Abstract
Suicidal behavior and its relationship with other mental disturbances was assessed in an epidemiological study of 1937 Swiss adolescents aged 14 to 19 years. During the most recent 12 months, 27.5% of the females and 16.1%of the males reported suicidal ideation, while 3.3% of the girls and 1.0% of the boys reported suicidal ideation. Suicidality was significantly correlated with physical and mental impairment, alcohol and drug abuse. Of the total epidemiological sample, 475 students (24.5%) were reassessed 12 and 18 months later. Of this follow-up sample, 37 females (12.4%) and 10 males (5.6%) described suicidal ideation as a continuing problem. They revealed significantly more psychiatric symptoms than nonpersistent ideators. Three girls (1.0%) and one boy (0.6%) reported suicide attempts during the follow-up period of 18 months. Only one out of six of the ideators of both sexes received psychiatric treatment. The findings indicate that transient suicidal ideation is common in adolescents. Persistent suicidal behavior appears to be a sign of severe social and psychological disturbances and is associated with serious physical and mental impairment. There is a high risk of completed suicide for youths who demonstrate persistent suicidal ideation, and far more substantial prevention efforts should be designed and implemented to address the circumstances of these youths.
References
Suicidal attempts among older adolescents: Prevalence and co-occurrence with psychiatric disorders. Journal of the American Academy of Child & Adolescent Psychiatry, (1992). 31, 655–662
Giessener Beschwerdebogen für Kinder und Jugendliche (GBB-KJ). Bern: Huber (1992).
Nachbarschaftshilfe für Gesunde und Kranke. Zürich: Rüegger (1991). (Arbeits- und Sozialwissenschaft, vol.14)
Risk factors for adolescent suicide. A comparison of adolescent suicide victims with suicidal inpatients. Archives of General Psychiatry, (1988). 45, 581–588
Suicidal thoughts during early adolescence: Prevalence, associated troubles and help-seeking behavior. Acta Psychiatrica Scandinavica, (1990). 81, 170–177
Statistical power analysis for the social sciences. AP (1988).
EdInternationale Skalen für Psychiatrie. Weinheim: Beltz (1986).
SCL-90-R. Administration, scoring and procedures. Manual-1 for the R(evised) version and other instruments of the psychopathology rating scale series. Johns Hopkins University School of Medicine (1977).
San Diego Suicide Study. II. Substance abuse in young cases. Archives of General Psychiatry, (1986). 43, 962–965
The Eating Attitudes Test: Psychometric features and clinical correlates. Psychological Medicine, (1982). 12, 871–878
Minnesota Multiphasic Personality Inventory (MMPI), German version. Bern: Huber (1982).
The outcome of adolescent suicide attempts. Acta Psychiatrica Scandinavica, (1995). 91, 265–270
Prevalence of specific suicidal behaviors in a high school sample. American Journal of Psychiatry, (1987). 144, 1203–1206
Suicide and attempted suicide in adolescence. Current Opinion in Psychiatry, (1993). 6, 467–469
Minnesota Multiphasic Personality Inventory (MMPI). New York: Psychological Corporation (1943).
Correlates of suicidal ideation in a community sample of children and adolescents. Journal of the American Academy of Child, (&). Adolescent Psychiatry 1989; 28, 912–917
Are children and adolescents who have suicidal thoughts different from those who attempt suicide?. Journal of Nervous & Mental Disorders, (1990). 178, 38–43
Psychosocial characteristics of adolescents with a history of suicide attempt. Journal of the American Academy of Child & Adolescent Psychiatry, (1993). 32, 60–68
Psychosocial risk factors for future adolescent suicide attempts. Journal of Consulting & Clinical Psychology, (1994). 62, 297–305
Adolescent suicide: endpoint of long-term difficulties. Journal of the American Academy of Child & Adolescent Psychiatry, (1992). 31, 649–654
Therapie der Magersucht. Berlin: Walter de Gruyter (1987).
Suicide in Switzerland 1970-1986. Schweizerische Aerztezeitung, (1988). 69, 1732–1737
Risk factors for adolescent suicidal behavior: Loss, insufficient familial support, and hopelessness. Adolescence, (1993). 28, 851–865
Die Gesundheit Jugendlicher in der Schweiz. Lausanne: Cahiers de Recherches et de documentation, Institut universitaire de médecine sociale et preventive (1994).
Swiss mortality statistics. Bern (1994).
Predicting suicide attempts among adolescents. Acta Psychiatrica Scandinavica, (1994). 90, 324–328
Suicidal children grow up: Suicidal episodes and effects of treatment during follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, (1994). 33, 225–230
Suicidal behavior in child psychiatric inpatients and outpatients and in nonpatients. American Journal of Psychiatry, (1986). 143, 733–738
San Diego suicide study. I. Young vs old subjects. Archives of General Psychiatry, (1986). 43, 577–582
Suicide, stressors, and the life cycle. American Journal of Psychiatry, (1991). 148, 524–527
Mental disorder in youth suicide. DSM-III-R Axes I and II. Acta Psychiatrica Scandinavica, (1989). 79, 490–497
Suicide among adolescents. International Review of Psychiatry, (1992). 4, 185–195
Psychological autopsy of completed suicide in children and adolescents. American Journal of Psychiatry, (1985). 142, 1061–1064
Suicidal behavior among “normal” high school students. Suicide & Life-Threatening Behavior, (1986). 16, 313–325
Interactions of risk factors in predicting suicide. American Journal of Psychiatry, (1994). 151, 434–435