Psychiatric and Substance use Disorders as Risk Factors for Attempted Suicide Among Adolescents: a Case Control Study

The objective of this research was to test substance-related & non-substance-related psychiatric disorders as predictors of attempted suicide among adolescents. 96 psychiatrically disordered suicide attempters were matched one-to-one to 96 psychiatrically disordered non-attempters on age, ethnicity, gender, & the presence/absence of major depression. Conditional logistic regression was used to test psychiatric risk factors for their […]

Crisis Intervention for Depressed Adolescents with Conduct Problems: two Case Illustrations

Two case illustrations of crisis intervention with depressed adolescents with comorbid conduct problems are presented. The therapist, who works out of a cognitive-behavioral perspective, demonstrates the importance of dealing directly, & openly with the crisis situation from the outset. Further, transcript materials from each case highlights how the therapist can use confrontation, as well as […]

Risk and Protection: are Both Necessary to Understand Diverse Behavioral Outcomes in Adolescence?

This study explored relationships between self-reported exposure to a comprehensive set of risk & protective factors & outcomes, including substance use, school outcomes & delinquency, in a 5-state sample of 6th through 12th-grade students. The results indicate that prevention policies & programs should focus on the reduction of risk & the promotion of protective influences […]

Characteristics, Needs and Reoffending in a Group of Patients With Schizophrenia Formerly Treated in Medium Security

A cohort of 63 patients with schizophrenia formerly treated in medium security & discharged were followed up with case-notes & interviews up to 10 years later. At follow-up 2 were dead by suicide; of the remainder 92% had retained links with psychiatric services, 30% had been reconvicted of at least 1 violent offence, & more […]

Depressed Adolescents With a History of Sexual Abuse: Diagnostic Comorbidity and Suicidality

24 depressed adolescent inpatients (history of sexual abuse) were compared with a matched control group on measures of depression, suicidal ideation & behaviour, & posttraumatic stress disorder (PTSD) symptoms. While some differences between the two groups were found in the prevalence of comorbid PTSD, there were no differences in depression severity, specific depressive symptoms, or […]

Correlation of Suicidal and Violent Behavior in Different Diagnostic Categories in Hospitalized Adolescent Patients

163 adolescent psychiatric inpatients were assessed using a semistructured diagnostic instrument. Scores for depression, suicidal behaviours & violent behaviours were calculated. Anorexia nervosa & conduct disorder patients had the highest suicidal behaviour scores. Scores on the Violent Behavior Scale correlated with suicidal but not depressive symptoms. It is hypothesized that there are 2 types of […]

Adolescent Psychopathology: III. The Clinical Consequences of Comorbidity

In this study of 1,507 adolescents, subjects with a “pure” & comorbid forms of depression, anxiety, substance abuse, & disruptive behaviour disorders were compared on 6 clinical outcome measures. The impact of comorbidity was strongest for academic problems, mental health utilization, & past suicide attempts; intermediate on measures of role functioning & conflict with parents; […]

Mental Health Profiles, Suicidal Behavior, and Community Sexual Assault in 2112 Canadian Adolescents

2112 adolescents in Alberta schools completed measures of emotional & behavioral problems, suicidal behaviours, & of frequency of sexual assault outside of school. 13.2% of 53 girls with frequent, unwanted sexual contact had made more than 2 suicidal gestures or attempts in the previous 6 months, compared to 1.3% of 783 girls with no experience […]

Antisocial Behaviour in Adolescent Suicide

This study characterized adolescent suicides with antosocial behavior in terms of their family & social background, history of suicidal behavior, circumstances of suicide, mental health, & help-seeking behavior. It examined data on 44 males & 9 females in Finland. Antisocial behavior was reported among 43% of the victims. Separation from parents, parental alcohol abuse, parental […]

The Impact of a Suicide Prevention Program for Adolescents on Suicidal Tendencies, Hopelessness, ego Identity, and Coping

This study examines the effectiveness of an experimental suicide prevention program with regard to suicidal tendencies, hopelessness, ego identity, & coping ability in adolescents. The program was based on the notion that a gradual, controlled confrontation & exploration of inner experiences & life difficulties related to suicidal behaviour accompanied by the emphasis on coping strategies […]

Gender Differences Among Adolescent Suicide Attempters

In this study, the sociodemographic & psychological characteristics of female & male suicide attempters seen in a pediatric hospital are compared. There were no sociodemographic differences between the groups. Boys & girls were similar when assessed regarding suicidal ideation, depression, & hopelessness. More males than females were diagnosed with conduct disorders. Some items on the […]

Suicide Attempts Among Juvenile Delinquents; the Contribution of Mental Health Factors

This study examined which, if any, of 4 variables (depression, hopelessness, conduct problems, substance abuse) differentiated suicide attempters from nonattempters among incarcerated juvenile delinquents. 51 male youths served as subjects. Results indicated that depression served as a predictor of suicide attempts in white youth only. Suicide attempts were also reported three times more often among […]

Psychiatric Diagnoses in Minority Female Adolescent Suicide Attempters

Psychiatric diagnoses were examined among 3 groups of minority adolescent females: 61 suicide attempters, 31 psychiatrically disturbed nonattempters & 23 nonattempting, nondistrubed girls. Major or minor depressive disorder was found in 42% of the attempters; conduct disorder in 46%; multiple diagnoses in 38% & no diagnoses in 13%. Only suicidal ideation distinguised attempters from disturbed […]

New Canadian Research: Suicide Attempts in Childhood and Adolescence

The author briefly presents the objectives & results of his research with 202 suicidal children, adolescents, their families & caregivers at the Children’s Hospital of Eastern Ontario. Using DSM-III criteria, the 3 most common diagnoses associated with suicide attempts were found to be adjustment disorders, conduct disorder & major depressive episode. It was also found […]

Crisis Intervention in Children and Adolescents

Discusses emergency mental status examinations for children in crisis. Children & adolescents with conduct disorders, suicidal behavior, psychosis, school refusal, & special problems such as physical or sexual abuse may present in crisis to the family physician. The goal of the emergency mental status examination must be to develop an appropriate intervention.

Adolescent Suicide: Clinical Consultation

Contends that failures in establishing therapeutic linkages & alliances with adolescents at risk for suicidal behavior highlight problems in the interaction between the suicidal adolescent (SAD), his/her interpersonal world & the helping community. Characteristics of the SAD include conduct disordered behavior, depression & psychosis. Substance abuse is a frequently noted co-morbid behavior. 3 case examples […]

A Developmental Study of Aggression and Self-Destruction in Adolescents Who Received Residential Treatment

Self-destructive & aggressive adolescents who had received residential treatment were followed up after discharge to the community. Severity of acting out prior to treatment or during residential treatment was not predictive of follow-up status. Frequency of early separations from parents & the age at which they occurred during the first 6 years was found to […]

Children’s Reaction to Loss of Parent Through Violence

Discusses 21 cases of violent parental loss. A review of the children’s medical records revealed that a majority were from lower socioeconomic families & were of preschool age. They were diagnosed as being overanxious, having dysthymic or conduct disorders & they seemed to be at greater risk developmentally if their current caretakers had conflicted feelings […]

A Controlled Family History Study of Prepubertal Major Depressive Disorder

1st degree & 2nd degree adult relatives of prepubertal children with major depression, children with nonaffective psychiatric disorders, & abnormal children were assessed. Findingssuggest prepubertal onset of major depression is likely in families with high aggregation of affective disorders & a high prevalence of alcholism. Low familial rates of MDD (major depressive disorder) were associated […]

Suicidal Behavior, Depression, & Conduct Disorder in Hospitalized Adolescents

A childhood version of the Schedule for Affective Disorders & Schizophrenia (K-SADS) was used to assess 140 consecutive adolescent psych inpatient admissions. Depression scale scores were correlated with the Suicidality scale scores. Suicidality scores on K-SADS were higher in subjects diagnosed as having conduct disorder. It is concluded that aggression & impulsivity may be factors […]

Psychiatric Problems in Adolescents with Developmental Disabilities

113 adolescents, age 10-21, with developmental disabilities were studied. There were more moderate than profoundly retarded individuals & more younger than older but no unusual patterns regarding sex or race. A wide range of psychopathology was noted with conduct disorders being prominent but very little drug/alcohol abuse, suicide & anorexia. There is only a tendency […]

Symptomatic Depression and Suicidal Ideation: A Comparative Study With 628 Children

Describes a comparison study of 481 children who exhibited symptomatic depression and 147 children who exhibited symptomatic depression and suicidal ideas. Suicidal ideation was associated with hostile intrafamilial relationship. Ideation was associated with age in girls but loss was associated with depression rather than ideation. No specific psychiatric, emotional or conduct disorder symptoms were found […]

A Comparison of the Psychological Evaluation of Adolescents With Anorexia Nervosa and of Adolescents With Conduct Disorders

Cognitive & projective psychological tests were given to 20 female adolescents: 10 with anorexia nervosa & 10 with conduct disorders. All subjects were selected on the basis of race, sex, & overall intelligence. A significant finding was that there were far more suicidal indicators on the Rorschach records in the anorexia group as compared to […]