1
|
Chapman-Hilliard C, Pelham T, Mollo V, Henry P, Miller B, Yankura J, Denton EG. Clinical utility of depression measures and symptoms: Implications for suicide risk assessment in high risk, resource limited youth populations. Suicide Life Threat Behav 2024. [PMID: 38411306 DOI: 10.1111/sltb.13068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 12/14/2023] [Accepted: 02/10/2024] [Indexed: 02/28/2024]
Abstract
OBJECTIVE Suicide risk for youth in resource- limited settings has been largely underrepresented in the literature and requires targeted examination of practical ways to address this growing public health concern. The present study focuses on the clinical utility of depression risk assessment tools addressing how and for whom suicide prevention intervention is most beneficial within a low-middle-income-country, high suicide risk youth sample. METHODS Youth who reported a previous suicide attempt versus those who did not were criterion to test the validity of depression and hopelessness symptom assessment tools. We used item analyses to identify depressive symptom endorsements that most informed youth suicide risk, which will better equip rural practitioners for targeted intervention and monitoring of youth with an already high risk for suicide. RESULTS Findings demonstrated that practitioners may target symptoms of social anhedonia, depressed mood, concentration disturbance, feelings of worthlessness, sleep disturbance, and fatigue for suicide prevention-intervention efforts among high-risk youth. CONCLUSIONS Study implications are for clinicians' use of the BDI-II and CES-D for depression symptom identification and suicide risk monitoring in settings with limited mental health infrastructure.
Collapse
Affiliation(s)
- Collette Chapman-Hilliard
- Department of Counseling and Human Development Services, University of Georgia, Athens, Georgia, USA
| | - Tanisha Pelham
- Department of Counseling and Human Development Services, University of Georgia, Athens, Georgia, USA
| | - Victoria Mollo
- Department of Educational Studies, Purdue University, West Lafayette, Indiana, USA
| | - Paulette Henry
- Social Work Department, University of Guyana, Berbice Campus, Settlement, Guyana
| | | | | | - Ellen-Ge Denton
- Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
| |
Collapse
|
2
|
Moller CI, Badcock PB, Hetrick SE, Rice S, Berk M, Witt K, Chanen AM, Dean OM, Gao C, Cotton SM, Davey CG. Predictors of suicidal ideation severity among treatment-seeking young people with major depressive disorder: The role of state and trait anxiety. Aust N Z J Psychiatry 2023; 57:1150-1162. [PMID: 36629043 DOI: 10.1177/00048674221144262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
OBJECTIVE Depression and suicidal ideation are closely intertwined. Yet, among young people with depression, the specific factors that contribute to changes in suicidal ideation over time are uncertain. Factors other than depressive symptom severity, such as comorbid psychopathology and personality traits, might be important contributors. Our aim was to identify contributors to fluctuations in suicidal ideation severity over a 12-week period in young people with major depressive disorder receiving cognitive behavioural therapy. METHODS Data were drawn from two 12-week randomised, placebo-controlled treatment trials. Participants (N = 283) were 15-25 years old, with moderate to severe major depressive disorder. The primary outcome measure was the Suicidal Ideation Questionnaire, administered at baseline and weeks 4, 8 and 12. A series of linear mixed models was conducted to examine the relationship between Suicidal Ideation Questionnaire score and demographic characteristics, comorbid psychopathology, personality traits and alcohol use. RESULTS Depression and anxiety symptom severity, and trait anxiety, independently predicted higher suicidal ideation, after adjusting for the effects of time, demographics, affective instability, non-suicidal self-injury and alcohol use. CONCLUSIONS Both state and trait anxiety are important longitudinal correlates of suicidal ideation in depressed young people receiving cognitive behavioural therapy, independent of depression severity. Reducing acute psychological distress, through reducing depression and anxiety symptom severity, is important, but interventions aimed at treating trait anxiety could also potentially be an effective intervention approach for suicidal ideation in young people with depression.
Collapse
Affiliation(s)
- Carl I Moller
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Paul B Badcock
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Sarah E Hetrick
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Simon Rice
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Michael Berk
- The Institute for Mental and Physical Health and Clinical Translation (IMPACT), School of Medicine, Deakin University and Barwon Health, Geelong, VIC, Australia
- The Florey Institute of Neuroscience and Mental Health and Department of Psychiatry, The University of Melbourne, Parkville, VIC, Australia
| | - Katrina Witt
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Andrew M Chanen
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Olivia M Dean
- The Institute for Mental and Physical Health and Clinical Translation (IMPACT), School of Medicine, Deakin University and Barwon Health, Geelong, VIC, Australia
- The Florey Institute of Neuroscience and Mental Health and Department of Psychiatry, The University of Melbourne, Parkville, VIC, Australia
| | - Caroline Gao
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Sue M Cotton
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
| | - Christopher G Davey
- Orygen, Parkville, VIC, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Department of Psychiatry, The University of Melbourne, Parkville, VIC, Australia
| |
Collapse
|
3
|
Moller CI, Badcock PB, Hetrick SE, Rice S, Berk M, Dean OM, Chanen AM, Gao C, Davey CG, Cotton SM. Assessing Suicidal Ideation in Young People With Depression: Factor Structure of the Suicidal Ideation Questionnaire. OMEGA-JOURNAL OF DEATH AND DYING 2022:302228221124388. [PMID: 36067753 DOI: 10.1177/00302228221124388] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Evaluating suicidal ideation in young people seeking mental health treatment is an important component of clinical assessment and treatment planning. To reduce the burden of youth suicide, we need to improve our understanding of suicidal ideation, its underlying constructs, and how ideation translates into suicidal behaviour. Using exploratory factor analysis, we investigated the dimensionality of the Suicidal Ideation Questionnaire (SIQ) among 273 participants aged 15-25 with Major Depressive Disorder. Area under the receiver operating characteristic curve (AUROC) analysis was used to explore associations between latent factors and actual suicidal behaviour. Findings suggested that the SIQ assesses multiple factors underlying suicidal ideation. AUROC analyses demonstrated that latent factors relating to both active and passive suicidal ideation predicted past-month suicidal behaviour and suicide attempt. These findings contribute to an improved understanding of the complexities of suicidal ideation and relationships with suicidal behaviour in young people with depression.
Collapse
Affiliation(s)
- Carl I Moller
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
| | - Paul B Badcock
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
- Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, VIC, Australia
| | - Sarah E Hetrick
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
- Department of Psychological Medicine, University of Auckland, Auckland, New Zealand
| | - Simon Rice
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
| | - Michael Berk
- School of Medicine, Barwon Health, IMPACT - the Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, Australia
- Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia
| | - Olivia M Dean
- School of Medicine, Barwon Health, IMPACT - the Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, Australia
- Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia
| | - Andrew M Chanen
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
| | - Caroline Gao
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
| | - Christopher G Davey
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
- Department of Psychiatry, The University of Melbourne, Parkville, VIC, Australia
| | - Sue M Cotton
- Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC, Australia
- Orygen, Parkville, VIC, Australia
| |
Collapse
|
4
|
Patterson S. Suicide Risk Screening Tools and the Youth Population. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2016; 29:118-26. [PMID: 27552927 DOI: 10.1111/jcap.12148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
TOPIC The use of suicide risk screening tools is a critical component of a comprehensive approach to suicide risk assessment. Since nurses frequently spend more time with patients than any other healthcare professional, they are in key positions to detect and prevent suicidal behavior in youth. PURPOSE To inform nurses about suicide risk screening tools for the youth population. Suicide risk screening tools are research-based standardized instruments that are used to identify people who may be at risk for suicide. SOURCES USED A literature search was performed using the Athabasca University Library Resource, the databases of the Cumulative Index to Nursing and Allied Health Literature, ScienceDirect, and Google Scholar. CONCLUSIONS Nurses are cautioned to utilize suicide risk screening tools as only part of the suicide risk assessment in youth populations and avoid the danger of relying on tools that may result in a blind application of evidence to the detriment of clinical experience and judgement.
Collapse
Affiliation(s)
- Sharon Patterson
- Registered Nurse, Mental Health Urgent Care Clinic, Humber River Hospital, Toronto, Ontario, Canada.
| |
Collapse
|
5
|
Potard C, Kubiszewski V, Gimenes G, Courtois R. Validation of the French version of the Suicidal Ideation Questionnaire among adolescents. Psychiatry Res 2014; 215:471-6. [PMID: 24332633 DOI: 10.1016/j.psychres.2013.11.025] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Revised: 11/11/2013] [Accepted: 11/25/2013] [Indexed: 11/16/2022]
Abstract
Teenage suicide is a major public health issue in Western societies, especially in France. An instrument to measure suicidal thoughts in French adolescents and thus identify the teenagers at risk is urgently required. The aim of this study was to validate a French version of the Suicidal Ideation Questionnaire (SIQ) for use with teenagers. Respondents (n=956, age range 14-18.0) completed the SIQ and other convergent measures (self-esteem, psychic morbidity, anxiety, and personality) for three validation steps (general and clinical samples). A confirmatory factor analysis was performed on the SIQ. The study supported a 30-item one-factor model, similar to the original questionnaire, with moderate model fit indices (χ(2)/ddl=3.21; RMSEA=0.05; CFI=0.87; GFI=0.92). Significant correlations (-0.22 to 0.74) were found with convergent measures among general (n=871) and psychiatric samples (n=38). A high internal consistency was found with a reliability coefficient of 0.91. The results confirm the psychometric qualities of the questionnaire for French adolescents.
Collapse
Affiliation(s)
- Catherine Potard
- University of Reims Champagne-Ardenne, EA 6291, 57 rue Pierre Tailtinger, 51096 Reims, Cedex, France.
| | | | - Guillaume Gimenes
- University of François Rabelais, Department of Psychology, EA 2114 Tours, France
| | - Robert Courtois
- University of François Rabelais, Department of Psychology, EA 2114 Tours, France; Psychiatric University Clinic, University Hospital of Tours (CHRU), Tours, France
| |
Collapse
|
6
|
Suicidal adolescents' experiences with bullying perpetration and victimization during high school as risk factors for later depression and suicidality. J Adolesc Health 2013; 53:S37-42. [PMID: 23790199 DOI: 10.1016/j.jadohealth.2012.12.008] [Citation(s) in RCA: 73] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2012] [Revised: 12/07/2012] [Accepted: 12/11/2012] [Indexed: 11/20/2022]
Abstract
This is the first study to examine the extent to which frequent involvement in high-school bullying (as a bullying perpetrator, victim of bullying, or bully-victim) increases the risk for later depression and suicidality beyond other well-established risk factors of suicide. The study included 96 students who reported being a bully, a victim, or a bully-victim, and also reported depression, suicidality, or substance problems during an initial suicide screen. These students were interviewed 2 years later and were compared with 142 youth identified during the initial screen as "suicide-at-risk" by virtue of their depression, suicidal ideation, attempts, and substance problems, but who did not report any involvement in bullying behavior. Students who reported both bullying others and other suicide-related behaviors at baseline had higher suicide ideation and were more functionally impaired at follow-up than students who reported suicide-related behaviors but were not involved in bullying. Preventive efforts in high school should target those children who are characterized by both psychological disturbance and bullying, especially the frequent bullies.
Collapse
|
7
|
Vassar M, Bradley G. A reliability generalization meta-analysis of coefficient alpha for the Reynolds Adolescent Depression Scale. Clin Child Psychol Psychiatry 2012; 17:519-27. [PMID: 22104367 DOI: 10.1177/1359104511424998] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to use a meta-analytic method known as reliability generalization to investigate the score reliability for a popular depression measure: The Reynolds Adolescent Depression Scale. We used the technique to provide an aggregate estimate of coefficient alpha across empirical studies that have employed the measure over time and across populations. Furthermore, we identified sample and demographic characteristics associated with variance in coefficient alpha. We discuss conditions associated with variability in coefficient alpha and alert researchers and practitioners to appropriate uses of the scale based on common reliability benchmarks.
Collapse
Affiliation(s)
- Matt Vassar
- Office of Educational Development, Oklahoma State University Center for Health Sciences, Tulsa, OK 74107, USA.
| | | |
Collapse
|
8
|
Carnevale T. An Integrative Review of Adolescent Depression Screening Instruments: Applicability for Use by School Nurses. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2010; 24:51-7. [DOI: 10.1111/j.1744-6171.2010.00256.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
9
|
Russell ST, Toomey RB. Men's sexual orientation and suicide: evidence for U.S. adolescent-specific risk. Soc Sci Med 2010; 74:523-9. [PMID: 20833460 DOI: 10.1016/j.socscimed.2010.07.038] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2010] [Revised: 06/09/2010] [Accepted: 07/28/2010] [Indexed: 01/13/2023]
Abstract
There is strong consensus in the research literature that adolescent and adult men who report same-sex sexual orientations, identities, and behaviors are at higher risk for suicide. Recent studies of general adolescent suicide risk have identified developmental trajectories that peak during the teenage years. Because the adolescent years are characterized by the development and heightened awareness of gender roles and sexual scripts closely tied to dominant cultural ideals of masculinity and heterosexuality, an adolescent-focused developmental trajectory for suicide risk might be particularly relevant for males with adolescent same-sex sexual orientations. We provide the first prospective examination of adolescent-specific risk for suicidality based on adolescent same-sex sexual orientation using data from the United States, the National Longitudinal Study of Adolescent Health. Tracing suicide ideation and attempts across four assessments from adolescence (Wave 1 average age 15.3 years) to young adulthood (Wave 4 average age 28.2), we documented that the risk for suicidal thoughts and attempts for adolescent same-sex attracted males is developmental in nature. Specifically, the risk for suicidal thoughts and attempts for males with same-sex attractions is largely limited to the adolescent years. These results offer new insights for suicide prevention and intervention for male adolescents and adults with same-sex sexual orientations.
Collapse
Affiliation(s)
- Stephen T Russell
- University of Arizona, Norton School of Family & Consumer Sciences, 650 N Park Ave, PO Box 210078, Tucson, AZ 85721-0078, United States.
| | | |
Collapse
|