TY  - JOUR
PY  - 2016//
TI  - Child and adolescent clinical features preceding adult suicide attempts
JO  - Archives of suicide research
A1  - Serra, Giulia
A1  - Koukopoulos, Athanasios
A1  - De Chiara, Lavinia
A1  - Napoletano, Flavia
A1  - Koukopoulos, Alexia
A1  - Sani, Gabriele
A1  - Faedda, Gianni L.
A1  - Girardi, Paolo
A1  - Reginaldi, Daniela
A1  - Baldessarini, Ross J.
SP  - 502
EP  - 518
VL  - 21
IS  - 3
N2  - OBJECTIVE: To identify the predictive value of juvenile factors for adult suicidal behavior. <br><br>METHODS: We reviewed clinical records to compare factors identified in childhood and adolescence between adult suicidal versus nonsuicidal major affective disorder subjects. <br><br>RESULTS: Suicide attempts occurred in 23.1% of subjects. Age-at-1st-symptom was 14.2 vs 20.2 years among suicidal versus nonsuicidal subjects (p < 0.0001). More prevalent in suicidal versus non-suicidal subjects by multivariate analysis were: depressive symptoms, hyper-emotionality, younger-at-1st-affective-episode, family suicide history, childhood mood-swings, and adolescence low self-esteem. Presence of one factor yielded a Bayesian sensitivity of 64%, specificity of 50%, and negative predictive power of 86%. COMMENT: Several juvenile factors were associated with adult suicidal behavior; their absence was strongly associated with a lack of adult suicidal behavior.<p />  <p>Language: en</p>
LA  - en
SN  - 1381-1118
UR  - http://dx.doi.org/10.1080/13811118.2016.1227004
ID  - ref1
ER  -