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Cited by 183Suicide and Self-Harm StudiesPsychiatric care and mental health servicesHomicide, Infanticide, and Child Abuse

Adolescent Psychiatric Inpatients' Risk of Suicide Attempt at 6-Month Follow-up

BRENT, DAVID A., KOLKO, DAVID J., WARTELLA, MARY E., BOYLAN, MARY BETH, MORITZ, GRACE, BAUGHER, MARIANNE, ZELENAK, JANICE P.·1993·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-199301000-00015
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Abstract

Adolescent inpatients (of whom 48 were admitted for a suicide attempt, 33 were admitted for suicidal ideation, and 53 had no history of clinically significant suicidal ideation or attempt), were interviewed while in the hospital and then followed up 6 months later. Of the 134 patients followed up, 13 (9.7%) had made a suicide attempt. The vast majority of those who attempted suicide had been suicidal while in the hospital (12/13 or 92.3%). Other risk factors for suicidal behavior include major depression at intake, affective disorder with nonaffective comorbidity, a depressive disorder that continued through follow-up, death of a relative, and family financial problems. Suicidal inpatients, particularly those with chronic and recurrent affective illness, are at substantial risk for making a suicide attempt within 6 months of discharge. At follow-up, an even higher proportion showed attempts or suicidal ideation with a plan (N = 36 or 26.8%), with risk factors similar to those noted above. More intense outpatient or partial hospital interventions as a transition from the inpatient environment may be necessary to reduce the rate of recidivism among suicidal adolescents.

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Crossref · 10.1097/00004583-199301000-00015

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  • Brent and colleagues found that the death of a relative was associated with making a suicide attempt in the 6 months following hospital discharge.

    “For example, Brent and colleagues (Brent et al. 1993) found that the death of a relative was associated with making a suicide attempt in the 6 months following hospital discharge.”

    From Life stress and suicide in adolescents (2019) · cites this paper as Brent et al. 1993

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Authors
BRENT, D. A., KOLKO, D. J., WARTELLA, M. E., BOYLAN, M. B., MORITZ, G., BAUGHER, M., & ZELENAK, J. P.
Affiliations
  • University of Pittsburgh (US)
  • St Francis Medical Center (US)
Corresponding author
BRENT, DAVID A.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
1993-01
Volume
32
Issue
1
Pages
95-105
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-199301000-00015
OpenAlex
W1971682771
Cited by
183
References
87
Citations by year
2026: 1 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 7 · 2014: 3 · 2013: 9 · 2012: 6
FWCI
12.62
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5k08mh000581-03)
  • National Institute of Mental Health (K08-MH00581)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
adolescent suicide attempts, suicidal ideation, psychiatric inpatients, suicide risk factors, major depressive disorder, affective comorbidity, family bereavement, transition to outpatient care, partial hospitalization
MeSH terms
Adolescent, Mental Disorders, Family, Female, Follow-Up Studies, Hospitalization, Hospitals, Psychiatric, Humans, Life Change Events, Longitudinal Studies, Male, Psychiatric Status Rating Scales, Risk Factors, Stress, Psychological, Suicide, Attempted, Survival

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