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Cited by 81Suicide and Self-Harm StudiesChild Abuse and TraumaHomicide, Infanticide, and Child Abuse

A within-person approach to risk for suicidal ideation and suicidal behavior: Examining the roles of depression, stress, and abuse exposure.

Open access
Miller, Adam Bryant, Eisenlohr-Moul, Tory, Giletta, Matteo, Hastings, Paul D., Rudolph, Karen D., Nock, Matthew K., Prinstein, Mitchell J.·2017·Journal of Consulting and Clinical Psychology
DOI 10.1037/ccp0000210PMC PMC5477992
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Abstract

OBJECTIVE: This study tests a novel, within-person model that reexamines depression and stress as risk factors for suicidal ideation and behavior among adolescent girls with and without sexual/physical abuse histories. METHOD: This longitudinal study includes data from 220 adolescent girls between 12 and 16 years of age (M = 14.69 years, SD = 1.37; 61% White). At baseline, adolescents reported the presence or absence of prior abuse as part of a clinical interview. At baseline and every 3 months for 18 months, adolescents completed measures of suicidal ideation and behavior, depressive symptoms, and stress. RESULTS: Multilevel models examined within-person mean, deviations from within-person mean, depression, and stress and their interactions with abuse as predictors of suicidal ideation and behavior. In addition to within-person mean depression, higher-than-usual depression (odds ratio [OR] = 1.99) and higher-than-usual stress (OR = 1.53) predicted greater risk of suicidal ideation at each follow-up assessment. Periods of higher-than-usual stress (1 SD increase) and periods of higher-than-usual depression (1 SD increase) were associated with an 82% and 57% increase in the odds of suicidal behavior, respectively, but only among those with abuse histories. CONCLUSION: Depression, stress, and abuse are well-known risk factors for suicidal ideation and behavior; however, it has been unclear for whom, and when, these factors have their greatest impact. These results show that depression and stress are potent risk factors among those with a history of abuse and that within-person elevations in these risk factors signal increased short-term risk of suicidal ideation and behavior. (PsycINFO Database Record

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  • In prior analyses using this sample, there was a significant interaction between lifetime abuse and increased risk of suicidal behavior at follow-up timepoints characterized by higher-than-usual depression.

    “In our prior analyses using this sample, we identified a significant interaction between lifetime abuse and increased risk of suicidal behavior at follow-up timepoints characterized by higher-than-usual depression [33].”

    From HPA axis response and psychosocial stress as interactive predictors of suicidal ideation and behavior in adolescent females: a multilevel diathesis-stress framework (2018) · cites this paper as [33]

  • Miller and colleagues found that higher than usual chronic strain predicted suicide ideation and was prospectively associated with suicidal behavior among female adolescents, but only among those reporting prior abuse.

    “Finally, Miller and colleagues (Miller et al. 2017) also found that higher than usual chronic strain predicted suicide ideation and was prospectively associated with suicidal behavior among female adolescents. However, the latter effect only occurred among those reporting prior abuse.”

    From Life stress and suicide in adolescents (2019) · cites this paper as Miller et al. 2017

  • The current findings match a consistent pattern seen in prior studies of chronic stress and adolescent suicidal thoughts and behaviors.

    “These results replicate a remarkably consistent pattern of findings across studies that have explicitly examined chronic stress in the context of adolescent STBs (Grover et al. 2009; Kelly etal. 2001; Miller et al. 2017; Pettit et al. 2011).”

    From Life stress and suicide in adolescents (2019) · cites this paper as Miller et al. 2017

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Authors
Miller, A. B., Eisenlohr-Moul, T., Giletta, M., Hastings, P. D., Rudolph, K. D., Nock, M. K., & Prinstein, M. J.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Tilburg University (NL)
  • University of Illinois Urbana-Champaign (US)
  • Harvard University (US)
ORCID
Venue
Journal of Consulting and Clinical Psychology
Publisher
American Psychological Association (APA)
Published
2017-07
Volume
85
Issue
7
Pages
712-722
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
DOI
10.1037/ccp0000210
PMC
PMC5477992
OpenAlex
W2607430612
Semantic Scholar
b67c2e3859398ca24f93e571e107986f5e24ad1a
Cited by
81
References
62
Citations by year
2026: 4 · 2025: 5 · 2024: 9 · 2023: 14 · 2022: 9 · 2021: 9 · 2020: 11 · 2019: 13 · 2018: 6 · 2017: 1
FWCI
10.52
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
  • Tilburg University Research Portal (publishedVersion)
  • Research portal (Tilburg University) (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • UNC Libraries
Funders
National Institutes of Health (F32 MH108238 and R01 MH085505)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicidal ideation, suicidal behavior, adolescent girls, depression, stress, sexual abuse, physical abuse, within-person variability, risk factors, short-term risk
MeSH terms
Adolescent, Child, Child Abuse, Depression, Female, Humans, Longitudinal Studies, Risk Factors, Stress, Psychological, Suicide, Attempted, Suicidal Ideation

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