OBJECTIVE: Although a remarkable proportion of adolescents suffering from adjustment disorder (AD) are suicidal, few studies have documented the characteristics of suicidal AD patients. We examined background, psychopathology and treatment-related factors among suicidal adolescent AD outpatients. METHOD: Data on 302 consecutively referred psychiatric outpatient adolescents, aged 12-22 years, were collected. DSM-III-R diagnoses were assigned at the end of treatment based on all available data. Of the patients 89 received a diagnosis of AD, 25% of whom showed suicide attempts, suicidal threats or ideation. RESULTS: Compared with non-suicidal AD patients, suicidal AD patients were characterized by previous psychiatric treatment (OR = 6.1), poor psychosocial functioning at treatment entry (OR = 16.2), suicide as a stressor (OR = 33.3), dysphoric mood (OR = 6.9) and psychomotor restlessness (OR = 3.7). CONCLUSIONS: Common risk factors for suicidality in major psychiatric disorders characterized suicidal AD patients. Psychiatric assessment of AD patients should include careful monitoring of both symptomatology and exposure to suicide of significant others.
OBJECTIVE: Although a remarkable proportion of adolescents suffering from adjustment disorder (AD) are suicidal, few studies have documented the characteristics of suicidal ADpatients. We examined background, psychopathology and treatment-related factors among suicidal adolescent AD outpatients. METHOD: Data on 302 consecutively referred psychiatricoutpatient adolescents, aged 12-22 years, were collected. DSM-III-R diagnoses were assigned at the end of treatment based on all available data. Of the patients 89 received a diagnosis of AD, 25% of whom showed suicide attempts, suicidal threats or ideation. RESULTS: Compared with non-suicidal ADpatients, suicidal ADpatients were characterized by previous psychiatric treatment (OR = 6.1), poor psychosocial functioning at treatment entry (OR = 16.2), suicide as a stressor (OR = 33.3), dysphoric mood (OR = 6.9) and psychomotor restlessness (OR = 3.7). CONCLUSIONS: Common risk factors for suicidality in major psychiatric disorders characterized suicidal ADpatients. Psychiatric assessment of ADpatients should include careful monitoring of both symptomatology and exposure to suicide of significant others.
Authors: C R Pfeffer; P Martins; J Mann; M Sunkenberg; A Ice; J P Damore; C Gallo; I Karpenos; H Jiang Journal: J Am Acad Child Adolesc Psychiatry Date: 1997-01 Impact factor: 8.829
Authors: D A Brent; B A Johnson; J Perper; J Connolly; J Bridge; S Bartle; C Rather Journal: J Am Acad Child Adolesc Psychiatry Date: 1994-10 Impact factor: 8.829
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Authors: Ville M Mattila; Mirjami Pelkonen; Markus Henriksson; Mauri Marttunen Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2008-04-03 Impact factor: 4.328