Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization
Open accessAbstract
Remarkably little is known regarding the temporal course of adolescent suicidal ideation and behavior, the prediction of suicidal attempts from changes in suicidal ideation, or the prediction of suicidal attempts after accounting for suicidal ideation as a predictor. A sample of 143 adolescents 12-15 years old was assessed during psychiatric inpatient hospitalization and again at 3, 6, 9, 15, and 18 months postdischarge through a series of structured interviews and parent- and adolescent-reported instruments. Symptoms of depression, posttraumatic stress disorder, externalizing psychopathology, hopelessness, and engagement in several forms of self-injurious/suicidal behaviors (i.e., suicide threats/gestures, plans, nonsuicidal self-injury [NSSI]) were assessed. Latent growth curve analyses revealed a period of suicidal ideation remission between baseline and 6 months following discharge, as well as a subtle period of suicidal ideation reemergence between 9 and 18 months postdischarge. Changes in suicidal ideation predicted suicide attempts. After accounting for the effects of suicidal ideation, baseline suicide threats/gestures also predicted future suicide attempts. Higher adolescent-reported depressive symptoms, lower parent-reported externalizing symptoms, and higher frequencies of NSSI predicted weaker suicidal ideation remission slopes. Findings underscore the need for more longitudinal research on the course of adolescent suicidality.
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The period following discharge from a psychiatric hospitalization is a time of increased risk for suicidal behavior including deaths by suicide.
“The period following discharge from a psychiatric hospitalization is a time of increased risk for suicidal behavior [6–8] including deaths by suicide [9].”
From Skills to Enhance Positivity in adolescents at risk for suicide: Protocol for a randomized controlled trial (2023) · cites this paper as [8]
NSSI is often a precursor to suicidal behaviors in females, while many males who attempt suicide report little or no NSSI history.
“NSSI is often a precursor to suicidal behaviors in females, but many males attempting suicide report little or no NSSI history (8, 9).”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [9]
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References 67 · Cited by 435
- Authors
- Prinstein, M. J., Nock, M. K., Simon, V., Aikins, J. W., Cheah, C. S. L., & Spirito, A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Harvard University (US)
- Wayne State University (US)
- University of Connecticut (US)
- University of Maryland, Baltimore County (US)
- Brown University (US)
- ORCID
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2008
- Volume
- 76
- Issue
- 1
- Pages
- 92-103
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC3703821
- OpenAlex
- W2122469332
- Cited by
- 435
- References
- 67
- Citations by year
- 2026: 22 · 2025: 23 · 2024: 43 · 2023: 23 · 2022: 24 · 2021: 28 · 2020: 24 · 2019: 29 · 2018: 25 · 2017: 27 · 2016: 36 · 2015: 26 · 2014: 24 · 2013: 24 · 2012: 19
- FWCI
- 14.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Radboud Repository (Radboud University) (submittedVersion)
- UNC Libraries
- Funders
- National Institute of Mental Health (R01-MH59766)
- American Foundation for Suicide Prevention
- 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 suicidal ideation, suicide attempts, hospitalization, non-suicidal self-injury, suicide planning, depression, externalizing problems, post-traumatic stress disorder, hopelessness, longitudinal trajectories
- MeSH terms
- Adolescent, Child, Depressive Disorder, Female, Follow-Up Studies, Hospitalization, Humans, Internal-External Control, Longitudinal Studies, Male, New England, Personality Assessment, Psychometrics, Risk Factors, Sex Factors, Stress Disorders, Post-Traumatic, Suicide, Attempted, Comorbidity, Self-Injurious Behavior, Risk Assessment
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