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Suicidal ideation and attempts among chemically dependent adolescents

Author

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  • Deykin, E.Y.
  • Buka, S.L.

Abstract

Objectives. Suicidal ideation and attempts were examined in a population of chemically dependent adolescents, a group at high risk of self-destructive behavior. Methods. The prevalence and correlates of suicidality and of major depressive disorder were assessed by the Diagnostic Interview Schedule and a structured family and social history interview with 300 addicts aged 15 through 19 years. Results. Suicidal ideation was reported by 31% to 75% of the subjects and suicide attempts were reported by 28% to 61%, with females predominating. Thoughts of suicide combined with prolonged thoughts of death in general and a desire to be dead were highly associated with suicide attempts. Exposure to physical or sexual abuse was associated with a significantly increased risk of suicide attempts for males but not for females. Conclusions. The probability of a suicide attempt increases when thoughts of suicide coincide with morbid ideation of extended duration, suggesting that risk assessment should be based on duration as well as presence of morbid thoughts. Substance abuse treatment requires an assessment of suicidal potential and counseling for those whose potential is high, with special attention to males exposed to abuse.

Suggested Citation

  • Deykin, E.Y. & Buka, S.L., 1994. "Suicidal ideation and attempts among chemically dependent adolescents," American Journal of Public Health, American Public Health Association, vol. 84(4), pages 634-639.
  • Handle: RePEc:aph:ajpbhl:1994:84:4:634-639_1
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    Cited by:

    1. Pinka Chatterji & Dhaval Dave & Robert Kaestner & Sara Markowitz, 2003. "Alcohol Abuse and Suicide Attempts Among Youth - Correlation or Causation?," NBER Working Papers 9638, National Bureau of Economic Research, Inc.
    2. Kevin Yoder & Les Whitbeck & Dan Hoyt, 2008. "Dimensionality of thoughts of death and suicide: evidence from a study of homeless adolescents," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 86(1), pages 83-100, March.
    3. I-Hsuan Lin & Nai-Ying Ko & Yu-Te Huang & Mu-Hong Chen & Wei-Hsin Lu & Cheng-Fang Yen, 2019. "Effect of Same-Sex Marriage Referendums on the Suicidal Ideation Rate among Nonheterosexual People in Taiwan," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    4. Chatterji, Pinka & Dave, Daval & Kaestner, Robert & Markowitz, Sara, 2004. "Alcohol abuse and suicide attempts among youth," Economics & Human Biology, Elsevier, vol. 2(2), pages 159-180, June.
    5. Sara Markowitz & Pinka Chatterji & Robert Kaestner & Dhaval Dave, 2002. "Substance Use and Suicidal Behaviors Among Young Adults," NBER Working Papers 8810, National Bureau of Economic Research, Inc.

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