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Peer Victimization and Suicidal Thoughts and Behaviors in Depressed Adolescents.
J Abnorm Child Psychol. 2018 04; 46(3):581-596.JA

Abstract

Suicide is a leading cause of death among youth worldwide, and depressed adolescents are at a significantly elevated risk to report suicidal ideation, planning, and attempts. Peer victimization is a robust predictor of adolescent suicidal thoughts and behaviors (STBs), but little research has focused on why bullying leads to suicidal thoughts and behaviors. To address this empirical gap, we recruited 340 (246 female) depressed adolescents ages 13-19 (M = 15.59, SD = 1.41) within 48 h of admission for acute psychiatric treatment. At the initial assessment, participants were administered clinical interviews characterizing psychopathology, nonsuicidal self-injury, and STBs (ideation, plans, and attempts). Further, they completed questionnaires assessing 3 forms of victimization (overt, relational, and reputational), recent risky behavior engagement, and psychiatric symptom severity. Controlling for internalizing symptoms and age, overt and reputational bullying were associated with more frequent past month suicide attempts, but not suicide ideation. Past month risky behavior engagement, but not NSSI, mediated the relation between victimization and attempts. However, sex differences revealed that this effect only held for males whereas bullying was directly associated with suicide attempts among females. In contrast, overt and relational bullying were non-linearly associated with suicide plans, and these relations were not mediated by risky behaviors or NSSI. Results highlight the complex network of factors that lead victimized adolescents to engage in STBs and may inform targeted suicide prevention and intervention programs.

Authors+Show Affiliations

Department of Psychiatry, Harvard Medical School, Cambridge, MA, USA. jstewart@mclean.harvard.edu. Center for Depression, Anxiety and Stress Research, McLean Hospital, Mailstop 331, de Marneffe building, room 239, 115 Mill Street, Belmont, MA, 02478-9106, USA. jstewart@mclean.harvard.edu.Department of Psychiatry, Harvard Medical School, Cambridge, MA, USA. Psychiatric Biostatistics Laboratory, McLean Hospital, Mailstop 331, 115 Mill Street, Belmont, MA, 02478-9106, USA.Department of Psychiatry, Harvard Medical School, Cambridge, MA, USA. Center for Depression, Anxiety and Stress Research, McLean Hospital, Mailstop 331, de Marneffe building, room 239, 115 Mill Street, Belmont, MA, 02478-9106, USA.Department of Psychiatry, Harvard Medical School, Cambridge, MA, USA. Center for Depression, Anxiety and Stress Research, McLean Hospital, Mailstop 331, de Marneffe building, room 239, 115 Mill Street, Belmont, MA, 02478-9106, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

28444481

Citation

Stewart, Jeremy G., et al. "Peer Victimization and Suicidal Thoughts and Behaviors in Depressed Adolescents." Journal of Abnormal Child Psychology, vol. 46, no. 3, 2018, pp. 581-596.
Stewart JG, Valeri L, Esposito EC, et al. Peer Victimization and Suicidal Thoughts and Behaviors in Depressed Adolescents. J Abnorm Child Psychol. 2018;46(3):581-596.
Stewart, J. G., Valeri, L., Esposito, E. C., & Auerbach, R. P. (2018). Peer Victimization and Suicidal Thoughts and Behaviors in Depressed Adolescents. Journal of Abnormal Child Psychology, 46(3), 581-596. https://doi.org/10.1007/s10802-017-0304-7
Stewart JG, et al. Peer Victimization and Suicidal Thoughts and Behaviors in Depressed Adolescents. J Abnorm Child Psychol. 2018;46(3):581-596. PubMed PMID: 28444481.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Peer Victimization and Suicidal Thoughts and Behaviors in Depressed Adolescents. AU - Stewart,Jeremy G, AU - Valeri,Linda, AU - Esposito,Erika C, AU - Auerbach,Randy P, PY - 2017/4/27/pubmed PY - 2019/6/14/medline PY - 2017/4/27/entrez KW - Adolescents KW - Non-suicidal self-injury KW - Peer victimization KW - Risky behavior engagement KW - Suicide SP - 581 EP - 596 JF - Journal of abnormal child psychology JO - J Abnorm Child Psychol VL - 46 IS - 3 N2 - Suicide is a leading cause of death among youth worldwide, and depressed adolescents are at a significantly elevated risk to report suicidal ideation, planning, and attempts. Peer victimization is a robust predictor of adolescent suicidal thoughts and behaviors (STBs), but little research has focused on why bullying leads to suicidal thoughts and behaviors. To address this empirical gap, we recruited 340 (246 female) depressed adolescents ages 13-19 (M = 15.59, SD = 1.41) within 48 h of admission for acute psychiatric treatment. At the initial assessment, participants were administered clinical interviews characterizing psychopathology, nonsuicidal self-injury, and STBs (ideation, plans, and attempts). Further, they completed questionnaires assessing 3 forms of victimization (overt, relational, and reputational), recent risky behavior engagement, and psychiatric symptom severity. Controlling for internalizing symptoms and age, overt and reputational bullying were associated with more frequent past month suicide attempts, but not suicide ideation. Past month risky behavior engagement, but not NSSI, mediated the relation between victimization and attempts. However, sex differences revealed that this effect only held for males whereas bullying was directly associated with suicide attempts among females. In contrast, overt and relational bullying were non-linearly associated with suicide plans, and these relations were not mediated by risky behaviors or NSSI. Results highlight the complex network of factors that lead victimized adolescents to engage in STBs and may inform targeted suicide prevention and intervention programs. SN - 1573-2835 UR - https://www.unboundmedicine.com/medline/citation/28444481/Peer_Victimization_and_Suicidal_Thoughts_and_Behaviors_in_Depressed_Adolescents_ L2 - https://doi.org/10.1007/s10802-017-0304-7 DB - PRIME DP - Unbound Medicine ER -