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Characterizing suicidal intent among suicidal adolescents: a systematic review
Romain Sibut1,2, Clara Robert3, Margaux Leboulleux3
1Service de Psychiatrie de l'Enfant et de l'Adolescent, CHU de Clermont-Ferrand, 58 rue Montalembert, Clermont-Ferrand, 63000, France. romain.sibut@gmail.com.
Child and Adolescent Psychiatry and Mental Health
|January 4, 2026
Summary
Suicidal intent in adolescents after a suicide attempt is linked to older age and internalized disorders. High intent across prior attempts may predict future suicide mortality.
Area of Science:
- Psychiatry
- Adolescent Health
- Suicidology
Background:
- Suicidal intent is crucial for adult suicide risk assessment and prognosis.
- Its specific features in adolescents post-suicide attempt are underexplored.
- Understanding adolescent suicidal intent may improve crisis assessment and prognosis.
Purpose of the Study:
- To describe the manifestation of suicidal intent in adolescents after a suicide attempt.
- To examine the relationship between suicidal intent and clinical/contextual factors in adolescents.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Searched five databases up to September 2023; included 17 studies.
- Narrative synthesis of extracted data; quality assessment of studies.
Main Results:
- Suicidal intent is more frequent in older adolescents (over 16).
- High suicidal intent correlates with internalized disorders.
- Previous high suicidal intent may predict later suicide mortality, independent of attempt lethality.
Conclusions:
- Existing assessment tools need refinement or new adolescent-specific tools are required.
- Adolescent-specific assessment of suicidal intent is essential for optimizing interventions.
- Improved assessment supports adolescents and their families during suicidal crises.
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