title: Has adolescent suicidality decreased in the United States? Data from two national samples of adolescents interviewed in 1995 and 2005.
abstract: We compared the prevalence and correlates of adolescent suicidal ideation and attempts in two nationally representative probability samples of adolescents interviewed in 1995 (National Survey of Adolescents; N = 4,023) and 2005 (National Survey of Adolescents-Replication; N = 3,614). Participants in both samples completed a telephone survey that assessed major depressive episode (MDE), post-traumatic stress disorder, suicidal ideation and attempts, violence exposure, and substance use. Results demonstrated that the lifetime prevalence of suicidal ideation among adolescents was lower in 2005 than 1995, whereas the prevalence of suicide attempts remained stable. MDE was the strongest predictor of suicidality in both samples. In addition, several demographic, substance use, and violence exposure variables were significantly associated with increased risk of suicidal ideation and attempts in both samples, with female gender, nonexperimental drug use, and direct violence exposure being consistent risk factors in both samples.
authors.affiliation: National Crime Victims Research and Treatment Center, Medical University of South Carolina, 67 President Street, MSC861, Charleston, SC 29425, USA. wolitzky@musc.edu
authors.forename: Kate B
authors.initials: KB
authors.lastname: Wolitzky-Taylor
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ruggiero
authors.forename: Michael R
authors.initials: MR
authors.lastname: McCart
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Smith
authors.forename: Rochelle F
authors.initials: RF
authors.lastname: Hanson
authors.forename: Heidi S
authors.initials: HS
authors.lastname: Resnick
authors.forename: Michael A
authors.initials: MA
authors.lastname: de Arellano
authors.forename: Benjamin E
authors.initials: BE
authors.lastname: Saunders
authors.forename: Dean G
authors.initials: DG
authors.lastname: Kilpatrick
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000367:Age Factors; D002648:Child; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D015995:Prevalence; D012044:Regression Analysis; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014754:Violence / Q000706:statistics & numerical data
references.citation: Suicide Life Threat Behav. 1995 Summer;25(2):276-96
references.pmid: 7570788
references.citation: J Am Acad Child Adolesc Psychiatry. 2007 Jul;46(7):859-66
references.pmid: 17581450
references.citation: Am J Public Health. 1998 Jun;88(6):944-8
references.pmid: 9618626
references.citation: J Trauma Stress. 2006 Oct;19(5):699-707
references.pmid: 17075907
references.citation: J Trauma Stress. 2005 Apr;18(2):97-105
references.pmid: 16281201
references.citation: MMWR Morb Mortal Wkly Rep. 2007 Sep 7;56(35):905-8
references.pmid: 17805220
references.citation: J Am Acad Child Adolesc Psychiatry. 1999 Dec;38(12):1490-6
references.pmid: 10596248
references.citation: Am J Psychiatry. 2001 Sep;158(9):1467-73
references.pmid: 11532733
references.citation: Can J Psychiatry. 2007 Oct;52(10):666-74
references.pmid: 18020114
references.citation: J Am Acad Child Adolesc Psychiatry. 1996 Sep;35(9):1174-82
references.pmid: 8824061
references.citation: Arch Gen Psychiatry. 2005 Nov;62(11):1249-57
references.pmid: 16275812
references.citation: BMJ. 2001 Jul 21;323(7305):135-8
references.pmid: 11463679
references.citation: Arch Gen Psychiatry. 2002 Aug;59(8):741-9
references.pmid: 12150651
references.citation: J Consult Clin Psychol. 2000 Feb;68(1):19-30
references.pmid: 10710837
references.citation: MMWR Surveill Summ. 2008 Jun 6;57(4):1-131
references.pmid: 18528314
references.citation: Br J Psychiatry. 2008 Jul;193(1):10-7
references.pmid: 18700212
references.citation: CNS Drugs. 2004;18(15):1119-32
references.pmid: 15581382
references.citation: J Adolesc Health. 2007 Aug;41(2):175-81
references.pmid: 17659222
references.citation: J Am Acad Child Adolesc Psychiatry. 2000 Jan;39(1):28-38
references.pmid: 10638065
references.citation: Prev Med. 2003 Jan;36(1):1-7
references.pmid: 12473419
references.citation: J Clin Child Psychol. 2001 Sep;30(3):303-15
references.pmid: 11501248
references.citation: J Clin Psychiatry. 1999;60 Suppl 2:70-4; discussion 75-6, 113-6
references.pmid: 10073391
references.citation: J Epidemiol Community Health. 2003 Feb;57(2):120-4
references.pmid: 12540687
references.citation: JAMA. 2005 May 25;293(20):2487-95
references.pmid: 15914749
references.citation: Behav Res Ther. 2007 May;45(5):863-76
references.pmid: 17007812
references.citation: Natl Vital Stat Rep. 2005 Mar 7;53(17):1-89
references.pmid: 15786629
references.citation: J Am Acad Child Adolesc Psychiatry. 2003 Apr;42(4):386-405
references.pmid: 12649626
references.citation: Acta Psychiatr Scand. 2001 Nov;104(5):332-9
references.pmid: 11722313
references.citation: J Affect Disord. 2001 Mar;63(1-3):59-66
references.pmid: 11246081
references.citation: J Am Acad Child Adolesc Psychiatry. 2002 Jan;41(1):44-51
references.pmid: 11800204
references.citation: Suicide Life Threat Behav. 2000 Summer;30(2):91-103
references.pmid: 10888051
references.citation: J Consult Clin Psychol. 2003 Aug;71(4):692-700
references.pmid: 12924674
references.citation: J Clin Child Adolesc Psychol. 2008 Jan;37(1):62-104
references.pmid: 18444054
references.citation: Arch Gen Psychiatry. 2003 Oct;60(10):978-82
references.pmid: 14557142
references.citation: Addiction. 2005 Jan;100(1):79-88
references.pmid: 15598195
references.citation: Arch Gen Psychiatry. 1999 Jul;56(7):617-26
references.pmid: 10401507
references.citation: Natl Vital Stat Rep. 2004 Jun 2;52(21):1-86
references.pmid: 15222463
references.citation: J Abnorm Child Psychol. 2002 Oct;30(5):529-37
references.pmid: 12403155
references.citation: J Trauma Stress. 2007 Oct;20(5):869-79
references.pmid: 17955525
references.citation: Adolescence. 1991 Winter;26(104):817-28
references.pmid: 1789169
references.citation: Am J Public Health. 2000 Dec;90(12):1879-84
references.pmid: 11111260
references.citation: J Am Acad Child Adolesc Psychiatry. 2004 May;43(5):538-47
references.pmid: 15100560
references.citation: MMWR Surveill Summ. 2008 Apr 11;57(3):1-45
references.pmid: 18401333
references.citation: J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1300-7
references.pmid: 11699804
references.citation: J Am Acad Child Adolesc Psychiatry. 2001 Jul;40(7):837-46
references.pmid: 11437023
references.citation: Suicide Life Threat Behav. 2003 Winter;33(4):400-11
references.pmid: 14695055
references.citation: Am J Prev Med. 2004 Oct;27(3):224-31
references.pmid: 15450635
references.citation: J Consult Clin Psychol. 1994 Apr;62(2):297-305
references.pmid: 8201067
references.citation: Eur Arch Psychiatry Clin Neurosci. 1998;248(2):87-95
references.pmid: 9684918
references.citation: J Am Acad Child Adolesc Psychiatry. 2008 Jul;47(7):755-762
references.pmid: 18520962
references.citation: J Am Acad Child Adolesc Psychiatry. 1993 Jan;32(1):21-7
references.pmid: 8428874
references.citation: J Consult Clin Psychol. 1993 Dec;61(6):984-91
references.pmid: 8113499
references.citation: Psychiatr Serv. 2004 Mar;55(3):274-83
references.pmid: 15001728
references.citation: Pediatrics. 2001 Mar;107(3):485-93
references.pmid: 11230587