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Construction of an Index for Predicting Suicide Attempts in Depressed Adolescents

Published online by Cambridge University Press:  02 January 2018

C. W. M. Kienhorst*
Affiliation:
Department of Paediatrics, University of Utrecht, Department of Clinical, Health and Personality Psychology, University of Leiden
E. J. De Wilde
Affiliation:
Department of Paediatrics, University of Utrecht
R. F. W. Diekstra
Affiliation:
Department of Clinical, Health and Personality Psychology, University of Leiden
W. H. G. Wolters
Affiliation:
Department of Paediatrics, University of Utrecht
*
University Hospital for Children and Youth, Psychosocial Department, Postbox 18009, 3501 CA Utrecht, The Netherlands

Abstract

A group of 48 adolescents who recently attempted suicide and 66 depressed adolescents were compared on sociodemographic, behavioural, psychological and relational variables. The variables which proved significant were used in different combinations in stepwise logistic regression analyses, resulting in seven variables which served as the content of an index of risk. The sensitivity of the index was 90% and the specificity 83%. At one-year follow-up the occurrence of a suicide attempt correlated with score on the instrument.

Type
Papers
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Beck, A. T., Schuyler, D. & Herman, J. (1974a) Development of suicidal intent scales. In The Prediction of Suicide (eds Beck, A. T., Resnik, H. L. & Lettieri, D. J.). Maryland: Charles Press.Google Scholar
Beck, A. T., Weissman, A., Lester, D., et al (1974b) The measurement of pessimism: the Hopelessness-Scale. Journal of Consulting and Clinical Psychology, 42, 861865.Google Scholar
Brent, D. A., Perper, J. A., Goldstein, C. E., et al (1988) Risk factors for adolescent suicide. Archives of General Psychiatry, 45, 581588.Google Scholar
Brown, G. W. (1972) Life-events and psychiatric illness: some thoughts on methodology and causality. Journal of Psychosomatic Research, 16, 311320.Google Scholar
Brown, T. R. & Sheran, T. J. (1972) Suicide prediction, a review. Life Threatening Behavior, 2, 6797.Google Scholar
Chabrol, H. & Moron, P. (1988) Depressive disorders in 100 adolescents who attempted suicide. American Journal of Psychiatry, 145, 379.Google Scholar
Cohen, E. L., Motto, J. A. & Seiden, R. H. (1966) An instrument for evaluating suicide potential. American Journal of Psychiatry, 122, 886.Google Scholar
Crumley, F. E. (1982) Adolescent suicide attempts and melancholia. Texas Medicine, 78, 6265.Google ScholarPubMed
Dahlstrom, W. G., Welsh, G. S. & Dahlstrom, L. E. (1972) An MMPI Handbook: Vol. 1. Minneapolis: University of Minnesota Press.Google Scholar
De Coole, R. L. & Jansma, J. B. M. (1983) GKS Gezinsklimaatschaal. Handleiding. (GKS Family Environment Scale. Manual.) Lisse: Swets & Zeitlinger.Google Scholar
Diekstra, B.V., R. F. W., Van Erven, A. C. J. M., Loo, K. J. M., et al (1977) Denken over en aan zelfmoord. Rapporten 1 en 2: Een onderzoek naar het voorkomen van en opvattingen over suïcidaal gedrag onder het publiek. (Thinking about and of suicide. Reports 1 and 2: A study of incidence and attitudes of suicidal behaviour.) Crisisproject vakgroep Klinische Psychologie Nijmegen: Katholieke Universiteit.Google Scholar
Diekstra, B.V. & Kerkhof, A. J. F. M. (1989) Attitudes towards suicide: the development of a suicide-attitude-questionnaire (SUIATT). In Suicide and its Prevention. The Role of Attitudes and Imitations (eds Diekstra, R. F. W., Maris, R., Platt, S., et al). Leiden: Brill.Google Scholar
Dixon, W. J. (ed.) (1983) BMDP Statistical Software. Berkeley: University of California Press.Google Scholar
Engelman, L. (1983) Stepwise logistic regression. In BMDP Statistical Software (ed. Dixon, W. J.). Berkeley: University of California Press.Google Scholar
Farberow, N. L. & Machinnon, D. (1974) A suicide prediction schedule for neuropsychiatric hospital patients. Journal of Nervous and Mental Disease, 158, 408419.Google Scholar
Friedman, R. C., Corn, R., Aronoff, M. S., et al (1984) The seriously suicidal adolescent: affective and character pathology. In Suicide in the Young (eds Sudak, H. S., Ford, A. B. & Rushforth, N. B.). Boston: John Wright.Google Scholar
Gough, H. G. (1964) Manual for the California Psychological Inventory. Palo Alto: Consulting Psychologists Press.Google Scholar
Haberman, S. J. (1974) The Analysis of Frequency Data. Chicago: University of Chicago Press.Google Scholar
Hawton, K., O'Grady, J., Osborn, M., et al (1982) Adolescents who take overdoses: their characteristics, problems and contacts with helping agencies. British Journal of Psychiatry, 140, 118123.Google Scholar
Hawton, K. & Osborn, M. (1984) Suicide and attempted suicide in children and adolescents. In Advances in Clinical Child Psychology (eds Lahey, B. B. & Kazdin, A. E.). New York: Plenum Press.Google Scholar
Jansma, J. B. M. (1988) Gezinsklimaat. Een onderzoek naar het gezinsklimaat bij gezinnen met en gezinnen zonder opvoedingsproblemen met behulp van de gezinsklimaat school. Dissertatie. (Family Environment. A study into family environment of families with and without raising problems. Thesis.) Rijksuniversiteit Utrecht.Google Scholar
Kienhorst, C. W. M. (1988) Suïcidaal gedrag by jongeren. Onderzoek naar omvang en kenmerken. Dissertatie. (Suicidal behaviour in children and adolescents. A study of the frequencies and characteristics. Thesis.) Baarn: Ambo.Google Scholar
Kienhorst, C. W. M., Wolters, W. H. G., Diekstra, R. F. W., et al (1987) A study of the frequency of suicidal behaviour in children aged 5 to 14. Journal of Child Psychology and Psychiatry, 28, 153165.Google Scholar
Kienhorst, C. W. M., De Wilde, E. J., Van den Bout, J., et al (1990a) Characteristics of suicide attempters in a population-based sample of Dutch adolescents. British Journal of Psychiatry, 156, 243248.Google Scholar
Kienhorst, C. W. M., De Wilde, E. J., Van den Bout, J., et al (1990b) Psychometrische eigenschappen van een aantal zelfrapportage-vragenlijsten over “(on) welbevinden”; een onderzoek bij 9393 leerlingen van het Voortgezet Onderwijs. (Psychometric characteristics of selfreport questionnaires concerning ‘well-being’: a study among 9,393 students of secondary education). Nederlands Tydschrift voor de Psychologic, 45, 124133.Google Scholar
Lubin, B. (1967) Depression Adjective Checklist: Manual. San Diego: Education and Industrial Testing Service.Google Scholar
Luteijn, F., Kok, A. R. & Van der Ploeg, F. A. E. (1980) Nederlandse verkorte MMPI. (Dutch abbreviated MMPI.) Lisse: Swets & Zeitlinger.Google Scholar
Luteijn, F., Starren, J. & Van Dijk, H. (1985) Nederlandse Persoonlijkheids Vragenlijst. Handleiding (herziene uitgave). (Dutch Personality Questionnaire. Manual, revised edition.) Lisse: Swets & Zeitlinger.Google Scholar
Moos, R. H. & Moos, B. S. (1981) The Family Environment Scale. Palo Alto, California: Consulting Psychologists Press.Google Scholar
Motto, J. A. & Heilbron, D. C. (1976) Development and validation of scales for estimation of suicide risk. In Suicidology: Contemporary Developments (ed. Schneidman, E. S.). New York: Grune & Stratton.Google Scholar
Motto, J. A., Heilbron, D. C., Juster, R. P. (1985) Development of a clinical instrument to estimate suicide risk. American Journal of Psychiatry, 40, 148154.Google Scholar
Nowicki, S. & Strickland, B. R. (1973) A locus of control scale for children. Journal of Consulting and Clinical Psychology, 40, 148154.Google Scholar
Paykel, E. S. (1983) Methodological aspects of life events research. Journal of Psychosomatic Research, 19, 8789.Google Scholar
Rosenberg, M. (1965) Society and the Adolescent Self-image. Princeton: Princeton University Press.CrossRefGoogle Scholar
Schreurs, B. J. G., Van de Willige, G., Tellegen, B., et al (1988) De Utrechtse Coping-lijst. Een handleiding. (The ‘Utrecht’ Coping List. A manual.) Lisse: Swets & Zeitlinger.Google Scholar
Slap, G. B., Vorters, D. F., Chaudhuri, S., et al (1989) Risk factors for attempted suicide during adolescence. Pediatrics, 84, 762772.Google Scholar
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970) Manual for the State–Trait Anxiety Inventory. Palo Alto, California: Consulting Psychologists Press.Google Scholar
Spirito, A., Brown, L., Overholser, J., et al (1989) Attempted suicide in adolescence: review and critique of the literature. Clinical Psychology Review, 9, 335363.Google Scholar
Van der Linden, F. J., Dijkman, T. A. & Roeders, P. J. B. (1983) Metingen van kenmerken van het persoonssysteem en sociale systeem. (Measures of features of the personal and social system.) Nijmegen: Hoogveld Instituut.Google Scholar
Van der Linden, F. J. & Roeders, P. J. B. (1983) Schoolgaande jongeren, hun leefwereld en zelfbeleving. (Students, their environment and self-experience.) Nijmegen: Hoogveldinstituut.Google Scholar
Van der Ploeg, H. M., Defares, P. B. & Spielberger, C. D. (1979) Handleiding bij de ZelfBeoordelings Vragenlijst. (Manual of the Dutch State-Trait Anxiety Inventory.) Lisse: Swets & Zeitlinger.Google Scholar
Weisman, A. D. & Worden, J. W. (1972) Risk-rescue rating in suicide assessment. Archives of General Psychiatry, 26, 737746.Google Scholar
Zung, W. W. K. (1965) A selfrating depression scale. Archives of General Psychiatry, 12, 6370.Google Scholar
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