title: Variation in functioning, psychosocial characteristics, and six-month outcomes among suicidal youth in comprehensive community mental health services.
abstract: In this study we compared the psychosocial (n = 7,896) and clinical (n = 4,664) characteristics and 6-month functional outcomes (n = 2,594) of suicidal and nonsuicidal youth. Repeat and previous attempters were more likely than first-time and never attempters to experience psychosocial problems and to be functionally impaired in a variety of domains. Differences in functional impairment persisted at 6 months. Among those who were not severely functionally impaired at baseline, repeat attempters were more likely to be severely impaired at 6 months. Subgroups of suicide attempters may present to treatment differently, have a different expression of problems over time, and have different treatment needs.
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Philadelphia 19104-3309, USA. mandelld@mail.med.upenn.edu
authors.forename: David S
authors.initials: DS
authors.lastname: Mandell
authors.forename: Christine M
authors.initials: CM
authors.lastname: Walrath
authors.forename: David B
authors.initials: DB
authors.lastname: Goldston
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D006801:Humans; D011584:Psychology; D012919:Social Behavior; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data*; D013997:Time Factors