Abstract
BACKGROUND
Adolescence is a high-risk period for the onset of suicidal thoughts and behaviours. Identification of preceding patterns of internalizing and externalizing symptoms that are associated with subsequent suicidal thoughts may offer a better understanding of how to prevent adolescent suicide.
METHODS
Data from the National Longitudinal Survey of Children and Youth (NLSCY), a prospective population-based Canadian cohort, contained Child Behavior Checklist (CBCL) items which were used to examine profiles and transitions of internalizing and externalizing symptoms in children, aged 6 – 11 years (n=8,266). The association between these profiles/transitions and suicidal thoughts in adolescents were examined using multivariate logistic regression modelling.
RESULTS
Latent profile analyses identified four measurement invariant profiles of internalizing and externalizing symptoms at ages 6/7 and 10/11: (1) low on all symptoms, (2) moderate on all symptoms, (3) high on all symptoms, and (4) high on hyperactivity/inattention and internalizing. Recurrent (homotypic or heterotypic) and increasing symptoms from 6/7 to 10/11 were associated with suicidal thoughts in adolescence, compared to those with stable low symptoms. Those with decreasing symptoms from 6/7 to 10/11 were not at increased risk of suicidal thought in adolescence.
CONCLUSIONS
While patterns of recurrent symptoms were associated with suicidal thoughts, a similar association was observed between profiles at age 10/11 years and suicidal thoughts. This suggests that the recent assessments of mental health symptoms in children may be as sufficient a predictor of adolescent suicidal thought as transition profiles.
Adolescence is a high-risk period for the onset of suicidal thoughts and behaviours. Identification of preceding patterns of internalizing and externalizing symptoms that are associated with subsequent suicidal thoughts may offer a better understanding of how to prevent adolescent suicide.
METHODS
Data from the National Longitudinal Survey of Children and Youth (NLSCY), a prospective population-based Canadian cohort, contained Child Behavior Checklist (CBCL) items which were used to examine profiles and transitions of internalizing and externalizing symptoms in children, aged 6 – 11 years (n=8,266). The association between these profiles/transitions and suicidal thoughts in adolescents were examined using multivariate logistic regression modelling.
RESULTS
Latent profile analyses identified four measurement invariant profiles of internalizing and externalizing symptoms at ages 6/7 and 10/11: (1) low on all symptoms, (2) moderate on all symptoms, (3) high on all symptoms, and (4) high on hyperactivity/inattention and internalizing. Recurrent (homotypic or heterotypic) and increasing symptoms from 6/7 to 10/11 were associated with suicidal thoughts in adolescence, compared to those with stable low symptoms. Those with decreasing symptoms from 6/7 to 10/11 were not at increased risk of suicidal thought in adolescence.
CONCLUSIONS
While patterns of recurrent symptoms were associated with suicidal thoughts, a similar association was observed between profiles at age 10/11 years and suicidal thoughts. This suggests that the recent assessments of mental health symptoms in children may be as sufficient a predictor of adolescent suicidal thought as transition profiles.
| Original language | English |
|---|---|
| Number of pages | 9 |
| Journal | Psychological Medicine |
| Early online date | 2 Oct 2019 |
| DOIs | |
| Publication status | E-pub ahead of print - 2 Oct 2019 |
Keywords
- adolescence
- childhood
- externalizing
- internalizing
- suicidal thoughts
Access to Document
- Full-text PDF (accepted author manuscript)
This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Cambridge University Press at https://www.cambridge.org/core/journals/psychological-medicine/article/relationship-between-profiles-and-transitions-of-internalizing-and-externalizing-symptoms-in-children-and-suicidal-thoughts-in-early-adolescence/AB08A308C8270E267A0CF9AB49357A3F . Please refer to any applicable terms of use of the publisher.