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Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit.

Publication ,  Journal Article
Goldston, DB; Daniel, SS; Reboussin, BA; Reboussin, DM; Kelley, AE; Frazier, PH
Published in: J Am Acad Child Adolesc Psychiatry
September 1998

OBJECTIVE: To compare psychiatric diagnoses of hospitalized adolescents who (a) have made previous but no recent suicide attempts, (b) have recently made their first suicide attempt, (c) have recently made a second or subsequent attempt, or (d) have never made an attempt. METHOD: Semistructured psychiatric diagnostic interviews were used to determine psychiatric diagnoses and history of recent and previous suicidal behavior of 269 consecutively admitted adolescents to an inpatient psychiatric facility. Forty-nine previously suicidal youths, 28 first-time attempters, and 33 repeat attempters were compared with 159 nonsuicidal youths in prevalence of Axis I psychiatric disorders and psychiatric comorbidity with affective disorder. RESULTS: Previous attempters and repeat attempters both reported more affective disorders, whereas first-time attempters reported more adjustment disorders than nonsuicidal youths. Previous attempters and nonsuicidal youths reported the most externalizing disorders. CONCLUSIONS: Previous attempters on an inpatient unit have multiple psychiatric problems. Like repeat attempters, they often are depressed, but like nonsuicidal youths, they also exhibit significant externalizing behaviors. Interventions with these adolescents should focus not only on immediate presenting problems, but also on ameliorating their long-term risk of posthospitalization suicidal behavior.

Duke Scholars

Published In

J Am Acad Child Adolesc Psychiatry

DOI

ISSN

0890-8567

Publication Date

September 1998

Volume

37

Issue

9

Start / End Page

924 / 932

Location

United States

Related Subject Headings

  • Suicide, Attempted
  • Statistics as Topic
  • Retrospective Studies
  • Recurrence
  • North Carolina
  • Mental Disorders
  • Male
  • Humans
  • Female
  • Developmental & Child Psychology
 

Citation

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Chicago
ICMJE
MLA
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Goldston, D. B., Daniel, S. S., Reboussin, B. A., Reboussin, D. M., Kelley, A. E., & Frazier, P. H. (1998). Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit. J Am Acad Child Adolesc Psychiatry, 37(9), 924–932. https://doi.org/10.1097/00004583-199809000-00012
Goldston, D. B., S. S. Daniel, B. A. Reboussin, D. M. Reboussin, A. E. Kelley, and P. H. Frazier. “Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit.J Am Acad Child Adolesc Psychiatry 37, no. 9 (September 1998): 924–32. https://doi.org/10.1097/00004583-199809000-00012.
Goldston DB, Daniel SS, Reboussin BA, Reboussin DM, Kelley AE, Frazier PH. Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit. J Am Acad Child Adolesc Psychiatry. 1998 Sep;37(9):924–32.
Goldston, D. B., et al. “Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit.J Am Acad Child Adolesc Psychiatry, vol. 37, no. 9, Sept. 1998, pp. 924–32. Pubmed, doi:10.1097/00004583-199809000-00012.
Goldston DB, Daniel SS, Reboussin BA, Reboussin DM, Kelley AE, Frazier PH. Psychiatric diagnoses of previous suicide attempters, first-time attempters, and repeat attempters on an adolescent inpatient psychiatry unit. J Am Acad Child Adolesc Psychiatry. 1998 Sep;37(9):924–932.
Journal cover image

Published In

J Am Acad Child Adolesc Psychiatry

DOI

ISSN

0890-8567

Publication Date

September 1998

Volume

37

Issue

9

Start / End Page

924 / 932

Location

United States

Related Subject Headings

  • Suicide, Attempted
  • Statistics as Topic
  • Retrospective Studies
  • Recurrence
  • North Carolina
  • Mental Disorders
  • Male
  • Humans
  • Female
  • Developmental & Child Psychology