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Psychiatric Effects of Exposure to Suicide among the Friends and Acquaintances of Adolescent Suicide Victims
Abstract
The friends and acquaintances (N = 58) of 10 adolescent suicide victims were interviewed 6 months after the death of the victims, and the rates of psychiatric disorders that had onset after the death were compared with the 6-month incidence of psychopathology in 58 demographically and psychiatrically matched unexposed controls. The exposed group showed higher rates of any new onset major depressive disorder, but the rate of incident suicide attempts was the same in both groups. The median onset of incident depression among the exposed group was within the first month after exposure, and the majority of those exposed youth with incident depression were still depressed at interview 6 months after the death. Adolescent friends and acquaintances of suicide victims experience considerable psychiatric morbidity subsequent to exposure to suicide, most consistent with pathological grief.
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There is evidence of increased new onset psychiatric problems (e.g., depression, anxiety, PTSD, and substance abuse) shortly after bereavement and irrespective of kinship relationship with the deceased.
“there is evidence of increased new onset psychiatric problems (e.g., depression, anxiety, PTSD, and substance abuse) shortly after bereavement and irrespective of kinship relationship with the deceased”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Brent et al., 1992
Studies on suicidal behavior in peer suicide-exposed adolescents have presented mixed findings, with some mostly cross-sectional studies reporting increased risks, but other mostly controlled and longitudinal studies not.
“Studies that have reported on suicidal behavior in peer suicide-exposed adolescents have presented mixed findings, with some mostly cross-sectional studies (Bjarnason & Thorlindsson, 1994;Blum, Harmon, Harris, Bergeisen, & Resnick, 1992;Ho et al., 2000;Pirelli & Jeglic, 2009;Smith & Crawford, 1986) reporting increased risks, but other mostly controlled and longitudinal studies not (Brent et al., 1”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Brent et al., 1992
Preloss features include family and personal history of psychiatric problems, closeness of relationship, and having known about the suicide plan.
“Preloss features include family and personal history of psychiatric problems, closeness of relationship, and having known about the suicide plan”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Brent et al., 1992
Personal history of depression and family history of psychopathology are related to new onset psychiatric problems after the loss.
“personal history of depression and family history of psychopathology are related to new onset psychiatric problems after the loss”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Brent et al., 1992
Studies did not find increased risks of attempted suicide or suicide among friends versus acquaintances exposed to a suicide, despite increased onset of psychopathology shortly after bereavement.
“studies did not find increased risks of attempted suicide or suicide among friends versus acquaintances exposed to a suicide (Brent et al., 1992(Brent et al., , 1996b(Brent et al., , 1994,;,;Feigelman & Gorman, 2008;Swanson & Colman, 2013;Watkins & Gutierrez, 2003), despite increased onset of psychopathology shortly after bereavement (Brent et al., 1993a(Brent et al., , 1993b(Brent et al., , 1994”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Brent et al., 1992
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Metadata
- Authors
- BRENT, D. A., PERPER, J., MORITZ, G., ALLMAN, C., FRIEND, A., SCHWEERS, J., ROTH, C., BALACH, L., & HARRINGTON, K.
- Affiliations
- Allegheny County (US)
- Corresponding author
- BRENT, DAVID A.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1992-07
- Volume
- 31
- Issue
- 4
- Pages
- 629-639
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2059342948
- Cited by
- 99
- References
- 53
- Citations by year
- 2025: 1 · 2024: 4 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 4 · 2012: 5
- FWCI
- 10.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh044711-06)
- National Institute of Mental Health (MH44711)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- suicide bereavement, adolescent suicide, post-traumatic depression, major depressive disorder, suicide attempts, pathological grief, psychiatric morbidity, bereavement
- MeSH terms
- Suicide Prevention, Adolescent, Mental Disorders, Female, Humans, Imitative Behavior, Male, Peer Group, Personality Assessment, Risk Factors, Suicide
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