Precipitating events in adolescent suicidal crises: exploring stress-reactive and nonreactive risk profiles.
Factors distinguishing adolescents who experienced a precipitating event in the week preceding a suicidal crisis from those who did not were examined. Among 130 suicidal inpatients (mean age = 15.01 years), those who experienced a precipitating event reported significantly lower depressive symptom scores, better perceived problem solving, less suicidal intent, and a lower rate of prior suicide attempts than those without a precipitating event. Levels of trait impulsivity, suicidal ideation, and current attempt status did not differentiate groups. Findings provide preliminary evidence consistent with at least two possible pathways to a suicidal crisis. Clinical implications and future directions are discussed.
Ryan M. Hill, Jeremy W.Pettit, Department of Psychology, Florida International University, Miami, FL, USA; Kelly L.Green, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA; Sharon T.Morgan, Department of Psychology, Prairie View A&M University, Prairie View, TX, USA; Dawnelle J.Schatte, Department of Psychiatry, University of Texas Health Science Center at Houston, Houston, TX, USA.
Ryan M
RM
Hill
Ryan M. Hill, Jeremy W.Pettit, Department of Psychology, Florida International University, Miami, FL, USA; Kelly L.Green, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA; Sharon T.Morgan, Department of Psychology, Prairie View A&M University, Prairie View, TX, USA; Dawnelle J.Schatte, Department of Psychiatry, University of Texas Health Science Center at Houston, Houston, TX, USA.
Jeremy W
JW
Pettit
Ryan M. Hill, Jeremy W.Pettit, Department of Psychology, Florida International University, Miami, FL, USA; Kelly L.Green, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA; Sharon T.Morgan, Department of Psychology, Prairie View A&M University, Prairie View, TX, USA; Dawnelle J.Schatte, Department of Psychiatry, University of Texas Health Science Center at Houston, Houston, TX, USA.
Kelly L
KL
Green
Ryan M. Hill, Jeremy W.Pettit, Department of Psychology, Florida International University, Miami, FL, USA; Kelly L.Green, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA; Sharon T.Morgan, Department of Psychology, Prairie View A&M University, Prairie View, TX, USA; Dawnelle J.Schatte, Department of Psychiatry, University of Texas Health Science Center at Houston, Houston, TX, USA.
Sharon T
ST
Morgan
Ryan M. Hill, Jeremy W.Pettit, Department of Psychology, Florida International University, Miami, FL, USA; Kelly L.Green, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA; Sharon T.Morgan, Department of Psychology, Prairie View A&M University, Prairie View, TX, USA; Dawnelle J.Schatte, Department of Psychiatry, University of Texas Health Science Center at Houston, Houston, TX, USA.
Dawnelle J
DJ
Schatte
D000293:Adolescent; D005260:Female; D006801:Humans; D007297:Inpatients; D008016:Life Change Events; D008297:Male; D011340:Problem Solving; D011569:Psychiatric Status Rating Scales; D012306:Risk; D012307:Risk Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*