The DOI matches its Crossref record, with a small difference in title or year; 42 of the 43 references it cites were found in a registry or an index.
Longitudinal trajectories of suicidal ideation and subsequent suicide attempts among adolescent inpatients.
Open accessAbstract
A period of particularly high risk for suicide attempts among adolescent inpatients is within 12 months after discharge. However, little is known about longitudinal trajectories of suicidal ideation in this high-risk group and how these relate to posthospitalization suicide attempts and rehospitalizations. Our objectives were to identify these trajectories and examine their relationships with posthospitalization psychiatric crises. We also examined predictors of trajectory group membership. Participants (N = 376; ages 13-17; 72% female) were assessed at hospitalization and 3, 6, and 12 months later. Trajectory groups, and their predictors, were identified with latent class growth modeling. We used logistic regression to examine associations between trajectory groups and likelihood of suicide attempts and rehospitalization, controlling for attempt history. Three trajectory groups were identified: (a) subclinical ideators (31.6%), (b) elevated ideators with rapidly declining ideation (57.4%), and (c) chronically elevated ideators (10.9%). Adolescents in the chronically elevated ideation group had 2.29, confidence interval (CI) [1.08, 4.85], p = .03, and 4.15, CI [1.65, 10.44], p < .01, greater odds of attempting suicide and 3.23, CI [1.37, 7.69], p = .01, and 11.20, CI [4.33, 29.01], p < .001, greater odds of rehospitalization relative to rapidly declining and subclinical groups, respectively. Higher baseline hopelessness was associated with persisting suicidal ideation. Results suggest that suicidal ideation severity at hospitalization may not be an adequate marker for subsequent suicidal crises. It is important to identify adolescents vulnerable to persisting suicidal ideation, as they are at highest risk of psychiatric crises. Addressing hopelessness may facilitate faster declines in ideation after hospitalization. Results also highlight a need for consistent monitoring of these adolescents' suicidal ideation after discharge.
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“Persistent death wishes in adolescents are typically interpreted as persistent or chronic suicidality, which is associated with increased hopelessness,8 emotion regulation problems,9 early-onset self-harm,10 and co-occurring psychiatric diagnoses.11”
From Requests for Medical Assistance in Dying by Young Dutch People With Psychiatric Disorders (2025) · cites this paper as [8]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“their improvement was most rapid after psychiatric hospitalization, consistent with earlier studies that reported depressive symptoms and suicide ideation reduction following the first week of admission or even brief intervention”
From Time in treatment: Examining mental illness trajectories across inpatient psychiatric treatment (2020) · cites this paper as Czyz and King, 2015
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“which includes previous suicide attempts, the most robust clinical predictor of a future suicide attempt.14,19”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [19]
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Metadata
- Authors
- Czyz, E. K., & King, C. A.
- Affiliations
- University of Michigan (US)
- Corresponding author
- King, Cheryl A.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2013-09-30
- Volume
- 44
- Issue
- 1
- Pages
- 181-193
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC3969893
- OpenAlex
- W1999044853
- Cited by
- 165
- References
- 43
- Citations by year
- 2026: 15 · 2025: 18 · 2024: 13 · 2023: 13 · 2022: 18 · 2021: 14 · 2020: 18 · 2019: 18 · 2018: 15 · 2017: 5 · 2016: 14 · 2015: 1 · 2014: 3
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K24MH077705, R01 MH63881, K24MH77705, R01MH063881)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- suicidal ideation, suicide attempts, adolescents, inpatient psychiatric hospitalization, longitudinal trajectories, hopelessness, suicide risk monitoring
- MeSH terms
- Adolescent, Female, Hospitalization, Humans, Inpatients, Longitudinal Studies, Male, Patient Discharge, Suicide, Attempted, Time Factors, Risk Assessment, Suicidal Ideation
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