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Cited by 78Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseChild and Adolescent Psychosocial and Emotional Development

Suicidal ideation, deliberate self-harm behaviour and suicide attempts among adolescent outpatients with depressive mood disorders and comorbid axis I disorders

Tuisku, Virpi, Pelkonen, Mirjami, Karlsson, Linnea, Kiviruusu, Olli, Holi, Matti, Ruuttu, Titta, Punamäki, Raija-Leena, Marttunen, Mauri·2006·European Child & Adolescent Psychiatry
DOI 10.1007/s00787-005-0522-3
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Abstract

Objective We aimed to analyse and compare prevalence and associated clinical features of suicidal ideation, self-harm behaviour with no suicidal intent and suicide attempts among adolescent outpatients with depressive mood disorders with or without comorbidity.Method A sample of 218 consecutive adolescent outpatients aged 13-19 years with depressive mood disorders was interviewed using K-SADS-PL for DSM-IV Axis I diagnoses. They filled out self-report questionnaires assessing depressive and anxiety symptoms. Suicidal behaviour was assessed by K-SADS-PL suicidality items.Results Half of the subjects reported suicidal ideation or behaviour. There was no difference in prevalence of suicidal behaviour between non-comorbid and comorbid mood disorder groups. Multivariate logistic regression analyses produced the following associations: (1) suicidal ideation with self-reported depressive symptoms and poor psychosocial functioning, (2) deliberate self-harm behaviour with younger age and poor psychosocial functioning, and (3) suicide attempts with self-reported depressive symptoms and poor psychosocial functioning.Conclusions Depressed mood disorders, whether comorbid or not, are associated with suicidal ideation and suicide attempts. Diagnostic assessment should be supplemented by self-report methods when assessing suicidal behaviour in depressed adolescents.

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Authors
Tuisku, V., Pelkonen, M., Karlsson, L., Kiviruusu, O., Holi, M., Ruuttu, T., Punamäki, R.-L., & Marttunen, M.
Affiliations
  • Helsinki University Hospital (FI)
  • Tampere University (FI)
  • University of Eastern Finland (FI)
ORCID
Venue
European Child & Adolescent Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2006-04-08
Volume
15
Issue
4
Pages
199-206
ISSN
  • 1018-8827 (ISSN-L)
  • 1435-165X
DOI
10.1007/s00787-005-0522-3
OpenAlex
W2014156409
Cited by
78
References
54
Citations by year
2025: 1 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 10 · 2013: 8 · 2012: 8
FWCI
4.06
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • European Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
suicidal ideation, self-harm, suicide attempts, adolescent depression, comorbidities, Axis I disorders, psychosocial functioning, depressive symptoms, suicide risk assessment, adolescents
MeSH terms
Adolescent, Adult, Anxiety Disorders, Depressive Disorder, Female, Finland, Humans, Male, Risk Factors, Suicide, Suicide, Attempted, Comorbidity, Prevalence, Multivariate Analysis, Self-Injurious Behavior, Age Distribution, Sex Distribution

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