Prevalence, Onset, and Course of Suicidal Behavior Among Adolescents and Young Adults in Germany

Voß, Catharina; Ollmann, Theresa Magdalena; Miché, Marcel; Venz, John; Hoyer, Jana; Pieper, Lars; Höfler, Michael; Beesdo‐Baum, Katja

doi:10.1001/jamanetworkopen.2019.14386

Cited by 87 publications

(78 citation statements)

References 66 publications

(192 reference statements)

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“…Although direct comparisons of prevalence are hindered by differences in the measurement of suicidal ideation, our estimate is in line with meta-analytic data reporting lifetime prevalence of suicidal ideation of 29.9% in adolescents 35 and 22.2% in college students. 36 As reported elsewhere, [37][38][39][40] female participants were more likely than male participants to experience suicidal ideation or attempt suicide. These sex differences in suicidal ideation and suicide attempt might be attributed to various factors, such as mental health (eg, higher prevalence of depression in female participants) or social stigma (eg, greater stigma around suicide in male than in female participants).…”

Section: Multivariable Associations Between Mhps and Self-reported Susupporting

confidence: 52%

Mental Health Problems and Risk of Suicidal Ideation and Attempts in Adolescents

et al. 2020

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BACKGROUND: Obtaining recent estimates of the prevalence of suicide-related outcomes across adolescence and its associated mental health problems (MHPs) is important for clinical practice. We estimated the prevalence of suicide-related outcomes at ages 13, 15, 17, and 20 years (2011-2018) in a contemporary population-based cohort and documented associations with MHPs throughout adolescence. METHODS: Data came from 1618 participants in the Québec Longitudinal Study of Child Development. Internalizing (depression and anxiety) and externalizing (oppositional/ defiance, conduct issues, and attention deficit and/or hyperactivity) MHPs were assessed with validated questionnaires. Outcomes were self-reported past-year passive and serious suicidal ideation and suicide attempt. RESULTS: Lifetime prevalence of passive suicidal ideation (13-17 years old), serious suicidal ideation, and suicide attempt (13-20 years old) were 22.2%, 9.8%, and 6.7%, respectively. Prevalence was twice as high for females as for males. Overall, rates of passive (15-17 years old; 11.8%-18.4%) and serious ideation (13-20 years old; 3.3%-9.5%) increased over time but were stable for attempt (13-20 years old; 3.5%-3.8%). In univariable analyses, all MHPs were associated with suicide-related outcomes at all ages (risk rate ratio range: 2.57-3.10 [passive ideation] and 2.10-4.36 [suicide attempt]), and associations were similar for male and female participants (sex interaction P. .05). Magnitude of associations were generally stronger for more severe suicide-related outcomes (passive ideation , serious ideation , attempt). In multivariable analyses, internalizing problems were associated with suicidal ideation, whereas both depressive and conduct symptoms were associated with attempt. CONCLUSIONS: Suicidal ideation and attempt were common, especially for females and youth presenting with depressive and conduct problem symptoms. Clinicians should systematically assess suicidal risk in teenagers, especially in those presenting with MHPs. WHAT'S KNOWN ON THIS SUBJECT: Suicide-related outcomes are associated with a range of mental health problems (MHPs) in adolescence, but the importance of different internalizing and externalizing MHPs may vary across adolescence and for different suicide-related outcomes (passive ideation, serious ideation, and suicide attempt). WHAT THIS STUDY ADDS: Suicide-related outcomes are common in adolescence, with stable rates of suicide attempt and increasing rates of suicidal ideation. Internalizing MHPs are independently associated with suicidal ideation (passive and serious), whereas externalizing and internalizing MHPs are independently associated with suicide attempt.

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Section: Multivariable Associations Between Mhps and Self-reported Susupporting

confidence: 52%

Mental Health Problems and Risk of Suicidal Ideation and Attempts in Adolescents

et al. 2020

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“…Notably though, the amount of participants with suicidal ideations is lower in our samples compared to that found in other studies (e.g. Klaiberg et al 2004;Voss et al 2019). We believe that this might reflect a self-selection bias in our studies, mostly including healthy, highly educated subjects with a high socioeconomic status, which was found to be related to better mental health and being protective against suicidal thoughts (Jacobi et al 2004).…”

contrasting

confidence: 66%

“…Recent studies show that 10% of the general population indicate to have had suicidal thoughts at least once in their life (e.g. Voss et al 2019, here in adolescents and young adults). Risk for suicidal thoughts increases after critical life events, such as interpersonal conflicts, isolation, financial problems and social drift due to debts or unemployment, and chronical physical illnesses (Turecki and Brent 2016).…”

mentioning

confidence: 99%

The Importance of Assessing Mental Health Issues and Preventing Suicidality in Studies on Healthy Participants

Kollmann

Darwiesh

Tüscher

et al. 2020

The American Journal of Bioethics

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“…A higher estimate of 24.1% for the past 6 months was found in a study of 15 year olds (23). Compared to NSSI, lifetime prevalence estimates of suicidal behavior are lower, but they also show a wide range between 1.5 and 37.9% (5,15,24).…”

Section: Introductionmentioning

confidence: 75%

“…On the one hand, etiological theories regarding suicidal behavior include NSSI as a risk factor for suicidal behavior (6,7), which was supported by empirical evidence in several meta-analyses (8)(9)(10)(11). On the other hand, these behaviors have shared risk factors like mental disorders (e.g., depression (8,12)) or early childhood traumatic events (4,8), and a similar sensitive period for the first onset in adolescence and young adulthood (5,9,(13)(14)(15).…”

Section: Introductionmentioning

confidence: 92%

Non‐suicidal self‐injury and its co‐occurrence with suicidal behavior: An epidemiological‐study among adolescents and young adults

Voß

Hoyer

Venz

et al. 2020

Acta Psychiatr Scand

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Objective Non‐suicidal self‐injury (NSSI) comprising thoughts and behaviors is common and often co‐occurring with suicidal behavior like ideation, plan, and attempt. As limited data are available for adolescents and young adults, this study aims to present prevalence estimates for lifetime NSSI, its co‐occurrence with suicidal behavior, conditional probabilities and their association with socio‐demographic characteristics, severity characteristics of suicidal behavior, and health service utilization. Method The epidemiological Behavior and Mind Health (BeMIND) study assessed in 2015/16 a random‐community sample of N = 1180 aged 14–21 years from Dresden, Germany, regarding lifetime NSSI via self‐administered questionnaire and suicidal behaviors via standardized interview. Results Any lifetime NSSI was reported by 19.3% (thoughts: 18.0%, behaviors: 13.6%) of the sample with higher prevalence in females (OR = 2.7, 95% CI 1.9–3.8, P < 0.001). Lifetime prevalence of co‐occurring NSSI and suicidal behavior was 7.7%. Females had a 3.3‐ to 8.8‐fold odds of co‐occurrence than males. Among those with any NSSI, 39.6% endorsed suicidal behavior, and 66.3% of those with any suicidal behavior reported NSSI. 42.3% of those with any NSSI reported to have used mental healthcare services at any time during their life with higher rates in those with co‐occurring suicidal behavior (62.3%). Conclusion Non‐suicidal self‐injury and co‐occurring suicidal behavior is common in adolescents and young adults—especially females. The limited utilization of mental healthcare services underpins the need for improving recognition of NSSI and suicidal behavior as well as the accessibility of mental healthcare services during adolescence and emerging adulthood.

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Prevalence, Onset, and Course of Suicidal Behavior Among Adolescents and Young Adults in Germany

Cited by 87 publications

References 66 publications

Mental Health Problems and Risk of Suicidal Ideation and Attempts in Adolescents

Mental Health Problems and Risk of Suicidal Ideation and Attempts in Adolescents

The Importance of Assessing Mental Health Issues and Preventing Suicidality in Studies on Healthy Participants

Non‐suicidal self‐injury and its co‐occurrence with suicidal behavior: An epidemiological‐study among adolescents and young adults

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