Suicidal Ideation in Anxiety‐Disordered Youth

O’Neil, Kelly; Puleo, Connor M.; Benjamin, Courtney L.; Podell, Jennifer L.; Kendall, Philip C.

doi:10.1111/j.1943-278x.2012.00091.x

Cited by 47 publications

(36 citation statements)

References 32 publications

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“…Additionally, results suggest the importance of assessing perceptions of family support when working with anxious adolescents. Anxiety is an identified risk factor for youth SI [6] and study results suggest that increasing family support may help decrease suicide risk among anxious youth. Moreover, though not specific to anxious youth, study results also suggest that decreasing family conflict among youth in clinical care may also lead to reductions in SI.…”

Section: Discussionmentioning

confidence: 99%

“…Adolescents diagnosed with anxiety tend to feel overwhelmed, trapped in their symptoms of anxiety, and may contemplate suicide as a means of escape [5]. Indeed, in one sample of treatment seeking youth with anxiety disorders, 41% endorsed SI [6], highlighting the importance of assessing for SI among anxious youth. However, results are mixed as to whether the association between anxiety and suicidality (i.e., ideation, plans, attempts, completion) exists independent of common comorbid conditions known be to associated with suicidality, such as depression.…”

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confidence: 99%

“…However, results are mixed as to whether the association between anxiety and suicidality (i.e., ideation, plans, attempts, completion) exists independent of common comorbid conditions known be to associated with suicidality, such as depression. Although some studies failed to find a unique association between anxiety and SI [7, 8] more recent research suggests that anxiety is an independent risk factor [6]. …”

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confidence: 99%

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Family environment as a moderator of the association between anxiety and suicidal ideation

Machell

Rallis

Esposito‐Smythers

2016

Journal of Anxiety Disorders

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The present study examined associations among anxiety symptoms, anxiety disorder diagnoses, perceptions of family support and conflict, and suicidal ideation (SI) in a clinical sample of psychiatrically hospitalized adolescents. Participants were 185 adolescents (72% female; 84% white, mean age = 15.02 years, SD = 1.33) hospitalized on an acute psychiatric inpatient unit. Results indicated that anxiety disorders and symptoms were positively associated with SI, even after controlling for mood disorder diagnoses and sex. Moreover, this relationship was stronger among youth who reported lower (versus higher) levels of family support. Family conflict was positively associated with SI but did not moderate the relationship between anxiety and SI. Results suggest that family support may represent an important intervention target to decrease suicide risk among anxious youth. Integrating positive parenting techniques (e.g., attending to positive behaviors, providing praise, emotion coaching) and effective parent-child communication into treatment with anxious youth may help achieve this aim.

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confidence: 99%

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confidence: 99%

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Family environment as a moderator of the association between anxiety and suicidal ideation

Machell

Rallis

Esposito‐Smythers

2016

Journal of Anxiety Disorders

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“…9,10 However, most studies of suicidality in youth with anxiety have been limited by cross-sectional designs and reliance on a single-item self-report of suicidal ideation, ignoring other suicidal behavior (i.e., plans, attempts, and completed suicide). Discrepancies between self-report and interviews about suicidality have been demonstrated, supporting the need for multi-method approaches to suicide assessment.…”

Section: Introductionmentioning

confidence: 99%

Cognitive-Behavioral Therapy for Child Anxiety Confers Long-Term Protection From Suicidality

Wolk

Kendall

Beidas

2015

Journal of the American Academy of Child & Adolescent Psych

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Objective Evidence for an independent relationship between anxiety and suicidality has been mixed. Few studies have examined this relationship in youth seeking treatment for anxiety. The present study examined the relationship between response to treatment for an anxiety disorder in childhood and suicidal ideation, plans, and attempts at a follow-up interval of 7 to 19 years. We hypothesized that successful treatment for an anxiety disorder in childhood would be protective against later suicidality. Method The present study was a 7- to 19-year (M = 16.24; SD = 3.56) follow-up study. Adults (N = 66) completed cognitive-behavioral treatment (CBT) for anxiety as children. Information regarding suicidality at follow-up was obtained via the World Mental Health Survey Initiative Version of the World Health Organization Composite International Diagnostic Interview (CIDI) and the Beck Depression Inventory (BDI-II). Results Results indicate that participants who responded favorably to CBT during childhood were less likely to endorse lifetime, past-month, and past-two-week suicidal ideation than treatment non-responders. This was consistent across self-report and interview-report of suicidal ideation. Treatment response was not significantly associated with suicide plans or attempts, though the infrequent occurrence of both limited the ability to detect findings. Conclusion Results suggest more chronic and enduring patterns of suicidal ideation among those with anxiety in childhood that is not successfully treated. This study adds to the literature that suggests successful CBT for childhood anxiety confers long-term benefits and underscores the importance of the identification and evidence-based treatment of youth anxiety.

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“…In particular, anxiety and depressive symptoms may increase the risk of SI; however the differential impact of these symptoms has not been fully elucidated. There is evidence to suggest an independent relationship between anxiety symptoms and SI (Carter et al, 2008; Gould et al, 1998; Hawgood and De Leo, 2008; Hill et al, 2011; O’Neil-Rodriguez and Kendall, 2014b; O’Neil et al, 2012; Sareen et al, 2005), depressive symptoms and SI (Carlson and Cantwell, 1982; Gould et al, 1998; O’Neil-Rodriguez and Kendall, 2014b; O’Neil et al, 2012), and externalizing symptoms and SI (Kumar and Steer, 1995; Lewinsohn et al, 1993; Sourander et al, 2009), however it is unclear whether these have a differential impact on SI in pediatric TD populations.…”

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confidence: 99%

Suicidal ideation in youth with tic disorders

Johnco

McGuire

McBride

et al. 2016

Journal of Affective Disorders

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Background This study examined the incidence and clinical correlates of suicidal ideation (SI) in youth with tic disorders (TD). The independent contribution of tics, anxiety, depressive and externalizing symptoms on SI severity in youth with TD was assessed. Method Participants were 75 treatment-seeking youth with a TD (N = 75) aged 6–18. Participants completed diagnostic assessments, clinician-ratings, self- and parent-report measures of emotional functioning and the presence and/or severity of suicidal ideation. Results Based on youth-report, 61% of youth endorsed at least some symptoms of SI, and 8% endorsed symptoms that exceeded the clinically significant cut-off. Parents reported SI in 11% of cases, with generally poor agreement between parent- and youth-report. Suicidal ideation correlated with higher anxiety, depressive and externalizing symptoms, affective lability, and with poorer distress tolerance and overall functioning. Anxiety, depressive and externalizing symptoms showed an independent relationship with SI. Tic severity was not associated with SI. Rather, higher tic severity was associated with an increase in anxiety symptoms, which in turn, was associated with greater SI severity. Limitations Cross-sectional data limits causal conclusions. Diagnosis was based on unstructured assessments by expert clinicians, including consensus diagnosis, rather than structured clinical interviews. Conclusions Around 8–11% of youth with TD experienced SI. Tic severity did not have any direct influence on SI, however the presence of comorbid anxiety and depressive symptoms significantly increases this risk. Results suggest that it is psychiatric comorbidity, rather than tics themselves, that predispose youth with tic disorders to increased risk of suicidality.

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Suicidal Ideation in Anxiety‐Disordered Youth

Cited by 47 publications

References 32 publications

Family environment as a moderator of the association between anxiety and suicidal ideation

Family environment as a moderator of the association between anxiety and suicidal ideation

Cognitive-Behavioral Therapy for Child Anxiety Confers Long-Term Protection From Suicidality

Suicidal ideation in youth with tic disorders

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