Domains of Chronic Stress and Suicidal Behaviors Among Inpatient Adolescents
Abstract
Little is known about the role of chronic stress in youth suicidal behaviors. This study examined the relations between specific domains of chronic stress and suicidal behaviors among 131 inpatient youth (M age = 15.02 years) who completed measures of stress, suicidal ideation, suicide attempt, and suicide intent. After controlling for demographics, diagnostic status, past history of attempt, and life event stress, the predictors of suicidal ideation were chronic stress in family relationships, close friendship, and physical health. Chronic close friendship stress also predicted suicide intent among attempters after controlling for covariates. No domain robustly predicted the presence of an attempt or moderated the relation between life event stress and suicidal behaviors. These findings highlight the role of certain domains of chronic stress in suicidal ideation and suicide intent.
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Pettit and colleagues found that greater chronic stress exposure predicted suicide ideation but not attempts among adolescent inpatients.
“Similarly, Pettit and colleagues (Pettit et al. 2011) focused on chronic difficulties and found that greater chronic stress exposure predicted suicide ideation but not attempts among adolescent inpatients.”
From Life stress and suicide in adolescents (2019) · cites this paper as Pettit et al. 2011
Cites
Joiner, T. E. (2007) · Harvard University Press eBooks · doi:10.2307/j.ctvjghv2f · Cited by 2,891 · see citing works
Beyond the tower of Babel: A nomenclature for suicidology
O'Carroll, P. W., Berman, A. L., Maris, R. W., Moscicki, E. K., Tanney, B. L., & Silverman, M. M. (1996) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1996.tb00609.x · Cited by 982 · see citing works
Development of suicidal intent scales.
Beck, A. T., Schuyler, D., & Herman, I. (1974) · Cited by 663 · see citing works
Rudolph, K. D., & Hammen, C. (1999) · Child Development · doi:10.1111/1467-8624.00048 · Cited by 646 · see citing works
Social and Interpersonal Factors Relating to Adolescent Suicidality: A Review of the Literature
King, C. A., & Merchant, C. R. (2008) · Archives of Suicide Research · doi:10.1080/13811110802101203 · Cited by 441 · see citing works
Children of depressed mothers: Maternal strain and symptom predictors of dysfunction.
Hammen, C. L., Adrian, C., Gordon, D., Burge, D., Jaenicke, C., & Hiroto, D. (1987) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.96.3.190 · Cited by 355 · see citing works
Children of depressed mothers: maternal strain and symptom predictors of dysfunction
Hammen, C., Adrian, C., Gordon, D., Burge, D., Jaenicke, C., & Hiroto, D. (1987) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.96.3.190 · Cited by 354 · see citing works
The Modified Scale for Suicidal Ideation: Reliability and validity.
Miller, I. W., Norman, W. H., Bishop, S. B., & Dow, M. G. T. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.54.5.724 · Cited by 301 · see citing works
The Modified Scale for Suicidal Ideation: Reliability and validity.
Miller, I. W., Norman, W. H., Bishop, S. B., et al. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.5.724 · Cited by 239 · see citing works
Suicide Attempts, Gender, and Sexual Abuse: Data From the 2000 British Psychiatric Morbidity Survey
Bebbington, P., Cooper, C., Minot, S., Brugha, T. S., Jenkins, R., Meltzer, H., & Dennis, M. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09030310 · Cited by 155 · see citing works
Family Factors in Youth Suicidal Behaviors
Wagner, B. M., Silverman, M. A. C., & Martin, C. E. (2003) · American Behavioral Scientist · doi:10.1177/0002764202250661 · Cited by 153 · see citing works
Neighborhood poverty and suicidal thoughts and attempts in late adolescence
Dupéré, V., Leventhal, T., & Lacourse, É. (2008) · Psychological Medicine · doi:10.1017/s003329170800456x · Cited by 137 · see citing works
Grover, K. E., Green, K. L., Pettit, J. W., Monteith, L. L., Garza, M. J., & Venta, A. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20632 · Cited by 135 · see citing works
Self-citationMental Health Screening and Assessment in Juvenile Justice
Arredondo, D. E. (2006) · Psychiatric Services · doi:10.1176/appi.ps.57.7.1048-a · Cited by 124 · see citing works
Alcohol Use Disorders and Risk Factor Interactions for Adolescent Suicidal Ideation and Attempts
Kelly, T. M., Lynch, K. G., Donovan, J. E., & Clark, D. B. (2001) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.31.2.181.21512 · Cited by 119 · see citing works
Child and Young Adolescent Suicide in New Zealand
Beautrais, A. L. (2001) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/0004867010060514 · Cited by 109 · see citing works
Asarnow, J. R., Baraff, L. J., Berk, M., Grob, C., Devich-Navarro, M., Suddath, R., Piacentini, J., & Tang, L. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181799ee8 · Cited by 106 · cited 1× · see citing works
“, breakups and pregnancy) predicted the presence of an attempt among youth (Asarnow et al., 2008).”
BackgroundPrecipitant Stressors in Adolescent Suicide
MARTTUNEN, M. J., Aro, H. M., & Lönnqvist, J. K. (1993) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199311000-00010 · Cited by 97 · see citing works
Assessment of Suicidal Behaviors and Risk Among Children and Adolescents
Goldston, D. B., Nottelmann, E. D., Asharali, A., Daniel, S. S., Frazier, P. A., HARRIS, A. E., Longino, L., Manno, J. E., Reboussin, B. A., & Lewinsohn, P. M. (2000) · Cited by 89 · see citing works
Chronic stress and stressful life events in the offspring of parents with bipolar disorder.
Ostiguy, C. S., Ellenbogen, M., Linnen, A.-M., Walker, E., Hammen, C., & Hodgins, S. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.08.006 · Cited by 79 · see citing works
Risk Factors for Suicidality Among a Nationally Representative Sample of High School Students
Epstein, J. A., & Spirito, A. (2009) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2009.39.3.241 · Cited by 69 · see citing works
Pettit, J. W., Garza, M. J., Grover, K. E., Schatte, D. J., Morgan, S. T., Harper, A., & Saunders, A. E. (2009) · Depression and Anxiety · doi:10.1002/da.20575 · Cited by 68 · see citing works
Self-citationSuicide Attempts Among Depressed Adolescents in Primary Care
Fordwood, S. R., Asarnow, J. R., Huizar, D. P., & Reise, S. P. (2007) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410701444355 · Cited by 63 · see citing works
Shaw, F. E. (2008) · Cited by 36 · see citing works
Predisposing Factors in Suicide Attempts
Overholser, J. C. (2003) · Elsevier eBooks · doi:10.1016/b978-012657951-2/50004-2 · Cited by 19 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Role of Social Support in Adolescent Suicidal Ideation and Suicide Attempts
Miller, A. B., Esposito-Smythers, C. L., & Leichtweis, R. N. (2015) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2014.10.265 · Cited by 302 · see citing works
Life stress and suicide in adolescents
Stewart, J. G., Shields, G. S., Esposito, E. C., Cosby, E. A., Allen, N. B., Slavich, G. M., & Auerbach, R. P. (2019) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-019-00534-5 · Cited by 144 · see citing works
Mackin, D. M., Perlman, G., Davila, J., Kotov, R., & Klein, D. N. (2017) · Psychological Medicine · doi:10.1017/s0033291716003275 · Cited by 127 · see citing works
First onset of suicidal thoughts and behaviours in college
Mortier, P., Demyttenaere, K., Auerbach, R. P., Cuijpers, P. J., Green, J. G., Kiekens, G., Kessler, R. C., Nock, M. K., Zaslavsky, A. M., & Bruffaerts, R. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.09.033 · Cited by 125 · see citing works
Buitron, V., Hill, R. M., Pettit, J. W., Green, K. L., Hatkevich, C. E., & Sharp, C. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.09.077 · Cited by 115 · see citing works
Self-citationGlenn, C. R., Cha, C. B., Kleiman, E. M., & Nock, M. K. (2017) · Clinical Psychological Science · doi:10.1177/2167702616686854 · Cited by 113 · see citing works
Miller, A. B., Adams, L. M., Esposito-Smythers, C. L., Thompson, R., & Proctor, L. J. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.10.009 · Cited by 57 · see citing works
Suicidal ideation and suicide attempts among Tunisian adolescents: prevalence and associated factors
guedria, A., Missaoui, S., Kalai, W., Gaddour, N., & Gaha, L. (2019) · Pan African Medical Journal · doi:10.11604/pamj.2019.34.105.19920 · Cited by 54 · see citing works
Assessment and Management of Suicide Risk in Children and Adolescents
Pettit, J. W., Buitron, V., & Green, K. L. (2018) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2018.04.001 · Cited by 52 · see citing works
Self-citationMassing‐Schaffer, M., Nesi, J. L., Telzer, E. H., Lindquist, K. A., & Prinstein, M. J. (2020) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2020.1750019 · Cited by 50 · see citing works
Moller, C. I., Cotton, S., Badcock, P. B., Hetrick, S. E., Berk, M., Dean, O. M., Chanen, A. M., & Davey, C. G. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.11.085 · Cited by 46 · see citing works
Miller, A. B., Esposito-Smythers, C. L., & Leichtweis, R. N. (2015) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12196 · Cited by 41 · see citing works
Suicidal Behavior and Stress Generation in Adolescents
Liu, R. T., & Spirito, A. (2019) · Clinical Psychological Science · doi:10.1177/2167702618810227 · Cited by 26 · see citing works
Choi, J.-W., Lee, M.-J., Ki, M., Lee, J.-Y., Song, Y.-J., Kim, M., Lee, S., Park, S., & Lim, J. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016130 · Cited by 24 · see citing works
A review and conceptual model of the association of Type D personality with suicide risk
Denollet, J., Trompetter, H. R., & Kupper, N. H. M. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.03.056 · Cited by 20 · see citing works
Stress exposure in at‐risk , depressed, and suicidal adolescents
Stewart, J. G., Pizzagalli, D. A., & Auerbach, R. P. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13935 · Cited by 20 · see citing works
Otto, A., Jarvers, I., Kandsperger, S., Reichl, C., Ando, A., Koenig, J., Kaess, M., & Brunner, R. M. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.07.032 · Cited by 18 · see citing works
Family Dysfunction and Suicide Risk in a Community Corrections Sample
Clark, C. B., Li, Y., & Cropsey, K. L. (2016) · Crisis · doi:10.1027/0227-5910/a000406 · Cited by 16 · see citing works
Hill, R. M., Pettit, J. W., Green, K. L., Morgan, S. T., & Schatte, D. J. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2011.00067.x · Cited by 15 · see citing works
Self-citationRisk profile of young people admitted to hospital for suicidal behaviour in Melbourne, Australia
Borschmann, R., Stark, P., Prakash, C., & Sawyer, S. M. (2018) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.13938 · Cited by 14 · see citing works
Self‐Destructive Symptomatic Frames in Clinical Adolescents: Is the Same Different?
Cruz, D., Narciso, I. D. S. B., Pereira, C. R., & Sampaio, D. (2014) · Journal of Research on Adolescence · doi:10.1111/jora.12152 · Cited by 8 · see citing works
Longitudinal pathways between suicidal ideation and life stress
Uliaszek, A. A., Hamdullahpur, K., Amestoy, M. E., & Carnovale, M. (2023) · Anxiety Stress & Coping · doi:10.1080/10615806.2023.2165646 · Cited by 7 · see citing works
COVID-19-Specific Suicidal Thoughts and Behaviors in Psychiatrically Hospitalized Adolescents
Burke, T. A., Bettis, A. H., Kudinova, A. Y., Thomas, S. A., Nesi, J. L., Ergüder, L., MacPherson, H. A., Thompson, E., Ammerman, B. A., & Wolff, J. C. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-021-01225-3 · Cited by 6 · see citing works
Lee, H., Jadhav, K., Ripperger, M. A., Coleman, P. L., Morley, T. J., Palmer, S. A., Han, L., Chen, Q. M., Bejan, C. A., Ruderfer, D. M., et al. (2026) · JAMA Network Open · doi:10.1001/jamanetworkopen.2026.0589 · Cited by 3 · see citing works
The Relationship between Social Supports on Mental Health among University Students in Klang Valley
Amin, S. M., Ibrahim, N. F., Nazuri, N. S., & Suhaimi, S. S. A. (2024) · International Journal of Academic Research in Business and Social Sciences · doi:10.6007/ijarbss/v14-i8/22301 · Cited by 3 · see citing works
Interpersonal Needs and Social Support
Kleiman, E. M., Coppersmith, D. D. L., & Deming, C. A. (2018) · Advances in mental health and addiction · doi:10.1007/978-3-030-03225-8_7 · Cited by 3 · see citing works
Social Connectedness and the Recent Development of Suicidal Ideation During Adolescence
Knorr, A. C., Behrens, B., & Ammerman, B. A. (2026) · Archives of Suicide Research · doi:10.1080/13811118.2026.2666680 · Cited by 1 · see citing works
Hill, R. M. (2015) · doi:10.25148/etd.fidc000057 · Cited by 1 · see citing works
- Authors
- Pettit, J. W., Green, K. L., Grover, K. E., Schatte, D. J., & Morgan, S. T.
- Affiliations
- Florida International University (US)
- University of Houston (US)
- The University of Texas Health Science Center at Houston (US)
- Prairie View A&M University (US)
- Corresponding author
- Pettit, Jeremy W.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2011-04-29
- Volume
- 40
- Issue
- 3
- Pages
- 494-499
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- OpenAlex
- W2065649300
- Cited by
- 31
- References
- 23
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 3 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 3 · 2012: 2
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- 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 › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- chronic stress, suicidal behavior, adolescents, suicidal ideation, suicide attempts, suicidal intent, family relationships, close friendships, physical health, life events
- MeSH terms
- Adolescent, Mental Disorders, Female, Humans, Inpatients, Interview, Psychological, Male, Psychiatric Status Rating Scales, Psychological Tests, Stress, Psychological, Suicide, Attempted, Suicidal Ideation
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