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Cited by 553Suicide and Self-Harm StudiesChild Abuse and TraumaHomicide, Infanticide, and Child Abuse

Childhood Adversities, Interpersonal Difficulties, and Risk for Suicide Attempts During Late Adolescence and Early Adulthood

Johnson, Jeffrey G., Cohen, Patricia, Gould, Madelyn S., Kasen, Stephanie, Brown, Jocelyn, Brook, Judith S.·2002·Archives of General Psychiatry
DOI 10.1001/archpsyc.59.8.741
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Abstract

BACKGROUND: Data from a community-based longitudinal study were used to investigate the association between childhood adversities, interpersonal difficulties during adolescence, and suicide attempts during late adolescence or early adulthood. METHODS: A community sample of 659 families from Upstate New York was interviewed in 1975, 1983, 1985 to 1986, and 1991 to 1993. During the 1991-1993 interview, the mean age of the offspring was 22 years. RESULTS: Maladaptive parenting and childhood maltreatment were associated with an elevated risk for interpersonal difficulties during middle adolescence and for suicide attempts during late adolescence or early adulthood after age, sex, psychiatric symptoms during childhood and early adolescence, and parental psychiatric symptoms were controlled statistically. A wide range of interpersonal difficulties during middle adolescence were associated with risk for suicidal behavior after the covariates were controlled. Profound interpersonal difficulties during middle adolescence mediated the association between maladaptive parenting or childhood maltreatment and suicide attempts during late adolescence or early adulthood. CONCLUSIONS: Maladaptive parenting and childhood maltreatment may be associated with a risk for severe interpersonal difficulties during adolescence. These interpersonal difficulties may play a pivotal role in the development of suicidal behavior. Youths who are at an elevated risk for suicide may tend to be in need of mental health services that can help them to cope with an extensive history of profound interpersonal difficulties, beginning in childhood and continuing through adolescence.

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Authors
Johnson, J. G., Cohen, P., Gould, M. S., Kasen, S., Brown, J., & Brook, J. S.
Affiliations
  • New York State Psychiatric Institute (US)
  • Columbia University (US)
  • Columbia University Irving Medical Center (US)
  • Mount Sinai Hospital (US)
Corresponding author
Johnson, Jeffrey G.
ORCID
Venue
Archives of General Psychiatry
Publisher
American Medical Association (AMA)
Published
2002-08-01
Volume
59
Issue
8
Pages
741
ISSN
0003-990X (ISSN-L)
DOI
10.1001/archpsyc.59.8.741
OpenAlex
W2158106673
Cited by
553
References
5
Citations by year
2026: 8 · 2025: 17 · 2024: 12 · 2023: 15 · 2022: 19 · 2021: 28 · 2020: 29 · 2019: 28 · 2018: 39 · 2017: 24 · 2016: 25 · 2015: 29 · 2014: 38 · 2013: 36 · 2012: 28
FWCI
14.57
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of General Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Mental Health (MH-36971, R01MH036971)
  • National Institute on Drug Abuse (DA 03188, R01DA003188)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
childhood adversity, child abuse, maladaptive parenting, interpersonal problems, suicide attempts, suicidal behavior, late adolescence, early adulthood, mediation, adolescent development
MeSH terms
Adolescent, Psychology, Adolescent, Adult, Age Factors, Mental Disorders, Child Abuse, Family Health, Female, Humans, Interpersonal Relations, Life Change Events, Longitudinal Studies, Male, Parent-Child Relations, Parents, Risk Factors, Sampling Studies, Stress, Psychological, Suicide, Attempted, Prevalence

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