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Cited by 448Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseChild and Adolescent Psychosocial and Emotional Development

Psychosocial and Risk Behavior Correlates of Youth Suicide Attempts and Suicidal Ideation

KING, ROBERT A., SCHWAB-STONE, MARY, FLISHER, ALAN J., GREENWALD, STEVEN, KRAMER, RACHEL A., GOODMAN, SHERRYL H., LAHEY, BENJAMIN B., SHAFFER, DAVID +1 more·2001·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-200107000-00019
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Abstract

Objective To identify the independent psychosocial and risk behavior correlates of suicidal ideation and attempts.Method The relationships between suicidal ideation or attempts and family environment, subject characteristics, and various risk behaviors were examined among 1,285 randomly selected children and adolescents, aged 9 through 17 years, of whom 42 (3.3%) had attempted suicide and 67 (5.2%) had expressed suicidal ideation only. The youths and their parents were enumerated and interviewed between December 1991 and July 1992 as part of the NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study.Results Compared with subjects with suicidal ideation only, attempters were significantly more likely to have experienced stressful life events, to have become sexually active, to have smoked more than one cigarette daily, and to have a history of ever having smoked marijuana. After adjusting for sociodemographic characteristics, a statistically significant association was found between suicidal ideation or attempt and stressful life events, poor family environment, parental psychiatric history, low parental monitoring, low instrumental and social competence, sexual activity, marijuana use, recent drunkenness, current smoking, and physical fighting. Even after further adjusting for the presence of a mood, anxiety, or disruptive disorder, a significant association persisted between suicidal ideation or attempts and poor family environment, low parental monitoring, low youth instrumental competence, sexual activity, recent drunkenness, current smoking, and physical fighting.Conclusion Low parental monitoring and risk behaviors (such as smoking, physical fighting, alcohol intoxication, and sexual activity) are independently associated with increased risk of suicidal ideation and attempts, even after adjusting for the presence of psychiatric disorder and sociodemographic variables.

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  • Across studies, suicide attempters endorsed more general life stressors than suicide ideators.

    “Across studies, suicide attempters endorsed more general life stressors (i.e., events and difficulties) than suicide ideators.”

    From Life stress and suicide in adolescents (2019) · cites this paper as King et al. 2001

  • Prior studies can be categorized into those that measured stress exposure as a non-specific variable and those that examined only very specific types of life stress exposure.

    “Prior studies can be categorized into those that conceptualized and measured stress exposure as a non-specific variable (e.g., count of life stressors of any kind; Fairweather et al. 2006; King et al. 2001; Mars etal. 2019; Miller etal. 2017; O’Connor etal. 2012) and those that examined only very specific types of life stress exposure (e.g., arguments; Borges et al. 2008; Daniel et al. 2017; Stein”

    From Life stress and suicide in adolescents (2019) · cites this paper as King et al. 2001

  • In community adolescent samples, suicide ideation is associated with general life stress, particularly in the interpersonal domain.

    “This hypothesis has been broadly supported in community adolescent samples; suicide ideation is associated with general life stress, particularly in the interpersonal domain (e.g., King et al. 2001; Mackin et al. 2017; Tang et al. 2015).”

    From Life stress and suicide in adolescents (2019) · cites this paper as King et al. 2001

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Authors
KING, R. A., SCHWAB-STONE, M., FLISHER, A. J., GREENWALD, S., KRAMER, R. A., GOODMAN, S. H., LAHEY, B. B., SHAFFER, D., & GOULD, M. S.
Affiliations
Emory University (US)
Corresponding author
KING, ROBERT A.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2001-07
Volume
40
Issue
7
Pages
837-846
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-200107000-00019
OpenAlex
W2010678519
Cited by
448
References
46
Citations by year
2026: 4 · 2025: 11 · 2024: 9 · 2023: 13 · 2022: 18 · 2021: 15 · 2020: 18 · 2019: 28 · 2018: 16 · 2017: 16 · 2016: 28 · 2015: 21 · 2014: 22 · 2013: 16 · 2012: 22
FWCI
12.87
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 (5u01mh046717-03, 5p50mh043878-04, 5u01mh046718-03, 5u01mh046732-03, 5u01mh046725-03)
  • National Institute of Mental Health (5P50 MH-43878-08, U01MH46717, U01 MH 46725, U01MH46718, U01 MH46732)
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 ideation, risk-taking, parental supervision, family environment, life events, adolescent sexual activity, adolescent smoking, cannabis use, alcohol intoxication, physical fighting, instrumental skills, social competence, parental psychiatric history, adolescents
MeSH terms
Adolescent, Child, Cognition, Cross-Sectional Studies, Female, Humans, Male, Puerto Rico, Risk, Risk-Taking, Suicide, Attempted, United States, Likelihood Functions, Case-Control Studies

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