@article{ref1,
title="Resilience factors in the association between depressive symptoms and suicidality",
journal="Journal of Adolescent Health",
year="2021",
author="Gilman, Stephen E. and Gudal, Mahad and Fairman, Brian J. and Maultsby, Katherine and Vidal-Ribas, Pablo and Patel, Reeya A. and Yu, Jing and Goldstein, Rise B. and Luk, Jeremy W. and Haynie, Denise L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To investigate whether life satisfaction and optimism might reduce the risk of suicidal thoughts and behaviors among adolescents with depressive symptoms. <br><br>METHODS: Participants were 1,904 youth from the NEXT Generation Health Study, a  national sample of U.S. adolescents, followed over 7 years from 2009/2010 to  2015/2016. Longitudinal latent profile analysis and logistic regressions were  conducted. <br><br>RESULTS: We identified three subgroups of adolescents with different  patterns of depressive symptoms across the first six waves: &quot;Low&quot; (40%), &quot;Mild&quot;  (42%), and &quot;Moderate to Severe&quot; (18%). The Moderate to Severe (OR = 14.47, 95% CI  [6.61, 31.66]) and Mild (OR = 3.90, 95% CI [2.22, 6.86]) depression profiles had  significantly higher odds of developing suicidality than the Low depression profile. Both life satisfaction and optimism moderated the association between depressive  symptom profile and suicidality. The difference in suicidality risk between the Mild  and Low depression profiles was significantly attenuated at high versus low levels  of life satisfaction, with a difference of -.08, 95% CI [-.14, -.03]. In addition,  the difference in suicidality risk between the Moderate to Severe and Low depression  profiles was attenuated at high versus low levels of optimism, with a difference  of -.11, 95% CI [-.21, -.01]. <br><br>CONCLUSIONS: For adolescents transitioning to young  adulthood, resilience factors such as life satisfaction and optimism may buffer  against suicidality risk in the face of mild or moderate to severe depressive  symptoms.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2020.12.004",
url="http://dx.doi.org/10.1016/j.jadohealth.2020.12.004"
}