The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.
Incidence and Predictors of Suicidal Behaviors in a Longitudinal Sample of Young Adolescents
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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“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]
In the citing paper
“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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Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., et al. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.10111704 · Cited by 5,157
“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).”
BackgroundRisk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017) · Psychological Bulletin · doi:10.1037/bul0000084 · Cited by 3,784
Youth Suicide Risk and Preventive Interventions: A Review of the Past 10 Years
Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000046821.95464.cf · Cited by 1,264
Adolescent Suicide Attempts: Risks and Protectors
Borowsky, I. W., Ireland, M., & Resnick, M. D. (2001) · PEDIATRICS · doi:10.1542/peds.107.3.485 · Cited by 788
Annual Research Review: Suicide among youth – epidemiology, (potential) etiology, and treatment
Cha, C. B., Franz, P. J., M. Guzmán, E., Glenn, C. R., Kleiman, E. M., & Nock, M. K. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12831 · Cited by 602
Metadata
- 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.
- 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)
- 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
- 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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