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Related Experiment Video

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Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
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Screening for suicidal ideation in children with epilepsy.

Jana E Jones1, Prabha Siddarth, Suresh Gurbani

  • 1Department of Neurology, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, Rm 7229, Madison, WI 53705, USA.

Epilepsy & Behavior : E&B
|October 17, 2013
PubMed
Summary

This study found that elevated scores on the Child Behavior Checklist (CBCL) and multiple psychiatric diagnoses can help identify suicidal ideation in children with epilepsy.

Keywords:
AEDAUCBehavioral problemsCAECBCLCPSChild Behavior ChecklistKSADS-PLKiddie Schedule for Affective Disorders and Schizophrenia—Present and Lifetime VersionORPediatric epilepsyPsychiatric disordersROCSuicideantiepileptic drugarea under the ROC curvechildhood absence epilepsycomplex partial seizuresodds ratioreceiver operating characteristic

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Area of Science:

  • Child and Adolescent Psychiatry
  • Neuropsychology
  • Public Health

Background:

  • The U.S. Food and Drug Administration (FDA) issued a warning regarding a potential link between antiepileptic drugs and suicidal behavior.
  • There is a critical need to identify methods for detecting suicidal ideation in pediatric epilepsy populations.

Purpose of the Study:

  • To compare the effectiveness of the Child Behavior Checklist (CBCL) and structured psychiatric interviews in detecting suicidal behavior in children with epilepsy.
  • To identify reliable predictors of suicidal ideation in this vulnerable group.

Main Methods:

  • The study involved 177 children with epilepsy (aged 5-16 years) whose parents completed the CBCL.
  • Psychiatric diagnoses were established through structured interviews with children and parents.
  • Children were directly interviewed about suicidal behaviors.

Main Results:

  • Elevated scores on the CBCL Total Problems scale correctly classified children with suicidal ideation in 79% of cases.
  • Having more than one psychiatric diagnosis correctly classified children with suicidal ideation in 80% of cases.
  • Both elevated CBCL scores and multiple psychiatric diagnoses were significant predictors of suicidal ideation.

Conclusions:

  • The CBCL is a valuable tool for screening and identifying children with epilepsy at risk for suicidal behavior.
  • Children with epilepsy and multiple psychiatric diagnoses warrant further assessment for suicidal behavior, regardless of diagnosis type.
  • Utilizing parent-completed questionnaires in waiting rooms can aid in early risk identification.