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Cited by 123Suicide and Self-Harm StudiesSubstance Abuse Treatment and OutcomesHomicide, Infanticide, and Child Abuse

Psychiatric disorders and attempted suicide among adolescents with substance use disorders

Kelly, Thomas M, Cornelius, Jack R, Clark, Duncan B·2004·Drug and Alcohol Dependence
DOI 10.1016/j.drugalcdep.2003.10.004
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Abstract

Objective To determine the effects of psychiatric disorders on attempted suicide among adolescents with substance use disorders (SUD). Methods Age of onset for psychiatric disorders, age of first suicide attempt, and the relationship of psychiatric disorder with attempted suicide were investigated in a sample of 503 adolescents with DSM-IV defined SUD (age range: 12.2-19.0 years). Results Males who attempted suicide had a significantly earlier onset of alcohol use disorders (AUD) and significantly more mood, AUD, and disruptive behavior disorder symptoms compared to non-attempting males. Females who attempted suicide had a significantly earlier onset and higher counts of mood disorders and SUD symptoms compared to non-attempting females. Hazard analysis revealed that mood disorders represent the highest psychiatric risk for attempted suicide in both the genders. Attention deficit-hyperactivity disorder (ADHD) increased the risk for attempted suicide among males. The interaction of mood disorder and AUD increased the risk for attempted suicide among females. Conclusions Clinicians should closely monitor SUD adolescents for suicide risk and be aware of gender differences for suicidal behavior based on course and severity of psychiatric disorder in this population.

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Authors
Kelly, T. M., Cornelius, J. R., & Clark, D. B.
Affiliations
University of Pittsburgh (US)
Corresponding author
Kelly, Thomas M
ORCID
Venue
Drug and Alcohol Dependence
Publisher
Elsevier BV
Published
2004-01
Volume
73
Issue
1
Pages
87-97
ISSN
0376-8716 (ISSN-L)
DOI
10.1016/j.drugalcdep.2003.10.004
OpenAlex
W2095120000
Cited by
123
References
46
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 3 · 2020: 8 · 2019: 3 · 2018: 6 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 8 · 2013: 5 · 2012: 8
FWCI
7.32
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Drug and Alcohol Dependence (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service (K08-00280)
  • National Institute on Alcohol Abuse and Alcoholism (R01-AA13370, P50-AA 08746, R01AA013370, K02AA00296, P50AA008746, K02AA000291, K02-AA00291)
  • National Institute on Drug Abuse (R01 DA 14635, P50-DA 05605, R01DA014635, P50DA005605)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicide attempts, adolescents, substance use disorders, alcoholism, mood disorders, attention deficit hyperactivity disorder, disruptive behavior disorders, age of onset, gender differences, suicide risk, psychiatric comorbidity
MeSH terms
Adolescent, Alcoholism, Female, Humans, Male, Pennsylvania, Sex Factors, Suicide, Attempted, Comorbidity, Proportional Hazards Models, Risk Assessment, Attention Deficit and Disruptive Behavior Disorders, Mood Disorders, Substance-Related Disorders

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