these risk factors predict progression from suicidal ideation to attempts over time. En ligne : http://dx.doi.org/10.1111/jcpp.12878 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=374

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