Psychiatric Diagnoses and Comorbidity in Relation to Suicidal Behavior among Psychiatrically Hospitalized Adolescents

This study examined relations between suicidal behavior history (i.e., no suicidality, suicidal ideation, single attempters, and multiple attempters) and psychiatric functioning. Adolescents, aged 12-17, admitted to an inpatient psychiatric unit, were categorized by suicidal behavior history based o...

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Bibliographic Details
Published in:Child psychiatry and human development 2004-09, Vol.35 (1), p.21-35
Main Authors: D'Eramo, Kristen Schoff, Prinstein, Mitchell J, Freeman, Jennifer, Grapentine, W. L, Spirito, Anthony
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult and adolescent clinical studies
Analysis of Variance
At Risk Persons
Biological and medical sciences
Child
Clinical Diagnosis
Comorbidity
Disproportionate Representation
Female
Females
Hospitalized Children
Humans
Institution therapy. Inpatient treatment
Life histories
Male
Medical sciences
Mental Disorders
Mental Disorders - epidemiology
New England - epidemiology
Patients
Psychiatric units
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk Factors
Substance Abuse
Suicidal behaviour
Suicide
Suicide - prevention & control
Suicide - psychology
Suicide, Attempted - prevention & control
Suicide, Attempted - psychology
Suicides & suicide attempts
Treatments
Citations: Items that cite this one
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Summary:This study examined relations between suicidal behavior history (i.e., no suicidality, suicidal ideation, single attempters, and multiple attempters) and psychiatric functioning. Adolescents, aged 12-17, admitted to an inpatient psychiatric unit, were categorized by suicidal behavior history based on self- and clinician-report data. Groups were examined for differences in suicidal ideation and psychiatric diagnosis. Severity of suicidal ideation increased with severity of suicidal behavior history. Females were disproportionately represented among multiple attempters. Multiple attempters were more likely to be diagnosed with at least one externalizing disorder, particularly substance use disorders, and to have more than one comorbid diagnosis than adolescents with no suicidal behavior or a history of ideation only. Clinicians should be alerted to the particularly high-risk nature of adolescents with multiple suicide attempts.
ISSN:0009-398X
1573-3327
DOI:10.1023/B:CHUD.0000039318.72868.a2