Skip to main content
Top
Gepubliceerd in: Research on Child and Adolescent Psychopathology 8/2015

24-04-2015

Is Adolescent Suicidal Ideation Continuous or Categorical? A Taxometric Analysis

Auteurs: Richard T. Liu, Richard N. Jones, Anthony Spirito

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 8/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Despite the strong association between suicidal ideation and suicidal behavior, a relative minority of ideators transition to attempting suicide. Clarifying the latent structure of suicidal ideation has direct implications for theory, as well as suicidal risk assessment and prevention efforts. Taxometric analysis is a statistical technique specifically designed to assess whether a latent construct is taxonic (i.e., categorical) or continuous (i.e., dimensional) in nature. Although this statistical approach has been increasingly used over the past decade to elucidate the latent structure of various forms of psychopathology and related risk factors, there are no taxometric studies to date of suicidal ideation. The aim of the current project is to apply taxometric methods to a sample of clinically depressed, treatment-seeking adolescents (n = 334). Current suicidal ideation was measured using the Suicidal Ideation Questionnaire-Jr., (SIQ-Jr.). The results of two mathematically non-redundant taxometric approaches (i.e., MAXEIG and L-Mode) are consistent with a continuous latent structure for suicidal ideation. The current findings suggest that suicidal ideation in depressed adolescents is dimensional. The implication of these findings for research, theory, and suicidal risk assessment strategies are discussed.
Voetnoten
1
It has been traditionally recommend that within-group correlations for constructed indicators be under 0.3, and interindicator correlation within the entire sample be above 0.3 (Meehl 1995). It has been suggested more recently, however, that the magnitude of difference between the full-group and within-group indicator correlations is more important than having absolute within-group correlation values below 0.3 (Ruscio et al. 2006; Walters 2008).
 
2
For discussions of high-risk research designs, see Carter and Garber 2011; Goodman and Gotlib 1999.
 
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington: American Psychiatric Association.
go back to reference Beauchaine, T. P., & Waters, E. (2003). Pseudotaxonicity in MAMBAC and MAXCOV analyses of rating-scale data: turning continua into classes by manipulating observer’s expectations. Psychological Methods, 8, 3–15.CrossRefPubMed Beauchaine, T. P., & Waters, E. (2003). Pseudotaxonicity in MAMBAC and MAXCOV analyses of rating-scale data: turning continua into classes by manipulating observer’s expectations. Psychological Methods, 8, 3–15.CrossRefPubMed
go back to reference Brent, D., Emslie, G., Clarke, G., Wagner, K. D., Asarnow, J. R., Keller, M., & Zelazny, J. (2008). Switching to another SSRI or to venlafaxine with or without cognitive behavioral therapy for adolescents with SSRI-resistant depression: the TORDIA randomized controlled trial. JAMA, 299, 901–913. doi:10.1001/jama.299.8.901.PubMedCentralCrossRefPubMed Brent, D., Emslie, G., Clarke, G., Wagner, K. D., Asarnow, J. R., Keller, M., & Zelazny, J. (2008). Switching to another SSRI or to venlafaxine with or without cognitive behavioral therapy for adolescents with SSRI-resistant depression: the TORDIA randomized controlled trial. JAMA, 299, 901–913. doi:10.​1001/​jama.​299.​8.​901.PubMedCentralCrossRefPubMed
go back to reference Brent, D. A., Emslie, G. J., Clarke, G. N., Asarnow, J., Spirito, A., Ritz, L., & Keller, M. B. (2009a). Predictors of spontaneous and systematically assessed suicidal adverse events in the treatment of SSRI-resistant depression in adolescents (TORDIA) study. American Journal of Psychiatry, 166, 418–426. doi:10.1176/appi.ajp.2008.08070976.PubMedCentralCrossRefPubMed Brent, D. A., Emslie, G. J., Clarke, G. N., Asarnow, J., Spirito, A., Ritz, L., & Keller, M. B. (2009a). Predictors of spontaneous and systematically assessed suicidal adverse events in the treatment of SSRI-resistant depression in adolescents (TORDIA) study. American Journal of Psychiatry, 166, 418–426. doi:10.​1176/​appi.​ajp.​2008.​08070976.PubMedCentralCrossRefPubMed
go back to reference Brent, D. A., Greenhill, L. L., Compton, S., Emslie, G., Wells, K., Walkup, J. T., Vitiello, B., et al. (2009b). The treatment of adolescent suicide attempters study (TASA): predictors of suicidal events in an open treatment trial. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 987–996. doi:10.1097/CHI.0b013e3181b5dbe4.PubMedCentralCrossRefPubMed Brent, D. A., Greenhill, L. L., Compton, S., Emslie, G., Wells, K., Walkup, J. T., Vitiello, B., et al. (2009b). The treatment of adolescent suicide attempters study (TASA): predictors of suicidal events in an open treatment trial. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 987–996. doi:10.​1097/​CHI.​0b013e3181b5dbe4​.PubMedCentralCrossRefPubMed
go back to reference Busch, K. A., Fawcett, J., & Jacobs, D. G. (2003). Clinical correlates of inpatient suicide. Journal of Clinical Psychiatry, 64, 14–19.CrossRefPubMed Busch, K. A., Fawcett, J., & Jacobs, D. G. (2003). Clinical correlates of inpatient suicide. Journal of Clinical Psychiatry, 64, 14–19.CrossRefPubMed
go back to reference Carter, J. S., & Garber, J. (2011). Predictors of the first onset of a major depressive episode and changes in depressive symptoms across adolescence: stress and negative cognitions. Journal of Abnormal Psychology, 120, 779–796. doi:10.1037/a0025441.CrossRefPubMed Carter, J. S., & Garber, J. (2011). Predictors of the first onset of a major depressive episode and changes in depressive symptoms across adolescence: stress and negative cognitions. Journal of Abnormal Psychology, 120, 779–796. doi:10.​1037/​a0025441.CrossRefPubMed
go back to reference Casey, P. R., Dunn, G., Kelly, B. D., Birkbeck, G., Dalgard, O. S., Lehtinen, V., Britta, S., et al. (2006). Factors associated with suicidal ideation in the general population: five-centre analysis from the ODIN study. British Journal of Psychiatry, 189, 410–415. doi:10.1192/bjp.bp.105.017368.CrossRefPubMed Casey, P. R., Dunn, G., Kelly, B. D., Birkbeck, G., Dalgard, O. S., Lehtinen, V., Britta, S., et al. (2006). Factors associated with suicidal ideation in the general population: five-centre analysis from the ODIN study. British Journal of Psychiatry, 189, 410–415. doi:10.​1192/​bjp.​bp.​105.​017368.CrossRefPubMed
go back to reference Cole, D. A., Ciesla, J. A., Dallaire, D. H., Jacquez, F. M., Pineda, A. Q., LaGrange, B., Truss, A. E., et al. (2008). Emergence of attributional style and its relation to depressive symptoms. Journal of Abnormal Psychology, 117, 16–31. doi:10.1037/0021-843X.117.1.16.CrossRefPubMed Cole, D. A., Ciesla, J. A., Dallaire, D. H., Jacquez, F. M., Pineda, A. Q., LaGrange, B., Truss, A. E., et al. (2008). Emergence of attributional style and its relation to depressive symptoms. Journal of Abnormal Psychology, 117, 16–31. doi:10.​1037/​0021-843X.​117.​1.​16.CrossRefPubMed
go back to reference Fraley, R. C., & Waller, N. G. (1998). Adult attachment patterns: A test of the typology models. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 77–114). New York: Guilford Press. Fraley, R. C., & Waller, N. G. (1998). Adult attachment patterns: A test of the typology models. In J. A. Simpson & W. S. Rholes (Eds.), Attachment theory and close relationships (pp. 77–114). New York: Guilford Press.
go back to reference Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458–490.CrossRefPubMed Goodman, S. H., & Gotlib, I. H. (1999). Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychological Review, 106, 458–490.CrossRefPubMed
go back to reference Guy, W. (1976). Clinical global improvement scale. Rockville: National Institute of Mental Health. Guy, W. (1976). Clinical global improvement scale. Rockville: National Institute of Mental Health.
go back to reference Hankin, B. L., Fraley, R. C., Lahey, B. B., & Waldman, I. D. (2005). Is depression best viewed as a continuum or discrete category? A taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology, 114, 96–110. doi:10.1037/0021-843X.114.1.96.CrossRefPubMed Hankin, B. L., Fraley, R. C., Lahey, B. B., & Waldman, I. D. (2005). Is depression best viewed as a continuum or discrete category? A taxometric analysis of childhood and adolescent depression in a population-based sample. Journal of Abnormal Psychology, 114, 96–110. doi:10.​1037/​0021-843X.​114.​1.​96.CrossRefPubMed
go back to reference Husky, M. M., Olfson, M., He, J., Nock, M. K., Swanson, S. A., & Merikangas, K. R. (2012). Twelve-month suicidal symptoms and use of services among adolescents: results from the national comorbidity survey. Psychiatric Services, 63, 989–996. doi:10.1176/appi.ps.201200058.CrossRefPubMed Husky, M. M., Olfson, M., He, J., Nock, M. K., Swanson, S. A., & Merikangas, K. R. (2012). Twelve-month suicidal symptoms and use of services among adolescents: results from the national comorbidity survey. Psychiatric Services, 63, 989–996. doi:10.​1176/​appi.​ps.​201200058.CrossRefPubMed
go back to reference Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., Sanislow, C., et al. (2010). Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. American Journal of Psychiatry, 167, 748–751. doi:10.1176/appi.ajp.2010.09091379.CrossRefPubMed Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., Sanislow, C., et al. (2010). Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. American Journal of Psychiatry, 167, 748–751. doi:10.​1176/​appi.​ajp.​2010.​09091379.CrossRefPubMed
go back to reference Joiner, T. E. (2005). Why people die by suicide. Cambridge: Harvard University Press. Joiner, T. E. (2005). Why people die by suicide. Cambridge: Harvard University Press.
go back to reference Joiner, T. E., Van Orden, K. A., Witte, T. K., Selby, E. A., Ribeiro, J. D., Lewis, R., & Rudd, M. D. (2009). Main predictions of the interpersonal–psychological theory of suicidal behavior: empirical tests in two samples of young adults. Journal of Abnormal Psychology, 118, 634–646. doi:10.1037/a0016500.PubMedCentralCrossRefPubMed Joiner, T. E., Van Orden, K. A., Witte, T. K., Selby, E. A., Ribeiro, J. D., Lewis, R., & Rudd, M. D. (2009). Main predictions of the interpersonal–psychological theory of suicidal behavior: empirical tests in two samples of young adults. Journal of Abnormal Psychology, 118, 634–646. doi:10.​1037/​a0016500.PubMedCentralCrossRefPubMed
go back to reference Kaufman, J., Birmaher, B., Brent, D., & Rao, U. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988. doi:10.1097/00004583-199707000-00021.CrossRefPubMed Kaufman, J., Birmaher, B., Brent, D., & Rao, U. (1997). Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 980–988. doi:10.​1097/​00004583-199707000-00021.CrossRefPubMed
go back to reference Klonsky, E. D., & May, A. M. (2014). Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research. Suicide & Life-Threatening Behavior, 44, 1–5. doi:10.1111/sltb.12068.CrossRef Klonsky, E. D., & May, A. M. (2014). Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research. Suicide & Life-Threatening Behavior, 44, 1–5. doi:10.​1111/​sltb.​12068.CrossRef
go back to reference Meehl, P. E. (1977). Specific etiology and other forms of strong influence: some quantitative meanings. Journal of Medicine and Philosophy, 2, 33–53.CrossRef Meehl, P. E. (1977). Specific etiology and other forms of strong influence: some quantitative meanings. Journal of Medicine and Philosophy, 2, 33–53.CrossRef
go back to reference Meehl, P. E., & Golden, R. (1982). Taxometric methods. In P. Kendall & J. Butcher (Eds.), Handbook of research methods in clinical psychology (pp. 127–181). New York: Wiley. Meehl, P. E., & Golden, R. (1982). Taxometric methods. In P. Kendall & J. Butcher (Eds.), Handbook of research methods in clinical psychology (pp. 127–181). New York: Wiley.
go back to reference Meehl, P. E., & Yonce, L. J. (1996). Taxometric analysis: II. Detecting taxonicity using covariance of two quantitative indicators in successive intervals of a third indicator (Maxcov procedure). Psychological Reports, 78, 1091–1227.CrossRef Meehl, P. E., & Yonce, L. J. (1996). Taxometric analysis: II. Detecting taxonicity using covariance of two quantitative indicators in successive intervals of a third indicator (Maxcov procedure). Psychological Reports, 78, 1091–1227.CrossRef
go back to reference National Action Alliance for Suicide Prevention. (2014). A prioritized research agenda for suicide prevention: An action plan to save lives. Rockville: National Institute of Mental Health and the Research Prioritization Task Force. National Action Alliance for Suicide Prevention. (2014). A prioritized research agenda for suicide prevention: An action plan to save lives. Rockville: National Institute of Mental Health and the Research Prioritization Task Force.
go back to reference Nock, M. K., Park, J. M., Finn, C. T., Deliberto, T. L., Dour, H. J., & Banaji, M. R. (2010). Measuring the suicidal mind: implicit cognition predicts suicidal behavior. Psychological Science, 21, 511–517. doi:10.1177/0956797610364762.CrossRefPubMed Nock, M. K., Park, J. M., Finn, C. T., Deliberto, T. L., Dour, H. J., & Banaji, M. R. (2010). Measuring the suicidal mind: implicit cognition predicts suicidal behavior. Psychological Science, 21, 511–517. doi:10.​1177/​0956797610364762​.CrossRefPubMed
go back to reference Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the national comorbidity survey replication adolescent supplement. JAMA Psychiatry, 70, 300–310. doi:10.1001/2013.jamapsychiatry.55.CrossRefPubMed Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the national comorbidity survey replication adolescent supplement. JAMA Psychiatry, 70, 300–310. doi:10.​1001/​2013.​jamapsychiatry.​55.CrossRefPubMed
go back to reference Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., et al. (2011). The Columbia–suicide severity rating scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168, 1266–1277. doi:10.1176/appi.ajp.2011.10111704.PubMedCentralCrossRefPubMed Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., et al. (2011). The Columbia–suicide severity rating scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168, 1266–1277. doi:10.​1176/​appi.​ajp.​2011.​10111704.PubMedCentralCrossRefPubMed
go back to reference Poznanski, E. O., Freeman, L. N., & Mokros, H. B. (1984). Children’s depression rating scale-revised. Psychopharmacology Bulletin, 21, 979–989. Poznanski, E. O., Freeman, L. N., & Mokros, H. B. (1984). Children’s depression rating scale-revised. Psychopharmacology Bulletin, 21, 979–989.
go back to reference Prinstein, M. J., Nock, M. K., Simon, V., Aikins, J. W., Cheah, C. S. L., & Spirito, A. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76, 92–103. doi:10.1037/0022-006X.76.1.92.PubMedCentralCrossRefPubMed Prinstein, M. J., Nock, M. K., Simon, V., Aikins, J. W., Cheah, C. S. L., & Spirito, A. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76, 92–103. doi:10.​1037/​0022-006X.​76.​1.​92.PubMedCentralCrossRefPubMed
go back to reference Reynolds, W. (1988). Suicidal ideation questionnaire: Professional manual. Odessa: Psychological Assessment Resources. Reynolds, W. (1988). Suicidal ideation questionnaire: Professional manual. Odessa: Psychological Assessment Resources.
go back to reference Reynolds, W. M., & Mazza, J. J. (1999). Assessment of suicidal ideation in inner-city children and young adolescents: reliability and validity of the suicidal ideation questionnaire-JR. School Psychology Review, 28, 17–30. Reynolds, W. M., & Mazza, J. J. (1999). Assessment of suicidal ideation in inner-city children and young adolescents: reliability and validity of the suicidal ideation questionnaire-JR. School Psychology Review, 28, 17–30.
go back to reference Ruscio, J. (2012). Taxometric programs for the R computing environment: User’s manual. Ruscio, J. (2012). Taxometric programs for the R computing environment: User’s manual.
go back to reference Ruscio, J., Ruscio, A. M., & Keane, T. M. (2004). Using taxometric analysis to distinguish a small latent taxon from a latent dimension with positively skewed indicators: the case of involuntary defeat syndrome. Journal of Abnormal Psychology, 113, 145–154. doi:10.1037/0021-843X.113.1.145.CrossRefPubMed Ruscio, J., Ruscio, A. M., & Keane, T. M. (2004). Using taxometric analysis to distinguish a small latent taxon from a latent dimension with positively skewed indicators: the case of involuntary defeat syndrome. Journal of Abnormal Psychology, 113, 145–154. doi:10.​1037/​0021-843X.​113.​1.​145.CrossRefPubMed
go back to reference Ruscio, J., Haslam, N., & Ruscio, A. M. (2006). Introduction to the taxometric method: A practical guide. Mahwah: Lawrence Erlbaum Associates. Ruscio, J., Haslam, N., & Ruscio, A. M. (2006). Introduction to the taxometric method: A practical guide. Mahwah: Lawrence Erlbaum Associates.
go back to reference Ruscio, J., Ruscio, A. M., & Meron, M. (2007a). Applying the bootstrap to taxometric analysis: generating empirical sampling distributions to help interpret results. Multivariate Behavioral Research, 42, 349–386. doi:10.1080/00273170701360795.CrossRef Ruscio, J., Ruscio, A. M., & Meron, M. (2007a). Applying the bootstrap to taxometric analysis: generating empirical sampling distributions to help interpret results. Multivariate Behavioral Research, 42, 349–386. doi:10.​1080/​0027317070136079​5.CrossRef
go back to reference Ruscio, J., Walters, G. D., Marcus, D. K., & Kaczetow, W. (2010). Comparing the relative fit of categorical and dimensional latent variable models using consistency tests. Psychological Assessment, 22, 5–21. doi:10.1037/a0018259.CrossRefPubMed Ruscio, J., Walters, G. D., Marcus, D. K., & Kaczetow, W. (2010). Comparing the relative fit of categorical and dimensional latent variable models using consistency tests. Psychological Assessment, 22, 5–21. doi:10.​1037/​a0018259.CrossRefPubMed
go back to reference Shneidman, E. S. (1998). Perspectives on suicidology. Further reflections on suicide and psychache. Suicide & Life-Threatening Behavior, 28, 245–250. Shneidman, E. S. (1998). Perspectives on suicidology. Further reflections on suicide and psychache. Suicide & Life-Threatening Behavior, 28, 245–250.
go back to reference Waller, N., & Meehl, P. E. (1998). Multivariate taxometric procedures: Distinguishing types from continua. Advanced quantitative techniques in the social sciences, 9. Thousand Oaks: Sage Publications. Waller, N., & Meehl, P. E. (1998). Multivariate taxometric procedures: Distinguishing types from continua. Advanced quantitative techniques in the social sciences, 9. Thousand Oaks: Sage Publications.
go back to reference Walters, G. D. (2008). The latent structure of alcohol use disorders: a taxometric analysis of structured interview data obtained from male federal prison inmates. Alcohol and Alcoholism, 43, 326–333. doi:10.1093/alcalc/agm165.CrossRefPubMed Walters, G. D. (2008). The latent structure of alcohol use disorders: a taxometric analysis of structured interview data obtained from male federal prison inmates. Alcohol and Alcoholism, 43, 326–333. doi:10.​1093/​alcalc/​agm165.CrossRefPubMed
Metagegevens
Titel
Is Adolescent Suicidal Ideation Continuous or Categorical? A Taxometric Analysis
Auteurs
Richard T. Liu
Richard N. Jones
Anthony Spirito
Publicatiedatum
24-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 8/2015
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-015-0022-y

Andere artikelen Uitgave 8/2015

Research on Child and Adolescent Psychopathology 8/2015 Naar de uitgave