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Cited by 209Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseChild and Adolescent Psychosocial and Emotional Development

Incidence and Predictors of Suicidal Behaviors in a Longitudinal Sample of Young Adolescents

MCKEOWN, ROBERT E., GARRISON, CAROL Z., CUFFE, STEVEN P., WALLER, JENNIFER L., JACKSON, KIRBY L., ADDY, CHERYL L.·1998·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-199806000-00011
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Abstract

Objective This analysis examines 1-year transition probabilities and baseline predictors for suicidal behaviors in young adolescents.Method Adolescents from a two-stage, community-based longitudinal study were classified into suicidal behavior categories (attempt, plan, ideation, and none) for baseline and follow-up years. Transition probabilities for movement among categories were calculated, and polytomous logistic regression analysis was used to examine predictors of suicidal behaviors.Results Among those with no suicidal behaviors at baseline, 1-year incidence rates were 1.3% for attempts and 1.7% each for plans and ideation. Increasing family cohesion was protective for suicide attempts (odds ratio [OR] = 0.9). Female subjects were more likely than males to report plans (OR = 8.9) and ideation (OR = 4.1). Increasing impulsivity (OR = 2.3), prior suicidal behavior (OR = 10.6), and undesirable life events (OR = 1.1) were significant predictors of plans.Conclusions While there are a number of predictors of suicidal behaviors, the false-positive rate is high. Focusing on proximal risk factors, particularly stressors in adolescent development, may overlook the fundamental role of underlying mental disorder and familial factors--both biological and environmental. Suicide and suicidal behaviors are the result of a constellation of adverse factors requiring a range of interventions for prevention.

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Crossref · 10.1097/00004583-199806000-00011

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  • Suicidal ideation and behavior have traditionally been conceived as a unidimensional construct, with passive ideation, active intent, and behavior existing along a continuum.

    “Suicidal ideation and behavior have traditionally been conceived as a unidimensional construct, with passive ideation, active intent, and behavior existing along a continuum (11, 12).”

    From The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults (2011) · cites this paper as [11]

  • The present study did not find evidence that any category of acute life event exposure differentiated suicide ideators from youth with no lifetime STBs.

    “In contrast, we did not find evidence that any category of acute life event exposure differentiated suicide ideators from youth with no lifetime STBs, which is consistent with several studies using clinical samples of adolescents (Esposito and Clum 2003; Grover et al. 2009; McKeown et al. 1998).”

    From Life stress and suicide in adolescents (2019) · cites this paper as McKeown et al. 1998

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Authors
MCKEOWN, R. E., GARRISON, C. Z., CUFFE, S. P., WALLER, J. L., JACKSON, K. L., & ADDY, C. L.
Affiliations
  • University of South Carolina (US)
  • University of Louisville (US)
Corresponding author
MCKEOWN, ROBERT E.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
1998-06
Volume
37
Issue
6
Pages
612-619
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-199806000-00011
OpenAlex
W1968400947
Cited by
209
References
53
Citations by year
2026: 2 · 2025: 5 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 8 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 10 · 2016: 7 · 2015: 8 · 2014: 10 · 2013: 9 · 2012: 9
FWCI
5.50
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 (5r01mh040363-12)
  • National Institute of Mental Health (MH40363)
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
suicidal behavior, adolescents, suicide attempts, suicide planning, suicidal ideation, family cohesion, impulsivity, sex differences, life events, suicide prevention, risk factors
MeSH terms
Suicide Prevention, Adolescent, Child, Female, Humans, Longitudinal Studies, Male, Risk Factors, South Carolina, Suicide, Suicide, Attempted, Logistic Models, Odds Ratio

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