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2015 ; 187
(ä): 27-34
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Predicting suicide attempts in depressed adolescents: Clarifying the role of
disinhibition and childhood sexual abuse
#MMPMID26318268
Stewart JG
; Kim JC
; Esposito EC
; Gold J
; Nock MK
; Auerbach RP
J Affect Disord
2015[Nov]; 187
(ä): 27-34
PMID26318268
show ga
BACKGROUND: Suicide is the second leading cause of death among adolescents, and
depressed youth are six times more likely to make suicide attempts as compared to
non-depressed adolescents. The present study examined the unique and interactive
effects of two well-established correlates of suicidality - childhood sexual
abuse (CSA) and disinhibition - in predicting suicide attempts among depressed
adolescents. METHOD: Participants were 163 adolescents (125 females) aged 13-18
(M=15.60, SD=1.27) diagnosed with Major Depressive Disorder (n=95, 58.3%) and/or
Dysthymia (n=69, 42.3%) recruited from an acute residential treatment service.
Participants completed interviews assessing psychopathology and suicidality,
self-report measures of depressive symptoms and CSA, and a computerized
disinhibition task. RESULTS: Consistent with hypotheses, CSA moderated the
association between disinhibition and adolescents' report of their past year and
lifetime suicide attempts. Specifically, higher disinhibition was associated with
a greater likelihood of having made a suicide attempt among adolescents with a
history of CSA, but not among those without. The same pattern of results held in
analyses of suicide attempt frequency. LIMITATIONS: Primary findings were based
on observational, cross-sectional data, and therefore, causal relationships
cannot be inferred. The gender imbalance in the sample precluded stratifying our
analyses by gender. CSA was ascertained by self-report; replication of the
results with more objective measures is warranted. CONCLUSIONS: Our findings
indicate that CSA and disinhibition may work together to predict elevated suicide
risk, and these results have implications for early identification efforts in
youth at high risk for suicide.