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Related Experiment Videos

Adolescent suicidality: a clinical-developmental approach.

S R Borst1, G G Noam, J A Bartok

  • 1Laboratory of Developmental Psychology, Harvard Medical School, Belmont, MA 02178.

Journal of the American Academy of Child and Adolescent Psychiatry
|September 1, 1991
PubMed
Summary
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Adolescent suicide attempts are linked to lower ego development and specific diagnoses like affective disorders. Girls and those with mixed conduct-affective disorders were more prone to suicidal behavior in this inpatient study.

Area of Science:

  • Psychiatry
  • Developmental Psychology
  • Adolescent Health

Background:

  • Suicidality is a significant concern in adolescent psychiatric populations.
  • Understanding risk factors for adolescent suicide attempts is crucial for effective intervention.
  • Previous research has identified various demographic and diagnostic correlates of suicidality.

Purpose of the Study:

  • To investigate the relationship between ego development, age, gender, and psychiatric diagnosis with suicidality in adolescent psychiatric inpatients.
  • To identify specific diagnostic groups and demographic factors associated with suicide attempts.

Main Methods:

  • The study included 219 adolescent psychiatric inpatients.
  • Adolescents were assessed for suicidality using the Diagnostic Interview Schedule for Children (DISC).

Related Experiment Videos

  • Ego development was measured to assess developmental maturity; diagnostic groups included affective disorder, conduct disorder, and mixed conduct-affective disorder.
  • Main Results:

    • A significant relationship was found between suicide attempts and lower developmental complexity (ego development).
    • Adolescents who attempted suicide were more likely to have affective or mixed conduct-affective disorders.
    • Female gender was associated with a higher likelihood of suicide attempts; age was not a significant factor in this sample.

    Conclusions:

    • Ego development level is an important dimension in understanding adolescent suicidality, interacting with established risk factors.
    • Affective and mixed conduct-affective disorders, along with female gender, are significant correlates of suicide attempts in this population.
    • These findings highlight the need to consider developmental maturity in assessing and managing suicide risk in adolescents.