Development of an ecological momentary assessment of the impact of social media use among suicidal adolescents

Objective: We aimed to develop an ecological momentary assessment (EMA) measure and sampling protocol to assess the near-term impact of experiences with social media use (SMU) that are associated with risk and protective factors for adolescent suicide. Methods: To develop the EMA measure, we consulted literature reviews and conducted focus groups with the target population, adolescents at […]

Genetic risk, parental history, and suicide attempts in a diverse sample of US adolescents

Background: Adolescent suicide is a major health problem in the US marked by a recent increase in risk of suicidal behavior among Black/African American youth. While genetic factors partly account for familial transmission of suicidal behavior, it is not clear whether polygenic risk scores of suicide attempt can contribute to suicide risk classification. Objectives: To evaluate the […]

Adolescents’ primary care consultations before and after parental suicide: Evidence from population‑wide data

Parental bereavement is associated with distress and poorer long-term outcomes among adolescents. Adolescents who lose a parent to suicide fare worse than their peers even before bereavement. Based on the current literature, we cannot distinguish such initial differences from the medium and long-term effect of parental suicide. We study the impact of parental suicide on […]

Suicidal thoughts and behaviors in psychiatrically hospitalized adolescents pre- and post- COVID-19: A historical chart review and examination of contextual correlates

Background: Psychiatrically vulnerable adolescents may be at heightened risk for suicide during the COVID-19 pandemic. This study characterizes suicidal ideation (SI) and suicide attempts (SA) in a sample of adolescents psychiatrically hospitalized during COVID-19. Rates of SI and SA are compared to a historical hospital sample from a matched period in the year prior. Associations between […]

Mental health-related emergency department visits in adolescents before and during the COVID-19 pandemic: A multicentric retrospective study

Purpose The purpose of this study was to compare pre/post-COVID-19 changes in mental health–related emergency department visits among adolescents. Methods We conducted a retrospective analysis of all mental health–related emergency department visits in two large tertiary pediatric hospital centers between January 2018 and December 2020. We described monthly pre/post-COVID-19 changes in frequency and proportion of mental […]

Mental health service utilization, school experiences, and religious involvement among a national sample of black adolescents who attempt suicide: Examining within and cross-race group differences

Prior suicide attempt serves as one of the strongest predictors of future suicide attempt and risk for death by suicide among youth. Disparities, however, persist in determining which groups have access to services following an attempt. Thus, we compare the experiences of Black youth with a history of lifetime suicide attempt to youth from other […]

Temporal trends in suicide attempts among adolescents aged 12–15 years from 12 low‑ and middle‑income countries

Purpose Suicide is a major public health problem, especially in low- and middle-income countries (LMICs). However, current data on temporal trends in suicide attempts are limited. Therefore, we explored the temporal trends in suicide attempts among adolescents aged 12–15 years from 12 LMICs. Methods The data for this study were obtained from the Global School-based Student […]

Clustering of suicides in children and adolescents

Suicide is one of the major causes of death in young people, in whom suicide can occur in clusters. In this Review, we have investigated definitions and epidemiology of such clusters, the factors associated with them, mechanisms by which they occur, and means of intervening and preventing them. Clustering of suicidal behaviour is more common […]

A systematic review of school-based suicide prevention interventions for adolescents, and intervention and contextual factors in prevention

Suicide is the fourth leading cause of death among adolescents, globally. Though post-primary, school-based suicide prevention (PSSP) has the potential to be a key strategy for preventing adolescent suicidal thoughts and behaviours (STBs), there are persisting challenges to translating PSSP research to practice. Intervention and contextual factors relevant to PSSP are likely key to both […]

Relationship between suicide attempt and medical morbidity in adolescent girls

This study assessed whether suicide attempts before 20 years of age were associated with medical morbidity later in life. We carried out a cohort study of 169,806 girls under age 20 years between 1989 and 2019 in Quebec, Canada. The cohort included 8086 girls admitted for suicide attempts, matched on age and year with 161,720 girls with […]

Cognitive flexibility and impulsivity deficits in suicidal adolescents

Although neurocognitive deficits have been documented in adolescents with suicidal ideation (SI) and suicide attempts (SA), it is unclear whether certain impairments differentiate these groups, potentially suggesting heightened risk for SA. Focus on specific facets of impulsivity and cognitive control may indicate distinctions between adolescents with SA vs. SI. The current study examined dimensions of […]

Epidemiological behavior of suicide attempt in Colombian adolescents years 2016-2019: An ecological study

Objective: Characterize the behavior of attempted suicide in adolescents in Colombia, and its associated epidemiological factors from 2016 to 2019. Method: Quantitative, observational, descriptive, and ecological study. The sample was extracted from the database of the Integrated Social Protection Information System, by identifying cases of attempted suicide for ages in the range from 12 to […]

The associations of cumulative adverse childhood experiences and irritability with mental disorders in detained male adolescent offenders

Background Adverse childhood experiences (ACEs) and psychiatric disorders are common in juvenile detainees. Emotional dysregulation resulting from cumulated ACEs may be characterized by symptoms of irritability. The present study examined whether the accumulation of ACEs, irritability, or both predicted mental disorders in incarcerated adolescents with and without controlling for one another and for socio-demographic factors. […]

What’s unique about lesbian, gay, bisexual, and transgender (LGBT) youth and young adults suicides? Findings from the National Violent Death Reporting System

Purpose: The purpose of the study was to explore variability in circumstances around suicide deaths among youth and young adults by sexual/gender identity category (gay male, lesbian/gay female, bisexual male, bisexual female, transgender male, transgender female, non-LGBT [lesbian, gay, bisexual, and transgender] male, and non-LGBT female). Methods: Secondary analysis of National Violent Death Reporting System (NVDRS) data […]

Suicide risk in adolescents with fetal alcohol spectrum disorders

Background The teratogenic effects of prenatal alcohol exposure (PAE) have been extensively documented over the course of 45 years of research and psychiatric problems are pervasive in this population. In adults with PAE, suicidal risk is high but less is known about the suicidal risk in adolescents with fetal alcohol spectrum disorders (FASD). This study describes […]

National guidelines for child and youth behavioral health crisis care

The National Guidelines for Child and Youth Behavioral Health Crisis Care offers best practices, implementation strategies, and practical guidance for the design and development of services that meet the needs of children, youth, and their families experiencing a behavioral health crisis. Additional technical guidance is provided in a companion report produced by SAMHSA in conjunction with the […]

Sleep influences daily suicidal ideation through affective reactivity to interpersonal events among high-risk adolescents and young adults

Background: Identifying proximal risk factors for suicidal ideation that are modifiable and relevant for adolescents and young adults is critical for suicide prevention. This study used an intensive monitoring approach to examine whether objectively- and subjectively- measured sleep characteristics predict next-day suicidal ideation occurrence and intensity through affective reactivity to interpersonal events in young people at […]

Strength in numbers: The promise of community-based participatory research in rural education

Montana is a state that is ravaged by a suicide epidemic and mental health crisis, particularly among its youth. In an area in which harsh climates, geographic challenges, and distance to rural healthcare providers are significant barriers to mental healthcare accessibility, educators are faced with the acute social and emotional challenges of their students on […]

Prospective development and validation of the computerized adaptive screen for suicidal youth

Objective  To develop and independently validate a novel computerized adaptive screen for suicidal youth (CASSY) for use as a universal screen for suicide risk in medical emergency departments (EDs). Design, Setting, and Participants  Study 1 of this prognostic study prospectively enrolled adolescent patients at 13 geographically diverse US EDs in the Pediatric Emergency Care Applied Research Network. […]

Non-suicidal self-injury in adolescence: The role of pre-existing vulnerability and COVID-19-related stress

For many adolescents, the COVID-19 pandemic represents a uniquely challenging period, and concerns have been raised about whether COVID-19-related stress may increase the risk for self-injurious behaviors among adolescents. This study examined the impact of pre-existing vulnerabilities on the occurrence and frequency of Non-Suicidal Self-Injury (NSSI) through COVID-19-related stress, and whether the impact of COVID-19-related […]

Increased immunological markers in female adolescents with non-suicidal self-injury

Background Nonsuicidal self-injury (NSSI) is a prevalent health problem among adolescents and commonly associated with psychological stressors such as childhood maltreatment and comorbid psychiatric disorders (e.g., depression). There is evidence that alterations of immunological markers may occur in the context of both environmental stress and psychopathological development. Method Here, we investigated differences in plasma/serum leukocytes, cortisol, […]

Family therapy for adolescents with depression and suicidal ideation: A systematic review and meta–analysis

Objective To systematically review and meta-analyze the effectiveness of family therapy compared to other active treatments for adolescents with depressive disorders or suicidal ideation. Method We conducted a systematic search of The Cochrane Central Register of Controlled Trials, Medline, Embase, PsycINFO, AMED, CINAHL and Web of Science and performed two meta-analyses of outcomes for depressive […]

Biosignature of self-injury behaviors in adolescence: Role of β-endorphin in an acute inpatient unit

Self-injurious behavior (SIB) (either non-suicidal self-injury, NSSI; or suicide attempts, SA) is a common reason for adolescent psychiatric emergency hospitalizations. Altered basal serum β-endorphin (BE) levels have been reported in adults with a history of SIB, but information is lacking in adolescents. We analyzed the psychoclinical profile and serum BE level of 39 adolescents admitted […]