Leveraging general risk surveillance to reduce suicide in early adolescents: Associations between suicidality, disordered eating, and other developmental risk factors

Objective Suicide is a leading cause of death in early adolescents (i.e., children ages 11–14), underscoring the need for a more complex understanding of suicidality in youth. Syndemics framework posits that the overlap of multiple maladaptive behaviors (or risk factors) produces worse health outcomes compared to each behavior alone. The use of this framework in […]

Evidence In-Sight request summary: Suicide in adolescents with developmental disabilities.

This report was researched and written to address the following question(s):  What are the best practices for supporting adolescents with developmental disabilities who are exhibiting suicidal behaviour?  Are there particular considerations for working with this at-risk population? We prepared the report given the contextual information provided in our first communications (see Overview of inquiry). […]

Suicidality in a clinical and community sample of adults with mental retardation.

Suicidal ideation and suicidal gestures are evident in adults with mental retardation, including individuals not receiving mental health services currently, and that psychosocial correlates of suicidality are similar to those noted in the general population. Adults with mental retardation who report thinking that life is not worth living should be a target group for future […]

Suicide behavior in persons with intellectual disability.

Suicide is today in the Western world one of the leading causes of death and most people have had suicidal ideation at some time during their life. In the population of persons with intellectual disability some researchers have thought that impaired intellectual capacity could act as a buffer to suicidal behavior, but the fact is […]

Putting developmental disability on the suicide prevention agenda.

Developmental disability encompasses a diverse range of conditions. This population is vulnerable to physiological, psychological, social, economic, and environmental correlates associated with suicide risk (Lunsky, 2004), and individuals with developmental disabilities die by suicide and manifest suicidal behaviors (Lunsky, 2004; Merrick et al., 2005). However,given their proximity to families, caregivers, and providers, suicide should be […]

Socio-economic trends report on disability, mental health, and wellness.

Every Canadian will experience the effects of mental illness in their lifetime. One in five report having a mental illness. The rate for persons with developmental disabilities is five times higher. Mental illness is a primary concern for 21-40% of these individuals. Vecova’s socio-economic trends report let’s you stay on top of the trends, understand […]

Early intervention and prevention of self-injurious behaviour exhibited by young children with developmental disabilities.

The ontogeny of self-injurious behaviour exhibited by young children with developmental delays or disabilities is due to a complex interaction between neurobiological and environmental variables. In this manuscript, the literature on emerging self-injury in the developmental disability population is reviewed with a focus on an operant conceptual model of how topographies of self-injurious behaviour can […]

An Empirical Typology of Youth With Severe Emotional Disturbances

Cluster analysis was used to identify groups of children & adolescents with severe emotional disturbances on the basis of 8 child risk factor questions gathered at intake. The sample of 171 youth was divided into 5 clusters: physically abused, suicide attempt risk, delinquent risk, low risk, & sexually abused. Differences were noted among clusters on […]

A Review of Suicidality in Persons With Intellectual Disability


ADD, ADHD, Drugs, Depression and Suicide in Children

Drugs for the treatment of Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder may predispose children to depression & suicide. This article examines the effects of various treatments, including the risk of suicide with antidepressant therapy. (14 refs.)

Suicide in Psychiatric Disorders

This book overviews & explores new areas of suicidal behaviours mainly in relation to psychiatric disorders. Chapters are also included on the effects of antidepressants on the suicide mortality of patients with major depression, attention deficit hyperactivity disorder, management of suicide risk in the psychiatric emergency department, suicide risk among epileptic patients, drug therapies, perspectives […]

ADHD and Aggression as Correlates of Suicidal Behavior in Assaultive Prepubertal Psychiatric Inpatients

43 psychiatrically hospitalized prepubertal children were assessed regarding their assaultive & suicidal behaviours. These children were subsequently classified as assaultive/suicidal or assaultive-only. Assaultive/suicidal children had higher aggression & suicidal-scale scores, but not higher derepssion scores, & were likely to be diagnosed with ADHD. Aggression mediated the relation between ADHD & suicidal behaviours. Differences in symptom […]

Correlates and Predictors of Self-Reported Suicide Attempts Among Incarcerated Youths

The correlates & predictors of suicidal behaviours among 900 young offenders in detention centres in South Australia were investigated. Past suicide attempts were significantly predictive of future suicide attempts. Other variables both concurrently & prospectively associatied with suicidal behaviours were substance use, prolonged dysphoric mood, attention deficit hyperactivity disorder signs, & having a bad temper. […]

Making Stone Soup: Evidence-Based Practice for a Suicidal Youth With Comorbid Attention-Deficit/Hyperactivity Disorder and Major Depressive Disorder

Crisis intervention for suicidal youth with comorbid attention-deficit/hyperactivity disorder (ADHD)/major depressive disorder (MDD) presents special challenges for evidence-based practitioners. This article reviews the treatment literature on suicide and comorbid ADHD/MDD. The findings are applied to a clinical case vignette. A 2-phase intervention based on expert consensus guidelines is introduced as a way of addressing both […]

Mania and Attention Deficit Hyperactivity Disorder in a Prepubertal Child: Diagnostic and Treatment Challenges


Suicidal Ideation Among Children Taking Atomoxetine (Strattera)


Social and Psychiatric Functioning in Adolescents With Asperger Syndrome Compared With Conduct Disorder

This paper reports psychoscial functioning in 20 male adolescents with Asperger Syndrome (AS), defined according to current ICD-10 criteria, & a comparison group of 20 male adolescents with severe conduct disorder. In assessment, the AS group showed severe functioning & psychiatrict mobidity. High levels of anxiety & obsessional disorders were found in As; depression, suicidal […]

Mortality and Causes of Death in Pervasive Development Disorders

In the present study, the authors rediagnosed & followed a clinical sample of 341 children with related pervasive developmental disorders for an average of 24 years. At the end of that period, 12 patients had died. For the whole group crude mortality was 3.5%. 2 patients were reported as having died by suicide. The distribution […]

Acute Psychiatric Inpatient Care for People With a Dual Diagnosis: Patient Profiles and Lengths of Stay

The characteristics of psychiatry inpatients with developmental disabilities & their admissions to psychiatry wards in 2 acute care hospitals are described. 62 individuals with developmental disabilities had 101 admissions over the study period. Suicidal ideation was the most common admission reason (46%), & mood disorder was the most common discharge diagnosis (29%). Variables that were […]

Effects of Prenatal Alcohol Exposure on Social Behavior in Humans and Other Species

This article presents research relating to the effects of prenatal alcohol exposure across the lifespan of humans & other species. The review presented suggests that exposure to alcohol during the prenatal stage can affect the social behavior of individuals during all stages of life. Studies included demonstrate deficits in attachment behavior, state regulation, social skills, […]

The Numbers Count: Mental Disorders in America

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Understanding Clinical Depression – Is Your Teenager Depressed? – Teenage Suicide: a Not-So Secret Killer – Suicide: Intervention and Prevention – The Family’s Influence on Depression and Suicide

These chapters are from the book, “Helping Your Depressed Teenager: a Guide for Parents and Caregivers”. The first defines clinical depression & discusses causes of depression. The second chapter discusses warning signs of teenage depression & what parents can do to help. The third chapter reviews the problem of adolescent suicide & the fourth chapter […]

Self-Mutilation (IN: The Harvard Medical School Guide to Suicide Assessment and Intervention, edited by D G Jacobs)

This chapter begins by discussing the difference between suicide & self-mutilation. Culturally sanctioned & pathological forms of self-mutilation are described. An extensive discussion classifies self-injurious behavior into the following categories: major self-mutilation, stereotypic self-mutilation, superficial-to-moderate self-mutilation (further divided into compulsive type, episodic type, & repetitive syndrome). Treatment strategies are discussed & clinical implications are addressed.