Patterns of Warning Signs Among Adolescents Who Contemplate Suicide: A Latent Profile Analysis

Bertuccio, Rebecca F.; Frank, Jennifer; Hall, Cristin M.

doi:10.1080/2372966x.2020.1836519

Cited by 5 publications

(4 citation statements)

References 59 publications

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“…The groups differed significantly on all ITS factors measured at treatment commencement: thwarted belongingness, perceived burdensomeness, hopelessness, and acquired capability (Van Orden et al., 2010). The number of subgroups in our findings are consistent with recent investigations into latent profiles of suicidal individuals that tend to find three groups varying on factors associated with suicide (Bertuccio et al., 2021; Love & Durtschi, 2021; Weintraub et al., 2020; Wong & Maffini, 2011; Wong et al., 2020; Xiao & Lindsey, 2021). The identification of meaningful differences between these groups provides support to dimensional approaches of conceptualising psychopathology (Kotov et al., 2017; Ruggero et al., 2019) and suicidal behaviours (e.g.…”

Section: Discussionsupporting

confidence: 91%

“…depression, history of suicidal ideation and self‐harm), but there was a lack of detail in other known areas of risk (e.g. externalising behaviours, Bertuccio et al., 2021; Podlogar et al., 2021) and protective factors (e.g. family cohesion or involvement in therapy, Baiden et al., 2017; Love & Durtschi, 2021; Pisani et al., 2016; Wong et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

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Generalisability of the interpersonal theory of suicide to latent profiles of young people attending treatment in a suicide prevention service

Janackovski,

Deane,

Hains

et al. 2023

Psychol Psychother

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ObjectiveThe Interpersonal Theory of Suicide (ITS) could help identify differences in groups of suicidal adolescents and inform treatment.MethodLatent Profile Analysis (LPA) using thwarted belongingness (TB), perceived burdensomeness (PB), hopelessness, and capability was conducted on data from an at‐risk clinical sample (N = 500). The ITS prediction that changes in TB and PB are associated with changes in suicidal ideation was tested using admission and discharge data.ResultsLatent Profile Analysis identified three profiles with increasing complexity and severity on ITS factors. The profiles were labelled low‐severity (7.6% of participants), moderate‐severity (45.2%), and high‐severity (47.2%). ITS predictions were partially supported for the full sample and only for the high‐severity and moderate‐severity subgroups, whereby changes in TB were significantly associated with changes in suicidal ideation over the course of treatment. However, changes in PB were only significant in the moderate‐severity subgroup, and none of the ITS predictions were supported in the low‐severity subgroup. Additionally, effect sizes for changes in TB and PB were modest in all analyses.ConclusionsOur findings highlight the importance reducing low belongingness in youth, which is a component of all supported interventions of youth suicide prevention. However, given the modest association of changes in ITS variables had with changes in suicidal ideation, it may be fruitful to elaborate on the relative importance on types of low belongingness or include other non‐ITS variables.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Generalisability of the interpersonal theory of suicide to latent profiles of young people attending treatment in a suicide prevention service

Janackovski,

Deane,

Hains

et al. 2023

Psychol Psychother

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“…Given the overall discomfort GPs described, it is perhaps unsurprising that they still request these types of tools despite awareness of their pitfalls. Secondly, although suicidal intent is fluctuating and dynamic [ 73 ], an extensive literature base highlights key modifiable risk factors, warning signs, and protective factors for suicide and self-harm in young people [ 74 , 75 , 76 , 77 ]. Although it is not possible to definitively predict suicidal behaviour and self-harm, it is essential that GPs remain alert to changing situational risk factors in the young person’s life, and understand how exposure to modifiable risk factors can be associated with suicidal behaviour and self-harm.…”

Section: Discussionmentioning

confidence: 99%

Working with Young People at Risk of Suicidal Behaviour and Self-Harm: A Qualitative Study of Australian General Practitioners’ Perspectives

Bellairs-Walsh

Byrne

Bendall

et al. 2021

IJERPH

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General Practitioners (GPs) play a crucial role in the identification and support of young people at risk of suicidal behaviour and self-harm; however, no studies have explored GPs’ perspectives, approaches, challenges, and resource needs when working with this cohort in an Australian setting. This was a qualitative study where fifteen GPs (Mage = 45.25 years) from multiple clinics in Western Australia took part in semi-structured interviews, and data were analysed thematically. Seven main themes were identified: (1) working with young people has its unique challenges; (2) screening and assessment tools can help to manage uncertainty and discomfort; (3) going beyond tools–the dialogue and relationship are most important; (4) there are limits to what we can offer in the time available; (5) the service access and referral pathways lack clarity and coordination; (6) the provision of mental health support should not fall on GPs alone; and (7) more comprehensive training in suicide and self-harm is needed. The findings highlight a number of opportunities to enhance care and better assist GPs working with young people who present with suicidal behaviour and self-harm, including considerations for conducting assessments, targeted resources such as training, and system and service improvements.

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“…LPA/LCA are “person-centered” data analysis approaches which leverage variability within a sample to classify configural classes of personal and environmental attributes [ 19 ]. Recent studies harnessing LPA/LCA to model SI have been applied successfully towards predicting suicide attempts longitudinally [ 20 ] This research has primarily used psychosocial risk factors (e.g., substance use, impulsivity, hopelessness) to specify classes and have consistently provided support for a multi-class solution (≥ 3 classes) [ 21 , 22 ]. However, LPA/LCA studies with adolescents [ 20 , 23 ] suggest that also including protective factors (e.g., positive relationship quality, job satisfaction) can enhance class specification.…”

Section: Introductionmentioning

confidence: 99%

Unpacking the ‘black box’ of suicide: A latent class analysis predicting profiles of suicidal ideation in a longitudinal cohort of adolescent girls from India

Patel,

Dixon,

Nadkarni

2024

PLOS Glob Public Health

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Introduction Indian women account for 37% of global suicide-related deaths. As suicide is a growing concern among adolescent girls, identifying the social determinants of suicide with this group targeted prevention. We selected social determinants that include intersectional identities and broader syndemics; we then used longitudinal data from a prospective cohort of adolescent girls from Northern India to classify them into unique profiles across multiple socioecological levels. Methods Girls aged 10–19 (N = 11,864) completed self-report questionnaires measuring socio-demographic and trauma exposure variables. At three-year follow-up, they were asked to indicate current suicidal ideation (SI). We conducted latent class analysis (LCA) to classify profiles and then predicted risk of current SI at three-year follow-up. Results LCA supported a four-class solution: a ‘privileged’ class (Class 1; n = 1,470), a ‘modal’ class (Class 2; n = 7,449), an ‘intergenerational violence’ class (Class 3; n = 2,113), and a ‘psychological distress’ class (Class 4; n = 732). Classes significantly predicted odds ratios (OR) for SI at follow up; women in Class 4 were associated with the greatest likelihood of SI (OR 1.84, 95% CI 1.38, 2.47), suggesting that psychological distress factors confer greatest risk. Conclusion Results of the distinct classes of risk and protective factors indicate targets for policy-level interventions. Disrupting cycles of psychological distress and substance use, increasing access to behavioral interventions, and intervening to mitigate intergenerational violence may be particularly impactful with this population.

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Patterns of Warning Signs Among Adolescents Who Contemplate Suicide: A Latent Profile Analysis

Cited by 5 publications

References 59 publications

Generalisability of the interpersonal theory of suicide to latent profiles of young people attending treatment in a suicide prevention service

Generalisability of the interpersonal theory of suicide to latent profiles of young people attending treatment in a suicide prevention service

Working with Young People at Risk of Suicidal Behaviour and Self-Harm: A Qualitative Study of Australian General Practitioners’ Perspectives

Unpacking the ‘black box’ of suicide: A latent class analysis predicting profiles of suicidal ideation in a longitudinal cohort of adolescent girls from India

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