Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESParameters of Suicidal Crises Vary as a Function of Previous Suicide Attempts in Youth Inpatients
Section snippets
Participants
A total of 50 participants were obtained from admissions to the child and adolescent inpatient units at the University of Texas Medical Branch. All admissions to these units were routinely screened for suicidal symptoms. Those who endorsed any suicidal ideation on Item 9 of the Children's Depression Inventory (CDI) and whose ideation was documented in the admission note and confirmed by structured clinical interview were included. For this study, 78 patients were screened, 52 of whom had
RESULTS
Means, standard deviations, and correlations are presented in Table 1. As can be seen there, the baseline mean for the CDI (T score of 67.48; SD = 12.37) exceeds a common cutoff score for clinical significance (T score of 65) (Kovacs, 1992), as would be expected in an inpatient sample. As would also be expected in a sample undergoing intensive treatment, CDI scores at discharge dropped substantially (T score of 57.11; SD = 11.49).
Test-retest reliability for the CDI was 0.70, within the expected
DISCUSSION
Considering the attention suicidal crises absorb in clinical settings, it is surprising that relatively little empirical research has been conducted on the parameters of suicidal crises. In the context of past conceptual work on the difference between multiple attempters and other people (e.g., Rudd et al., 1996a), as well as on the effect of previous suicidal and depressive experience on later functioning (Beck, 1996, Post et al., 1996, Teasdale, 1988), we examined a group of suicidal youths
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Portions of this work were supported by grants from the NIMH (MH48097) and the American Foundation for Suicide Prevention.