Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients / C. 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 : C. A. KING, Auteur ; J. GRUPP-PHELAN, Auteur ; David A. BRENT, Auteur ; J. M. DEAN, Auteur ; M. WEBB, Auteur ; Jeffrey A. BRIDGE, Auteur ; A. SPIRITO, Auteur ; L. S. CHERNICK, Auteur ; E. M. MAHABEE-GITTENS, Auteur ; R. D. MISTRY, Auteur ; M. REA, Auteur ; A. KELLER, Auteur ; A. ROGERS, Auteur ; R. SHENOI, Auteur ; M. CWIK, Auteur ; D. 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] / C. A. KING, Auteur ; J. GRUPP-PHELAN, Auteur ; David A. BRENT, Auteur ; J. M. DEAN, Auteur ; M. WEBB, Auteur ; Jeffrey A. BRIDGE, Auteur ; A. SPIRITO, Auteur ; L. S. CHERNICK, Auteur ; E. M. MAHABEE-GITTENS, Auteur ; R. D. MISTRY, Auteur ; M. REA, Auteur ; A. KELLER, Auteur ; A. ROGERS, Auteur ; R. SHENOI, Auteur ; M. CWIK, Auteur ; D. 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

Social connectedness and adolescent suicide risk / David A. BRENT ; Jacqueline GRUPP-PHELAN ; Bradley J. BARNEY ; Anthony SPIRITO ; Megan M. MROCZKOWSKI ; Rohit SHENOI ; Melinda MAHABEE-GITTENS ; T. Charles CASPER ; Cheryl KING ; in collaboration with the Pediatric Emergency Care Applied Research NETWORK in Journal of Child Psychology and Psychiatry, 65-6 (June 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.785-797 Titre : Social connectedness and adolescent suicide risk Type de document : texte imprimé Auteurs : David A. BRENT, Auteur ; Jacqueline GRUPP-PHELAN, Auteur ; Bradley J. BARNEY, Auteur ; Anthony SPIRITO, Auteur ; Megan M. MROCZKOWSKI, Auteur ; Rohit SHENOI, Auteur ; Melinda MAHABEE-GITTENS, Auteur ; T. Charles CASPER, Auteur ; Cheryl KING, Auteur ; in collaboration with the Pediatric Emergency Care Applied Research NETWORK, Auteur Année de publication : 2024 Article en page(s) : p.785-797 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Despite evidence of the importance of interpersonal connectedness to our understanding of suicide risk, relatively little research has examined the protective and buffering effects of connectedness among adolescents. The aims of this study were to determine: (a) whether overall connectedness (composite of family, peer, and school) and specific domains of connectedness were related to a lower likelihood of suicide attempts, and (b) whether these factors buffer the prospective risk of suicide attempt for high-risk subgroups (i.e., recent suicidal ideation and/or lifetime history of suicide attempt, peer victimization, or sexual and gender minority status). Methods Participants were 2,897 adolescents (64.7% biological female), ages 12 to 17 (M = 14.6, SD = 1.6), recruited in collaboration with the Pediatric Emergency Care Applied Research Network (PECARN) from 14 emergency departments for the Emergency Department Screen for Teens at Risk for Suicide Study (ED-STARS). Suicide risk and protective factors were assessed at baseline; 3- and 6-month follow-ups were completed (79.5% retention). Multivariable logistic regressions were conducted, adjusting for established suicide risk factors. Results Higher overall connectedness and, specifically, school connectedness were associated with decreased likelihood of a suicide attempt across 6 months. Overall connectedness and connectedness domains did not function as buffers for future suicide attempts among certain high-risk subgroups. The protective effect of overall connectedness was lower for youth with recent suicidal ideation or a suicide attempt history than for those without this history. Similarly, overall connectedness was protective for youth without peer victimization but not those with this history. Regarding specific domains, family connectedness was protective for youth without recent suicidal ideation or a suicide attempt history and peer connectedness was protective for youth without peer victimization but not youth with these histories. Conclusions In this large and geographically diverse sample, overall and school connectedness were related prospectively to lower likelihood of suicide attempts, and connectedness was more protective for youth not in certain high-risk subgroups. Results inform preventive efforts aimed at improving youth connectedness and reducing suicide risk. En ligne : https://doi.org/10.1111/jcpp.13908 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528 [article] Social connectedness and adolescent suicide risk [texte imprimé] / David A. BRENT, Auteur ; Jacqueline GRUPP-PHELAN, Auteur ; Bradley J. BARNEY, Auteur ; Anthony SPIRITO, Auteur ; Megan M. MROCZKOWSKI, Auteur ; Rohit SHENOI, Auteur ; Melinda MAHABEE-GITTENS, Auteur ; T. Charles CASPER, Auteur ; Cheryl KING, Auteur ; in collaboration with the Pediatric Emergency Care Applied Research NETWORK, Auteur . - 2024 . - p.785-797. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-6 (June 2024) . - p.785-797 Index. décimale : PER Périodiques Résumé : Background Despite evidence of the importance of interpersonal connectedness to our understanding of suicide risk, relatively little research has examined the protective and buffering effects of connectedness among adolescents. The aims of this study were to determine: (a) whether overall connectedness (composite of family, peer, and school) and specific domains of connectedness were related to a lower likelihood of suicide attempts, and (b) whether these factors buffer the prospective risk of suicide attempt for high-risk subgroups (i.e., recent suicidal ideation and/or lifetime history of suicide attempt, peer victimization, or sexual and gender minority status). Methods Participants were 2,897 adolescents (64.7% biological female), ages 12 to 17 (M = 14.6, SD = 1.6), recruited in collaboration with the Pediatric Emergency Care Applied Research Network (PECARN) from 14 emergency departments for the Emergency Department Screen for Teens at Risk for Suicide Study (ED-STARS). Suicide risk and protective factors were assessed at baseline; 3- and 6-month follow-ups were completed (79.5% retention). Multivariable logistic regressions were conducted, adjusting for established suicide risk factors. Results Higher overall connectedness and, specifically, school connectedness were associated with decreased likelihood of a suicide attempt across 6 months. Overall connectedness and connectedness domains did not function as buffers for future suicide attempts among certain high-risk subgroups. The protective effect of overall connectedness was lower for youth with recent suicidal ideation or a suicide attempt history than for those without this history. Similarly, overall connectedness was protective for youth without peer victimization but not those with this history. Regarding specific domains, family connectedness was protective for youth without recent suicidal ideation or a suicide attempt history and peer connectedness was protective for youth without peer victimization but not youth with these histories. Conclusions In this large and geographically diverse sample, overall and school connectedness were related prospectively to lower likelihood of suicide attempts, and connectedness was more protective for youth not in certain high-risk subgroups. Results inform preventive efforts aimed at improving youth connectedness and reducing suicide risk. En ligne : https://doi.org/10.1111/jcpp.13908 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528

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