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Young suicide attempters: a comparison between a clinical and an epidemiological sample.
J Am Acad Child Adolesc Psychiatry. 2000 Jul; 39(7):868-75.JA

Abstract

OBJECTIVE

To compare risk factors for self-harm in 2 groups: hospitalized adolescents who had attempted suicide and adolescents reporting suicide attempts in a community survey.

METHOD

All suicide attempters aged 13 to 19 years admitted to medical wards (n = 91) in a region of Norway were assessed and interviewed. Risk factors were identified by comparisons with a general population sample participating in a questionnaire study in the same community (n = 1,736). In this population sample, a separate analysis of risk factors for reporting deliberate self-harm (n = 141) was performed, applying bivariate and multivariate logistic regression models.

RESULTS

Adjusted risk factors for suicide attempts in hospitalized adolescents were depression (odds ratio [OR] = 4.7), disruptive disorders (OR = 9.4), low self-worth (OR = 1.3), infrequent support from parents (OR = 3.3) or peers (OR = 3.3), parents' excessive drinking (OR = 4.3), and low socioeconomic status (OR = 2.4). For adolescents who self-reported self-harm, depression (OR = 3.1) and loneliness (OR = 1.13) were significant adjusted risk factors (p < .001). Low self-worth, low socioeconomic status, and little support from parents or peers characterized hospitalized suicidal adolescents compared with those who were not hospitalized.

CONCLUSIONS

The risk factors were more powerful for hospitalized than for nonhospitalized adolescents. Prevention efforts should target the same factors for both groups, at a population level for nonhospitalized adolescents and at an individual level for hospitalized adolescents, with a focus on depression, low self-esteem, and family communication.

Authors+Show Affiliations

Department Group of Psychiatry, University of Oslo, Norway. groholt@online.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

10892228

Citation

Grøholt, B, et al. "Young Suicide Attempters: a Comparison Between a Clinical and an Epidemiological Sample." Journal of the American Academy of Child and Adolescent Psychiatry, vol. 39, no. 7, 2000, pp. 868-75.
Grøholt B, Ekeberg O, Wichstrøm L, et al. Young suicide attempters: a comparison between a clinical and an epidemiological sample. J Am Acad Child Adolesc Psychiatry. 2000;39(7):868-75.
Grøholt, B., Ekeberg, O., Wichstrøm, L., & Haldorsen, T. (2000). Young suicide attempters: a comparison between a clinical and an epidemiological sample. Journal of the American Academy of Child and Adolescent Psychiatry, 39(7), 868-75.
Grøholt B, et al. Young Suicide Attempters: a Comparison Between a Clinical and an Epidemiological Sample. J Am Acad Child Adolesc Psychiatry. 2000;39(7):868-75. PubMed PMID: 10892228.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Young suicide attempters: a comparison between a clinical and an epidemiological sample. AU - Grøholt,B, AU - Ekeberg,O, AU - Wichstrøm,L, AU - Haldorsen,T, PY - 2000/7/13/pubmed PY - 2000/8/6/medline PY - 2000/7/13/entrez SP - 868 EP - 75 JF - Journal of the American Academy of Child and Adolescent Psychiatry JO - J Am Acad Child Adolesc Psychiatry VL - 39 IS - 7 N2 - OBJECTIVE: To compare risk factors for self-harm in 2 groups: hospitalized adolescents who had attempted suicide and adolescents reporting suicide attempts in a community survey. METHOD: All suicide attempters aged 13 to 19 years admitted to medical wards (n = 91) in a region of Norway were assessed and interviewed. Risk factors were identified by comparisons with a general population sample participating in a questionnaire study in the same community (n = 1,736). In this population sample, a separate analysis of risk factors for reporting deliberate self-harm (n = 141) was performed, applying bivariate and multivariate logistic regression models. RESULTS: Adjusted risk factors for suicide attempts in hospitalized adolescents were depression (odds ratio [OR] = 4.7), disruptive disorders (OR = 9.4), low self-worth (OR = 1.3), infrequent support from parents (OR = 3.3) or peers (OR = 3.3), parents' excessive drinking (OR = 4.3), and low socioeconomic status (OR = 2.4). For adolescents who self-reported self-harm, depression (OR = 3.1) and loneliness (OR = 1.13) were significant adjusted risk factors (p < .001). Low self-worth, low socioeconomic status, and little support from parents or peers characterized hospitalized suicidal adolescents compared with those who were not hospitalized. CONCLUSIONS: The risk factors were more powerful for hospitalized than for nonhospitalized adolescents. Prevention efforts should target the same factors for both groups, at a population level for nonhospitalized adolescents and at an individual level for hospitalized adolescents, with a focus on depression, low self-esteem, and family communication. SN - 0890-8567 UR - https://www.unboundmedicine.com/medline/citation/10892228/Young_suicide_attempters:_a_comparison_between_a_clinical_and_an_epidemiological_sample_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0890-8567(09)66272-9 DB - PRIME DP - Unbound Medicine ER -