Suicidal behaviors and irritability in children and adolescents: a systematic review of the nature and mechanisms of the association

Benarous, Xavier; Consoli, Angèle; Cohen, David; Renaud, Johanne; Lahaye, Hélène; Guilé, Jean-Marc

doi:10.1007/s00787-018-1234-9

Cited by 46 publications

(27 citation statements)

References 76 publications

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“…Adolescent suicide is on the rise globally and is a major public health problem among adolescents (Benarous et al, 2019;Curtin, Warner, & Hedegaard, 2016). Suicide is the third most common cause of adolescent deaths in the United States (Centers for Disease Control and Prevention, 2015).…”

Section: Introductionmentioning

confidence: 99%

Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Kim

Seo

2021

Journal of Pediatric Nursing

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This study aimed to investigate the associations between weight perception, unhealthy weight control behavior, and suicidal ideation and planning and identify the role of unhealthy weight control behavior as a mediator in these associations among Korean adolescents. Design and methods: This national cross-sectional secondary study used data from the 2015-2017 Korea Youth Risk Behavior Web-Based Surveys, with a final sample of 96,285 adolescents who tried to manage their weight in the 30 days prior to the surveys. A multivariate logistic regression was conducted. Results: Both adolescent groups who perceived themselves to be underweight or overweight were significantly linked to a greater likelihood of suicidal ideation and planning (COR, 95% CI = 1.249, 1.141-1.367; COR, 95% CI = 1.339, 1.282-1.399) respectively. While adolescents with perceptions of being underweight are associated with suicidal ideation and planning through the suppression effect of unhealthy weight control behavior (Pathway A: OR, 95% CI = 0.628, 0.587-0.671), adolescents with perceptions of being overweight are linked with the same through the mediation effect (Pathway A: OR, 95% CI = 1.195, 1.141-1.251). Conclusions: Adolescents with perceptions of being overweight are highly likely to have unhealthy weight control behavior that can be linked to the possibility of suicidal ideation and planning, while adolescents with perceptions of being underweight are comparatively less likely to engage in such behavior. Practice implications: It is necessary to identify the status of weight perception among adolescents and closely monitor the unhealthy weight control behavior to prevent suicidal ideation and planning.

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Section: Introductionmentioning

confidence: 99%

Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Kim

Seo

2021

Journal of Pediatric Nursing

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“…In youths, irritability is associated with psychiatric morbidity, both cross‐sectionally and longitudinally (Stringaris, Cohen, Pine, & Leibenluft, 2009). Chronic irritability can also result in poorer social functioning (Van Meter et al, 2016), suicidal behaviors (Benarous et al, 2018), and/or long‐term educational/financial underachievement (Stringaris & Taylor, 2015).…”

Section: Introductionmentioning

confidence: 99%

Context‐dependent irritability in Attention Deficit/Hyperactivity Disorder: correlates and stability of family‐restricted versus cross‐situational temper outbursts

Courbet

Slama

Purper-Ouakil

et al. 2020

Child Adoles Ment Health

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Background: Impairing irritability is highly prevalent in children with attention deficit/hyperactivity disorder (ADHD), although manifestations of irritability are not necessarily present in all settings (home, school, with peers). At the moment, little is known about the relative prevalence, stability, and etiologies of contextual versus cross-situational manifestations of irritability in ADHD. In this study, levels of dysfunctional parenting practices and sleep problems were compared in irritable versus nonirritable children with ADHD, in cases of family-restricted versus cross-situational irritability, and examined as predictors of irritability levels over a oneyear interval. Stability of irritability manifestations over time was investigated, and prevalence of cross-situational disruptive mood dysregulation disorder (DMDD) versus 'family-restricted' DMDD was compared. Method: One hundred and seventy children with ADHD (age 6-11) were examined. Parents completed a semistructured interview and questionnaire to assess irritability, and parent-report questionnaires were used to evaluate parenting practices and sleep problems. Questionnaires were completed for a second time after a one-year interval. Results: Parenting practices were more dysfunctional in the irritable group compared to the nonirritable group, while sleep problems did not differ between these two groups. Levels of parenting practices and sleep problems did not predict later irritability after correction for multiple comparison nor did they differ between the family-restricted and cross-situational irritable groups. Finally, family-restricted irritability was as prevalent and as stable over time as cross-situational irritability and family-restricted DMDD as prevalent as cross-situational DMDD. Conclusions: Factors associated with contextual versus cross-situational manifestations of irritability in ADHD remain elusive. More subtle measures of parenting practices should be considered, including psychological control or accommodation, and other constructs such as social inhibition. Despite not being captured by current nosography, severe forms of family-restricted irritability may be as prevalent as severe forms of cross-situational irritability.

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“…Impairments in adaptive, daily living, and social skills, propensity to fight, rejection from peers and adults, academic failure, lowered quality of life, and self‐esteem (Anastopoulos et al, 2011; Bunford et al, 2018; Lee et al, 2018; Surman et al, 2013) are risk factors for psychiatric problems. Beyond internalizing/externalizing problems, emotional distress combined with the tendency to act impulsively makes individuals more prone to suicidal ideation and attempted suicide (Benarous et al, 2018; Orri, Perret, Turecki, & Geoffroy, 2018). The multifinality of environmental/biological commonalities may also underlie the associations between ADHD, irritability, internalizing, and externalizing problems.…”

Section: Discussionmentioning

confidence: 99%

Developmental profiles of childhood attention‐deficit/hyperactivity disorder and irritability: association with adolescent mental health, functional impairment, and suicidal outcomes

Galèra

Orri

Vergunst

et al. 2020

Child Psychology Psychiatry

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Background Irritability is frequently comorbid with ADHD. Although irritability alone has been linked to deleterious mental health and adaptive issues, the joint developmental course of ADHD and irritability symptoms during childhood as well as its association with later mental health and suicidal outcomes is not fully understood. We aimed to describe the developmental trajectories of childhood ADHD and irritability symptoms and to quantify their association with adolescent mental health and suicidal outcomes. Methods The Quebec Longitudinal Study of Child Development (QLSCD) included 1407 participants from the general population followed up from age 5 months to 17 years. We used a multitrajectory approach to identify developmental trajectories of childhood (6–12 years) ADHD and irritability symptoms. Outcome measures were adolescent (13–17 years) mental health (psychiatric symptoms/functional impairment) and suicidal outcomes. Results We identified distinct developmental profiles: combined absent or very low ADHD and absent or very low irritability (940 [66.8%]; reference group), moderately high irritability and low ADHD (158 [11.2%]), moderately high ADHD and low irritability (198 [14.1%]), and combined high ADHD and high irritability (111 [7.9%]). Multivariate modeling showed that, compared to children in the reference group, those in the combined high ADHD and high irritability profile showed higher levels of ADHD continuity (d ranges = 0.40–0.50), externalizing (d ranges = 0.25–0.59), internalizing (d ranges = 0.20–0.29), and functional impairments (d ranges = 0.17–0.48) and suicidal behaviors (odds ratio (OR) = 2.12, confidence interval (CI) = 1.47–3.06) in adolescence. Conclusions The presence of persistently high levels of irritability along with ADHD symptoms during childhood significantly predicts adolescent ADHD continuity, externalizing, internalizing, and suicidal outcomes. Systematic consideration of irritability when assessing and treating ADHD may improve long‐term mental health outcomes.

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Suicidal behaviors and irritability in children and adolescents: a systematic review of the nature and mechanisms of the association

Cited by 46 publications

References 76 publications

Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Context‐dependent irritability in Attention Deficit/Hyperactivity Disorder: correlates and stability of family‐restricted versus cross‐situational temper outbursts

Developmental profiles of childhood attention‐deficit/hyperactivity disorder and irritability: association with adolescent mental health, functional impairment, and suicidal outcomes

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