Trajectories of suicidal ideation among adolescents following psychiatric hospitalization.
Open accessAbstract
Suicidal ideation (SI) is a common presenting problem for psychiatric hospitalizations in adolescents and often persists following discharge. This study examines whether distinct trajectories of SI could be delineated following hospitalization and the risk factors most strongly related to these trajectories. Adolescents (N = 104; 76 females; 28 males) were followed for 6 months after discharge from inpatient or partial hospitalization. Semi-parametric group modeling identified SI trajectory group membership. In all, 33.7% of adolescents fell in a Subclinical SI group, 43.3% in a Declining SI group, and 23.1% in a Chronic SI group. Multinomial logistic regression was utilized to examine baseline predictors of group membership. Emotion dysregulation differentiated Chronic SI from Declining SI. In multivariate analyses, adolescents endorsing greater non-acceptance of emotional responses (OR =1.18) and more limited access to emotion regulation strategies (OR =1.12) were more likely to belong to the Chronic SI than Declining SI trajectory. Those in the Chronic SI group also had the greatest number of suicide attempts and hospitalizations in the 6 months post-discharge. These results suggest that clinicians should closely monitor and address emotion dysregulation when assessing suicide risk. Greater dysregulation may require more intensive services in order to have an effect on chronic SI.
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Persistent death wishes in adolescents are typically interpreted as persistent or chronic suicidality.
“Persistent death wishes in adolescents are typically interpreted as persistent or chronic suicidality, which is associated with increased hopelessness,8 emotion regulation problems,9 early-onset self-harm,10 and co-occurring psychiatric diagnoses.11”
From Requests for Medical Assistance in Dying by Young Dutch People With Psychiatric Disorders (2025) · cites this paper as [9]
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- Authors
- Wolff, J. C., Davis, S., Liu, R. T., Cha, C. B., Cheek, S. M., Nestor, B. A., Frazier, E. A., Schaffer, M. M., & Spirito, A.
- Affiliations
- Brown University (US)
- Columbia University (US)
- Bradley Hospital (US)
- Corresponding author
- Wolff, Jennifer C.
- ORCID
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2017-03-27
- Volume
- 46
- Issue
- 2
- Pages
- 355-363
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- PMC
- PMC5617752
- OpenAlex
- W2598100037
- Cited by
- 95
- References
- 39
- Citations by year
- 2026: 14 · 2025: 13 · 2024: 6 · 2023: 8 · 2022: 18 · 2021: 12 · 2020: 6 · 2019: 10 · 2018: 5 · 2017: 3
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (1R01MH099703-01)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- suicidal ideation, adolescents, psychiatric hospitalization, post-discharge outcomes, longitudinal trajectories, emotional dysregulation, suicide risk, suicide attempts, emotion regulation strategies, partial hospitalization
- MeSH terms
- Adolescent, Affective Symptoms, Anxiety, Mental Disorders, Child, Day Care, Medical, Depression, Female, Follow-Up Studies, Hospitalization, Hospitals, Psychiatric, Humans, Male, Risk Factors, Randomized Controlled Trials as Topic, Suicidal Ideation
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