Risk Factors for Adolescent Suicide

Brent, David A.; Perper, Joshua A.; Goldstein, Charles E.; Kolko, David J.; Allan, Marjorie J.; Allman, Christopher J.; Zelenak, Janice P.

doi:10.1001/archpsyc.1988.01800300079011

Cited by 818 publications

(103 citation statements)

References 51 publications

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“…Studies in the pediatric setting have found that depressed children with ADHD were signifi cantly less socially competent than children with ADHD who were not depressed or community controls. 56 Other earlier research conducted in young people suggests that the combination of affective and attention defi cit disorders may increase the risk for completed suicide, 57 increased suicidality, 55 lead to poorer academic outcomes 58 and psychiatric hospitalization. 55 Clinically, it is necessary to consider the possibility of comorbid depression in individuals diagnosed with ADHD and vice versa.…”

Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 97%

Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

McIntosh¹,

Kutcher²,

Binder³

et al. 2009

NDT

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Objective: Many patients present to their physician with depression as their primary symptom. However, depression may mask other comorbid disorders. This article presents diagnostic criteria and treatment recommendations (and monitoring) pertaining to the diagnosis of adult attention defi cit hyperactivity disorder (ADHD), which may be missed in patients who present with depressive symptoms, or major depressive disorder (MDD). Other co-occurring conditions such as anxiety, substance use, and bipolar disorder are briefl y discussed. Methods: A panel of psychiatrist-clinicians with expertise in the area of child and adolescent ADHD and mood disorders, adult mood disorders, and adult ADHD was convened. A literature search for recommendations on the diagnosis and treatment of co-occurring conditions (MDD, anxiety symptoms, and substance use) with adult ADHD was performed. Based on this, and the panel's clinical expertise, the authors developed a diagnostic algorithm and recommendations for the treatment of adult ADHD with co-occurring MDD. Results: Little information exists to assist clinicians in diagnosing ADHD co-occurring with other disorders such as MDD. A three-step process was developed by the panel to aid in the screening and diagnosis of adult ADHD. In addition, comorbid MDD, bipolar disorder, anxiety symptoms, substance use and cardiovascular concerns regarding stimulant use are discussed. Conclusion:This article provides clinicians with a clinically relevant overview of the literature on comorbid ADHD and depression and offers a clinically useful diagnostic algorithm and treatment suggestions.

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Section: Key Learning Issue #1: Adhd Persists Into Adulthoodmentioning

confidence: 97%

Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

McIntosh¹,

Kutcher²,

Binder³

et al. 2009

NDT

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“…Suicidal ideation is considered to be part of a continuum that culminates in suicide attempts and completed suicides. These behaviors are linked to the same risk factors, with variations more likely to occur in the degree rather than in the type of risk factor [3][4][5] . Previous studies have shown that suicidal ideation is a powerful predictor of completed suicide 6,7) .…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Factors Associated with Suicidal Ideation and Depressive Symptoms among Middle-aged Workers in Japan

Sugawara¹,

Yasui‐Furukori²,

Sasaki³

et al. 2013

Ind Health

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The purpose of this study was to assess middle-aged Japanese workers for possible gender differences in the risk factors associated with depressive symptoms and suicidal ideation. 5,878 workers (40-60 yr of age) (3,631 males and 2,247 females) were recruited from randomly selected companies in northern Japan. Demographic and lifestyle factors, suicidal ideation rate, and the data for the Brief Job Stress Questionnaire (BJSQ) and the Center for Epidemiologic Studies for Depression scale (CES-D) were obtained from the self-report questionnaires. After adjusting for possible confounding variables, marital status, absent of stress reduction technique and low job compatibility were significant independent risk factors for suicidal ideation among males. In females, marital status, feeling of insufficient sleep and absence of stress reduction techniques were significant independent risk factors after adjusting for all variables. Under the same adjustments, temporary employment also showed a protective effect against female suicidal ideation. In conclusion, our results suggest that factors related to suicidal ideation differed by gender. Different approaches for each gender might be useful in the development of suicide prevention programs. However, interpretation of work-related effects, such as temporary employment, interpersonal conflict and transportation industry, was hampered by lack of data concerning personal income, working hours and organizational commitment. Additional studies are needed to examine the longitudinal relationships between the risk factors associated with suicidal ideation and depressive symptoms.

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“…Genetik ve biyokimyasal çalışmaların son yıllarda giderek arttığı görülmektedir. Bunun yanısıra intihar davranışına ilişkin çalışmaların daha çok sosyodemografik özellikler, kişilik özellikleri ve tanı gruplarını temel aldığı dikkati çekmektedir (Aydın 1988, Brent 1988, Bolger 1989, Birtchnell 1981, Friedman 1984, Keitner 1987, Philip 1970, Roy, 1983, Vinoda 1966. Tek yumurta ikizleri ile çift yumurta ikizlerinin karşılaştırıldığı ve evlat edinilmiş çocuklarla yapılan çalışmalar genetik çalışmalara örnektir.…”

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“…Cinsler açısından erken kayıplara bakıldığında kızların erkeklere göre ana babanın kaybından daha çok etkilendiği saptanmıştır (Adam 1982). 11 yaştan önce genç ya da çocuk için önemli kişilerin kaybı intihar davranışına hazırlayıcı bir faktör olarak görülmektedir (Adam 1981, Brent 1988, Fine 1986, Friedman 1984, Lloyd 1980, Pfeffer 1986, Roy 1983, Sonuvar 1990, VVasserman 1989. Erken yaşlarda yaşanan ana baba kaybı daha ileri yaşlarda olan kayba, boşanma ve ana babanın intiharı ile gerçekleşen kayıplar doğal ölüm sonucu aile birliğinin bozulmasına göre intihar davranışı ile daha anlamlı bir ilişki göstermektedir (Friedman 1984, Pfeffer 1986, Roy 1983, VVasserman 1989.…”

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“…Literatürde intihar girişiminde bulunan kişilerin aile öyküsünde ruhsal bozukluklar, alkol kötüye kullanımı, intiharlar, ana baba arasında uzun süreli vurucu kırıcı ilişkiler sıklıkla bildirilmektedir (Brooksbank 1985, Bolger 1989, Brent 1988, Eksi 1990, Roy 1983, Sonuvar 1990, VVasserman 1989. İntihar girişimi olan gençlerle yapılan çalışmalarda ana-baba arasındaki çatışmaların yoğun, çocuk yetiştirme tutumlarının tutarsız olduğu bildirilmektedir.…”

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İntihar Davranışında Ailenin Rolü ve Önemi

Palabiyikoğlu¹

1997

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Risk Factors for Adolescent Suicide

Cited by 818 publications

References 51 publications

Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD

Gender Differences in Factors Associated with Suicidal Ideation and Depressive Symptoms among Middle-aged Workers in Japan

İntihar Davranışında Ailenin Rolü ve Önemi

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