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Cited by 27Suicide and Self-Harm StudiesGrief, Bereavement, and Mental HealthChild and Adolescent Psychosocial and Emotional Development

Major Depressive Disorder in Adolescents Exposed to a Friend's Suicide

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BRIDGE, JEFFREY A., DAY, NANCY L., RICHARDSON, GALE A., BIRMAHER, BORIS, BRENT, DAVID A.·2003·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/01.chi.0000084830.67701.9
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Abstract

Objective To evaluate whether the risk of DSM-III major depressive disorder (MDD) is uniform across the 6 months after adolescent exposure to a friend's suicide, and to examine potential moderating or mediating processes that may influence the risk of new-onset MDD. Method One-month incidence rates of MDD were compared between 129 adolescents who were exposed to a friend's suicide between December 1988 and March 1991 and 145 similar-aged, unexposed community controls participating in the Youth Exposed to Suicide study. Clinical, family, and social factors that antedated the exposure were examined as predictors of new-onset MDD within 1 month of the suicide. Results Exposed adolescents had a markedly increased risk of developing new-onset MDD that was restricted to a narrow period of time, within 1 month after exposure. In contrast, there were no differences in the incidence of MDD between the groups in months 2 to 6. Past history of alcohol abuse increased the risk of exposure to suicide, which subsequently increased the risk of new-onset MDD within 1 month of exposure. Exposed youths who had both a family history of MDD and feelings of accountability for the death were at considerably increased risk of new-onset MDD. Conclusions For adolescents exposed to a friend's suicide, events surrounding the death interact with family history of MDD to greatly increase the risk for new-onset MDD.

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  • Postloss features include the feelings of accountability and that the individual could have done something to prevent the death (i.e., guilt).

    “Postloss features include the feelings of accountability and that the individual could have done something to prevent the death (i.e., guilt; Bridge et al., 2003;Melhem et al., 2007).”

    From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Bridge et al., 2003

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Authors
BRIDGE, J. A., DAY, N. L., RICHARDSON, G. A., BIRMAHER, B., & BRENT, D. A.
Affiliations
University of Pittsburgh (US)
Corresponding author
BRIDGE, JEFFREY A.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2003-11
Volume
42
Issue
11
Pages
1294-1300
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/01.chi.0000084830.67701.9
OpenAlex
W1986673524
Cited by
27
References
25
Citations by year
2024: 3 · 2022: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 1
FWCI
1.22
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Public Health Service (MJ 44711)
  • National Institute of Mental Health (T32MH015169, MH 15169, MH-18951, P30MH055123, MH 55123, T32MH018951)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
major depressive disorder, adolescent suicide, suicide bereavement, new-onset depression, family history of depression, risk factors
MeSH terms
Adolescent, Adult, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Risk Factors, Stress Disorders, Post-Traumatic, Suicide, Friends

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