The development of suicide ideation and attempts: An epidemiologic study of first graders followed into young adulthood

Department of Psychiatry and Behavioral Sciences, Center for Family Research, George Washington University, Washington DC, WA 20037, USA.
Drug and Alcohol Dependence (Impact Factor: 3.42). 01/2005; 76 Suppl:S53-67. DOI: 10.1016/j.drugalcdep.2004.08.007
Source: PubMed


Studying community residing youths originally recruited for an intervention trial upon entry into first grade, this project sought to estimate risk of suicide ideation and attempts to young adulthood, with focus on those who used drugs before age 16, as compared to youths who used later in development or not at all. Standardized interview assessments in 1989-1994 were completed with 2311 youths age 8-15. Roughly 15 years after recruitment, our study team reassessed 1695, nearly 75% of the survivors (mean age = 21), finding 155 to have made suicide attempts (SA) and 218 with onset of depression-related suicide ideation (SI). We estimate relative risk (RR), from survival analysis and logistic regression models, to study early use of tobacco, alcohol, cannabis, and inhalants, with covariate adjustments for age, sex, race-ethnicity, and other pertinent covariates. Early-onset of cannabis use and inhalant use for females, but not for males, signaled modestly excess risk of suicide attempt (cannabis-associated RR = 1.9; p = 0.04; inhalant-associated RR = 2.2; p = 0.05). Early-onset of cannabis use by females (but not for males) signaled excess risk for suicide ideation (RR = 2.9; p = 0.006). Early-onset alcohol and tobacco use were not associated with later risk of SA or SI. In light of the relatively modest strength of association, the evidence may well reflect an underlying common diathesis or unmeasured prior confounding influences that link early-onset illegal drug use with later risk of these suicide-related events, rather than an influence of early-onset drug use per se.

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    • "/or sexual abuse, neglect and separation [9 ; 10], substance misuse such as drugs and alcohols [9], economic issues [8] Most of the previous studies on suicide issues are largely conceptualized and theoretically based. There is a lack of empirical research. "
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    ABSTRACT: This study aims to investigate young people's attitudes towards death and to discover from them the causes for high incidences of suicide among teenagers. A non-probability sampling and a mix method of survey were used. A total of 270 youths aged 15 – 24 from various schools, colleges and hospitals in West Malaysia participated in this study. SPSS was used to analyze the statistic figure for frequency count, Chi-square test for independence was conducted. The findings reveal that young people are open for discussion on the topic of death with their friends and family members. The main factors for suicide were uncovered. More male participants than female participants indicated relationships with the opposite sex as a contributing factor to the suicide problem. Statistically ethnicity was shown to be an important factor. More Chinese students mentioned school work as a cause for suicide than non-Chinese students. The perspectives of young people on the sources of stress for suicide were compared across different family types, namely blended, nuclear and single parent families. Index Terms—Counselling youth, youths perspective on death, suicide, causes for suicide, factors in youth suicide.
    • "Participants completed surveys through interviews with research staff who were blind to previous assessments and received rigorous training prior to field work. Additional study details can be found in previous papers (see Storr et al. 2004; Wilcox & Anthony, 2004; Kellam et al. 2008; Wilcox et al. 2008). "
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    ABSTRACT: To develop latent classes of exposure to traumatic experiences before the age of 13 years in an urban community sample and to use these latent classes to predict the development of negative behavioral outcomes in adolescence and young adulthood. A total of 1815 participants in an epidemiologically based, randomized field trial as children completed comprehensive psychiatric assessments as young adults. Reported experiences of nine traumatic experiences before age 13 years were used in a latent class analysis to create latent profiles of traumatic experiences. Latent classes were used to predict psychiatric outcomes at age ⩾13 years, criminal convictions, physical health problems and traumatic experiences reported in young adulthood. Three latent classes of childhood traumatic experiences were supported by the data. One class (8% of sample), primarily female, was characterized by experiences of sexual assault and reported significantly higher rates of a range of psychiatric outcomes by young adulthood. Another class (8%), primarily male, was characterized by experiences of violence exposure and reported higher levels of antisocial personality disorder and post-traumatic stress. The final class (84%) reported low levels of childhood traumatic experiences. Parental psychopathology was related to membership in the sexual assault group. Classes of childhood traumatic experiences predict specific psychiatric and behavioral outcomes in adolescence and young adulthood. The long-term adverse effects of childhood traumas are primarily concentrated in victims of sexual and non-sexual violence. Gender emerged as a key covariate in the classes of trauma exposure and outcomes.
    Psychological Medicine 07/2015; -1(15):1-12. DOI:10.1017/S0033291715001300 · 5.94 Impact Factor
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    • "Une e ´tude réalisée en population générale en France a montré le lien entre tentative de suicide (TS) et consommation régulière de drogues (OR = 3,3), consommation quotidienne de tabac (OR = 1,9), absentéisme scolaire régulier (OR = 1,7) et consommation régulière d'alcool (OR = 1,4) [23]. Wilcox et al. [25] ont montré les liens entre ces facteurs de risque et les idées suicidaires et de passages a ` l'acte chez les jeunes ayant débuté une consommation de substances toxiques avant l'a ˆge de 16 ans. "
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    ABSTRACT: Objectives The main objective of this study was to estimate the prevalence of psychological distress among adolescents seen in emergency departments, and the secondary objective was to highlight their main reasons for consulting. Methods Cross-sectional study in three multicenter emergency departments receiving adolescents in Île-de-France conducted in 2010. All adolescents completed a questionnaire including the ADRS (Adolescent Depression Rating Scale, a screening questionnaire for depression) and a series of questions relating to somatization and risk behaviors. Results The study included 346 adolescents, 320 of which were fully analyzed. The ADRS score was considered normal (score < 3) for 70.6 % of the sample (n = 226), 19.4 % of adolescents (n = 62) had moderate depressive symptoms (3 ≤ score < 6), and 10.0 % severe depressive symptoms (score ≥ 6) (n = 32). The majority of patients consulted for trauma and less than 10 % for acute psychiatric problems; 17 % of adolescents who came to the emergency department for a nonpsychiatric reason had an ADRS ≥ 3, i.e., with mental distress. Conclusion The routine use of a self-administered questionnaire in the emergency services could identify adolescents with moderate to severe depressive symptoms.
    Archives de Pédiatrie 06/2014; 21(6). DOI:10.1016/j.arcped.2014.03.007 · 0.41 Impact Factor
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