Victimization exposure and suicidal ideation among Spaniard adolescents evaluated at outpatient mental health services
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Lucía Rodríguez-Blanco
Abstract
Suicidal ideation among adolescents has been associated with victimization in various studies; however, the nature of this association is not clear. Our aim was to examine the influence of victimization exposure on suicidal ideation in a clinical sample of adolescents. Eleven to 17-year-old subjects were recruited from Child and Adolescent Outpatient Psychiatric Services. They completed the Self-Injurious Thoughts and Behaviors Interview, the Stressful Life Events Scale, the State-Trait Anger Expression Inventory, the Children’s Depression Inventory, the Strengths and Difficulties Questionnaire, and the Family APGAR. Demographic data, developmental features, medical and psychiatric history, family history, and treatment histories were also evaluated. A backward stepwise logistic regression analysis was conducted to examine the influence of victimization exposure on suicidal ideation controlling for potential confounding variables. Two hundred and thirty-nine adolescents (62.3% male; mean age 14.31 years, SD=1.9) took part in this investigation. Of these, 20.9% reported victimization exposure. Adolescents who experienced peer victimization and/or were victims of a crime were significantly more likely to report suicidal ideation (χ2=10.05, df=1, p=0.002). However, suicidal ideation was only predicted by emotional and behavioral problems (χ2=4.79, df=1, p=0.029), depressive sympthomatology (χ2=3.17, df=1, p=0.075), and number of total stressful life events (χ2=4.02, df=1, p=0.045). Behavioral and emotional problems, as well as the accumulation of stressful life events may have a direct relation to suicidal ideation among adolescents evaluated at Child and Adolescent Mental Health Outpatient Services. Future studies might consider a comprehensive assessment of victimization and the cumulative effects of exposure to multiple stressful life events. Longitudinal designs are warranted.
Acknowledgments
This work was partly supported by the Spanish Association of Child and Adolescent Psychiatry (AEPNYA). The authors thank Paloma Aroca and Lucia Albarracín for their assistance in the preparation of this manuscript.
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©2015 by De Gruyter
Articles in the same Issue
- Frontmatter
- Editorial
- A role for psychiatry in parental override cases
- Reviews
- Forensic psychiatric evaluations: an overview of methods, ethical issues, and criminal and civil assessments
- Underage drinking: does the minimum age drinking law offer enough protection?
- The role of serotonin in adolescent suicide: theoretical, methodological, and clinical concerns
- Biological and environmental predictors of the dysregulation profile in children and adolescents: the story so far
- The role of serotonin in impulsive aggression, suicide, and homicide in adolescents and adults: a literature review
- Outliers in American juvenile justice: the need for statutory reform in North Carolina and New York
- Attention-deficit hyperactivity disorder (ADHD), substance use disorders, and criminality: a difficult problem with complex solutions
- Violence among young men: the importance of a gender-specific developmental approach to adolescent male suicide and homicide
- Adolescent mass shootings: developmental considerations in light of the Sandy Hook shooting
- Emotion regulation and adolescent suicide: a proposal for physician education
- Oxytocin and callous-unemotional traits: towards a social-cognitive approach to forensic analysis
- Suicide medical malpractice: an educational overview
- Alcohol and drug use among adolescents: an educational overview
- Original Article
- Victimization exposure and suicidal ideation among Spaniard adolescents evaluated at outpatient mental health services
- Short Communication
- Suicide risk assessment: searching for true positive
- Case Reports
- Taking a toy gun to school: a consideration of the determinants of adolescent forensic behavior in the aftermath of the Sandy Hook shooting
- Suicidal behavior in a medical professional with comorbid depression and substance use disorder: an educational case report
- Low testosterone in a young combat veteran with dual diagnosis and suicidal behavior: a case study
Articles in the same Issue
- Frontmatter
- Editorial
- A role for psychiatry in parental override cases
- Reviews
- Forensic psychiatric evaluations: an overview of methods, ethical issues, and criminal and civil assessments
- Underage drinking: does the minimum age drinking law offer enough protection?
- The role of serotonin in adolescent suicide: theoretical, methodological, and clinical concerns
- Biological and environmental predictors of the dysregulation profile in children and adolescents: the story so far
- The role of serotonin in impulsive aggression, suicide, and homicide in adolescents and adults: a literature review
- Outliers in American juvenile justice: the need for statutory reform in North Carolina and New York
- Attention-deficit hyperactivity disorder (ADHD), substance use disorders, and criminality: a difficult problem with complex solutions
- Violence among young men: the importance of a gender-specific developmental approach to adolescent male suicide and homicide
- Adolescent mass shootings: developmental considerations in light of the Sandy Hook shooting
- Emotion regulation and adolescent suicide: a proposal for physician education
- Oxytocin and callous-unemotional traits: towards a social-cognitive approach to forensic analysis
- Suicide medical malpractice: an educational overview
- Alcohol and drug use among adolescents: an educational overview
- Original Article
- Victimization exposure and suicidal ideation among Spaniard adolescents evaluated at outpatient mental health services
- Short Communication
- Suicide risk assessment: searching for true positive
- Case Reports
- Taking a toy gun to school: a consideration of the determinants of adolescent forensic behavior in the aftermath of the Sandy Hook shooting
- Suicidal behavior in a medical professional with comorbid depression and substance use disorder: an educational case report
- Low testosterone in a young combat veteran with dual diagnosis and suicidal behavior: a case study