Affective and behavioral correlates of suicidality among hospitalized preadolescent children

Milling, Leonard S.; Campbell, Nancy B.; Bush, Ellen; Laughlin, Ann

doi:10.1207/s15374424jccp2504_10

Cited by 8 publications

(2 citation statements)

References 18 publications

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“…In cases where multiple studies assessed the same SITB prevalence or correlate in overlapping samples, determination of which study to include in the meta-analysis was based on largest sample size for relevant analyses. Twenty-one studies featured overlapping samples, and 7 were excluded at this stage, leaving a final set of 58 studies featuring 52 samples (Figure; eTable 1 in the Supplement).…”

Section: Resultsmentioning

confidence: 99%

Prevalence and Correlates of Suicide and Nonsuicidal Self-injury in Children

et al. 2022

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IMPORTANCEConsiderably less is known about self-injurious thoughts and behaviors (SITBs) in preadolescence than older age groups, owing partly to the common view that young children are incapable of suicidal thoughts. Yet, preadolescent suicide has increased in recent years and is now the fifth leading cause of death in this age group, leading the National Institute of Mental Health to identify it as a priority for research and intervention.OBJECTIVE To assess prevalence estimates of preadolescent SITBs, identify correlates of these outcomes, and conduct head-to-head comparisons of preadolescent and adolescent SITBs in terms of associated characteristics.DATA SOURCES MEDLINE, PsycINFO, and Embase were systematically searched from inception through December 23, 2021, for studies on the prevalence and correlates of preadolescent SITBs. The search was restricted to English language publications and peer-reviewed journals.STUDY SELECTION Two reviewers independently identified studies providing data on prevalence and correlates of preadolescent SITBs.DATA EXTRACTION AND SYNTHESIS Two reviewers independently extracted data from each study, and the Joanna Briggs Institute Checklist for Prevalence Studies was used to assess study quality. Pooled prevalence and Cohen d were derived from random-effects meta-analyses. Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline was followed. MAIN OUTCOMES AND MEASURESPrevalence and correlates of suicidal ideation, suicide attempts, suicide deaths, and nonsuicidal self-injury among preadolescents.RESULTS Fifty-eight studies with 626 486 590 individuals were included. Lifetime prevalence of suicide in the general population was 0.79 per 1 million children. Prevalence for lifetime suicidal thoughts, suicide attempts, and nonsuicidal self-injury among preadolescents were 15.1%, 2.6%, and 6.2%, respectively, in community samples. These data suggest that approximately 17.0% of preadolescents with suicidal ideation transition to attempting suicide. Across several analyses, male individuals appear more likely to have SITBs in preadolescence than adolescence. Correlate data were modest for SITBs other than suicidal ideation, but among specific disorders, attention-deficit/hyperactivity disorder (suicidal ideation: d = 0.54 [95% CI, 0.34-0.75]) and depression (suicidal ideation: d = 0.90 [95% CI, 0.71-1.09]; suicide attempts: d = 0.47 [95% CI, 0.26-0.68]) emerged as the strongest correlates. Among interpersonal factors, child maltreatment (suicidal ideation: d = 2.62 [95% CI, 1.56-3.67]) and parental support (suicidal ideation: d = −0.34 [95% CI, −0.46 to −0.22]) yielded the largest effect sizes. CONCLUSIONS AND RELEVANCEIn this systematic review anda meta-analysis, although preadolescent suicide deaths were rare, other SITB types occur with concerning frequency. Male individuals were at greater risk for SITBs in preadolescence relative to adolescence. Attention-deficit/hyperactivity disorder, child maltreatment, and parental support were especially...

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Section: Resultsmentioning

confidence: 99%

Prevalence and Correlates of Suicide and Nonsuicidal Self-injury in Children

et al. 2022

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“…This difference may be due to the differences between the two samples: age, level of severity of suicidal behavior, and characteristics of the individuals (psychiatric versus normal). In the work by Milling, Campbell, Bush, and Laughlin. (1996), the variables that best predicted suicide attempt differed from those that predicted suicidal ideation.…”

Section: Discussionmentioning

confidence: 99%

Psychological and Family Factors Associated with Suicidal Ideation in Pre-Adolescents

et al. 2002

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To assess the psychological and family factors associated with suicidal ideation in preadolescent children, we studied a sample of 361 students, average age 9 years old. Two groups were formed, on the basis of the presence (n = 34) or absence (n = 44) of suicidal ideation. Suicidal ideation was assessed with the Children's Depression Inventory and the Children's Depression Rating Scale-Revised. Depression, hopelessness, self-esteem, and perceived family environment were compared in both the suicidal ideation and the control groups. Students with suicidal ideation generally presented greater depressive symptoms and hopelessness, and lower self-esteem and family expressiveness, although there were differences both between sexes, and when the variable depression was controlled. Identifying these risk factors in pre-adolescents may have an impact on prevention of suicidal behavior at higher risk ages. Key words: suicidal ideation, children, depression, hopelessness, self-esteem and perceived family environment Con el objetivo de evaluar factores psicológicos y familiares asociados a la ideación suicida en niños prepúberes, se ha utilizado una muestra de 361 escolares con una edad media de 9 años, a partir de la cual se han constituido 2 grupos en función de la presencia (n = 34) o ausencia de ideación suicida (n = 44). La ideación suicida se ha evaluado con el Children's Depression Inventory y la Children's Depression Rating Scale Revised. La depresión, la desesperanza, la autoestima y la percepción del clima familiar se han comparado en el grupo con ideación suicida y el grupo control. Los alumnos con ideación suicida presentan en general mayor sintomatología depresiva, mayor desesperanza y menor autoestima y expresividad familiar, aunque existen diferencias según sexo y depresión. La identificación de estos factores de riesgo en prepúberes puede ser importante en la prevención de la conducta suicida en edades de mayor vulnerabilidad.

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