Journal ArticleDOI
Clinical and Psychosocial Predictors of Suicide Attempts and Nonsuicidal Self-Injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT)
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TLDR
A history of nonsuicidal self-injury prior to treatment is a clinical marker for subsequent suicide attempts and should be as carefully assessed in depressed youths as current suicidal intent and behavior.Abstract:
Objective:The authors assessed whether clinical and psychosocial factors in depressed adolescents at baseline predict suicide attempts and nonsuicidal self-injury over 28 weeks of follow-up. Method:Participants were 164 adolescents with major depressive disorder taking part in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT). Clinical symptoms, family function, quality of current personal friendships, and suicidal and nonsuicidal self-harm were assessed at baseline. Suicidal and nonsuicidal self-harm thoughts and behaviors were assessed during 28 weeks of follow-up. Results:High suicidality, nonsuicidal self-injury, and poor family function at entry were significant independent predictors of suicide attempts over the 28 weeks of follow-up. Nonsuicidal self-injury over the follow-up period was independently predicted by nonsuicidal self-injury, hopelessness, anxiety disorder, and being younger and female at entry. Conclusions:Both suicidal and nonsuicidal self-harm persisted in dep...read more
Citations
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Journal ArticleDOI
Self-harm and suicide in adolescents.
TL;DR: Major challenges include the development of greater understanding of the factors that contribute to self-harm and suicide in young people, especially mechanisms underlying contagion and the effect of new media.
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Suicide, Suicide Attempts, and Suicidal Ideation
TL;DR: The ideation-to-action framework stipulates that the development of suicidal ideation and the progression from ideation to suicide attempts are distinct phenomena with distinct explanations and predictors.
Journal ArticleDOI
Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies.
Jessica D. Ribeiro,Joseph C. Franklin,Kathryn R. Fox,Kate H. Bentley,Evan M. Kleiman,Bernard P. Chang,Matthew K. Nock +6 more
TL;DR: Prior SITBs confer risk for later suicidal thoughts and behaviors, however, they only provide a marginal improvement in diagnostic accuracy above chance, and addressing gaps in study design, assessment, and underlying mechanisms may prove useful in improving prediction and prevention of suicidal thought and behaviors.
Journal ArticleDOI
Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial.
Trudie Rossouw,Peter Fonagy +1 more
TL;DR: MBT-A was more effective than TAU in reducing self-harm and depression, explained by improved mentalization and reduced attachment avoidance and reflected improvement in emergent BPD symptoms and traits.
Journal ArticleDOI
Examining the link between nonsuicidal self-injury and suicidal behavior: a review of the literature and an integrated model.
TL;DR: An extensive review of the research on NSSI and suicidal behavior among adolescents and adults concludes that an integrated model is introduced and several recommendations for future research are provided to extend theory development.
References
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TL;DR: The findings indicate that the CGAS can be a useful measure of overall severity of disturbance and is recommended to both clinicians and researchers as a complement to syndrome-specific scales.
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TL;DR: In this paper, a systematic review aimed to examine the results of studies of suicide that used a psychological autopsy method, which offers the most direct technique currently available for examining the relationship between particular antecedents and suicide.
Journal Article
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TL;DR: The results indicated that mental disorder was the most strongly associated variable of those that have been studied and suicide prevention strategies may be most effective if focused on the treatment of mental disorders.
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John S. March,Susan G. Silva,Stephen Petrycki,John F. Curry,Karen C. Wells,John A. Fairbank,Barbara J. Burns,Marisa Elena Domino,Steven McNulty,Benedetto Vitiello,Joanne B. Severe +10 more
TL;DR: The combination of fluoxetine with CBT offered the most favorable tradeoff between benefit and risk for adolescents with major depressive disorder.