Suicidal behaviors and their relationship with psychotic-like symptoms in children and adolescents at clinical high risk for psychosis

D’Angelo, Eugene J.; Lincoln, Sarah Hope; Morelli, Nicholas; Graber, Kelsey; Tembulkar, Sahil; Gonzalez–Heydrich, Joseph

doi:10.1016/j.comppsych.2017.07.008

Cited by 14 publications

(16 citation statements)

References 33 publications

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“…In this study sample, the overall presence of hallucinations; delusions of guilt or sin, specifically; and experiencing multiple types of psychotic symptoms were cross‐sectionally associated with suicidal ideation above and beyond the effects of overall functioning and demographic and clinical variables. Study results are consistent with past findings indicating there is an association between psychotic symptoms and suicidal ideation in youth . As in past research on adults with mood disorders, delusions of guilt were significantly and independently related to suicidal ideation .…”

Section: Discussionsupporting

confidence: 92%

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Psychotic symptoms and suicidal ideation in child and adolescent bipolar I disorder

et al. 2019

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Objectives:The purpose of this study was to explore associations between specific types of hallucinations and delusions and suicidal ideation in a sample of children and adolescents with bipolar I disorder. Methods: Participants (N = 379) were children and adolescents aged 6-15 years (M = 10.2, SD = 2.7) with DSM-IV diagnoses of bipolar I disorder, mixed or manic phase. The study sample was 53.8% female and primarily White (73.6% White, 17.9% Black, and 8.5% Other). Presence and nature of psychotic symptoms, suicidal ideation, and functioning level were assessed through clinician-administered measures. A series of logistic regressions was performed to assess the contribution of each subtype of psychotic symptom to the presence of suicidal ideation above and beyond age, sex, socio-economic status, age at bipolar disorder onset, and global level of functioning. Results: Hallucinations overall, delusions of guilt, and number of different psychotic symptom types were uniquely associated with increased odds of suicidal ideation after accounting for covariates. Other forms of delusions (eg, grandiose) and specific types of hallucinations (eg, auditory) were not significantly uniquely associated with the presence of suicidal ideation. Conclusions: Findings of this study suggest the presence of hallucinations as a whole, delusions of guilt specifically, and having multiple concurrent types of psychotic symptoms are associated with the presence of suicidal ideation in children and adolescents with bipolar I disorder. Psychotic symptom subtypes, as opposed to psychosis as a whole, are an under-examined, potentially important, area for consideration regarding suicidal ideation in pediatric bipolar I disorder. | 343 DUFFY et al.

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Section: Discussionsupporting

confidence: 92%

“…In comparison to mixed findings in adult samples, the relationship between psychotic symptoms and suicide‐related outcomes among children and adolescents is more consistently supported . Children and adolescents with psychotic symptoms have high rates of suicide attempts, ranging from 12% to 38% .…”

Section: Introductionmentioning

confidence: 88%

Psychotic symptoms and suicidal ideation in child and adolescent bipolar I disorder

et al. 2019

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“…Similarly to findings from a recent meta-analysis of CHR patients (Taylor et al, 2015), more than half of the present CHR subjects revealed SUI at baseline, and about 35% during the follow-up period, indicating that among CHR subjects the rate of SUI is high and remains at a high level throughout follow-up. There is also some evidence that suicidal ideation and behaviour in CHR individuals is higher than in other clinical groups (D'Angelo et al, 2017;Granö et al, 2013;Taylor et al, 2015). SUI correlates strongly with suicide attempts (Victor & Klonsky, 2014), and suicide attempts correlate with completed suicides (Nrugham et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…In CHR patients, CAT predicts depression, anxiety and an impaired sense of self (Addington et al, 2013), while some of its domains are particularly associated with depression and poor social functioning (Kraan et al, 2017). In cross-sectional studies of CHR patients, affective disorders and depressive dysphoric mood and odd behaviour or appearance and substance abuse, have all been associated with SUI and suicidal behaviour (D'Angelo et al, 2017;Fusar-Poli et al, 2014), and trauma history has been associated with SUI and suicidal behaviour (Grivel et al, 2018). CHR patients are particularly prone to suicidality, if CAT experiences are followed by the development of depressiveness (Schmidt et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Childhood adversity predicts persistence of suicidal thoughts differently in females and males at clinical high‐risk patients of psychosis. Results of the EPOS project

Salokangas

Patterson

Hietala

et al. 2018

Early Intervention Psych

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“…The current study is an exploratory extension of a previous project assessing suicidal behaviors in youth with and at risk for psychosis [ 12 , 13 ]. Here, we focus on the youngest subsample of participants (children ages 7–13 years) at CHR and with a diagnosed psychotic disorder (PD).…”

Section: Introductionmentioning

confidence: 99%

Young children with psychotic symptoms and risk for suicidal thoughts and behaviors: a research note

et al. 2018

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ObjectiveSuicidal thoughts and behaviors (STBs) are prevalent among youth with psychotic disorders (PD) relative to the general population. Recent research now suggests that STBs may present during the prodromal phase of the disease, or the clinical high risk (CHR) state. While this knowledge is important for the development of suicide prevention strategies in adolescent and adult populations, it remains unclear whether risk for suicide extends to children with or at risk for psychosis. The current study is an extension of previous work assessing STBs in youth across the psychosis continuum. We examine STBs in 37 CHR and PD children ages 7–13 years old, and further explore the prodromal symptom correlates of STB severity among CHR children.ResultsCHR and PD children endorsed STBs with a frequency and severity similar to what is observed in older CHR and PD populations. A number of children had never previously vocalized their suicidal plans or intent. Among CHR children, Social Anhedonia and Odd Behavior or Appearance were significantly correlated with STB severity. These findings underscore the importance of screening for STBs even in young children presenting with psychotic symptoms.

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Suicidal behaviors and their relationship with psychotic-like symptoms in children and adolescents at clinical high risk for psychosis

Cited by 14 publications

References 33 publications

Psychotic symptoms and suicidal ideation in child and adolescent bipolar I disorder

Psychotic symptoms and suicidal ideation in child and adolescent bipolar I disorder

Childhood adversity predicts persistence of suicidal thoughts differently in females and males at clinical high‐risk patients of psychosis. Results of the EPOS project

Young children with psychotic symptoms and risk for suicidal thoughts and behaviors: a research note

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