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Gepubliceerd in: Journal of Abnormal Child Psychology 2/2018

27-03-2017

Trajectories of Suicidal Ideation among Adolescents Following Psychiatric Hospitalization

Auteurs: Jennifer C. Wolff, Stephanie Davis, Richard T. Liu, Christine B. Cha, Shayna M. Cheek, Bridget A. Nestor, Elisabeth A. Frazier, Maya Massing Schaffer, Anthony Spirito

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 2/2018

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Abstract

Suicidal ideation (SI) is a common presenting problem for psychiatric hospitalizations in adolescents and often persists following discharge. This study examines whether distinct trajectories of SI could be delineated following hospitalization and the risk factors most strongly related to these trajectories. Adolescents (N = 104; 76 females; 28 males) were followed for 6 months after discharge from inpatient or partial hospitalization. Semi-parametric group modeling identified SI trajectory group membership. In all, 33.7% of adolescents fell in a Subclinical SI group, 43.3% in a Declining SI group, and 23.1% in a Chronic SI group. Multinomial logistic regression was utilized to examine baseline predictors of group membership. Emotion dysregulation differentiated Chronic SI from Declining SI. In multivariate analyses, adolescents endorsing greater non-acceptance of emotional responses (OR =1.18) and more limited access to emotion regulation strategies (OR =1.12) were more likely to belong to the Chronic SI than Declining SI trajectory. Those in the Chronic SI group also had the greatest number of suicide attempts and hospitalizations in the 6 months post-discharge. These results suggest that clinicians should closely monitor and address emotion dysregulation when assessing suicide risk. Greater dysregulation may require more intensive services in order to have an effect on chronic SI.
Voetnoten
1
Analyses using the Subclinical SI group as the reference group are available upon request.
 
2
When all predictors were included in the multivariate model, a potential suppressor effect was observed for the emotion regulation variables, likely due to the high correlation between non-acceptance of emotional responses and limited access to emotion regulation strategies (r = .60, p < .001). Therefore, we ran the multivariate model twice, once including non-acceptance of emotional responses and once including limited access to emotion regulation strategies. The suppressor effect remained in the latter model, so our final model only includes the non-acceptance of emotional responses subscale. For more details regarding suppressor effects, see Cohen and Cohen (1983), Tzelgov and Avishai (1991), Tabachnick and Fidell (1996).
 
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Metagegevens
Titel
Trajectories of Suicidal Ideation among Adolescents Following Psychiatric Hospitalization
Auteurs
Jennifer C. Wolff
Stephanie Davis
Richard T. Liu
Christine B. Cha
Shayna M. Cheek
Bridget A. Nestor
Elisabeth A. Frazier
Maya Massing Schaffer
Anthony Spirito
Publicatiedatum
27-03-2017
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 2/2018
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-017-0293-6

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