Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients / Cheryl A. KING 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.1055-1064 Titre : Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients Type de document : texte imprimé Auteurs : Cheryl A. KING, Auteur ; Jacqueline GRUPP-PHELAN, Auteur ; David A. BRENT, Auteur ; J. Michael DEAN, Auteur ; Michael WEBB, Auteur ; Jeffrey A. BRIDGE, Auteur ; Anthony SPIRITO, Auteur ; Lauren S. CHERNICK, Auteur ; E. Melinda MAHABEE-GITTENS, Auteur ; Rakesh D. MISTRY, Auteur ; Margaret REA, Auteur ; Allison KELLER, Auteur ; Alexander ROGERS, Auteur ; Rohit SHENOI, Auteur ; Mary CWIK, Auteur ; Danielle R. BUSBY, Auteur ; T. Charles CASPER, Auteur Article en page(s) : p.1055-1064 Langues : Anglais (eng) Mots-clés : Suicide risk  adolescence  emergency department  social connectedness  suicide attempt Index. décimale : PER Périodiques Résumé : BACKGROUND: The incidence of adolescent suicide is rising in the United States, yet we have limited information regarding short-term prediction of suicide attempts. Our aim was to identify predictors of suicide attempts within 3-months of an emergency department (ED) visit. METHODS: Adolescents, ages 12-17, seeking health care at 13 pediatric EDs (Pediatric Emergency Care Applied Research Network) and one Indian Health Service Hospital in the United States were consecutively recruited. Among 10,664 approached patients, 6,448 (60%) were enrolled and completed a suicide risk survey. A subset of participants (n = 2,897) was assigned to a 3-month telephone follow-up, and 2,104 participants completed this follow-up (73% retention). Our primary outcome was a suicide attempt between the ED visit and 3-month follow-up. RESULTS: One hundred four adolescents (4.9%) made a suicide attempt between enrollment and 3-month follow-up. A large number of baseline predictors of suicide attempt were identified in bivariate analyses. The final multivariable model for the full sample included the presence of suicidal ideation during the past week, lifetime severity of suicidal ideation, lifetime history of suicidal behavior, and school connectedness. For the subgroup of adolescents who did not report recent suicidal ideation at baseline, the final model included only lifetime severity of suicidal ideation and social connectedness. Among males, the final model included only lifetime severity of suicidal ideation and past week suicidal ideation. For females, the final model included past week suicidal ideation, lifetime severity of suicidal ideation, number of past-year nonsuicidal self-injury (NSSI) incidents, and social connectedness. CONCLUSIONS: Results indicate that the key risk factors for adolescent suicide attempts differ for subgroups of adolescents defined by sex and whether or not they report recent suicidal thoughts. Results also point to the importance of school and social connectedness as protective factors against suicide attempts. En ligne : http://dx.doi.org/10.1111/jcpp.13087 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406 [article] Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients [texte imprimé] / Cheryl A. KING, Auteur ; Jacqueline GRUPP-PHELAN, Auteur ; David A. BRENT, Auteur ; J. Michael DEAN, Auteur ; Michael WEBB, Auteur ; Jeffrey A. BRIDGE, Auteur ; Anthony SPIRITO, Auteur ; Lauren S. CHERNICK, Auteur ; E. Melinda MAHABEE-GITTENS, Auteur ; Rakesh D. MISTRY, Auteur ; Margaret REA, Auteur ; Allison KELLER, Auteur ; Alexander ROGERS, Auteur ; Rohit SHENOI, Auteur ; Mary CWIK, Auteur ; Danielle R. BUSBY, Auteur ; T. Charles CASPER, Auteur . - p.1055-1064. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1055-1064 Mots-clés : Suicide risk  adolescence  emergency department  social connectedness  suicide attempt Index. décimale : PER Périodiques Résumé : BACKGROUND: The incidence of adolescent suicide is rising in the United States, yet we have limited information regarding short-term prediction of suicide attempts. Our aim was to identify predictors of suicide attempts within 3-months of an emergency department (ED) visit. METHODS: Adolescents, ages 12-17, seeking health care at 13 pediatric EDs (Pediatric Emergency Care Applied Research Network) and one Indian Health Service Hospital in the United States were consecutively recruited. Among 10,664 approached patients, 6,448 (60%) were enrolled and completed a suicide risk survey. A subset of participants (n = 2,897) was assigned to a 3-month telephone follow-up, and 2,104 participants completed this follow-up (73% retention). Our primary outcome was a suicide attempt between the ED visit and 3-month follow-up. RESULTS: One hundred four adolescents (4.9%) made a suicide attempt between enrollment and 3-month follow-up. A large number of baseline predictors of suicide attempt were identified in bivariate analyses. The final multivariable model for the full sample included the presence of suicidal ideation during the past week, lifetime severity of suicidal ideation, lifetime history of suicidal behavior, and school connectedness. For the subgroup of adolescents who did not report recent suicidal ideation at baseline, the final model included only lifetime severity of suicidal ideation and social connectedness. Among males, the final model included only lifetime severity of suicidal ideation and past week suicidal ideation. For females, the final model included past week suicidal ideation, lifetime severity of suicidal ideation, number of past-year nonsuicidal self-injury (NSSI) incidents, and social connectedness. CONCLUSIONS: Results indicate that the key risk factors for adolescent suicide attempts differ for subgroups of adolescents defined by sex and whether or not they report recent suicidal thoughts. Results also point to the importance of school and social connectedness as protective factors against suicide attempts. En ligne : http://dx.doi.org/10.1111/jcpp.13087 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406

Testing the interpersonal theory of suicide in adolescents: A multi-wave longitudinal study / David PAGLIACCIO in Journal of Child Psychology and Psychiatry, 65-5 (May 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.668-679 Titre : Testing the interpersonal theory of suicide in adolescents: A multi-wave longitudinal study Type de document : texte imprimé Auteurs : David PAGLIACCIO, Auteur ; Alma BITRAN, Auteur ; Jaclyn S. KIRSHENBAUM, Auteur ; Kira L. ALQUEZA, Auteur ; Katherine DURHAM, Auteur ; Lauren S. CHERNICK, Auteur ; Karla JOYCE, Auteur ; Ranqing LAN, Auteur ; Giovanna PORTA, Auteur ; David A. BRENT, Auteur ; Nicholas B. ALLEN, Auteur ; Randy P. AUERBACH, Auteur Article en page(s) : p.668-679 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Suicide is a major public health crisis among youth. Several prominent theories, including the Interpersonal Theory of Suicide (IPTS), aim to characterize the factors leading from suicide ideation to action. These theories are largely based on findings in adults and require testing and elaboration in adolescents. Methods Data were examined from high-risk 13-18-year-old adolescents (N = 167) participating in a multi-wave, longitudinal study; 63% of the sample exhibited current suicidal thoughts or recent behaviors (n = 105). The study included a 6-month follow-up period with clinical interviews and self-report measures at each of the four assessments as well as weekly smartphone-based assessments of suicidal thoughts and behaviors. Regression and structural equation models were used to probe hypotheses related to the core tenets of the IPTS. Results Feelings of perceived burdensomeness were associated with more severe self-reported suicidal ideation (b = 0.58, t(158) = 7.64, p < .001). Similarly, burdensomeness was associated with more frequent ideation based on weekly smartphone ratings (b = 0.11, t(1460) = 3.41, p < .001). Contrary to IPTS hypotheses, neither feelings of thwarted belongingness, nor interactions between burdensomeness and thwarted belongingness were significantly associated with ideation (ps > .05). Only elevated depression severity was associated with greater odds of suicide events (i.e., suicide attempts, psychiatric hospitalizations, and/or emergency department visits for suicide concerns) during the follow-up period (OR = 1.83, t(158) = 2.44, p = .01). No effect of acquired capability was found. Conclusions Perceptions of burdensomeness to others reflect a critical risk factor for suicidal ideation among high-risk adolescents. Null findings with other IPTS constructs may suggest a need to adopt more developmentally sensitive models or measures of interpersonal and acquired capability risk factors for youth. Refining methods and theoretical models of suicide risk may help improve the identification of high-risk cases and inform clinical intervention. En ligne : https://doi.org/10.1111/jcpp.13868 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526 [article] Testing the interpersonal theory of suicide in adolescents: A multi-wave longitudinal study [texte imprimé] / David PAGLIACCIO, Auteur ; Alma BITRAN, Auteur ; Jaclyn S. KIRSHENBAUM, Auteur ; Kira L. ALQUEZA, Auteur ; Katherine DURHAM, Auteur ; Lauren S. CHERNICK, Auteur ; Karla JOYCE, Auteur ; Ranqing LAN, Auteur ; Giovanna PORTA, Auteur ; David A. BRENT, Auteur ; Nicholas B. ALLEN, Auteur ; Randy P. AUERBACH, Auteur . - p.668-679. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.668-679 Index. décimale : PER Périodiques Résumé : Background Suicide is a major public health crisis among youth. Several prominent theories, including the Interpersonal Theory of Suicide (IPTS), aim to characterize the factors leading from suicide ideation to action. These theories are largely based on findings in adults and require testing and elaboration in adolescents. Methods Data were examined from high-risk 13-18-year-old adolescents (N = 167) participating in a multi-wave, longitudinal study; 63% of the sample exhibited current suicidal thoughts or recent behaviors (n = 105). The study included a 6-month follow-up period with clinical interviews and self-report measures at each of the four assessments as well as weekly smartphone-based assessments of suicidal thoughts and behaviors. Regression and structural equation models were used to probe hypotheses related to the core tenets of the IPTS. Results Feelings of perceived burdensomeness were associated with more severe self-reported suicidal ideation (b = 0.58, t(158) = 7.64, p < .001). Similarly, burdensomeness was associated with more frequent ideation based on weekly smartphone ratings (b = 0.11, t(1460) = 3.41, p < .001). Contrary to IPTS hypotheses, neither feelings of thwarted belongingness, nor interactions between burdensomeness and thwarted belongingness were significantly associated with ideation (ps > .05). Only elevated depression severity was associated with greater odds of suicide events (i.e., suicide attempts, psychiatric hospitalizations, and/or emergency department visits for suicide concerns) during the follow-up period (OR = 1.83, t(158) = 2.44, p = .01). No effect of acquired capability was found. Conclusions Perceptions of burdensomeness to others reflect a critical risk factor for suicidal ideation among high-risk adolescents. Null findings with other IPTS constructs may suggest a need to adopt more developmentally sensitive models or measures of interpersonal and acquired capability risk factors for youth. Refining methods and theoretical models of suicide risk may help improve the identification of high-risk cases and inform clinical intervention. En ligne : https://doi.org/10.1111/jcpp.13868 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526

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