Health Risk and Protective Behaviors of Suicide Attempts in Adolescents with Suicide Ideation.
Health Risk and Protective Behaviors of Suicide Attempts in Adolescents with Suicide Ideation.
Date
2017-08
Authors
Okado, Izumi
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Psychology
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Abstract
Suicidality among adolescents is a major public health concern. Although prior
research has identified numerous risk factors for suicidal thoughts and behaviors, little is
known about factors that uniquely predict suicide attempts. Additionally, although
lesbian, gay, and bisexual (LGB) youth are at high risk for suicidality, suicidal behaviors
in LGB youth are poorly understood. Based on the theories grounded in the ideation-toaction
framework, the present study used structural equation modeling to examine health
risk and protective behaviors associated with the escalation from suicidal ideation to
suicide attempts among adolescents with suicide ideation generally, and LGB adolescents
specifically. Data were drawn from the 2013 and 2015 Hawai‘i High School Youth Risk
Behavior Surveys. Overall, consistent with the hypothesis, disinhibition predicted the
escalation to attempts in adolescents with suicide ideation. Further, higher academic
performance was associated with lower suicide attempt risk in adolescents with and
without suicidal ideation. Contrary to expectations, the model identified for the full
sample was not supported for LGB adolescents. Among LGB youth with suicide ideation,
self-harm and victimization potentiated suicide attempt risk. These findings point to the
potential importance of suicide prevention efforts that incorporate specific risk and
protective factors associated with the escalation from suicide ideation to attempts for
adolescents generally and LGB youth specifically.
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Keywords
suicide attempt,
suicide prevention,
adolescents,
LGB,
YRBS
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