24-Hour warning signs for adolescent suicide attempts
Little is known about youth may be at greatest risk for attempting suicide, which is critically important information for the parents, caregivers, and professionals who care for youth at risk. This study used adolescent and parent reports, and a case-crossover, within-subject design to identify 24-h...
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Published in | Psychological medicine Vol. 54; no. 7; pp. 1272 - 1283 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Cambridge University Press
01.05.2024
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Subjects | |
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Abstract | Little is known about
youth may be at greatest risk for attempting suicide, which is critically important information for the parents, caregivers, and professionals who care for youth at risk. This study used adolescent and parent reports, and a case-crossover, within-subject design to identify 24-hour warning signs (WS) for suicide attempts.
Adolescents (
= 1094, ages 13 to 18) with one or more suicide risk factors were enrolled and invited to complete bi-weekly, 8-10 item text message surveys for 18 months. Adolescents who reported a suicide attempt (survey item) were invited to participate in an interview regarding their thoughts, feelings/emotions, and behaviors/events during the 24-hours prior to their attempt (case period) and a prior 24-hour period (control period). Their parents participated in an interview regarding the adolescents' behaviors/events during these same periods. Adolescent or adolescent and parent interviews were completed for 105 adolescents (81.9% female; 66.7% White, 19.0% Black, 14.3% other).
Both parent and adolescent reports of suicidal communications and withdrawal from social and other activities differentiated case and control periods. Adolescent reports also identified feelings (self-hate, emotional pain, rush of feelings, lower levels of rage toward others), cognitions (suicidal rumination, perceived burdensomeness, anger/hostility), and serious conflict with parents as WS in multi-variable models.
This study identified 24-hour WS in the domains of cognitions, feelings, and behaviors/events, providing an evidence base for the dissemination of information about signs of proximal risk for adolescent suicide attempts. |
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AbstractList | Abstract
Background
Little is known about
when
youth may be at greatest risk for attempting suicide, which is critically important information for the parents, caregivers, and professionals who care for youth at risk. This study used adolescent and parent reports, and a case-crossover, within-subject design to identify 24-hour warning signs (WS) for suicide attempts.
Methods
Adolescents (
N
= 1094, ages 13 to 18) with one or more suicide risk factors were enrolled and invited to complete bi-weekly, 8–10 item text message surveys for 18 months. Adolescents who reported a suicide attempt (survey item) were invited to participate in an interview regarding their thoughts, feelings/emotions, and behaviors/events during the 24-hours prior to their attempt (case period) and a prior 24-hour period (control period). Their parents participated in an interview regarding the adolescents’ behaviors/events during these same periods. Adolescent or adolescent and parent interviews were completed for 105 adolescents (81.9% female; 66.7% White, 19.0% Black, 14.3% other).
Results
Both parent and adolescent reports of suicidal communications and withdrawal from social and other activities differentiated case and control periods. Adolescent reports also identified feelings (self-hate, emotional pain, rush of feelings, lower levels of rage toward others), cognitions (suicidal rumination, perceived burdensomeness, anger/hostility), and serious conflict with parents as WS in multi-variable models.
Conclusions
This study identified 24-hour WS in the domains of cognitions, feelings, and behaviors/events, providing an evidence base for the dissemination of information about signs of proximal risk for adolescent suicide attempts. BackgroundLittle is known about when youth may be at greatest risk for attempting suicide, which is critically important information for the parents, caregivers, and professionals who care for youth at risk. This study used adolescent and parent reports, and a case-crossover, within-subject design to identify 24-hour warning signs (WS) for suicide attempts.MethodsAdolescents (N = 1094, ages 13 to 18) with one or more suicide risk factors were enrolled and invited to complete bi-weekly, 8–10 item text message surveys for 18 months. Adolescents who reported a suicide attempt (survey item) were invited to participate in an interview regarding their thoughts, feelings/emotions, and behaviors/events during the 24-hours prior to their attempt (case period) and a prior 24-hour period (control period). Their parents participated in an interview regarding the adolescents’ behaviors/events during these same periods. Adolescent or adolescent and parent interviews were completed for 105 adolescents (81.9% female; 66.7% White, 19.0% Black, 14.3% other).ResultsBoth parent and adolescent reports of suicidal communications and withdrawal from social and other activities differentiated case and control periods. Adolescent reports also identified feelings (self-hate, emotional pain, rush of feelings, lower levels of rage toward others), cognitions (suicidal rumination, perceived burdensomeness, anger/hostility), and serious conflict with parents as WS in multi-variable models.ConclusionsThis study identified 24-hour WS in the domains of cognitions, feelings, and behaviors/events, providing an evidence base for the dissemination of information about signs of proximal risk for adolescent suicide attempts. Little is known about youth may be at greatest risk for attempting suicide, which is critically important information for the parents, caregivers, and professionals who care for youth at risk. This study used adolescent and parent reports, and a case-crossover, within-subject design to identify 24-hour warning signs (WS) for suicide attempts. Adolescents ( = 1094, ages 13 to 18) with one or more suicide risk factors were enrolled and invited to complete bi-weekly, 8-10 item text message surveys for 18 months. Adolescents who reported a suicide attempt (survey item) were invited to participate in an interview regarding their thoughts, feelings/emotions, and behaviors/events during the 24-hours prior to their attempt (case period) and a prior 24-hour period (control period). Their parents participated in an interview regarding the adolescents' behaviors/events during these same periods. Adolescent or adolescent and parent interviews were completed for 105 adolescents (81.9% female; 66.7% White, 19.0% Black, 14.3% other). Both parent and adolescent reports of suicidal communications and withdrawal from social and other activities differentiated case and control periods. Adolescent reports also identified feelings (self-hate, emotional pain, rush of feelings, lower levels of rage toward others), cognitions (suicidal rumination, perceived burdensomeness, anger/hostility), and serious conflict with parents as WS in multi-variable models. This study identified 24-hour WS in the domains of cognitions, feelings, and behaviors/events, providing an evidence base for the dissemination of information about signs of proximal risk for adolescent suicide attempts. |
Author | Ahamed, Sheikh Iqbal Casper, T Charles Brent, David Bagge, Courtney L Webb, Michael Al-Dajani, Nadia McGuire, Taylor C King, Cheryl A Grupp-Phelan, Jacqueline Rogers, T Alexander Arango, Alejandra Gipson Allen, Polly Y |
Author_xml | – sequence: 1 givenname: Cheryl A orcidid: 0000-0002-9903-6278 surname: King fullname: King, Cheryl A organization: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA – sequence: 2 givenname: Polly Y surname: Gipson Allen fullname: Gipson Allen, Polly Y organization: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA – sequence: 3 givenname: Sheikh Iqbal orcidid: 0000-0001-5385-7647 surname: Ahamed fullname: Ahamed, Sheikh Iqbal organization: Department of Computer Science, Marquette University, Milwaukee, WI, USA – sequence: 4 givenname: Michael surname: Webb fullname: Webb, Michael organization: Department of Pediatrics, University of Utah, Salt Lake City, UT, USA – sequence: 5 givenname: T Charles orcidid: 0000-0001-7512-1294 surname: Casper fullname: Casper, T Charles organization: Department of Pediatrics, University of Utah, Salt Lake City, UT, USA – sequence: 6 givenname: David orcidid: 0000-0002-5756-2157 surname: Brent fullname: Brent, David organization: Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA – sequence: 7 givenname: Jacqueline orcidid: 0000-0002-8609-1171 surname: Grupp-Phelan fullname: Grupp-Phelan, Jacqueline organization: Department of Emergency Medicine, University of California San Francisco, San Francisco, CA, USA – sequence: 8 givenname: T Alexander surname: Rogers fullname: Rogers, T Alexander organization: Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA – sequence: 9 givenname: Alejandra surname: Arango fullname: Arango, Alejandra organization: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA – sequence: 10 givenname: Nadia orcidid: 0000-0001-7869-8195 surname: Al-Dajani fullname: Al-Dajani, Nadia organization: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA – sequence: 11 givenname: Taylor C orcidid: 0000-0002-2020-5746 surname: McGuire fullname: McGuire, Taylor C organization: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA – sequence: 12 givenname: Courtney L surname: Bagge fullname: Bagge, Courtney L organization: Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37947215$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
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Keywords | Suicide risk risk assessment warning signs acute risk case crossover design clinical risk adolescents suicidal ideation suicide prevention suicide attempt withdrawal youth |
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youth may be at greatest risk for attempting suicide, which is critically important information for the parents, caregivers, and... Abstract Background Little is known about when youth may be at greatest risk for attempting suicide, which is critically important information for the parents,... BackgroundLittle is known about when youth may be at greatest risk for attempting suicide, which is critically important information for the parents,... BACKGROUNDLittle is known about when youth may be at greatest risk for attempting suicide, which is critically important information for the parents,... |
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SubjectTerms | Adolescent Adolescent Behavior - psychology Adolescent girls Adolescents Alcohol At risk populations Behavior Caregivers Disease control Disease prevention Dissemination Drug use Emergency medical care Emotions Ethnicity Female Gender identity Hispanic Americans Hostility Humans Information dissemination Interviews Male Non-binary gender Parents & parenting Polls & surveys Rage Risk Factors Rumination Signs Suicidal behavior Suicidal Ideation Suicide Suicide, Attempted Suicides & suicide attempts Surveys Surveys and Questionnaires Teenagers |
Title | 24-Hour warning signs for adolescent suicide attempts |
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