Clinical characteristics of depressed children and adolescents with and without suicidal thoughts and behavior: a cross-sectional study

Frontiers in Child and Adolescent Psychiatry, Год журнала: 2025, Номер 4

Опубликована: Фев. 21, 2025

About half of all adolescents with major depressive disorder (MDD) have frequent suicidal thoughts and those ideations, about one-third attempt suicide. Identifying clinical characteristics associated ideation attempts is important for suicide prevention care. Participants were four groups diagnosed MDD (n = 246, 180 females): (a) non-suicidal youths 76), (b) ideators 102; current ideation), (c) ideator-attempters 56; lifetime history attempt), (d) attempters 12; no but attempt). Adolescents underwent interviews completed questionnaires assessing sociodemographic variables. Multivariate analyses variance, logistic regression models, mediation moderation run to assess which variables group membership. Suicidal ideators, irrespective whether they had attempted previously, higher depression severity, anxiety lower resilience compared non-ideators. Hopelessness was greater odds being a ideator (p < .001, OR 1.18) or an ideator-attempter 0.036, 1.13) than youth. Attempter-ideators engaged more often in self-harm behavior 0.046, 1.45). Ideator-attempters experienced childhood maltreatment, hopelessness mediating the relationship between maltreatment ideation. Self-harm moderated probability having made attempt. Only cross-sectional data included, based mostly on self-report measures. are increases while linked behavior. Treatment might be effective strategy young people depression. www.ClinicalTrials.gov, identifier (NCT03167307).

Язык: Английский

---

Emotional and Behavioral Problem Profiles of Preteens With Self-Injurious Thoughts and Behaviors: A Multicultural Study

Journal of the American Academy of Child & Adolescent Psychiatry, Год журнала: 2024, Номер 63(9), С. 931 - 942

Опубликована: Янв. 25, 2024

Язык: Английский

---

Achieving mental health equity in Black male suicide prevention

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Март 30, 2023

Despite a steady decrease in suicide rates the United States, rate among Black males has increased recent decades. Moreover, is now positioned as third leading cause of death this population, signaling public health crisis. Enhancing ability for future prevention scholars to fully characterize and intervene on risk factors an emerging equity priority, yet there little empirical evidence robustly investigate alarming trends male suicide. We present fundamental areas expansion research focused establishing culturally responsive strategies achieve mental equity. Notably, we identify gaps existing offer recommendation reduce males. Our perspective aims important innovative solutions ensuring inclusion need intervention efforts.

Язык: Английский

---

Mental health of South Korean adolescents in the COVID-19 Era: Web-based survey focused on suicide-related factors

Child and Adolescent Psychiatry and Mental Health, Год журнала: 2023, Номер 17(1)

Опубликована: Окт. 13, 2023

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has negatively impacted many aspects of life. Measures for preventing the spread COVID-19 (e.g., school lockdowns, remote and hybrid classes, group outdoor activity restrictions, social distancing in classroom meal time) could have led to adolescents experience anxiety depressive symptoms. Such mental health impacts increase risk suicidal ideation this population. Moreover, according a report by Organization Economic Co-operation Development, although total number suicide deaths South Korea decreased 2021, rate those aged 10–29 years increased. One factor affecting result is adolescent COVID-19. This study examines status Korean amid prolonged pandemic, identifies analyzes predictors ideation, planning, attempts. Methods used data from 54,948 who participated 2020 Youth Risk Behavior Web-based Survey. Based on their responses suicide-related questions, sample was divided into healthy group, suicide-ideation suicide-planning suicide-attempt group. descriptive statistics these groups were then analyzed. An analysis covariance, post-hoc tests, multiple logistic regression performed four groups. Results Overall, 6.9% participants reported 2.2% planning suicide, 1.9% attempting previous 12 months. Conclusions During there strong need various individualized programs that identify intervene support at accurately assessing factors, such as stress, sadness despair, loneliness, generalized disorder. Accordingly, it necessary develop distribute well-being curriculum, strengthen prevention services, expand diagnostic school-based programs.

Язык: Английский

---

Mental health, risk behaviors, and social life factors in relation to adolescents’ suicide ideation, plans and attempt

European Child & Adolescent Psychiatry, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 15, 2024

Abstract Objective This study investigated differences in mental health and well-being, risk behaviors, social life factors among adolescents who experienced different forms of suicidality. Methods We examined 18-years-olds the Danish National Birth Cohort ( N = 47,852). Suicidality was defined with mutually exclusive categories ranging from no suicidality, self-reported suicide ideation, plans, attempt as well hospital-recorded attempt. The proportion poor were compared across Sample weights applied. Results Depressive symptoms reported by 14% (95% CI 13%;14%) girls 44% 43%;45%) 68% 65%;72%) 66% 60%;72%) or respectively. Among boys, depressive 5% 4%;5%) those 27% 26%;28%) 51% 45%;57%) 40% 22%;58%) Likewise, other aspects well-being gradually increased relative more severe while notable identified between Similar tendencies observed for behaviors factors. Conclusion These findings suggest that including large ideation only, faces challenges several parameters behavior, emphasizes need community-based interventions to identify support group experiencing both less Clinicians should prioritize comprehensive psychiatric intervention address complex needs suicidal effectively.

Язык: Английский

---

Adolescent suicide attempts in the United States: When suicide ideation and suicide capability interact

Suicide and Life-Threatening Behavior, Год журнала: 2022, Номер 52(3), С. 549 - 566

Опубликована: Фев. 14, 2022

Guided by the interpersonal theory of suicide, this study examined whether relationship between level suicide ideation and attempted varies as a function capability.Cross-sectional data were obtained from 2017 2019 Youth Risk Behavior Survey in which 28,442 respondents sampled. Confirmatory factor analysis was conducted to create latent capability variable. Structural equation modeling used test moderating effects on adjusting for sociodemographic characteristics, sadness/hopelessness, sampling design.Compared adolescent with no reported ideation, those reporting single dual experienced increased odds suicide. The significantly varied capability. While adolescents higher rates at increasing levels capability, faster change observed among ideation.Capability may heighten risk attempts youth, suggesting that treatment efforts could be directed reducing exposure painful provocative experiences associated behaviors.

Язык: Английский

---

Culturally grounded strategies for suicide and alcohol risk prevention delivered by rural Alaska Native communities: A dynamic wait‐listed design evaluation of the Qungasvik intervention

American Journal of Community Psychology, Год журнала: 2022, Номер 71(1-2), С. 184 - 197

Опубликована: Окт. 10, 2022

Abstract We examined the effectiveness of Qungasvik (Tools for Life) intervention in enhancing protective factors as a universal suicide and alcohol prevention strategy young people ages 12−18 living highly affected rural Alaska Native communities. Four communities were assigned to immediate or dynamic wait list. Outcomes analyzed 239 at four time points over two years community intervention. assessed ultimate variable buffering risk, three intermediate individual, family, level. Dose dependent effects associated with growth but not variables. This evaluation provides support its Indigenous strategies misuse this setting. Though findings did provide theory change where variables is occasioned through on variables, research designs focused who enter lower levels preexisting protection hold promise better understanding processes. The responsive an acute public health need effective risk strategies.

Язык: Английский

---

Informing Equitable Prevention Practices: A Statewide Disaggregated Analysis of Suicide for Ethnoracially Minoritized Adolescents

Prevention Science, Год журнала: 2024, Номер 25(3), С. 532 - 544

Опубликована: Март 2, 2024

Abstract The increase in adolescent suicide rates the United States is a pervasive public health issue, and ethnoracial youth with diverse identities are disproportionately impacted, yet less studied. National planning efforts reinforce state-level approaches to prevention through an equitable lens prevent suicide. This study examined disaggregated data over time determine changes outcomes based on race/ethnicity, sex, sexual orientation, intersection of these determined which sub-groups had higher odds outcomes. Data from 1991–2019 Centers for Disease Control Prevention Youth Risk Behavioral Surveillance System were analyzed 17,419 ethnoracially minoritized high school adolescents North Carolina. Descriptive analyses multinominal logistic regression models employed. Findings indicated that subgroups within categories populations, specifically Black female unsure their reported attempts. Additionally, Multiracial means consideration attempts time. Recommendations investigating by focusing intersecting illuminate areas potential support equity provided.

Язык: Английский

---

Online Racial Discrimination and Suicidal Ideation Among Latine Adolescents

JAACAP Open, Год журнала: 2024, Номер unknown

Опубликована: Сен. 1, 2024

Язык: Английский

---

Individual and Contextual Risk and Protective Factors for Suicidal Thoughts and Behaviors among Black Adolescents with Arrest Histories

Children, Год журнала: 2022, Номер 9(4), С. 522 - 522

Опубликована: Апрель 6, 2022

Black adolescents in the United States have experienced an increase suicidal thoughts and behaviors (STBs). Since are overrepresented youth punishment system, more research is needed to investigate correlates of STBs for this population. The purpose paper explore establish individual, family, community risk protective factors their relationship lifetime a national sample with arrest histories. Guided by intersectional eco-behavioral lens, we investigated family contextual among justice-involved aged 12-17 history (n = 513). We used logistic regression models test STBs. Among sample, 9.78% endorsed ideation, 7.17% previous suicide attempt. Further, gender (female) depression severity were STBs, while positive parenting religiosity School engagement was associated lower levels ideation. findings suggest prevention intervention efforts should identify developmentally salient reduce mental health burden concurrent alleged law-breaking activity youth.

Язык: Английский

---