Follow-up studies of child and adolescent suicide attempters

doi:10.1017/CBO9780511550423.013

12 - Follow-up studies of child and adolescent suicide attempters

Published online by Cambridge University Press: 04 December 2009

Julie Boergers and

Anthony Spirito

Edited by

Robert A. King and

Alan Apter

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Julie Boergers: Affiliation:
Clinical Assistant Professor, Brown Medical School, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 USA e-mail: Julie [email protected] tel: +1-401-444-4515, fax: +1-401-444-7018
Anthony Spirito: Affiliation:
Director, Clinical Psychology Training Program, Potter Building, Box G-BH, Brown University, Providence, RI 02906 USA e-mail: [email protected] tel: +1-401-444-1833, fax: +1-401-444-1888
Robert A. King: Affiliation:
Yale University, Connecticut
Alan Apter: Affiliation:
Tel-Aviv University

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Summary

Introduction

Suicide attempts are a substantial public health problem among children and adolescents. In the U.S., suicide is the third-leading cause of death among adolescents (National Center for Health Statistics, 1993). It is estimated that approximately 9% of adolescents in the U.S. attempt suicide each year, and rates of completed suicide among U.S. adolescents increased 28.3% from 1980 to 1992 (Centers for Disease Control, 1995). In most developed countries, youth suicide has increased dramatically and is one of the leading causes of death among young people (Diekstra and Golbinat, 1993).

Adolescents who attempt suicide are at high risk for continued problem behaviors and repeat suicide attempts. Approximately 30% of adolescents who complete suicide have made a prior attempt (Shaffer et al., 1988). Thus, it is critical to better understand the postattempt course of adolescent suicide attempters, in order to inform both treatment and secondary prevention efforts. This chapter will summarize findings from follow-up studies of adolescent suicide attempters. Four major areas will be reviewed: (1) continued psychiatric disturbance, (2) rates of repeat attempts, (3) rates of completed suicide, and (4) treatment compliance.

There are several different ways to study the outcomes of adolescent suicide attempts. First, retrospective studies compare the characteristics of first-time suicide attempters with repeat attempters, or study individuals who have completed suicide via “psychological autopsies.” While these types of studies contribute important information, they are not follow-up studies, per se, and are beyond the scope of this chapter.

Keywords

adolescent suicide attempters behavioral dysfunction follow-up studies psychiatric disturbance survival analysis suicidal behavior

Type: Chapter
Information: Suicide in Children and Adolescents , pp. 271 - 293

DOI: https://doi.org/10.1017/CBO9780511550423.013 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2003

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References

Angle, C. R., O'Brien, T. P., and McIntire, M. S. (1983). Adolescent self-poisoning: a nine-year follow-up. Developmental and Behavioral Pediatrics, 4 (2), 83–87Google Scholar

Barter, J. T., Swaback, D. O., and Todd, D. (1968). Adolescent suicide attempts: a follow-up study of hospitalized patients. Archives of General Psychiatry, 19, 523–527Google Scholar

Brent, D. A., Kolko, D. J., Wartella, M. E., Boylan, M. B., Moritz, G., Baugher, M., and Zelenak, J. P. (1993). Adolescent psychiatric inpatients' risk of suicide attempt at 6-month follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 95–105Google Scholar

Burgess, S., Hawton, K., and Loveday, G. (1998). Adolescents who take overdoses: outcome in terms of changes in psychopathology and the adolescent's attitude to care and to their overdose. Journal of Adolescence, 21, 209–218Google Scholar

Centers for Disease Control (1995). Suicide among children, adolescents, and young adults – United States, 1980–1992. Morbidity and Mortality Weekly Report, 44, 289–291

Cohen-Sandler, R., Berman, A. L., and King, R. A. (1982). A follow-up study of hospitalized suicidal children. Journal of the American Academy of Child and Adolescent Psychiatry, 21, (4), 398–403Google Scholar

Cotgrove, A., Zirinsky, L., Black, D., and Wesson, D. (1995). Secondary prevention of attempted suicide in adolescence. Journal of Adolescence, 18, 569–577Google Scholar

DeMoore, G. M., and Robertson, A. R. (1996). Suicide in the 18 years after deliberate self-harm: a prospective study. British Journal of Psychiatry, 169, 489–494Google Scholar

Deykin, E. Y., Hsieh, C., Joshi, N., and McNamarra, J. J. (1986). Adolescent suicidal and self-destructive behavior: results of an intervention study. Journal of Adolescent Health Care, 7, 88–95Google Scholar

Diekstra, R. F., and Golbinat, W. (1993). The epidemiology of suicidal behavior: a review of three continents. World Health Statistics Quarterly, 46, 52–68Google Scholar

Donaldson, D., Spirito, A., Arrigan, M., and Aspel, J. W. (1997). Structured disposition planning for adolescent suicide attempters in a general hospital: preliminary findings on short-term outcome. Archives of Suicide Research, 3, 271–282Google Scholar

Farbstein, I., Dycian, A., King, R., Cohen, D. J., Kron, A., and Apter, A., (2002). A follow-up study of adolescent attempted suicide in Israel and the effects of mandatory general hospital admission. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1342–1349Google Scholar

Goldacre, M., and Hawton, K. (1985). Repetition of self-poisoning and subsequent death in adolescents who take overdoses. British Journal of Psychiatry, 146, 395–398Google Scholar

Granboulan, V., Rabain, D., and Basquin, M. (1995). The outcome of adolescent suicide attempts. Acta Psychiatrica Scandinavica, 91, 265–270Google Scholar

Gutstein, S. E., and Rudd, M. D. (1990). An outpatient treatment alternative for suicidal youth. Journal of Adolescence, 13, 265–277Google Scholar

Hawton, K., and Fagg, J. (1988). Suicide and other causes of death following attempted suicide. British Journal of Psychiatry, 152, 359–366Google Scholar

Hawton, K., O'Grady, J., Osborn, M., and Cole, D. (1982). Adolescents who take overdoses: their characteristics, problems and contacts with helping agencies. British Journal of Psychiatry, 140, 118–123Google Scholar

Hawton, K., Fagg, J., and Simkin, S. (1996). Deliberate self-poisoning and self-injury in children and adolescents under 16 years of age in Oxford, 1976–1993. British Journal of Psychiatry, 169, 202–208Google Scholar

Kachur, S. P., Potter, L. B., and Powell, K. E. (1995). Suicide in the U.S., 1980–1992. Atlanta, CA: National Center for Injury Prevention and Control

Kerfoot, M., and McHugh, B. (1992). The outcome of childhood suicidal behavior. Acta Paedopsychiatrica, 55, 141–145Google Scholar

Kienhorst, C. W. M., DeWilde, E. J., Diekstra, R. F. W., and Wolters, W. H. G. (1991). Construction of an index for predicting suicide attempts in depressed adolescents. British Journal of Psychiatry, 159, 676–682Google Scholar

King, C. A., Segal, H., Kaminski, K., Naylor, M. W., Ghaziuddin, N., and Radpour, L. (1995). A prospective study of adolescent suicidal behavior following hospitalization. Suicide and Life-Threatening Behavior, 25, 327–337Google Scholar

Kotila, L., and Lonnqvist, J. (1988). Adolescent suicide attempts: sex differences predicting suicide. Acta Psychiatrica Scandinavica, 77, 264–270Google Scholar

Krulee, D., and Hales, R. (1988). Compliance with psychiatric referrals from a general hospital psychiatry outpatient clinic. General Hospital Psychiatry, 10, 339–345Google Scholar

Laurent, A., Foussard, N., David, M., Boucharlat, J., and Bost, M. (1998). A 5-year follow-up study of suicide attempts among French adolescents. Journal of Adolescent Health, 22, 424–430Google Scholar

Leon, A. C., Friedman, R. A., Sweeney, J. A., Brown, R. P., and Mann, J. J. (1990). Statistical issues in the identification of risk factors for suicidal behavior: the application of survival analysis. Psychiatry Research, 31, 99–108Google Scholar

Lester, D. (1996). The mortality of attempted suicides in follow-up studies of male suicide attempters. Perceptual and Motor Skills, 83, 530Google Scholar

Lewinsohn, P. M., Rohde, P., and Seeley, J. R. (1994). Psychosocial risk factors for future adolescent suicide attempts. Journal of Consulting and Clinical Psychology, 62, 297–305Google Scholar

Litt, I. F., Cuskey, W. R., and Rudd, S. (1983). Emergency room evaluation of the adolescent who attempts suicide: compliance with follow-up. Journal of Adolescent Health Care, 4, 106–108Google Scholar

Mattson, A., Seese, L. R., and Hawkins, J. W. (1969). Suicidal behavior as a child psychiatric emergency: clinical characteristics and follow-up results. Archives of General Psychiatry, 20, 100–109Google Scholar

McIntire, M. S., Angle, C. R., Wikoff, R. L., and Schlicht, M. L. (1977). Recurrent adolescent suicidal behavior. Pediatrics, 60, 605–608Google Scholar

Mehlum, L. (1994). Young male suicide attempters 20 years later: the suicide mortality rate. Military Medicine, 159, 138Google Scholar

Mehr, M., Zelter, L. K., and Robinson, R. (1982). Continued self-destructive behaviors in adolescent suicide attempters, Part II-A Pilot study. Journal of Adolescent Health Care, 2, 183–187Google Scholar

Morrison, G. C., and Collier, J. G. (1969). Family treatment approaches to suicidal children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 8, 140–153Google Scholar

Motto, J. A. (1984). Suicide in male adolescents. In Sudak, H. S., Ford, A. B., and Rushforth, N. B. (eds.) Suicide in the Young. Boston, MA: PSG Inc.

Myers, K., McCauley, E., Calderon, R., and Treder, R. (1991). The 3-year longitudinal course of suicidality and predictive factors for subsequent suicidality in youths with major depressive disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 804–810Google Scholar

Nardini-Maillard, D., and Ladame, F. (1980). The results of a follow-up study of suicidal adolescents. Journal of Adolescence, 3, 253–260Google Scholar

National Center for Health Statistics (1993). Advance report of final mortality statistics, 1990. Monthly Vital Statistics Report, 41(7), 1–44

Nordstrom, P., Samuelsson, M., and Asberg, M. (1995). Survival analysis of suicide risk after attempted suicide. Acta Psychiatrica Scandinavica, 91, 336–340Google Scholar

Otto, U. (1972). Suicidal acts by children and adolescents: a follow-up study. Acta Psychiatrica Scandinavica, 233, 7–117Google Scholar

Paerregaard, G. (1975). Suicide among attempted suicides: a 10-year follow-up. Suicide, 5, 140–145Google Scholar

Pfeffer, C. R., Klerman, G. L., Hurt, S. W., Lesser, M., Peskin, J. R., and Siefker, C. A. (1991). Suicidal children grow up: demographic and clinical risk factors for adolescent suicide attempts. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 609–616CrossRef Google Scholar

Pfeffer, C. R., Peskin, J. R., and Siefker, C. A. (1992). Suicidal children grow up: psychiatric treatment during follow-up period. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 679–685Google Scholar

Pfeffer, C. R., Klerman, G. L., Hurt, S. W., Kakuma, T., Peskin, J. R., and Siefker, C. A. (1993). Suicidal children grow up: rates and psychosocial risk factors for suicide attempts during follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 106–113Google Scholar

Pfeffer, C. R., Hurt, S. W., Kakuma, T., Peskin, J. R., Siefker, C. A., and Nagabhairava, S. (1994). Suicidal children grow up: suicidal episodes and effects of treatment during follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 225–230Google Scholar

Pfeffer, C. R., Hurt, S. W., Peskin, J. R., and Siefker, C. A. (1995). Suicidal children grow up: ego functions associated with suicide attempts. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1318–1325Google Scholar

Pillay, A. L., and Wassenaar, D. R. (1995). Psychological intervention, spontaneous remission, hopelessness, and psychiatric disturbance in adolescent parasuicides. Suicide and Life-Threatening Behavior, 25, 386–392Google Scholar

Rauenhorst, J. M. (1972). Follow-up of young women who attempt suicide. Diseases of the Nervous System, 33 (12), 792–797Google Scholar

Ross, C. P., and Motto, J. A. (1984). Group counseling for suicidal adolescents. In Sudak, H., Ford, A., and Rushforth, N. (eds.) Suicide in the Young (pp. 367–392). Boston, MA: John Wright

Rotheram-Borus, M. J., Piacentini, J., Roosem, R., Graae, F., Cantwell, C., Castro-Blanco, D., Miller, S., and Feldman, J. (1996). Enhancing treatment adherence with a specialized emergency room program for adolescent suicide attempters. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 654–663Google Scholar

Rudd, M. D., Rajab, M., Orman, D., Stulman, D., Joiner, T., and Dixon, W. (1996). Effectiveness of an outpatient intervention targeting suicidal young adults: preliminary results. Journal of Consulting and Clinical Psychology, 64, 179–190Google Scholar

Safer, D. J. (1997). Adolescent/adult differences in suicidal behavior and outcome. Annals of Clinical Psychiatry, 9, 61–66Google Scholar

Sellar, C., Hawton, K., and Goldacre, M. J. (1990). Self-poisoning in adolescents: hospital admissions and deaths in the Oxford Region 1980–85. British Journal of Psychiatry, 156, 866–870Google Scholar

Shaffer, D., Garland, A., Gould, M., Fisher, P., and Trautman, P. (1988). Preventing teenage suicide: a critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 675–687Google Scholar

Spirito, A., Brown, L., Overholser, J., and Fritz, G. (1989). Attempted suicide in adolescence: a review and critique of the literature. Clinical Psychology Review, 9, 335–363Google Scholar

Spirito, A., Plummer, B., Gispert, M., Levy, S., Kurkjian, J., Lewander, W., Hagberg, S., and Devost, L. (1992). Adolescent suicide attempts: outcomes at follow-up. American Journal of Orthopsychiatry, 62, 464–468Google Scholar

Spirito, A., Lewander, W. J., Levy, S., Kurkjian, J., and Fritz, G. (1994). Emergency department assessment of adolescent suicide attempters: factors related to short-term follow-up outcome. Pediatric Emergency Care, 10, 6–12Google Scholar

Spirito, A., Boergers, J., Donaldson, D., Bishop, D., and Lewander, W. (2002). An intervention trial to improve adherence to community treatment by adolescents following a suicide attempt. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 435–42Google Scholar

Stanley, E. J., and Barter, J. T. (1970). Adolescent suicidal behavior. American Journal of Orthopsychiatry, 40, 87–96Google Scholar

Taylor, E. A., and Stansfield, S. A. (1984). Children who poison themselves: prediction of attendance for treatment. British Journal of Psychiatry, 145, 132–135Google Scholar

Tolan, P., Ryan, K., and Jaffe, C. (1988). Adolescents' mental health service use and provider, process, and recipient characteristics. Journal of Clinical Child Psychology, 17, 229–236Google Scholar

Trautman, P., and Rotheram, M. J. (1987). Referral failure among adolescent suicide attempters. Poster presented at the Annual Meeting of the American Academy of Child Psychiatry, Los Angeles, CA

Trautman, P. D., Stewart, N., and Morishima, A. (1993). Are adolescent suicide attempters noncompliant with outpatient care?Journal of the American Academy of Child and Adolescent Psychiatry, 32, 89–94Google Scholar

White, H. C. (1974). Self-poisoning in adolescents. British Journal of Psychiatry, 124, 24–35Google Scholar

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12 - Follow-up studies of child and adolescent suicide attempters

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