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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)
[article]
Titre : Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients Type de document : Texte imprimé et/ou numérique 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. C. 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
in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1055-1064[article] Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients [Texte imprimé et/ou numérique] / 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. C. 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 Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors / Molly ADRIAN in Journal of Child Psychology and Psychiatry, 57-5 (May 2016)
[article]
Titre : Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors Type de document : Texte imprimé et/ou numérique Auteurs : Molly ADRIAN, Auteur ; Adam Bryant MILLER, Auteur ; Elizabeth MCCAULEY, Auteur ; Ann VANDER STOEP, Auteur Article en page(s) : p.645-653 Langues : Anglais (eng) Mots-clés : Suicidal ideation adolescence suicide risk Index. décimale : PER Périodiques Résumé : Background The present study examined developmental trajectories of suicidal ideation (SI) and predictors of the course of SI across early to middle adolescence in a sample of 521 children utilizing a prospective longitudinal design. Method A baseline assessment including structured interviews and parent- and adolescent-reported measures was conducted at age 11–12 years, with follow-up assessments occurring 6, 12, 18, and 36 months later. Results Group-based trajectory analyses revealed three groups of individuals, one group that remained at low ideation scores throughout the time period examined, another group with moderate ideation scores and a minority of children who had fluctuating SI. Sex differences in SI trajectories were revealed with the highest SI scores at age 12 for boys. For boys in this group, high ideation followed by a steady decline in the slope over time. SI in girls demonstrated a quadratic function increasing from age 12 to 13, and decreasing from age 14 to 15. Factors that predicted SI group membership were identified. Depression, externalizing problems, family and friend support discriminated SI trajectories for both boys and girls. History of a suicide attempt was associated with moderate- and high-declining ideation groups for boys, and moderate and high ideation group for girls. Conclusions Assessment of SI in adolescents should occur in early adolescents, particularly around the time of school transitions. En ligne : http://dx.doi.org/10.1111/jcpp.12484 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288
in Journal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.645-653[article] Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors [Texte imprimé et/ou numérique] / Molly ADRIAN, Auteur ; Adam Bryant MILLER, Auteur ; Elizabeth MCCAULEY, Auteur ; Ann VANDER STOEP, Auteur . - p.645-653.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 57-5 (May 2016) . - p.645-653
Mots-clés : Suicidal ideation adolescence suicide risk Index. décimale : PER Périodiques Résumé : Background The present study examined developmental trajectories of suicidal ideation (SI) and predictors of the course of SI across early to middle adolescence in a sample of 521 children utilizing a prospective longitudinal design. Method A baseline assessment including structured interviews and parent- and adolescent-reported measures was conducted at age 11–12 years, with follow-up assessments occurring 6, 12, 18, and 36 months later. Results Group-based trajectory analyses revealed three groups of individuals, one group that remained at low ideation scores throughout the time period examined, another group with moderate ideation scores and a minority of children who had fluctuating SI. Sex differences in SI trajectories were revealed with the highest SI scores at age 12 for boys. For boys in this group, high ideation followed by a steady decline in the slope over time. SI in girls demonstrated a quadratic function increasing from age 12 to 13, and decreasing from age 14 to 15. Factors that predicted SI group membership were identified. Depression, externalizing problems, family and friend support discriminated SI trajectories for both boys and girls. History of a suicide attempt was associated with moderate- and high-declining ideation groups for boys, and moderate and high ideation group for girls. Conclusions Assessment of SI in adolescents should occur in early adolescents, particularly around the time of school transitions. En ligne : http://dx.doi.org/10.1111/jcpp.12484 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=288