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Cited by 11Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbusePersonality Disorders and Psychopathology

Adolescent inpatient girls׳ report of dependent life events predicts prospective suicide risk

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Stone, Lindsey B., Liu, Richard T., Yen, Shirley·2014·Psychiatry Research
DOI 10.1016/j.psychres.2014.05.015PMC PMC4105341
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Abstract

Adolescents with a history of suicidal behavior are especially vulnerable for future suicide attempts, particularly following discharge from an inpatient psychiatric admission. This study is the first to test whether adolescents׳ tendency to generate stress, or report more dependent events to which they contributed, was predictive of prospective suicide events. Ninety adolescent psychiatric inpatients who were admitted for recent suicide risk, completed diagnostic interviews, assessments of history of suicidal behavior, and a self-report questionnaire of major life events at baseline. Participants were followed over the subsequent 6 months after discharge to assess stability vs. onset of suicide events. Cox proportional hazard regressions were used to predict adolescents׳ time to suicide events. Results supported hypothesis, such that only recent greater dependent events, not independent or overall events, predicted risk for prospective suicide events. This effect was specific to adolescent girls. Importantly, dependent events maintained statistical significance as a predictor of future suicide events after co-varying for the effects of several established risk factors and psychopathology. Results suggest that the tendency to generate dependent events may contribute unique additional prediction for adolescent girls׳ prospective suicide risk, and highlight the need for future work in this area.

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  • Three studies in clinical samples of adolescents found that major life events did not predict future suicide attempts after adjusting for psychiatric symptoms and suicide ideation.

    “For example, three studies in clinical samples of adolescents found that, after adjusting for psychiatric symptoms and suicide ideation, major life events did not predict future suicide attempts (Daniel et al. 2017; Massing-Schaffer et al. 2019; Stone et al. 2014).”

    From Life stress and suicide in adolescents (2019) · cites this paper as Stone et al. 2014

  • Stone and colleagues found an association between dependent life events and subsequent attempts among females, but this effect was not robust when controlling for suicide attempt history.

    “However, Stone and colleagues found an association between dependent life events and subsequent attempts among females, though this effect was not robust when controlling for participants’ suicide attempt history.”

    From Life stress and suicide in adolescents (2019) · cites this paper as Stone et al. 2014

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Authors
Stone, L. B., Liu, R. T., & Yen, S.
Affiliations
  • University of Pittsburgh (US)
  • Brown University (US)
Corresponding author
Stone, Lindsey B.
ORCID
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2014-09
Volume
219
Issue
1
Pages
137-142
ISSN
0165-1781 (ISSN-L)
DOI
10.1016/j.psychres.2014.05.015
PMC
PMC4105341
OpenAlex
W2133638236
Cited by
11
References
50
Citations by year
2026: 1 · 2023: 2 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1
FWCI
1.18
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (K23MH69904, K23MH069904)
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 › Personality Disorders and Psychopathology
Keywords
adolescent suicide, suicide risk prediction, major life events, adolescent girls, psychiatric inpatients, suicide attempts, stress generation, post-discharge follow-up
MeSH terms
Adolescent, Adolescent Behavior, Female, Follow-Up Studies, Hospitalization, Humans, Inpatients, Interviews as Topic, Male, Prospective Studies, Risk Factors, Suicide, Suicide, Attempted, Reproducibility of Results, Proportional Hazards Models, Risk Assessment, Suicidal Ideation

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