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Gepubliceerd in: Child Psychiatry & Human Development 3/2019

17-01-2019 | Original Article

Characteristics of Child Psychiatric Outpatients at Highest Risk for Suicidal Thoughts and Behaviors

Auteurs: Pieter J. Vuijk, Hillary H. Bush, Patrick S. McGuinness, Sheila M. O’Keefe, Brenda A. Lee, Hillary L. Ditmars, Anna R. Samkavitz, Hannah S. Lind, Ellen B. Braaten, Alysa E. Doyle

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 3/2019

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Abstract

On average, compared to non-referred youth, child psychiatric outpatients show elevated rates of suicidal thoughts and behaviors (STBs), which are predictors of completed suicide. Determining the psychopathology features that associate with highest risk for STBs among youth outpatients may yield opportunities for targeted prevention/intervention. Yet, outpatient studies are limited and have not systematically examined comorbidity and dimensional psychopathology. In 758 youth, aged 6–18, consecutively referred for neuropsychiatric evaluation, we examined the extent to which diagnostic groups, comorbid subgroups and dimensional symptoms associated with STBs. After controlling for comorbidity, mood, anxiety and conduct disorders associated with elevated STB risk. Regarding dimensions, symptoms of depression, aggression and psychosis all contributed to higher STB risk. Although ADHD (as a diagnosis or dimension) did not associate with elevated STB risk independently, ADHD that was comorbid with other conditions did. Suicide prevention/intervention efforts should be investigated in youth outpatients with the highest risk for STBs.
Literatuur
2.
go back to reference Lindqvist P, Johansson L, Karlsson U (2008) In the aftermath of teenage suicide: a qualitative study of the psychosocial consequences for the surviving family members. BMC Psychiatry 8:26CrossRefPubMedPubMedCentral Lindqvist P, Johansson L, Karlsson U (2008) In the aftermath of teenage suicide: a qualitative study of the psychosocial consequences for the surviving family members. BMC Psychiatry 8:26CrossRefPubMedPubMedCentral
3.
go back to reference Cerel J, Roberts TA, Nilsen WJ (2005) Peer suicidal behavior and adolescent risk behavior. J Nerv Ment Dis 193:237–243CrossRefPubMed Cerel J, Roberts TA, Nilsen WJ (2005) Peer suicidal behavior and adolescent risk behavior. J Nerv Ment Dis 193:237–243CrossRefPubMed
4.
go back to reference Shepard DS, Gurewich D, Lwin AK, Reed GA Jr, Silverman MM (2016) Suicide and suicidal attempts in the United States: costs and policy implications. Suicide Life Threat Behav 46:352–362CrossRefPubMed Shepard DS, Gurewich D, Lwin AK, Reed GA Jr, Silverman MM (2016) Suicide and suicidal attempts in the United States: costs and policy implications. Suicide Life Threat Behav 46:352–362CrossRefPubMed
5.
go back to reference Hogan MF, Grumet JG (2016) Suicide prevention: an emerging priority for health care. Health Aff (Millwood) 35:1084–1090CrossRef Hogan MF, Grumet JG (2016) Suicide prevention: an emerging priority for health care. Health Aff (Millwood) 35:1084–1090CrossRef
6.
go back to reference Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X, Musacchio KM, Jaroszewski AC, Chang BP, Nock MK (2017) Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol Bull 143:187–232CrossRefPubMed Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X, Musacchio KM, Jaroszewski AC, Chang BP, Nock MK (2017) Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol Bull 143:187–232CrossRefPubMed
7.
go back to reference Foley DL, Goldston DB, Costello EJ, Angold A (2006) Proximal psychiatric risk factors for suicidality in youth: the Great Smoky Mountains Study. Arch Gen Psychiatry 63:1017–1024CrossRefPubMed Foley DL, Goldston DB, Costello EJ, Angold A (2006) Proximal psychiatric risk factors for suicidality in youth: the Great Smoky Mountains Study. Arch Gen Psychiatry 63:1017–1024CrossRefPubMed
8.
go back to reference Goldston DB, Erkanli A, Daniel SS, Heilbron N, Weller BE, Doyle O (2016) Developmental trajectories of suicidal thoughts and behaviors from adolescence through adulthood. J Am Acad Child Adolesc Psychiatry 55:400–407CrossRefPubMedPubMedCentral Goldston DB, Erkanli A, Daniel SS, Heilbron N, Weller BE, Doyle O (2016) Developmental trajectories of suicidal thoughts and behaviors from adolescence through adulthood. J Am Acad Child Adolesc Psychiatry 55:400–407CrossRefPubMedPubMedCentral
9.
go back to reference Shaffer D, Gould MS, Fisher P, Trautman P, Moreau D, Kleinman M, Flory M (1996) Psychiatric diagnosis in child and adolescent suicide. Arch Gen Psychiatry 53:339–348CrossRefPubMed Shaffer D, Gould MS, Fisher P, Trautman P, Moreau D, Kleinman M, Flory M (1996) Psychiatric diagnosis in child and adolescent suicide. Arch Gen Psychiatry 53:339–348CrossRefPubMed
10.
go back to reference Sheftall AH, Asti L, Horowitz LM, Felts A, Fontanella CA, Campo JV, Bridge JA (2016) Suicide in elementary school-aged children and early adolescents. Pediatrics 138:e20160436CrossRefPubMedPubMedCentral Sheftall AH, Asti L, Horowitz LM, Felts A, Fontanella CA, Campo JV, Bridge JA (2016) Suicide in elementary school-aged children and early adolescents. Pediatrics 138:e20160436CrossRefPubMedPubMedCentral
11.
go back to reference Faraone SV, Asherson P, Banaschewski T, Biederman J, Buitelaar JK, Ramos-Quiroga JA, Rohde LA, Sonuga-Barke EJ, Tannock R, Franke B (2015) Attention-deficit/hyperactivity disorder. Nat Rev Dis Primers 1:15020CrossRefPubMed Faraone SV, Asherson P, Banaschewski T, Biederman J, Buitelaar JK, Ramos-Quiroga JA, Rohde LA, Sonuga-Barke EJ, Tannock R, Franke B (2015) Attention-deficit/hyperactivity disorder. Nat Rev Dis Primers 1:15020CrossRefPubMed
12.
go back to reference Pfeffer CR, Plutchik R, Mizruchi MS, Lipkins R (1986) Suicidal behavior in child psychiatric inpatients and outpatients and in nonpatients. Am J Psychiatry 143:733–738CrossRefPubMed Pfeffer CR, Plutchik R, Mizruchi MS, Lipkins R (1986) Suicidal behavior in child psychiatric inpatients and outpatients and in nonpatients. Am J Psychiatry 143:733–738CrossRefPubMed
13.
go back to reference Dickerson Mayes S, Calhoun SL, Baweja R, Mahr F (2015) Suicide ideation and attempts in children with psychiatric disorders and typical development. Crisis 36:55–60CrossRefPubMed Dickerson Mayes S, Calhoun SL, Baweja R, Mahr F (2015) Suicide ideation and attempts in children with psychiatric disorders and typical development. Crisis 36:55–60CrossRefPubMed
14.
go back to reference Milling L, Gyure K, Davenport CW, Bair P (1991) Suicidal behavior among psychiatric outpatient children: an estimate of prevalence. Child Psychiatry Hum Dev 21:283–289CrossRefPubMed Milling L, Gyure K, Davenport CW, Bair P (1991) Suicidal behavior among psychiatric outpatient children: an estimate of prevalence. Child Psychiatry Hum Dev 21:283–289CrossRefPubMed
15.
go back to reference Pfeffer CR, Conte HR, Plutchik R, Jerrett I (1980) Suicidal behavior in latency-age children. An outpatient population. J Am Acad Child Psychiatry 19:703–710CrossRefPubMed Pfeffer CR, Conte HR, Plutchik R, Jerrett I (1980) Suicidal behavior in latency-age children. An outpatient population. J Am Acad Child Psychiatry 19:703–710CrossRefPubMed
17.
go back to reference Fite PJ, Poquiz J, Frazer AL, Reiter N (2017) Further evaluation of associations between reactive and proactive aggression and suicidal behavior in a treatment seeking sample of youth. Child Psychiatry Hum Dev 48:903–910CrossRefPubMed Fite PJ, Poquiz J, Frazer AL, Reiter N (2017) Further evaluation of associations between reactive and proactive aggression and suicidal behavior in a treatment seeking sample of youth. Child Psychiatry Hum Dev 48:903–910CrossRefPubMed
18.
go back to reference Arcelus J, Vostanis P (2005) Psychiatric comorbidity in children and adolescents. Curr Opin Psychiatry 18:429–434CrossRefPubMed Arcelus J, Vostanis P (2005) Psychiatric comorbidity in children and adolescents. Curr Opin Psychiatry 18:429–434CrossRefPubMed
19.
go back to reference McConaughy SH, Achenbach TM (1994) Comorbidity of empirically based syndromes in matched general population and clinical samples. J Child Psychol Psychiatry 35:1141–1157CrossRefPubMed McConaughy SH, Achenbach TM (1994) Comorbidity of empirically based syndromes in matched general population and clinical samples. J Child Psychol Psychiatry 35:1141–1157CrossRefPubMed
20.
21.
go back to reference Balazs J, Miklosi M, Kereszteny A, Dallos G, Gadoros J (2014) Attention-deficit hyperactivity disorder and suicidality in a treatment naive sample of children and adolescents. J Affect Disord 152–154:282–287CrossRefPubMed Balazs J, Miklosi M, Kereszteny A, Dallos G, Gadoros J (2014) Attention-deficit hyperactivity disorder and suicidality in a treatment naive sample of children and adolescents. J Affect Disord 152–154:282–287CrossRefPubMed
22.
go back to reference Glenn CR, Cha CB, Kleiman EM, Nock MK (2017) Understanding suicide risk within the Research Domain Criteria (RDoC) framework: insights, challenges, and future research considerations. Clin Psychol Sci 5:568–592CrossRefPubMedPubMedCentral Glenn CR, Cha CB, Kleiman EM, Nock MK (2017) Understanding suicide risk within the Research Domain Criteria (RDoC) framework: insights, challenges, and future research considerations. Clin Psychol Sci 5:568–592CrossRefPubMedPubMedCentral
23.
go back to reference Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms & profiles. University of Vermont, Research Center for Children, Youth, & Families, Burlington Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms & profiles. University of Vermont, Research Center for Children, Youth, & Families, Burlington
24.
go back to reference Gadow KD, Sprafkin JN (2002) Child Symptom Inventory-fourth edition: screening and norms manual. Checkmate Plus, Stony Brook Gadow KD, Sprafkin JN (2002) Child Symptom Inventory-fourth edition: screening and norms manual. Checkmate Plus, Stony Brook
25.
go back to reference Landis JR, Koch GG (1977) The measurement of observer agreement for categorical variables. Biometrics 33:159–174CrossRefPubMed Landis JR, Koch GG (1977) The measurement of observer agreement for categorical variables. Biometrics 33:159–174CrossRefPubMed
26.
go back to reference Pavuluri MN, Henry DB, Devineni B, Carbray JA, Birmaher B (2006) Child mania rating scale: development, reliability, and validity. J Am Acad Child Adolesc Psychiatry 45:550–560CrossRefPubMed Pavuluri MN, Henry DB, Devineni B, Carbray JA, Birmaher B (2006) Child mania rating scale: development, reliability, and validity. J Am Acad Child Adolesc Psychiatry 45:550–560CrossRefPubMed
27.
go back to reference Constantino JN, Gruber CP (2005) Social Responsiveness Scale. Western Psychological Services, Los Angeles Constantino JN, Gruber CP (2005) Social Responsiveness Scale. Western Psychological Services, Los Angeles
28.
go back to reference Chatterjee S, Price B (1991) Regression analysis by example, 2nd edn. Wiley, New York Chatterjee S, Price B (1991) Regression analysis by example, 2nd edn. Wiley, New York
30.
go back to reference Gould MS, King R, Greenwald S, Fisher P, Schwab-Stone M, Kramer R, Flisher AJ, Goodman S, Canino G, Shaffer D (1998) Psychopathology associated with suicidal ideation and attempts among children and adolescents. J Am Acad Child Adolesc Psychiatry 37:915–923CrossRefPubMed Gould MS, King R, Greenwald S, Fisher P, Schwab-Stone M, Kramer R, Flisher AJ, Goodman S, Canino G, Shaffer D (1998) Psychopathology associated with suicidal ideation and attempts among children and adolescents. J Am Acad Child Adolesc Psychiatry 37:915–923CrossRefPubMed
31.
go back to reference Rodriguez KA, Kendall PC (2014) Suicidal ideation in anxiety-disordered youth: identifying predictors of risk. J Clin Child Adolesc Psychol 43:51–62CrossRefPubMed Rodriguez KA, Kendall PC (2014) Suicidal ideation in anxiety-disordered youth: identifying predictors of risk. J Clin Child Adolesc Psychol 43:51–62CrossRefPubMed
32.
go back to reference McCloskey MS, Ammerman BA (2018) Suicidal behavior and aggression-related disorders. Curr Opin Psychol 22:54–58CrossRefPubMed McCloskey MS, Ammerman BA (2018) Suicidal behavior and aggression-related disorders. Curr Opin Psychol 22:54–58CrossRefPubMed
33.
go back to reference Doyle AE, Faraone SV (2002) Familial links between attention deficit hyperactivity disorder, conduct disorder, and bipolar disorder. Curr Psychiatry Rep 4:146–152CrossRefPubMed Doyle AE, Faraone SV (2002) Familial links between attention deficit hyperactivity disorder, conduct disorder, and bipolar disorder. Curr Psychiatry Rep 4:146–152CrossRefPubMed
34.
go back to reference Brent DA, Mann JJ (2005) Family genetic studies, suicide, and suicidal behavior. Am J Med Genet C 133C:13–24CrossRef Brent DA, Mann JJ (2005) Family genetic studies, suicide, and suicidal behavior. Am J Med Genet C 133C:13–24CrossRef
35.
go back to reference Brent DA, Melhem NM, Oquendo M, Burke A, Birmaher B, Stanley B, Biernesser C, Keilp J, Kolko D, Ellis S, Porta G, Zelazny J, Iyengar S, Mann JJ (2015) Familial pathways to early-onset suicide attempt: a 5.6-year prospective study. JAMA Psychiatry 72:160–168CrossRefPubMedPubMedCentral Brent DA, Melhem NM, Oquendo M, Burke A, Birmaher B, Stanley B, Biernesser C, Keilp J, Kolko D, Ellis S, Porta G, Zelazny J, Iyengar S, Mann JJ (2015) Familial pathways to early-onset suicide attempt: a 5.6-year prospective study. JAMA Psychiatry 72:160–168CrossRefPubMedPubMedCentral
36.
go back to reference Kelleher I, Lynch F, Harley M, Molloy C, Roddy S, Fitzpatrick C, Cannon M (2012) Psychotic symptoms in adolescence index risk for suicidal behavior: findings from 2 population-based case-control clinical interview studies. Arch Gen Psychiatry 69:1277–1283CrossRefPubMed Kelleher I, Lynch F, Harley M, Molloy C, Roddy S, Fitzpatrick C, Cannon M (2012) Psychotic symptoms in adolescence index risk for suicidal behavior: findings from 2 population-based case-control clinical interview studies. Arch Gen Psychiatry 69:1277–1283CrossRefPubMed
37.
go back to reference Stallman HM (2018) Coping planning: a patient-centred and strengths-focused approach to suicide prevention training. Australas Psychiatry 26:141–144CrossRefPubMed Stallman HM (2018) Coping planning: a patient-centred and strengths-focused approach to suicide prevention training. Australas Psychiatry 26:141–144CrossRefPubMed
38.
go back to reference Whalen DJ, Dixon-Gordon K, Belden AC, Barch D, Luby JL (2015) Correlates and consequences of suicidal cognitions and behaviors in children ages 3 to 7 years. J Am Acad Child Adolesc Psychiatry 54:926–937CrossRefPubMedPubMedCentral Whalen DJ, Dixon-Gordon K, Belden AC, Barch D, Luby JL (2015) Correlates and consequences of suicidal cognitions and behaviors in children ages 3 to 7 years. J Am Acad Child Adolesc Psychiatry 54:926–937CrossRefPubMedPubMedCentral
39.
go back to reference Ljung T, Chen Q, Lichtenstein P, Larsson H (2014) Common etiological factors of attention-deficit/hyperactivity disorder and suicidal behavior: a population-based study in Sweden. JAMA Psychiatry 71:958–964CrossRefPubMed Ljung T, Chen Q, Lichtenstein P, Larsson H (2014) Common etiological factors of attention-deficit/hyperactivity disorder and suicidal behavior: a population-based study in Sweden. JAMA Psychiatry 71:958–964CrossRefPubMed
40.
go back to reference Hinshaw SP, Owens EB, Zalecki C, Huggins SP, Montenegro-Nevado AJ, Schrodek E, Swanson EN (2012) Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: continuing impairment includes elevated risk for suicide attempts and self-injury. J Consult Clin Psychol 80:1041–1051CrossRefPubMedPubMedCentral Hinshaw SP, Owens EB, Zalecki C, Huggins SP, Montenegro-Nevado AJ, Schrodek E, Swanson EN (2012) Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: continuing impairment includes elevated risk for suicide attempts and self-injury. J Consult Clin Psychol 80:1041–1051CrossRefPubMedPubMedCentral
Metagegevens
Titel
Characteristics of Child Psychiatric Outpatients at Highest Risk for Suicidal Thoughts and Behaviors
Auteurs
Pieter J. Vuijk
Hillary H. Bush
Patrick S. McGuinness
Sheila M. O’Keefe
Brenda A. Lee
Hillary L. Ditmars
Anna R. Samkavitz
Hannah S. Lind
Ellen B. Braaten
Alysa E. Doyle
Publicatiedatum
17-01-2019
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 3/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-018-0858-9

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