title: Adolescent witnesses to a peer suicide.
abstract: OBJECTIVE
  This case-control study attempts to evaluate the psychological impact of witnessing a suicide on high school students.
  
  
  METHODS
  Twenty-eight high school students witnessed a firearms suicide and the serious injury of another student while riding a school bus. They were assessed 2 months after the event, and their responses were compared with 28 demographically similar adolescents from another community who had not been exposed to suicide.
  
  
  RESULTS
  The exposed students, when compared with the controls, had higher rates of new-onset anxiety disorder and a trend for increased rates of new-onset post-traumatic stress disorder (PTSD). Within the exposed group, measures of the closeness of the relationship to both the suicide victim and the student who was injured were correlated with the severity of PTSD symptomatology. Within the exposed group, other factors that predisposed to new-onset disorder included family history of affective illness, family history of suicide attempt, and stressful life events occurring in the year before exposure.
  
  
  CONCLUSIONS
  In combination with the extant literature, this study demonstrates that adolescents who witness a traumatic suicidal death are at risk for the development of psychopathology, specifically, anxiety disorders and PTSD.
authors.affiliation: Western Psychiatric Institute and Clinic, Pittsburgh, PA 15213.
authors.forename: D A
authors.initials: DA
authors.lastname: Brent
authors.forename: J
authors.initials: J
authors.lastname: Perper
authors.forename: G
authors.initials: G
authors.lastname: Moritz
authors.forename: A
authors.initials: A
authors.lastname: Friend
authors.forename: J
authors.initials: J
authors.lastname: Schweers
authors.forename: C
authors.initials: C
authors.lastname: Allman
authors.forename: L
authors.initials: L
authors.lastname: McQuiston
authors.forename: M B
authors.initials: MB
authors.lastname: Boylan
authors.forename: C
authors.initials: C
authors.lastname: Roth
authors.forename: L
authors.initials: L
authors.lastname: Balach
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000523:psychology; D001601:Bereavement; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008016:Life Change Events; D008297:Male; D010379:Peer Group; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D013405:Suicide