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Assessment of Suicidal Behaviors and Risk Among Children and Adolescents
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Adolescent psychiatric inpatients whose suicide attempts were rated as “high lethality” also reported higher levels of suicide intent on the Suicide Intent Scale than youths with suicide attempts that were not rated as lethal (Nasser and Overholser, 1999). Specifically, adolescents with more lethal suicide attempts were more likely to time their attempts so that they would not be discovered, did not see the results of the attempts as being reversible, were less likely to communicate about the attempts, were more likely to expect that they would die, and said that they wanted to die more than youths with less lethal attempts. The adolescents with suicide attempts of differing levels of lethality did not differ with respect to severity of depression, hopelessness, self-esteem, or substance abuse.

Suicidal Intent scores were higher for patients with multiple suicide attempts and for patients who had received prior psychiatric treatment (Pierce, 1977). Similarly, in a sample of Mexican-American adolescents, suicide attempts with high intent were associated with a greater number of previous attempts than suicide attempts with lower intent (Ng, 1996).

In a chart review of medically hospitalized adolescents (secondary to suicide attempts), Brent (1987) found greater medical lethality to be associated with male gender, diagnosis of affective disorder, affective disorder in combination with substance use disorder, family history of affective disorder, and higher suicide intent. Medical lethality was not found to be related to hopelessness.

From data collected from adolescents who had taken intentional overdoses, Kingsbury (1993) extracted four factors from the SIS; these factors were variously interpreted as (1) Belief about Intent, (2) Preparation before Overdose, (3) Prevention of Discovery, and (4) Communication. The last factor included only two SIS items.

here are two sections in the SIS: one assesses “objective” characteristics of the suicide attempt (such as precautions taken against discovery, degree of planning, taking precautions against discovery), and the other assesses “subjective” characteristics (such as expectation of fatality, perceived seriousness of the attempt, etc.).

http://www.suicidology.org/c/document_li...FE-141.pdf
"I want to thrive, not just survive." - Thrive, Switchfoot
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