Trajectories of Suicidal Ideation from Middle Childhood to Early Adolescence: Risk and Protective Factors

2019 ◽  
Vol 48 (9) ◽  
pp. 1818-1834 ◽  
Author(s):  
Xinxin Zhu ◽  
Lili Tian ◽  
E. Scott Huebner
2021 ◽  
pp. 1-10
Author(s):  
Sarah Herzog ◽  
Jack Tsai ◽  
Brandon Nichter ◽  
Lorig Kachadourian ◽  
Ilan Harpaz-Rotem ◽  
...  

Abstract Background Varied longitudinal courses of suicidal ideation (SI) may be linked to unique sets of risk and protective factors. Method A national probability sample of 2291 U.S. veterans was followed over four assessments spanning 7 years to examine how a broad range of baseline risk and protective factors predict varying courses of SI. Results Most veterans (82.6%) denied SI at baseline and all follow-ups, while 8.7% had new onset SI, 5.4% chronic SI, and 3.3% remitted SI. Compared to the no-SI group, chronic SI was associated with childhood trauma, baseline major depressive and/or posttraumatic stress disorder (MDD/PTSD), physical health difficulties, and recent traumatic stressors. Remitted veterans had the highest risk of a prior suicide attempt (SA) compared to no-SI [relative risk ratio (RRR) = 3.31] and chronic SI groups (RRR = 4.65); and high rates of MDD/PTSD (RRR = 7.62). New onset SI was associated with recent stressors and physical health difficulties. All symptomatic SI groups reported decrements in protective factors, specifically, social connectedness, trait curiosity/exploration, and purpose in life. Conclusion Nearly one-in-five veterans reported SI over a 7-year period, most of whom evidenced new onset or remitted SI courses. Chronic and remitted SI may represent particularly high-risk SI courses; the former was associated with higher rates of prospective SA, and psychiatric and physical distress, and the latter with increased likelihood of prior SA, and isolation from social and mental health supports. Physical disability, MDD/PTSD, and recent stressors may be important precipitating or maintaining factors of SI, while social connectedness may be a key target for suicide prevention efforts.


2021 ◽  
pp. bmjmilitary-2021-001846
Author(s):  
Peter Na ◽  
J Tsai ◽  
I Harpaz-Rotem ◽  
R Pietrzak

IntroductionThere have been reports of increased prevalence in psychiatric conditions in non-veteran survivors of COVID-19. To date, however, no known study has examined the prevalence, risk and protective factors of psychiatric conditions among US military veterans who survived COVID-19.MethodsData were analysed from the 2019 to 2020 National Health and Resilience in Veterans Study, which surveyed a nationally representative, prospective cohort of 3078 US veterans. Prepandemic and 1-year peripandemic risk and protective factors associated with positive screens for peripandemic internalising (major depressive, generalised anxiety and/or posttraumatic stress disorders) and externalising psychiatric disorders (alcohol and/or drug use disorders) and suicidal ideation were examined using bivariate and multivariate logistic regression analyses.ResultsA total of 233 veterans (8.6%) reported having been infected with COVID-19. Relative to veterans who were not infected, veterans who were infected were more likely to screen positive for internalising disorders (20.5% vs 13.9%, p=0.005), externalising disorders (23.2% vs 14.8%, p=0.001) and current suicidal ideation (12.0% vs 7.6%, p=0.015) at peripandemic. Multivariable analyses revealed that greater prepandemic psychiatric symptom severity and COVID-related stressors were the strongest independent predictors of peripandemic internalising disorders, while prepandemic trauma burden was protective. Prepandemic suicidal ideation, greater loneliness and lower household income were the strongest independent predictors of peripandemic suicidal ideation, whereas prepandemic community integration was protective.ConclusionPsychiatric symptoms and suicidal ideation are prevalent in veterans who have survived COVID-19. Veterans with greater prepandemic psychiatric and substance use problems, COVID-related stressors and fewer psychosocial resources may be at increased risk of these outcomes.


2010 ◽  
Vol 123 (1-3) ◽  
pp. 102-107 ◽  
Author(s):  
Robert H. Pietrzak ◽  
Marc B. Goldstein ◽  
James C. Malley ◽  
Alison J. Rivers ◽  
Douglas C. Johnson ◽  
...  

2019 ◽  
Vol 51 (2) ◽  
pp. 231-238 ◽  
Author(s):  
Johan Isaksson ◽  
Mary Schwab-Stone ◽  
Andrew Stickley ◽  
Vladislav Ruchkin

2011 ◽  
Vol 60 (6) ◽  
pp. 413-421 ◽  
Author(s):  
Ruey-Hsia Wang ◽  
Hsiao-Jung Lai ◽  
Hsiu-Yueh Hsu ◽  
Min-Tao Hsu

2018 ◽  
Vol 35 (7) ◽  
pp. 648-657 ◽  
Author(s):  
Darren Hedley ◽  
Mirko Uljarević ◽  
Kitty-Rose Foley ◽  
Amanda Richdale ◽  
Julian Trollor

Author(s):  
Richard F. Catalano ◽  
Elizabeth C. Speaker ◽  
Martie L. Skinner ◽  
Jennifer A. Bailey ◽  
Ge Hong ◽  
...  

Marijuana use has been linked to a wide variety of negative consequences, especially for those who initiate use in early adolescence and become daily or regular users as a teenager. If these negative consequences are to be avoided, prevention efforts must focus upstream on childhood and adolescent developmental periods before marijuana use is initiated or has become frequent. Upstream prevention targets factors that predict initiation and escalation of marijuana use, which are often called risk and protective factors. This chapter provides a review of current knowledge about risk and protective factors, with an emphasis on psychosocial variables specific to marijuana, differentiating predictors of marijuana use from predictors of other legal and illegal drugs when possible. The chapter also provides suggestions for future research in light of the rapidly changing legal and community conditions related to access, availability, and norms of marijuana use.


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