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Co-occurring passive and active suicidal ideations as a risk factor for suicidal behavior during adolescence
Adam Benzekri1, Pamela A Morris-Perez1, Erin Godfrey1
1Department of Applied Psychology Steinhardt School of Culture, Education, and Human Development, New York University, United States.
Journal of Affective Disorders
|December 18, 2025
Summary
Adolescents with co-occurring suicidal ideations (SIs) face a significantly higher risk of suicidal behavior. Identifying these patterns early is crucial for intervention in adolescent mental health.
Area of Science:
- Adolescent Psychology
- Mental Health Research
- Suicidology
Background:
- Understanding patterns of suicidal ideations (SIs) is critical for adolescent mental health.
- Adolescent suicidal behavior is a significant public health concern.
Purpose of the Study:
- To identify distinct patterns of suicidal ideations among adolescents.
- To assess the association between these patterns and subsequent suicidal behavior.
Main Methods:
- Latent class analysis (LCA) was used to classify 540 adolescents based on five dimensions of past-month SI.
- Adolescents completed self-report measures at baseline and 3-month follow-up.
- Associations between SI patterns and suicidal behavior were examined, controlling for covariates.
Main Results:
- A three-class model best fit the data: Passive SI, Co-Occurring Suicidal Ideations, and No SI.
- The Co-Occurring Suicidal Ideations class showed a significantly higher risk of suicidal behavior (RR=3.13, p<.05) compared to the No SI class.
- LGBTQ+ adolescents were more likely to be in the No SI class.
Conclusions:
- Preliminary evidence suggests that co-occurring suicidal ideations confer risk for suicidal behavior in adolescents.
- Identifying specific SI patterns can help stratify risk for suicidal behavior.
- Further research is needed to confirm these findings and inform prevention strategies.
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