Prevalence and Clinical Differences of Suicidal Thoughts and Behaviors in a Community Sample of Youth Receiving Cognitive-Behavioral Therapy for Anxiety.
This study examined the incidence of suicidal thoughts and behaviors in youth with anxiety before initiating cognitive behavioral therapy, as well as the emergence of suicidal thoughts and behaviors during treatment. Overall, 30% of youth experienced suicidal thoughts and behaviors. Prior to treatment, 24% reported suicidal thoughts and behaviors, and 13.1% endorsed suicidal thoughts and behaviors during treatment. More than half who endorsed suicidal thoughts and behaviors during treatment were newly identified cases not detected prior to treatment. Disagreement among parent- and child-report measures of suicidality was found at baseline. Youth who experienced suicidal thoughts and behaviors had higher levels of loneliness, depressive symptoms, overt peer victimization, functional impairment, and externalizing symptoms. Findings suggest that the assessment of suicidality at a single time-point and from one informant is not sufficient to identify at-risk youth. Ongoing assessment of suicidal risk during treatment is important in this population.
Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA. nmcbride@health.usf.edu.
Nicole M
NM
McBride
Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.
Carly
C
Johnco
Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.|School of Social Work, University of South Florida, Tampa, FL, USA.
Alison
A
Salloum
Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.|Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, USA.
Adam B
AB
Lewin
Department of Pediatrics, Rothman Center for Neuropsychiatry, University of South Florida, 880 6th Street South, Suite 460, Box 7523, St. Petersburg, FL, 33701, USA.|Department of Psychology, University of South Florida, Tampa, FL, USA.|Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, USA.|Department of Health Policy and Management, University of South Florida, Tampa, FL, USA.|Rogers Behavioral Health - Tampa Bay, Tampa, FL, USA.|All Children's Hospital - Johns Hopkins Medicine, St. Petersburg, FL, USA.
Eric A
EA
Storch
D000293:Adolescent; D001008:Anxiety Disorders / Q000523:psychology* / Q000628:therapy; D002648:Child; D015928:Cognitive Behavioral Therapy; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008132:Loneliness / Q000523:psychology*; D008297:Male; D010290:Parents / Q000523:psychology; D012307:Risk Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*
Anxiety; Suicidal ideation; Youth