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Psychiatric symptoms and their relationship to suicidal ideation in a high-risk adolescent community sample.
J Am Acad Child Adolesc Psychiatry. 2002 Jan; 41(1):44-51.JA

Abstract

OBJECTIVE

The purpose of the current study was to investigate the importance of diagnostic factors in the prediction of adolescent suicidal ideation in a high-risk community sample.

METHOD

Seventy-three high school students, aged 14 to 18 years, identified by school personnel as exhibiting emotional disturbance participated in the study. Psychiatric disorders were assessed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiologic Version 5, and suicidal ideation with the Modified Scale for Suicidal Ideation.

RESULTS

Seventy-four percent of the sample met criteria for a psychiatric disorder. Continuous measures of psychiatric symptoms provided stronger prediction of suicidal ideation than dichotomous measures. In particular, severity of symptoms associated with mood disorders afforded the strongest prediction of suicidal ideation. Moreover, although significantly related to suicidal ideation at the bivariate level, symptoms associated with disruptive behavior, anxiety, and substance use disorders did not predict suicidal ideation over and above mood disorder symptoms.

CONCLUSIONS

Adolescents presenting with emotional disturbance should be carefully screened for depression given the strong relationship between depressive symptoms and suicidal ideation. Furthermore, improved prediction of suicidal ideation may be obtained through the utilization of continuous measures of psychiatric symptoms in suicide research.

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Authors+Show Affiliations

Esposito CL
Virginia Tech, Blacksburg, USA.
Clum GA
No affiliation info available

MeSH

AdolescentAffective SymptomsComorbidityDepressive DisorderFemaleHumansMaleMass ScreeningPersonality InventoryRiskSampling StudiesSuicide, AttemptedVirginia

Pub Type(s)

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

Language

eng

PubMed ID

11800204

Citation

Esposito, Christianne L., and George A. Clum. "Psychiatric Symptoms and Their Relationship to Suicidal Ideation in a High-risk Adolescent Community Sample." Journal of the American Academy of Child and Adolescent Psychiatry, vol. 41, no. 1, 2002, pp. 44-51.
Esposito CL, Clum GA. Psychiatric symptoms and their relationship to suicidal ideation in a high-risk adolescent community sample. J Am Acad Child Adolesc Psychiatry. 2002;41(1):44-51.
Esposito, C. L., & Clum, G. A. (2002). Psychiatric symptoms and their relationship to suicidal ideation in a high-risk adolescent community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 41(1), 44-51.
Esposito CL, Clum GA. Psychiatric Symptoms and Their Relationship to Suicidal Ideation in a High-risk Adolescent Community Sample. J Am Acad Child Adolesc Psychiatry. 2002;41(1):44-51. PubMed PMID: 11800204.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychiatric symptoms and their relationship to suicidal ideation in a high-risk adolescent community sample. AU - Esposito,Christianne L, AU - Clum,George A, PY - 2002/1/22/pubmed PY - 2002/2/28/medline PY - 2002/1/22/entrez SP - 44 EP - 51 JF - Journal of the American Academy of Child and Adolescent Psychiatry JO - J Am Acad Child Adolesc Psychiatry VL - 41 IS - 1 N2 - OBJECTIVE: The purpose of the current study was to investigate the importance of diagnostic factors in the prediction of adolescent suicidal ideation in a high-risk community sample. METHOD: Seventy-three high school students, aged 14 to 18 years, identified by school personnel as exhibiting emotional disturbance participated in the study. Psychiatric disorders were assessed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiologic Version 5, and suicidal ideation with the Modified Scale for Suicidal Ideation. RESULTS: Seventy-four percent of the sample met criteria for a psychiatric disorder. Continuous measures of psychiatric symptoms provided stronger prediction of suicidal ideation than dichotomous measures. In particular, severity of symptoms associated with mood disorders afforded the strongest prediction of suicidal ideation. Moreover, although significantly related to suicidal ideation at the bivariate level, symptoms associated with disruptive behavior, anxiety, and substance use disorders did not predict suicidal ideation over and above mood disorder symptoms. CONCLUSIONS: Adolescents presenting with emotional disturbance should be carefully screened for depression given the strong relationship between depressive symptoms and suicidal ideation. Furthermore, improved prediction of suicidal ideation may be obtained through the utilization of continuous measures of psychiatric symptoms in suicide research. SN - 0890-8567 UR - https://www.unboundmedicine.com/medline/citation/11800204/Psychiatric_symptoms_and_their_relationship_to_suicidal_ideation_in_a_high_risk_adolescent_community_sample_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0890-8567(09)60587-6 DB - PRIME DP - Unbound Medicine ER -