By Alec L. Miller PsyD, Jill H. Rathus Phd, Marsha M. Linehan PhD ABPP, Charles R. Swenson MD
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Extra info for Dialectical Behavior Therapy with Suicidal Adolescents
1993, p. 495). Rather, gender nonconformity and precocious psychosexual development were predictive of suicidal behavior: The younger these subjects were when they identified themselves as homosexual/bisexual, the more likely they were to report suicidal behavior. The authors suggested as a possible reason for this that early and middle adolescents may be less able to cope with the isolation and stigma associated with a homosexual identity than older adolescents, who may have better-developed coping skills.
2. The second table, however, offers a more detailed picture of personal, environmental, and behavioral characteristics. Those adolescents at high risk tend to have multiple problems across cognitive, emotional, interpersonal, and behavioral domains of functioning. It’s important to note that the factors putting adolescents most at risk for suicidal behaviors overlap significantly with the behavioral criteria for BPD (see the next section). The multiple risk factors for suicide found in these youth also 23 Suicidal Behaviors in Adolescents Specific Risk Factors for Suicide Attempts and Completed Suicides in Adults and Adolescents Suicide attempts Completed suicides Females > males Males > females 2.
Somatic Anxious, depressed, angry Depressed, angry Low frustration tolerance Uncomfortable with people Poor health Insomnia 3. Mental disorder Action/overt motor 1. Interpersonal Axis I: MDD,b bipolar, substance use, conduct disorder,* anxiety Axis I: MDD, bipolar, substance use, conduct disorder,* schizophrenia Axis II: BPD, ASPDc Axis II: BPD, ASPD Interpersonal conflicts Low social involvement Interpersonal conflicts 2. Dysfunctional patterns a. Previous suicide attempt b. Intent 30–50%; 21–27% will reattempt within 3 months of first attempt* 50–88% give some indication in the weeks prior to death that they are in distress Note.