Assessment of Psychiatrically Hospitalized Suicidal Adolescents

Huth‐Bocks, Alissa; Kerr, David; Ivey, Asha Z.; Kramer, Anne; King, Cheryl A.

doi:10.1097/chi.0b013e31802b9535

Cited by 69 publications

(29 citation statements)

References 22 publications

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“…For example, Huth-Bocks and colleagues (2007) evaluated the predictive validity of a number of self-report assessment measures in a sample of 289 psychiatrically hospitalized adolescents. They identified the Suicidal Ideation Questionnaire-Junior, Beck Hopelessness Scale, Reynolds Adolescent Depression Scale, and Suicide Probability Scale as predictors of a future suicide attempt within 6 months of administration.…”

Section: Introductionmentioning

confidence: 99%

Predicting Future Suicide Attempts Among Adolescent and Emerging Adult Psychiatric Emergency Patients

Horwitz

Czyz

King

2014

Journal of Clinical Child & Adolescent Psychology

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171

121

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Objective The purpose of this study was to longitudinally examine specific characteristics of suicidal ideation in combination with histories of suicide attempts and non-suicidal self-injury (NSSI) to best evaluate risk for a future attempt among high-risk adolescents and emerging adults. Method Participants in this retrospective medical record review study were 473 (53% female; 69% Caucasian) consecutive patients, ages 15–24 years (M = 19.4 years) who presented for psychiatric emergency (PE) services during a 9-month period. These patients’ medical records, including a clinician-administered Columbia-Suicide Severity Rating Scale, were coded at the index visit and at future visits occurring within the next 18 months. Logistic regression models were used to predict suicide attempts during this period. Results SES, suicidal ideation severity (i.e., intent, method), suicidal ideation intensity (i.e., frequency, controllability), a lifetime history of suicide attempt, and a lifetime history of NSSI were significant independent predictors of a future suicide attempt. Suicidal ideation added incremental validity to the prediction of future suicide attempts above and beyond the influence of a past suicide attempt, whereas a lifetime history of NSSI did not. Sex moderated the relationship between the duration of suicidal thoughts and future attempts (predictive for males, but not females). Conclusions Results suggest value in incorporating both past behaviors and current thoughts into suicide risk formulation. Furthermore, suicidal ideation duration warrants additional examination as a potential critical factor for screening assessments evaluating suicide risk among high-risk samples, particularly for males.

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Section: Introductionmentioning

confidence: 99%

Predicting Future Suicide Attempts Among Adolescent and Emerging Adult Psychiatric Emergency Patients

Horwitz

Czyz

King

2014

Journal of Clinical Child & Adolescent Psychology

Self Cite

171

121

View full text Add to dashboard Cite

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“…According to the 2011 Youth Risk Behavior Survey (YRBS), administered nationwide by the CDC, 15.8% of US high school students seriously considered suicide in the prior 12 months, 12.8% made a suicide plan, and 7.8% attempted suicide (Eaton et al, 2012). Several studies have demonstrated that severity (frequency and specificity) of SI predicts subsequent suicide attempts (King et al, 2009a) in both community (Lewinsohn et al, 1996) and clinical (Huth-Bocks et al, 2007; Kerr et al, 2007; Prinstein et al, 2008) samples.…”

Section: Introductionmentioning

confidence: 99%

Parents and friendships: A longitudinal examination of interpersonal mediators of the relationship between child maltreatment and suicidal ideation

Miller

Adams

Esposito‐Smythers

et al. 2014

Psychiatry Research

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This study examined parental relationship quality, friendship quality, and depression as mediators of the association between child maltreatment (CM) and adolescent suicidal ideation (SI). Participants were 674 adolescents (46% female; 55% African American) involved in the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN). Data were collected via youth self-report at ages 12, 16, and 18. CM before age 12 predicted poor parental relationships and depression, but not poor friendships, at age 16. Age 16 depression was negatively associated with parental relationship quality and positively associated with SI at age 18. An indirect path from CM to SI via depression was significant, suggesting that the early CM affects depression severity, which in turn is associated with SI. Strong friendship quality (age 16) was associated with SI at age 18; however, there was no significant indirect path from CM to SI via friendships. Results suggest that: 1) CM before age 12 affects parental relationships in adolescence; 2) depression and friendships are related to suicide ideation in later adolescence; and 3) depression partially mediates the association between CM and SI. Results highlight the importance of assessing for a history of CM, quality of interpersonal relationships, and depression severity among youth reporting SI.

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“…Even among adolescents hospitalized with acute suicide risk, the severity (frequency and specificity) of suicidal ideation confers ongoing suicide risk. Specifically, in one sample, suicidal ideation at initial hospitalization predicted a suicide attempt in the subsequent 6 (Huth-Bocks et al 2007) and 15 months (Kerr et al 2007). Prinstein et al (2008) traced the course of suicidal thoughts among psychiatrically hospitalized suicidal adolescents in the 18 months following discharge.…”

Section: Introductionmentioning

confidence: 99%

One-Year Follow-Up of Suicidal Adolescents: Parental History of Mental Health Problems and Time to Post-Hospitalization Attempt

King

Kerr

Passarelli

et al. 2009

J Youth Adolescence

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This longitudinal study of recently hospitalized suicidal youth examined parental mental health history in addition to several indices of adolescent functioning as risk factors for time-to-suicide attempt over a 1-year period. Participants were 352 adolescents (253 girls, 99 boys; ages 13–17 years) who participated in self-report and interview assessments within 1 week of hospitalization and 6 weeks, 3, 6, and 12 months post-hospitalization. Multivariable proportional hazards regression modeled time-to-suicide attempt. Results indicate that adolescents were almost twice as likely to make a suicide attempt if they had at least one biological parent with mental health problems. Risk was also increased for adolescents with baseline histories of multiple previous suicide attempts, more severe suicidal ideation and more severe functional impairment. Findings suggest the need to consider the family system when intervening with suicidal youth.

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Assessment of Psychiatrically Hospitalized Suicidal Adolescents

Cited by 69 publications

References 22 publications

Predicting Future Suicide Attempts Among Adolescent and Emerging Adult Psychiatric Emergency Patients

Predicting Future Suicide Attempts Among Adolescent and Emerging Adult Psychiatric Emergency Patients

Parents and friendships: A longitudinal examination of interpersonal mediators of the relationship between child maltreatment and suicidal ideation

One-Year Follow-Up of Suicidal Adolescents: Parental History of Mental Health Problems and Time to Post-Hospitalization Attempt

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