Editorial
Preventing Youth Suicide: Time to Ask How

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Cited by (36)

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    Although this model provided insights on how stressful life events can interact with preexisting conditions to lead suicidal behavior, it doesn't inform much about the mediating mechanisms in the process. This gap is consistent with the current need in suicide literature to move beyond determining what factors confer risk for suicide, and toward understanding how they exert their deleterious effects (Brent, 2011; Nock, 2012). Such an endeavor would potentially lead to greater clarity in targets for intervention strategies.

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    What processes account for the homotypic continuity often observed with this behavior and the increased risk associated with each successive attempt? Addressing this question is of theoretical and clinical importance, especially given the stated need for research in this field to advance beyond identifying potential risk factors to uncovering the mechanisms through which they may exert their deleterious effect (Brent, 2011; Nock, 2009). Several possibilities exist that may account for this association between past and future suicidal behavior.

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In celebration of its 50th anniversary, the Journal presents a year-long series of editorials that discuss and reflect on pivotal research published in these pages over the previous five decades. The editorials show how the foundations of the science in child and adolescent psychiatry have been laid, describe how they influence us today, and suggest how they will continue to guide us over the next 50 years and on.

Dr. Brent is Academic Chief of Child and Adolescent Psychiatry at Western Psychiatric Institute and Clinic, Pittsburgh; is Professor of Psychiatry, Pediatrics, Epidemiology, and Clinical and Translational Science and holds the UPMC Endowed Chair in Suicide Studies at the University of Pittsburgh School of Medicine; and is Director of Services for Teens at Risk at the STAR-Center. His work has focused on the etiology and treatment of adolescent depression and suicidal behavior and on the training of the next generation of child mental health researchers. His research awards include the Beatrice Cummings Mayer and the Children's Mental Health Alliance Awards from the American Academy of Child and Adolescent Psychiatry. Most recently, he shared the Ruane Prize for research in child and adolescent psychiatry from National Alliance for Research on Schizophrenia and Depression with Dr. David Shaffer, whose work, including the classic article discussed in this piece, has provided inspiration and guidance.

Disclosure: Dr. Brent receives financial support from the National Institute of Mental Health.

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