Suicide Attempts Among Formerly Hospitalized Adolescents: A Prospective Naturalistic Study of Risk During the First 5 Years After Discharge

Goldston, David B.; Daniel, Stephanie S.; Reboussin, David M.; Reboussin, Beth A.; Frazier, Patricia; Kelley, Arthur E.

doi:10.1097/00004583-199906000-00012

Cited by 194 publications

(175 citation statements)

References 30 publications

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“…As past suicide-related behaviors are strong indicators of later ones, 4,[19][20][51][52] it is critical that emergency and post-emergency based research improve the study and understanding of the role of clinical care in relation to these behaviors. Including known moderating and/or confounding relationships between ideation and attempts such as family environment, parental monitoring, co-morbidities, and risk-taking behaviors (i.e., substance use, smoking) is an important methodological step and one that was largely unaccounted for by the studies included in this review.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Newton

Hamm

Bethell

et al. 2010

Annals of Emergency Medicine

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Study Objective-We evaluated the effectiveness of interventions for pediatric patients with suicide-related emergency department (ED) visits.Methods-We searched of MEDLINE, EMBASE, the Cochrane Library, other electronic databases, references, and key journals/conference proceedings. We included experimental or quasi-experimental studies that evaluated psychosocial interventions for pediatric suicide-related ED visits. Inclusion screening, study selection, and methodological quality were assessed by two CIHR Author ManuscriptCIHR Author Manuscript CIHR Author Manuscript independent reviewers. One reviewer extracted the data and a second checked for completeness and accuracy. Consensus was reached by conference; disagreements were adjudicated by a third reviewer. We calculated odds ratios (OR), relative risks (RR), or mean differences (MD) for each study's primary outcome with 95% confidence intervals (CI). Meta-analysis was deferred due to clinical heterogeneity in intervention, patient population, and outcome.Results-We included 7 RCTs and 3 quasi-experimental studies grouping and reviewing them according to intervention delivery: ED-based delivery (n=1), post-discharge delivery (n=6), and ED transition interventions (n=3). An ED-based discharge planning intervention increased the number of attended post-ED treatment sessions (MD=2.6; 95%CI:0.05,5.15). Of the 6 studies of post-discharge delivery interventions, one found increased adherence with service referral in patients who received community nurse home visits compared to simple placement referral at discharge (RR=1.28; 95%CI:1.06,1.56). The 3 ED transition intervention studies reported: (1) reduced risk of subsequent suicide following brief ED intervention and post-discharge contact (RR=0.10; 95%CI:0.03,0.41), (2) reduced suicide-related hospitalizations when ED visits were followed up with interim, psychiatric care (RR=0.41; 95%CI:0.28,0.60), and (3) increased likelihood of treatment completion when psychiatric evaluation in the ED was followed by attendance of outpatient sessions with a parent (OR=2.78; 95%CI:1.20,6.67).Conclusion-Transition interventions appear most promising for reducing suicide-related outcomes and improving post-ED treatment adherence. Use of similar interventions and outcome measures in future studies would enhance the ability to derive strong recommendations from the clinical evidence in this area.

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Section: Discussionmentioning

confidence: 99%

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Newton

Hamm

Bethell

et al. 2010

Annals of Emergency Medicine

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“…Mirroring the gender disparity observed in adults, adolescent girls attempt suicide at a higher rate than boys, but boys are at greater risk of completing suicide (Andrews and Lewinsohn 1992;Reinherz et al 1995). A particularly vulnerable population are psychiatrically hospitalized adolescents, especially in the 6 months following discharge (King et al 1995;Goldston et al 1999;Prinstein et al 2008;. Studies estimate that among hospitalized adolescents admitted to an inpatient psychiatric unit for suicidality, 7-18% will make a suicide attempt within 6 months (King et al 1995;Goldston et al 1999;Prinstein et al 2008;.…”

mentioning

confidence: 99%

“…A particularly vulnerable population are psychiatrically hospitalized adolescents, especially in the 6 months following discharge (King et al 1995;Goldston et al 1999;Prinstein et al 2008;. Studies estimate that among hospitalized adolescents admitted to an inpatient psychiatric unit for suicidality, 7-18% will make a suicide attempt within 6 months (King et al 1995;Goldston et al 1999;Prinstein et al 2008;. Furthermore, these adolescents face increased risk of suicidal behavior in adulthood (Groholt et al 2006).…”

mentioning

confidence: 99%

Perceived Family and Peer Invalidation as Predictors of Adolescent Suicidal Behaviors and Self-Mutilation

Yen

Kuehn

Tezanos

et al. 2015

Journal of Child and Adolescent Psychopharmacology

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Objective: The present study investigates the longitudinal relationship between perceived family and peer invalidation and adolescent suicidal events (SE) and self-mutilation (SM) in a 6 month follow-up (f/u) study of adolescents admitted to an inpatient psychiatric unit for suicide risk. Methods: Adolescents (n = 119) and their parent(s) were administered interviews and self-report assessments at baseline and at a 6 month f/u, with 99 (83%) completing both assessments. The Adolescent Longitudinal Interval Follow-Up Evaluation (A-LIFE) was modified to provide weekly ratings (baseline and each week of f/u) for perceived family and peer invalidation. Regression analyses examined whether: 1) Prospectively rated perceived family and peer invalidation at baseline predicted SE and SM during f/u; and 2) chronicity of perceived invalidation operationalized as proportion of weeks at moderate to high invalidation during f/u was associated with SE and SM during f/u. Results: Multiple regression analyses, controlling for previously identified covariates, revealed that perceived family invalidation predicted SE over f/u for boys only and perceived peer invalidation predicted SM over f/u in the overall sample. This was the case for both baseline and f/u ratings of perceived invalidation.Conclusions: Our results demonstrate the adverse impact of perceived family and peer invalidation. Specifically, boys who experienced high perceived family invalidation were more likely to have an SE over f/u. Both boys and girls who experienced high perceived peer invalidation were more likely to engage in SM over f/u.

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“…However, these findings contradict previous research suggesting that multiple attempters may be at higher risk for suicidal behaviors than single attempters [14]. In a naturalistic study investigating time to suicide attempt following hospital discharge among adolescents, Goldston et al [17] reported that those with histories of multiple attempts were twice as likely as single or non-attempters to attempt suicide in five years following discharge. However, posthospitalization treatment was not reported in the study, and differences in sample characteristics and outcome variable limit generalizability from Goldston et al [17] to the current study.…”

Section: Discussionmentioning

confidence: 77%

“…Specifically, multiple attempters report more symptoms of hopelessness, depression, and anger than single attempters following a suicide attempt [13,14]. Individuals with a history of multiple attempts report more suicidal intent [15] and are more likely to attempt suicide in the five years following inpatient discharge than those with a history of a single attempt [16,17]. Further, individuals with a history of multiple suicide attempts report higher levels of suicidal ideation than those with a history of a single attempt [14] and are more likely than single and non-attempters to report increased suicidal ideation within 12 months following a suicidal crisis [18].…”

mentioning

confidence: 99%

Time to emergence of severe suicidal ideation among psychiatric patients as a function of suicide attempt history

Andover

Gibb

Miller

2008

Comprehensive Psychiatry

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Suicide Attempts Among Formerly Hospitalized Adolescents: A Prospective Naturalistic Study of Risk During the First 5 Years After Discharge

Cited by 194 publications

References 30 publications

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Pediatric Suicide-Related Presentations: A Systematic Review of Mental Health Care in the Emergency Department

Perceived Family and Peer Invalidation as Predictors of Adolescent Suicidal Behaviors and Self-Mutilation

Time to emergence of severe suicidal ideation among psychiatric patients as a function of suicide attempt history

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