Adolescent suicide: what can pediatricians do? DOI

Kirsten Breslin,

Julie Balaban,

Catherine D. Shubkin

et al.

Current Opinion in Pediatrics, Journal Year: 2020, Volume and Issue: 32(4), P. 595 - 600

Published: July 2, 2020

Suicide is a major public health concern and the second leading cause of death for adolescents. Faced with an already-high prevalence increasing rates over past decade, pediatricians feel inadequately prepared to manage suicidal patient. This article will review changing suicide, discuss recent literature on risk factors, identify methods screen thoughts suggest approach counseling Finally, there be brief discussion safety planning measures help reduce suicide rates.Rates attempted by have been more than decade. Risk assessment potential suicidality remains very challenging, as factors are multifactorial. However, some common persist including sexual minority identification family or personal history mental issues. Although keeping these other in mind, regular screening adolescents depression self-harm important. best plans treatment appear team-based.It responsibility stay aware regularly prioritize collaborative patients.

Language: Английский

Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review DOI
J. John Mann,

Christina A. Michel,

Randy P. Auerbach

et al.

American Journal of Psychiatry, Journal Year: 2021, Volume and Issue: 178(7), P. 611 - 624

Published: Feb. 18, 2021

Objective: The authors sought to identify scalable evidence-based suicide prevention strategies. Methods: A search of PubMed and Google Scholar identified 20,234 articles published between September 2005 December 2019, which 97 were randomized controlled trials with suicidal behavior or ideation as primary outcomes epidemiological studies limiting access lethal means, using educational approaches, the impact antidepressant treatment. Results: Training care physicians in depression recognition treatment prevents suicide. Educating youths on behavior, well active outreach psychiatric patients after discharge a crisis, behavior. Meta-analyses find that antidepressants prevent attempts, but individual appear be underpowered. Ketamine reduces hours is untested for prevention. Cognitive-behavioral therapy dialectical Active screening not proven better than just depression. Education gatekeepers about youth lacks effectiveness. No have been reported gatekeeper training adult Algorithm-driven electronic health record screening, Internet-based smartphone passive monitoring high-risk are understudied. Means restriction, including firearms, sporadically employed United States, even though firearms used half all U.S. suicides. Conclusions: general practitioners warrants wider implementation testing other nonpsychiatrist physician settings. follow-up suicide-related crisis should routine, restricting firearm by at-risk individuals use. Combination approaches systems show promise reducing several countries, evaluating benefit attributable each component essential. Further rate reduction requires newer such record–derived algorithms, methods, ketamine’s potential preventing acute risk change.

Language: Английский

Citations

366
Using large language models in psychology DOI Open Access
Dorottya Demszky, Diyi Yang, David S. Yeager

et al.

Nature Reviews Psychology, Journal Year: 2023, Volume and Issue: unknown

Published: Oct. 13, 2023

Language: Английский

Citations

168
A Brain-Centric Model of Suicidal Behavior DOI
J. John Mann, Mina Rizk

American Journal of Psychiatry, Journal Year: 2020, Volume and Issue: 177(10), P. 902 - 916

Published: Oct. 1, 2020

Language: Английский

Citations

145
Beyond Screen Time: Identity Development in the Digital Age DOI Creative Commons
Isabela Granic, Hiromitsu Morita, Hanneke Scholten

et al.

Psychological Inquiry, Journal Year: 2020, Volume and Issue: 31(3), P. 195 - 223

Published: July 2, 2020

We are in the midst of a global transition which digital “screens” no longer simply entertainment devices and distractions; rather, adolescents currently living hybrid reality that links spaces to offline contexts. Yet, psychological scientists studying mental health impact experiences largely focus on correlations with “screen time,” leading oversimplified atheoretical conclusions. propose an alternative, functional approach adolescent age, one examines why how media affect development. Specifically, we suggest understanding identity development—the core developmental task adolescence—can help pinpoint contribute healthy versus problematic outcomes. have four objectives: (1) integrate principles from clinical personality psychology theory present theoretical framework for investigating narrative identity; (2) show this provides useful lens evaluating adolescents; (3) set novel hypotheses specify what kinds contexts lead outcomes; (4) detailed research agenda tests these hypotheses.

Language: Английский

Citations

144
Digital Mental Health for Young People: A Scoping Review of Ethical Promises and Challenges DOI Creative Commons

Blanche Wies,

Constantin Landers,

Marcello Ienca

et al.

Frontiers in Digital Health, Journal Year: 2021, Volume and Issue: 3

Published: Sept. 6, 2021

Mental health disorders are complex of the nervous system characterized by a behavioral or mental pattern that causes significant distress impairment personal functioning. illness is particular concern for younger people. The WHO estimates around 20% world's children and adolescents have condition, rate almost double compared to general population. One approach toward mitigating medical socio-economic effects leveraging power digital technology deploy assistive, preventative, therapeutic solutions people in need. We define "digital health" as any application assessment, support, prevention, treatment. However, there only limited evidence tools can be successfully implemented clinical settings. Authors pointed lack technical standards apps, personalized neurotechnology, assistive cognitive possible cause suboptimal adoption implementation setting. Further, ethical concerns been raised related insufficient effectiveness, adequate validation, user-centered design well data privacy vulnerabilities current products. aim this paper report on scoping review we conducted capture synthesize growing literature promises challenges young aged 0-25. This seeks survey scope focus relevant literature, identify major benefits opportunities significance (e.g., reducing suffering improving well-being), provide comprehensive mapping emerging challenges. Our findings synthesis offer detailed informative basis stakeholder involved development, deployment, management ethically-aligned

Language: Английский

Citations

144
Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research DOI Creative Commons
Liia Kivelä, Willem van der Does, Harriëtte Riese

et al.

Frontiers in Digital Health, Journal Year: 2022, Volume and Issue: 4

Published: May 6, 2022

Suicide and suicide-related behaviors are prevalent yet notoriously difficult to predict. Specifically, short-term predictors correlates of suicide risk remain largely unknown. Ecological momentary assessment (EMA) may be used assess how suicidal thoughts (STBs) unfold in real-world contexts. We conducted a systematic literature review EMA studies research (1) has been utilized the study STBs (i.e., methodology, findings), (2) feasibility, validity safety STBs. identified 45 articles, detailing 23 studies. Studies mainly focused on examining known longitudinal ideation perform within shorter (hourly, daily) time frames. Recent have explored prospects digital phenotyping individuals with ideation. The results indicate that fluctuates substantially over (hours, days), higher mean also more fluctuations. Higher instability represent phenotypic indicator for increased risk. Few succeeded establishing prospective beyond prior itself. Some show negative affect, hopelessness burdensomeness predict within-day, sleep characteristics impact next-day feasibility is encouraging: agreement participate was moderate high (median = 77%), compliance rates similar those other clinical samples response rate 70%). More reported through than traditional (retrospective) self-report measures. Regarding safety, no evidence found reactivity mood or repeated assessments In conclusion, can fluctuate short periods time, suitable method capturing these specific subsequent identified, but findings warrant further replication. While do not appear result STBs, participant burden remains consideration when studying high-risk populations. Considerations designing reporting discussed.

Language: Английский

Citations

80
Systematic Review and Meta-analysis: International Prevalence of Suicidal Ideation and Attempt in Youth DOI Creative Commons
Anna Van Meter, Ellen A. Knowles, Emily Mintz

et al.

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2022, Volume and Issue: 62(9), P. 973 - 986

Published: Dec. 20, 2022

Language: Английский

Citations

77
Explainable AI-based suicidal and non-suicidal ideations detection from social media text with enhanced ensemble technique DOI Creative Commons
Daniyal Alghazzawi, Hayat Ullah,

Naila Tabassum

et al.

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: Jan. 7, 2025

This research presents a novel framework for distinguishing between actual and non-suicidal ideation in social media interactions using an ensemble technique. The prompt identification of sentiments on networking platforms is crucial timely intervention serving as key tactic suicide prevention efforts. However, conventional AI models often mask their decision-making processes primarily designed classification purposes. Our methodology, along with updated method, bridges the gap Explainable leverages variety machine learning algorithms to improve predictive accuracy. By leveraging AI's interpretability analyze features, model elucidates reasoning behind its classifications leading comprehension hidden patterns associated suicidal ideations. system compared cutting-edge methods several datasets experimental evaluations, demonstrating that it superior, since detects content more accurately than others. Consequently, this study reliable interpretable strategy (F1-score = 95.5% Non-Suicidal 99%), monitoring intervening suicide-related online discussions.

Language: Английский

Citations

3
Neural Correlates Associated With Suicide and Nonsuicidal Self-injury in Youth DOI
Randy P. Auerbach, David Pagliaccio, Grace O. Allison

et al.

Biological Psychiatry, Journal Year: 2020, Volume and Issue: 89(2), P. 119 - 133

Published: June 10, 2020

Language: Английский

Citations

131
Technology Use for Adolescent Health and Wellness DOI Open Access
Ana Radović, Sherif M. Badawy

PEDIATRICS, Journal Year: 2020, Volume and Issue: 145(Supplement_2), P. S186 - S194

Published: May 1, 2020

As avid users of technology, adolescents are a key demographic to engage when designing and developing technology applications for health. There multiple opportunities improving adolescent health, from promoting preventive behaviors providing guidance with chronic illness in supporting treatment adherence transition adult health care systems. This article will provide brief overview current technologies then highlight new being used specifically such as artificial intelligence, virtual augmented reality, machine learning. Because there is paucity evidence this field, we make recommendations future research.

Language: Английский

Citations

104