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Gepubliceerd in: Journal of Abnormal Child Psychology 1/2017

30-03-2016

Impulsivity and Suicidality in Adolescent Inpatients

Auteurs: Randy P. Auerbach, Jeremy G. Stewart, Sheri L. Johnson

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 1/2017

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Abstract

Suicide is the second leading cause of death among adolescents, and impulsivity has emerged as a promising marker of risk. The present study tested whether distinct domains of impulsivity are differentially associated with suicide ideation, plans, and attempts. Adolescents (n = 381; boys = 106, girls = 275) aged 13–19 years (M = 15.62, SD = 1.41) were recruited from an acute, residential treatment program. Within 48 h of admission to the hospital, participants were administered structured clinical interviews assessing mental health disorders and suicidality. Following these interviews, participants completed self-report questionnaires assessing symptom severity and impulsivity. Consistent with past research, an exploratory factor analysis of our 90-item impulsivity instrument resulted in a three-factor solution: Pervasive Influence of Feelings, Feelings Trigger Action, and Lack of Follow-Through. Concurrent analysis of these factors confirmed hypotheses of unique associations with suicide ideation and attempts in the past month. Specifically, whereas Pervasive Influence of Feelings (i.e., tendency for emotions to shape thoughts about the self and the future) is uniquely associated with greater suicidal ideation, Feelings Trigger Action (i.e., impulsive behavioral reactivity to emotions) is uniquely associated with the occurrence of suicide attempts, even after controlling for current psychiatric diagnoses and symptoms. Exploratory gender analyses revealed that these effects were significant in female but not male adolescents. These findings provide new insight about how specific domains of impulsivity differentially increase risk for suicide ideation and attempts. Implications for early identification and prevention of youth suicide are discussed.
Voetnoten
1
The impulsivity measure includes both a negative and a positive urgency subscale (i.e., tendency to act recklessly or inappropriately during positive mood states). The 7-item positive urgency subscale was inadvertently omitted from the assessment. Nonetheless, the factor structure and interrelationships among the factors remained consistent with past research (see Carver et al. 2011; Johnson et al. 2013).
 
2
When reporting the method of suicide attempts, some participants reported using multiple methods in their most recent attempt.
 
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Metagegevens
Titel
Impulsivity and Suicidality in Adolescent Inpatients
Auteurs
Randy P. Auerbach
Jeremy G. Stewart
Sheri L. Johnson
Publicatiedatum
30-03-2016
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 1/2017
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-016-0146-8