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Suicidal ideation and attempts among chemically dependent adolescents
1Department of Maternal and Child Health, Harvard School of Public Health, Boston, MA 02115.
American Journal of Public Health
|April 1, 1994
Summary
Suicidal ideation and attempts are common in chemically dependent adolescents. Risk increases with prolonged morbid thoughts, especially in males exposed to abuse.
Area of Science:
- Adolescent Psychiatry
- Substance Abuse Research
- Suicidology
Background:
- Chemically dependent adolescents represent a high-risk group for self-destructive behaviors.
- Understanding suicidality in this population is critical for effective intervention.
Purpose of the Study:
- To examine the prevalence and correlates of suicidal ideation and attempts in chemically dependent adolescents.
- To identify factors associated with increased risk of suicide attempts.
Main Methods:
- A study involving 300 chemically dependent adolescents (aged 15-19) utilized the Diagnostic Interview Schedule.
- A structured family and social history interview assessed suicidality and major depressive disorder.
Main Results:
- Suicidal ideation ranged from 31% to 75%, and suicide attempts from 28% to 61%, with females more affected.
- Prolonged morbid ideation significantly correlated with suicide attempts.
- Abuse exposure increased suicide attempt risk in males, but not females.
Conclusions:
- Suicide attempt risk is elevated when suicidal thoughts are prolonged and combined with morbid ideation.
- Substance abuse treatment must include assessment of suicidal potential, particularly for males with a history of abuse.