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Risk Factors for Suicide Attempt During Outpatient Care in Adolescents With Severe and Complex Depression.

Authors
  • van Velzen, Laura S1, 2
  • Toenders, Yara J1, 2
  • Kottaram, Akhil1, 2
  • Youzchalveen, Belinsha1, 2
  • Pilkington, Vita1, 2
  • Cotton, Sue M1, 2
  • Brooker, Abi3
  • McKechnie, Ben1
  • Rice, Simon1, 2
  • Schmaal, Lianne1, 2
  • 1 Orygen, Parkville, VIC, Australia. , (Australia)
  • 2 Centre for Youth Mental Health, University of Melbourne, VIC, Australia. , (Australia)
  • 3 School of Psychological Sciences, University of Melbourne, VIC, Australia. , (Australia)
Type
Published Article
Journal
Crisis
Publication Date
May 01, 2023
Volume
44
Issue
3
Pages
232–239
Identifiers
DOI: 10.1027/0227-5910/a000860
PMID: 35548884
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Background: Young people receiving tertiary mental health care are at elevated risk for suicidal behavior, and understanding which individuals are at increased risk during care is important for treatment and suicide prevention. Aim: We aimed to retrospectively identify risk factors for attempted suicide during outpatient care and predict which young people did or did not attempt during care. Method: Penalized logistic regression analysis was performed in a small high-risk sample of 84 young people receiving care at Orygen's Youth Mood Clinic (age: 14-25 years, 51% female) to predict suicide attempt during care (N = 16). Results: Prediction of suicide attempt during care was only moderately accurate (Area Under the Receiver Operating Curve range 0.71; sensitivity 0.57) using a combination of sociodemographic, psychosocial, and clinical variables. The features that best discriminated both groups included suicidal ideation during care, history of suicide attempt prior to care, changes in appetite reported on the PHQ-9, history of parental separation, and parental mental illness. Limitation: Replication of findings in an independent validation sample is needed. Conclusion: While prediction of suicide attempt during care was only moderately successful, we were able to identify individual risk factors for suicidal behavior during care in a high-risk sample.

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