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- Title
Contribution of Risk and Resilience Factors to Suicidality among Mental Health-Help-Seeking Adolescent Outpatients: A Cross-Sectional Study.
- Authors
Shilton, Tal; Hertz-Palmor, Nimrod; Matalon, Noam; Shani, Shachar; Dekel, Idit; Gothelf, Doron; Barzilay, Ran
- Abstract
Background: Peer victimization is an established risk factor for youth suicidal thoughts and behavior (suicidality), yet most peer-victimized youth are not suicidal. More data are needed pertaining to factors that confer resilience to youth suicidality. Aim: To identify resilience factors for youth suicidality in a sample of N = 104 (Mean age 13.5 years, 56% female) outpatient mental health help-seeking adolescents. Methods: Participants completed self-report questionnaires on their first outpatient visit, including the Ask Suicide-Screening Questions, a battery of risk (peer victimization and negative life events) and resilience (self-reliance, emotion regulation, close relationships and neighborhood) measures. Results: 36.5% of participants screened positive for suicidality. Peer victimization was positively associated with suicidality (odds ratio [OR] = 3.84, 95% confidence interval [95% CI] 1.95–8.62, p < 0.001), while an overall multi-dimensional measure of resilience factors was inversely associated with suicidality (OR, 95% CI = 0.28, 0.11–0.59, p = 0.002). Nevertheless, high peer victimization was found to be associated with a greater chance of suicidality across all levels of resilience (marked by non-significant peer victimization by resilience interaction, p = 0.112). Conclusions: This study provides evidence for the protective association of resilience factors and suicidality in a psychiatric outpatient population. The findings may suggest that interventions that enhance resilience factors may mitigate suicidality risk.
- Subjects
SUICIDAL behavior in youth; SUICIDAL ideation; PSYCHOLOGICAL resilience; LIFE change events; AT-risk youth; SUICIDE risk assessment; CROSS-sectional method
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 5, p1974
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12051974