Suicidality in adjustment disorder

Pelkonen, Mirjami; Marttunen, Mauri; Henriksson, Markus; Lönnqvist, Jouko

doi:10.1007/s00787-005-0457-8

Cited by 54 publications

(9 citation statements)

References 32 publications

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“…These symptoms were of particular interest, based on longitudinal research showing that negative emotional reactivity (e.g., angry outbursts and irritability) in childhood is a behavioral diathesis for later difficulty regulating anger (Crawford et al 2009) and for aggression directed towards the self (Sourander et al 2006). Moreover, in adolescence, dysphoric mood is linked with concurrent suicidality (Pelkonen et al 2005) and predict later depression and suicidality (Gjerde and Westenberg 1998). …”

Section: Early Emotion Dysregulation and Its Link To Adolescent Mood mentioning

confidence: 99%

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Okado

Bierman

2014

J Abnorm Child Psychol

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To investigate the differential emergence of antisocial behaviors and mood dysregulation among children with externalizing problems, the present study prospectively followed 317 high-risk children with early externalizing problems from school entry (ages 5–7) to late adolescence (ages 17–19). Latent class analysis conducted on their conduct and mood symptoms in late adolescence revealed three distinct patterns of symptoms, characterized by: 1) criminal offenses, conduct disorder symptoms, and elevated anger (“conduct problems”), 2) elevated anger, dysphoric mood, and suicidal ideation (“mood dysregulation”), and 3) low levels of severe conduct and mood symptoms. A diathesis-stress model predicting the first two outcomes was tested. Elevated overt aggression at school entry uniquely predicted conduct problems in late adolescence, whereas elevated emotion dysregulation at school entry uniquely predicted mood dysregulation in late adolescence. Experiences of low parental warmth and peer rejection in middle childhood moderated the link between early emotion dysregulation and later mood dysregulation but did not moderate the link between early overt aggression and later conduct problems. Thus, among children with early externalizing behavior problems, increased risk for later antisocial behavior or mood dysfunction may be identifiable in early childhood based on levels of overt aggression and emotion dysregulation. For children with early emotion dysregulation, however, increased risk for mood dysregulation characterized by anger, dysphoric mood, and suicidality – possibly indicative of disruptive mood dysregulation disorder – emerges only in the presence of low parental warmth and/or peer rejection during middle childhood.

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Section: Early Emotion Dysregulation and Its Link To Adolescent Mood mentioning

confidence: 99%

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Okado

Bierman

2014

J Abnorm Child Psychol

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“…It was found that AD was the second most common psychiatric diagnosis among consequently referred non-psychotic outpatient adolescents [56], and 25% with AD had suicidal behaviour, of whome 9% had attempted suicide [57]. No difference was found in diagnostic co-morbidity between suicidal and non-suicidal AD patients.…”

Section: Introductionmentioning

confidence: 99%

Adjustment Disorder: epidemiology, diagnosis and treatment

Carta

Balestrieri

Murru

et al. 2009

Clin Pract Epidemiol Ment Health

138

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BackgroundAdjustment Disorder is a condition strongly tied to acute and chronic stress. Despite clinical suggestion of a large prevalence in the general population and the high frequency of its diagnosis in the clinical settings, there has been relatively little research reported and, consequently, very few hints about its treatments.Methodsthe authors gathered old and current information on the epidemiology, clinical features, comorbidity, treatment and outcome of adjustment disorder by a systematic review of essays published on PUBMED.ResultsAfter a first glance at its historical definition and its definition in the DSM and ICD systems, the problem of distinguishing AD from other mood and anxiety disorders, the difficulty in the definition of stress and the implied concept of 'vulnerability' are considered. Comorbidity of AD with other conditions, and outcome of AD are then analyzed. This review also highlights recent data about trends in the use of antidepressant drugs, evidence on their efficacy and the use of psychotherapies.ConclusionAD is a very common diagnosis in clinical practice, but we still lack data about its rightful clinical entity. This may be caused by a difficulty in facing, with a purely descriptive methods, a "pathogenic label", based on a stressful event, for which a subjective impact has to be considered. We lack efficacy surveys concerning treatment. The use of psychotropic drugs such as antidepressants, in AD with anxious or depressed mood is not properly supported and should be avoided, while the usefulness of psychotherapies is more solidly supported by clinical evidence. To better determine the correct course of therapy, randomized-controlled trials, even for the combined use of drugs and psychotherapies, are needed vitally, especially for the resistant forms of AD.

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“…general aches and pains, stomachache, headache, chest pain), palpitations, Conduct disturbances (e.g. truancy, vandalism, reckless driving or fighting), withdrawal, anxiety, worry, stress and tension [7]. Diagnosis depends on the.…”

Section: Adjustment Disordersmentioning

confidence: 99%

Adjustment and Mental Health: Contemporary View

2020

JEPR

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Life for man has always been about adaptation and adjustment to his environment. If man has evolved and reached his status, it is only because of these two traits. The more we are able to adapt and adjust, the more we are in harmony with existence. N psychology, adjustment refers to the behavioral process of balancing conflicting needs, or needs challenged by obstacles in the environment. Humans and animals regularly adjust to their environment. For example, when they are stimulated by their physiological state to seek food, they eat (if possible) to reduce their hunger and thus adjust to the hunger stimulus. Adjustment disorder occurs when there is an inability to make a normal adjustment to some need or stress in the environment [1].

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Suicidality in adjustment disorder

Abstract: Common risk factors for suicidality in major psychiatric disorders characterized suicidal AD patients. Psychiatric assessment of AD patients should include careful monitoring of both symptomatology and exposure to suicide of significant others.

Cited by 54 publications

References 32 publications

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Differential Risk for Late Adolescent Conduct Problems and Mood Dysregulation Among Children with Early Externalizing Behavior Problems

Adjustment Disorder: epidemiology, diagnosis and treatment

Adjustment and Mental Health: Contemporary View

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