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P-1448 - Clinical and Psychosocial Predictors of Suicide Attempts and Non-suicidal Self-injury in Depressed Adolescents

Published online by Cambridge University Press:  15 April 2020

P. Wilkinson ,
R. Kelvin ,
C. Roberts ,
B. Dubicka  and
I.M. Goodyer
P. Wilkinson
Affiliation:
Department of Psychiatry, University of Cambridge
R. Kelvin
Affiliation:
Department of Psychiatry, University of Cambridge
C. Roberts
Affiliation:
Children's Division, Cambridgeshire and Peterborough Foundation Trust, Cambridge
B. Dubicka
Affiliation:
Health Sciences Research Group, University of Manchester, Manchester The Junction Adolescent Unit, Lancashire Care Foundation Trust, Lancaster, UK
I.M. Goodyer
Affiliation:
Department of Psychiatry, University of Cambridge

Abstract

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Introduction:

Depression is present in 35% of adolescents who commit suicide. It is crucial that we identify which of these depressed adolescents are at greatest suicide risk. Suicide attempts are strongly associated with suicide risk, and therefore commonly used as a proxy measure. Non-suicidal self-injury (NSSI) is often seen as being less serious than suicide attempts.

Objectives/aims:

To determine which clinical and psychosocial factors in depressed adolescents at baseline predict both suicide attempts and non-suicidal self-injury over 28 weeks follow-up.

Methods:

Adolescents with major depressive disorder (n = 164) taking part in the Adolescent Depression Antidepressants and Psychotherapy Trial were evaluated. Clinical symptoms, family and friendship functioning, suicide attempts and non-suicidal self-injury were recorded at baseline.

Suicidal and non-suicidal self-harm were measured during 28 weeks follow-up.

Results:

High suicidality, non-suicidal self-injury and poor family function at entry were significant independent predictors of suicide attempts occurring over 28 weeks follow-up. NSSI was the strongest predictor of suicide attempts (adjusted OR = 3.2, p = 0.006). NSSI over follow-up was independently predicted by non-suicidal self-injury (adjusted OR = 20, p < 0.0005), increased hopelessness, anxiety disorder, and being younger and female at entry.

Type
Abstract
Information
European Psychiatry , Volume 27 , Issue S1: Abstracts of the 20th European Congress of Psychiatry , 2012 , pp. 1
Copyright
Copyright © European Psychiatric Association 2012
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