Development and Psychopathology,
Год журнала:
2024,
Номер
unknown, С. 1 - 18
Опубликована: Окт. 4, 2024
Abstract
Rising
rates
of
suicide
fatality,
attempts,
and
ideations
among
adolescents
aged
10–19
over
the
past
two
decades
represent
a
national
public
health
priority.
Theories
that
seek
to
understand
suicidal
ideation
overwhelmingly
focus
on
transition
from
attempt
sole
cognition:
active
–
serious
consideration
killing
one’s
self,
with
less
attention
non-suicidal
cognitions
emerge
during
adolescence
may
have
implications
for
behavior.
A
large
body
research
exists
characterizes
not
only
as
period
heightened
onset
prevalence
desire
no
longer
be
alive
(i.e.,
passive
ideation),
but
also
about
life
death.
Our
review
synthesizes
extant
literature
in
content,
timing
mental
imagery
thoughts
their
(1)
life;
(2)
mortality
co-occur
received
limited
adolescent
suicidology.
“cognition-to-action
framework
prevention”
builds
existing
ideation-to-action
theories
identify
potential
leverage
points
prevention
attempted
premature
death
this
across
span.
BMJ,
Год журнала:
2023,
Номер
unknown, С. e070630 - e070630
Опубликована: Апрель 24, 2023
Abstract
Suicide
is
the
fourth
leading
cause
of
death
among
young
people
worldwide
and
third
those
in
US.
This
review
outlines
epidemiology
suicide
suicidal
behavior
people.
It
discusses
intersectionality
as
an
emerging
framework
to
guide
research
on
prevention
highlights
several
clinical
community
settings
that
are
prime
targets
for
implementation
effective
treatment
programs
interventions
aimed
at
rapidly
reducing
rate
provides
overview
current
approaches
screening
assessment
risk
commonly
used
tools
measures.
universal,
selective,
indicated
evidence
based
focused
components
psychosocial
with
strongest
risk.
Finally,
strategies
considers
future
directions
questions
challenging
field.
JAMA Network Open,
Год журнала:
2023,
Номер
6(2), С. e2255986 - e2255986
Опубликована: Фев. 15, 2023
Screening
adolescents
in
emergency
departments
(EDs)
for
suicidal
risk
is
a
recommended
strategy
suicide
prevention.
Comparing
screening
measures
on
predictive
validity
could
guide
ED
clinicians
choosing
tool.To
compare
the
Ask
Suicide-Screening
Questions
(ASQ)
instrument
with
Computerized
Adaptive
Screen
Suicidal
Youth
(CASSY)
prediction
of
behavior
among
seen
EDs,
across
demographic
and
clinical
strata.The
Emergency
Department
Study
Teens
at
Risk
Suicide
prospective,
random-series,
multicenter
cohort
study
that
recruited
adolescents,
oversampled
those
psychiatric
symptoms,
who
presented
to
from
July
24,
2017,
through
October
29,
2018,
3-month
follow-up
assess
occurrence
behavior.
The
included
14
pediatric
members
Pediatric
Care
Applied
Research
Network
1
Indian
Health
Service
ED.
Statistical
analysis
was
performed
May
2021
January
2023.This
used
model
outcomes.
primary
outcome
attempt
(SA),
secondary
suicide-related
visits
or
hospital
within
3
months
baseline;
both
were
assessed
by
an
interviewer
blinded
baseline
information.
ASQ
4-item
questionnaire
surveys
ideation
lifetime
SAs.
A
positive
response
nonresponse
any
item
indicates
risk.
CASSY
computerized
adaptive
tool
always
includes
items
mean
8
additional
items.
CASSY's
continuous
predicted
probability
SA.Of
6513
available,
4050
enrolled,
3965
completed
assessments,
2740
(1705
girls
[62.2%];
[SD]
age
enrollment,
15.0
[1.7]
years;
469
Black
participants
[17.1%],
678
Hispanic
[24.7%],
1618
White
[59.1%])
screenings
follow-ups.
showed
similar
sensitivity
(0.951
[95%
CI,
0.918-0.984]
vs
0.945
0.910-0.980]),
specificity
(0.588
0.569-0.607]
0.643
0.625-0.662]),
value
(0.127
0.109-0.146]
0.144
0.123-0.165]),
negative
(both
0.995
0.991-0.998],
respectively).
Area
under
receiver
operating
characteristic
curve
findings
patients
physical
symptoms
(ASQ,
0.88
0.81-0.95]
CASSY,
0.94
0.91-0.96]).
Among
better
than
(0.72
0.68-0.77]
0.57
0.55-0.59],
respectively).This
suggests
are
appropriate
universal
EDs.
For
small
subset
shows
greater
validity.
FOCUS The Journal of Lifelong Learning in Psychiatry,
Год журнала:
2022,
Номер
20(2), С. 197 - 203
Опубликована: Апрель 1, 2022
Black
youths
have
rarely
been
included
in
randomized
controlled
trials
of
treatment
for
self-harm
and
suicide
or
establishment
these
behavior
risk
factors.
Suicide
interventions
tailored
that
consider
the
socioecological
context
which
live
are
urgently
needed.
Issues in Mental Health Nursing,
Год журнала:
2025,
Номер
unknown, С. 1 - 15
Опубликована: Янв. 6, 2025
While
the
connection
between
risk
factors
and
suicidality
(suicide
attempts
ideation)
physical
self-harm
is
well
established,
preventive
roles
of
social
bonding
dietary
patterns
remain
underexplored.
This
study,
based
on
2021
National
Ungdata
Surveys
in
Norway
among
middle
high
school
students
(N
=
15,430),
can
provide
novel
context-specific
insights
into
comparable
environments.
The
results
indicated
a
5%
suicide
attempt
rate,
18.3%
prevalence
self-harm,
26.7%
suicidal
ideation
sample.
was
higher
girls,
with
low
socioeconomic
status,
schoolers,
non-religious
individuals.
Logistic
regression
models
for
showed
that
substance
use
victimization
(sexual
harassment
bullying)
were
significant
predictors
attempts.
Elevated
depressive
symptoms
pain
relievers
increased
risk.
For
ideation,
predictors.
Concerning
self-harming
behavior,
risky
behaviors
odds,
whereas
binge
drinking
had
varying
effects.
Victimization
variables
health
measures
also
Dietary
patterns,
measures,
self-motivation
found
to
be
protective
factors,
as
they
decreased
likelihood
behaviors,
highlighting
critical
role
strong
connections,
healthy
habits,
well-being.
Young
adults
experiencing
homelessness
often
suffer
from
adverse
mental
health
outcomes
and
suicide
is
a
leading
cause
of
death.
The
objective
this
study
to
examine
service
use
psychosocial
risk
factors
for
suicide,
in
relation
assessment,
inform
strategies
engaging
youth
prevention
services.
A
cross-sectional
analysis
enrolled
supportive
housing
randomized
clinical
trial.
We
categorized
into
three
groups
(low-,
moderate-,
high-risk)
based
on
suicidal
ideation
past-year
attempt.
patterns
across
these
are
described,
as
well
other
(psychiatric
comorbidity,
depressive
symptoms,
substance
use,
sleep
impairment).
Among
193
youth,
126
(65.3%),
32
(16.6%),
35
(18.1%)
were
low-risk,
moderate-risk,
high-risk
respectively.
high
proportion
reported
ever
having
been
diagnosed
with
psychiatric
disorder
(57.5%)
cannabis
was
the
most
heavily
used
substance.
However,
only
minority
received
medical
care
or
services
past
3
months,
40%
34%,
Even
fewer
mental/emotional
months
(15%),
though
highest
among
group
(34%).
Understanding
needs
who
at
critical
developing
interventions
alleviate
their
suicide.
Given
that
low
population,
more
active
outreach
may
be
warranted
deliver
interventions.
