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

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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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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: MCKEOWN, ROBERT E.
CUFFE, STEVEN P.
WALLER, JENNIFER L.
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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Incidence and Predictors of Suicidal Behaviors in a Longitudinal Sample of Young Adolescents

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