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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

01-10-2007

Sequelae of Aggression in Acutely Suicidal Adolescents

Auteurs: David C. R. Kerr, Jason J. Washburn, Alan Feingold, Anne C. Kramer, Asha Z. Ivey, Cheryl A. King

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 5/2007

Abstract

The consequences of aggression on problem course and suicide risk were examined in 270 acutely suicidal adolescents (ages 12–17 years; 184 girls). Participants were assessed during psychiatric hospitalization (T1), 6-months post-hospitalization (T2), and 15 or more months post-hospitalization (T3). Study variables included self- and parent-reported aggression; self-reported internalizing symptoms, suicidal ideation, suicide attempt, and adverse events; and clinician-rated suicidal behavior. Aggression was not directly related to suicide attempt concurrently or prospectively. However, among more aggressive youth, internalizing symptoms were more predictive of T3 suicide attempt than among less aggressive youth. T1 aggression predicted aggressive incidents and the likelihood of incarceration prior to T3. Two-level hierarchical linear modeling indicated that self-reported aggression and internalizing problems were linked in terms of severity and rates of decline over time. Overall, parent-reported aggression was negatively associated with suicidal ideation. Findings highlight (a) the continuity and consequences of aggression, (b) a possible role of aggression in worsening suicide risk factors and potentiating suicide attempt, and (c) the importance of ongoing research on subtypes of suicidal adolescents.

vorige artikel Racial/Ethnic Differences in Internalizing and Externalizing Symptoms in Adolescents

volgende artikel A Test of Three Alternative Hypotheses Regarding the Effects of Early Delinquency on Adolescent Psychosocial Functioning and Substance Involvement

The dates at which these dichotomous outcomes, including suicide attempt, occurred were unavailable, precluding use of, for example, survival analysis.

Multinomial logistic regression was used to predict single or multiple suicide attempt history in contrast to a negative history of suicide attempt.

To rule out that the effect of parent-reported aggression on SIQ-JR owed to simply having a different information source (parent vs. self-report), the model was rerun, controlling for parent-reported internalizing (CAFAS Moods/Emotions). Parent-reported aggression continued to predict SIQ-JR, B = −1.51, t(236) = −3.59, p = 0.001. Moreover, the effect of parent-reported internalizing on SIQ-JR intercepts was significant, B = 0.32, t(236) = 2.68, p = 0.008. Thus, both parental reports made unique contributions to SIQ-JR intercepts but in opposite directions.

The effect grew stronger when more extreme groups were considered. Among youth showing aggression at 0.5 and 1 standard deviation above the mean, internalizing symptoms were correspondingly stronger predictors of suicide attempt, Exp (B) = 3.57 and 4.71, p < 0.01. The predictive strength of internalizing symptoms did not further diminish when considered in subsamples at .5 and 1 standard deviation below the mean on aggression.

Achenbach, T. M. (1991). Manual for the youth self-report and 1991 profile. Burlington, VT: Department of Psychiatry, University of Vermont.

Andrews, J. A., & Lewinsohn, P. M. (1992). Suicidal attempts among older adolescents: Prevalence and co-occurrence with psychiatric disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 655–662.PubMedCrossRef

Angold, A., & Costello, E. (1993). Depressive comorbidity in children and adolescents: Empirical, theoretical, and methodological issues. American Journal of Psychiatry, 150, 1779–1791.PubMed

Bae, S., Ye, R., Chen, S., Rivers, P. A., & Singh, K. P. (2005). Risky behaviors and factors associated with suicide attempt in adolescents. Archives of Suicide Research, 9, 193–202.PubMedCrossRef

Beautrais, A. L., Joyce, P. R., Mulder, R. T., & Fergusson, D. M. (1996). Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: A case-control study. American Journal of Psychiatry, 153(8), 1009–1014.PubMed

Borst, S., & Noam, G. (1989). Suicidality and psychopathology in hospitalized children and adolescents. Acta Paedopsychiatrica: International Journal of Child and Adolescent Psychiatry, 52(3), 165–175.

Brent, D. A., Johnson, B., Bartle, S., Bridge, J., Rather, C., Matta, J., et al. (1993a). Personality disorder, tendency to impulsive violence, and suicidal behavior in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 69–75.PubMedCrossRef

Brent, D. A., Johnson, B. A., Perper, J., & Connolly, J. (1994). Personality disorder, personality traits, impulsive violence, and completed suicide in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 33(8), 1080–1086.PubMedCrossRef

Brent, D. A., Kolko, D. J., Wartella, M. E., & Boylan, M. B. (1993b). Adolescent psychiatric inpatients’ risk of suicide attempt at 6-month follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 32(1), 95–105.PubMedCrossRef

Brent, D. A., & Mann, J. J. (2005). Family genetic studies, suicide, and suicidal behavior. American Journal of Medical Genetics, 133, 13–24.PubMed

Brent, D. A., & Perper, J. A. (1995). Research in adolescent suicide: Implications for training, service delivery and public policy. Suicide and Life-Threatening Behavior, 25(2), 222–230.PubMed

Brent, D. A., Perper, J. A., Goldstein, C. E., Kolko, D. J., Allan, M. J., Allman, C. J., et al. (1988). Risk factors for adolescent suicide. A comparison of adolescent suicide victims with suicidal inpatients. Archives of General Psychiatry, 45(6), 581–588.PubMed

Brent, D. A., Perper, J. A., Moritz, G., & Baugher, M. (1993c). Stressful life events, psychopathology, and adolescent suicide: A case control study. Suicide and Life-Threatening Behavior, 23(3), 179–187.PubMed

Broidy, L. M, Nagin, D. S., Tremblay, R. E, Bates, J. E., Brame, B., Dodge, K. A., et al. (2003). Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: A six-site, cross-national study. Developmental Psychology, 39(2), 222–245.PubMedCrossRef

Bukstein, O. G., Brent, D. A., Perper, J. A., Moritz, G., Baugher, M., Schweers, J., et al. (1993). Risk factors for completed suicide among adolescents with a lifetime history of substance abuse: A case-control study. Acta Psychiatrica Scandinavica, 88(6), 403–408.PubMedCrossRef

Capaldi, D. M. (1992). Co-occurence of conduct problems and depressive symptoms in early adolescent boys. II. A 2-year follow-up at grade 8. Development and Psychopathology, 4, 125–144.

Capaldi, D. M., & Stoolmiller, M. (1999). Co-occurrence of conduct problems and depressive symptoms in early adolescent boys. III. Prediction to young-adult adjustment. Development and Psychopathology, 11, 59–84.PubMedCrossRef

Centers for Disease Control and Prevention (2006). Web-based injury statistics query and reporting system (WISQARS). Retrieved 1/20/06 from http://www.cdc.gov/ncipc/wisqars.

Conner, K. R., Meldrum, S., Wieczorek, W. F., Duberstein, P. R., & Welte, J. W. (2004). The association of irritability and impulsivity with suicidal ideation among 15-to 20-year-old males. Suicide and Life-Threatening Behavior, 34, 363–373.PubMedCrossRef

Costello, E. J., Edelbrock, C. S., Costello, A. J. (1985). Validity of the NIMH diagnostic interview schedule for children: A comparison between psychiatric and pediatric referrals. Journal of Abnormal Child Psychology, 13(4), 579–595.PubMedCrossRef

Esposito, C., Spirito, A., Boergers, J., & Donaldson, D. (2003). Affective, behavioral, and cognitive functioning in adolescents with multiple suicide attempts. Suicide and Life-Threatening Behavior, 33, 389–399.PubMedCrossRef

Evans, W. P., Marte, R. M., Betts, S., & Silliman, B. (2001). Adolescent suicide risk and peer related violent behaviors and victimization. Journal of Interpersonal Violence, 16, 1330–1348.CrossRef

Garrison, C. Z., McKeown, R. E., Valois, R. F., & Vincent, M. L. (1993). Aggression, substance use, and suicidal behaviors in high school students. American Journal of Public Health, 83, 179–184.PubMedCrossRef

Goldston, D. B., Daniel, S., Reboussin, D. M., & Kelley, A. (1996). First-time suicide attempters, repeat attempters and previous attempters on an adolescent inpatient psychiatry unit. Journal of the American Academy of Child and Adolescent Psychiatry, 35(5), 631–639.PubMedCrossRef

Goldston, D. B., Daniel, S. S., Reboussin, D. M., Reboussin, B. A., Frazier, P. H., & Kelley, A. E. (1999). Suicide attempts among formerly hospitalized adolescents: A prospective naturalistic study of risk during the first 5 years after discharge. Journal of the American Academy of Child and Adolescent Psychiatry, 38(6), 660–671.PubMedCrossRef

Gould, M., King, R., Greenwald, S., Fisher, P., Schwab-Stone, M., Kramer, R., et al. (1998). Psychopathology associated with suicidal ideation and attempts among children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 915–923.PubMedCrossRef

Grosz, D. E., Lipschitz, D. S., Eldar, S., Finkelstein, G., Blackwood, N., Gerbino-Rosen, G., et al. (1994). Correlates of violence risk in hospitalized adolescents. Comprehensive Psychiatry, 35, 296–300.PubMedCrossRef

Grunbaum, J. A., Kann, L., Kinchen, S., Ross, J., Hawkins, J., Lowry, R., et al. (2004). Youth risk behavior surveillance, United States, 2003 (Abridged). Journal of School Health, 74, 307–324.PubMedCrossRef

Haavisto, A., Sourander, A., Ellilä, H., Välimäki, M, Santalahti, P., & Helenius, H. (2003). Suicidal ideation and suicide attempts among child and adolescent psychiatric inpatients in Finland. Journal of Affective Disorders, 76, 211–221.PubMedCrossRef

Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107, 128–140.PubMedCrossRef

Harrington, R., Fudge, H., Rutter, M., & Pickles, A. (1991). Adult outcomes of childhood and adolescent depression. II. Links with antisocial disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 30(3), 434–439.PubMedCrossRef

Hodges, K. (1996). Child and adolescent functional assessment scale. Ypsilanti, MI: Department of Psychology, Eastern Michigan University.

Hodges, K., & Wong, M. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The child and adolescent functional assessment scale. Journal of Child and Family Studies, 5, 445–467.CrossRef

Horesh, H., Gothelf, D., Ofek, H., Weizman, T., & Apter, A. (1999). Impulsivity as a correlate of suicidal behavior in adolescent psychiatric inpatients. Crisis, 20, 8–14.PubMed

Huth-Bocks, A. C., Kerr, D. C. R., Ivey, A. Z., Kramer, A. C., & King, C. A. (2007). Assessment of psychiatrically hospitalized suicidal adolescents: Self-report instruments as predictors of suicidal thoughts and behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 46(3), 387–395.PubMedCrossRef

Joiner, T. (2005). Why people die by suicide. Cambridge: Harvard University Press.

King, C. A. (1997). Suicidal behavior in adolescence. In R. Maris, Silverman, M., & Canetto, S. (Ed.), Review of suicidology, 1997 (pp. 61–95). New York: Guilford Press.

King, C., Hill, E., Naylor, M., & Evans, T. (1993). Alcohol consumption in relation to other predictors of suicidality among adolescent inpatient girls. Journal of the American Academy of Child and Adolescent Psychiatry, 32(1), 82–88.PubMedCrossRef

King, C. A., Hovey, J. D., Brand, E., & Ghaziuddin, N. (1997). Prediction of positive outcomes for adolescent psychiatric inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 36(10), 1434–1442.PubMedCrossRef

King, C. A., Kramer, A., Preuss, L., Kerr, D. C. R., Weisse, L., & Venkataraman, S. (2006). Youth-nominated support team for suicidal adolescents (Version 1): A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 199–206.PubMedCrossRef

King, R. A., Schwab-Stone, J., Flisher, A. J., Greenwald, S., Kramer, R. A., Goodman, S. H., et al. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 837–846.PubMedCrossRef

Knox, M., King, C., Hanna, G. L., Logan, D., & Ghaziuddin, N. (2000). Aggressive behavior in clinically depressed adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 611–618.PubMedCrossRef

Kotila, L. (1992). The outcome of attempted suicide in adolescence. Journal of Adolescent Health, 13(5), 415–417.PubMedCrossRef

Lewinsohn, P. M., Hops, H., Roberts, R. E., & Seeley, J. R. (1993). Adolescent psychopathology. I. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology, 102(1), 133–144.PubMedCrossRef

Measelle, J. R., Stice, E., & Hogansen, J. M. (2006). Developmental trajectories of co-occurring depressive, eating, antisocial, and substance abuse problems in female adolescents. Journal of Abnormal Psychology, 115, 524–538.PubMedCrossRef

McKeown, R. E., Garrison, C. Z., Cuffe, S. P., Waller, J. L., Jackson, K. L., & Addy, C. L. (1998). Incidence and predictors of suicidal behaviors in a longitudinal sample of young adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 612–619.PubMedCrossRef

Motto, J. A. (1984). Suicide in males adolescents. In H. S. Sudak, A. B. Ford, & N. B. Rushforth (eds.), Suicide in the young (Vol. 227–244). Boston: John Wright PSG.

Myers, K., McCauley, E., Calderon, R., Mitchell, J., Burke, P., & Schloredt, K. (1991a). Risks for suicidality in major depressive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30(1), 86–94.PubMedCrossRef

Myers, K., McCauley, E., Calderon, R., & Treder, R. (1991b). The 3-year longitudinal course of suicidality and predictive factors for subsequent suicidality in youths with major depressive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 804–810.PubMedCrossRef

Novick, L. F., Cibula, D. A., & Sutphen, S. M. (2003). Adolescent suicide prevention. American Journal of Preventive Medicine, 24(4S), 150–156.PubMedCrossRef

Otto, U. (1972). Suicidal acts by children and adolescents. A follow-up study. Acta Psychiatrica Scandinavica, Supplementum, 233, 7–123.

Pfeffer, C., Plutchik, R., Mizruchi, M., & Lipkins, R. (1986). Suicidal behavior in child psychiatric inpatients and outpatients and in nonpatients. American Journal of Psychiatry, 143(6), 733–738.PubMed

Prinstein, M., Nock, M., Spirito, A., & Grapentine, W. (2001). Multimethod assessment of suicidality in adolescent psychiatric inpatients: Preliminary results. Journal of the American Academy of Child and Adolescent Psychiatry, 40(9), 1053–1061.PubMedCrossRef

Raudenbush, S., & Bryk, A. (2002). Hierarchical linear models: Applications and data analysis (2nd ed.). Newbury Park, CA: Sage.

Reynolds, W. M. (1988). SIQ, Suicidal ideation questionnaire: Professional manual. Odessa, FL: Psychological Assessment Resources.

Ross, S., & Heath, N. (2002). A study of the frequency of self-mutilation in a community sample of adolescents. Journal of Youth and Adolescence, 31, 67–77.CrossRef

Rudd, M. D., Joiner, T. E., & Rumzek, H. (2004). Childhood diagnoses and later risk for multiple suicide attempts. Suicide and Life-Threatening Behavior, 34, 113–125.PubMedCrossRef

Schwab-Stone, M. E., Shaffer, D., Dulcan, M. K, & Jensen, P. S. (1996). Criterion validity of the NIMH diagnostic interview schedule for children version 2.3 (DISC-2.3). Journal of the American Academy of Child and Adolescent Psychiatry, 35(7), 878–888.PubMedCrossRef

Shaffer, D., & Craft, L. (1999). Methods of adolescent suicide prevention. Journal of Clinical Psychiatry, 60(Suppl 2), 70–74.PubMed

Shaffer, D., Gould, M. S., Fisher, P., & Trautman, P. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53(4), 339–348.PubMed

Shafii, M., Steltz-Lenarsky, J., Derrick, A. M., & Beckner, C. (1988). Comorbidity of mental disorders in the post-mortem diagnosis of completed suicide in children and adolescents. Journal of Affective Disorders, 15(3), 227–233.PubMedCrossRef

Simon, T. R., Swann, A. C., Powell, K. E., Potter, L. B., Kresnow, M., & O’Carroll, P. W. (2001). Characteristics of impulsive suicide attempts and attempters. Suicide and Life-Threatening Behavior, 32, 49–59.PubMedCrossRef

Swahn, M. H., Lubell, K. M., & Simon, T. R. (2004). Suicide attempts and physical fighting among high school students—United States, 2001. Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, 53, 474–475.

Tackett, J. L., Krueger, R. F., Sawyer, M. G., & Graetz, B. W. (2003). Subfactors of DSM-IV conduct disorder: Evidence and connections with syndromes from the child behavior checklist. Journal of Abnormal Child Psychology, 31, 647–654.PubMedCrossRef

Thurber, S., & Hollingsworth, D. (1992). Validity of the Achenbach and Edelbrock Youth Self-Report with hospitalized adolescents. Journal of Clinical Child Psychology, 21, 249–254.CrossRef

Vermeiren, R., Schwab-Stone, M., Ruchkin, V. V., King, R. A., Van Heeringen, C., & Deboutte, D. (2003). Suicidal behavior and violence in male adolescents: A school-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 42(1), 41–48.PubMedCrossRef

Titel: Sequelae of Aggression in Acutely Suicidal Adolescents
Auteurs: David C. R. Kerr
Jason J. Washburn
Alan Feingold
Anne C. Kramer
Asha Z. Ivey
Cheryl A. King
Publicatiedatum: 01-10-2007
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 5/2007
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-007-9132-5

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