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Published on: November 21, 2013
Risk factors for suicidal thoughts in adolescence--a prospective cohort study: the Young-HUNT study
Arve Strandheim1, Ottar Bjerkeset2, David Gunnell3
1Department of Child and Adolescent Psychiatry, Levanger Hospital, Nord-Trøndelag Health Trust, Levanger, Norway Department of Public Health and General Practice, Faculty of Medicine (ISM), HUNT Research Centre, Norwegian University of Science and Technology (NTNU), Levanger, Norway.
Adolescent anxiety, depression, conduct problems, overweight, and pain were linked to suicidal thoughts in young adulthood. Early intervention for these issues may help prevent suicidal ideation in at-risk youth.
Area of Science:
- Adolescent mental health
- Public health
- Psychiatry
Background:
- Suicidal thoughts represent a significant public health concern among adolescents.
- Understanding early risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the association between health and lifestyle factors in early adolescence and the development of suicidal thoughts.
- To identify specific risk factors that predict later suicidal ideation.
Main Methods:
- A population-based prospective cohort study involving 2399 adolescents (13-15 years old) from the Young-HUNT1 study.
- Data on health and lifestyle factors were collected in 1995-1997, with follow-up 4 years later to assess suicidal thoughts.
- Statistical analysis included adjusted odds ratios (aOR) to determine associations between baseline factors and suicidal thoughts.
Main Results:
- 17% of adolescents reported suicidal thoughts at follow-up (ages 17-19), with higher prevalence in girls (19.5%) than boys (14.2%).
- Significant associations were found between baseline anxiety and depressive symptoms (aOR 1.9), conduct problems (aOR 1.8), overweight (aOR 1.9), and muscular pain/tension (aOR 1.8) and later suicidal thoughts.
- These risk factors were present in early adolescence (13-15 years old).
Conclusions:
- Suicidal thoughts are prevalent in young adulthood, with girls being more affected.
- Early identification of anxiety/depression, conduct problems, overweight, and pain/tension in adolescents is vital for targeted prevention.
- Further research is recommended to explore associations with suicide attempts and completed suicides.
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