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Contextualizing Adolescent Suicidality: Using Conjunctive Analysis of Case Configurations to Identify Patterns in Variability

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Abstract

Data from the 2019 National Youth Risk Behavior Surveillance System, consisting of 13,677 U.S. high school students, were used to investigate patterns of suicidality, with a particular focus on understanding the interplay between depression and other relevant predictors of suicidality. Through a conjunctive analysis of case configurations (CACC), results from the current study demonstrate that (1) reported suicidality clusters significantly among specific adolescent profiles, which are defined by the unique combination of variable attributes; (2) students most at risk of suicidality consistently reported depression, but students at less risk of suicidality rarely reported bullying, sexual victimization, or depression; and (3) reported depression greatly increases the risk of adolescent suicidality in some situational contexts, but can have almost no influence on the risk of suicidality in others. Current findings are discussed considering existing scholarship on adolescent suicidal behaviors and recommendations for policy and future areas of research are offered.

Highlights

  • Students most at risk of suicidality consistently reported depression.

  • Students at less risk of suicidality rarely reported bullying, sexual victimization, or depression.

  • Girls and younger adolescents are at greater risk of suicidality than males and older peers.

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References

  • Adrian, M., Miller, A. B., McCauley, E., & Vander Stoep, A. (2016). Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors. Journal of Child Psychology and Psychiatry, 57(5), 645–653.

    Article  PubMed  Google Scholar 

  • Baldwin, J. R., Arseneault, L., Caspi, A., Moffit, T., Fisher, H. L., Odgers, C. L., & Danese, A. (2019). Adolescent victimization and self-injurious thoughts and behaviors: a generically sensitive cohort study. Journal of the American Academy of Child & Adolescent Psychiatry, 58(5), 506–513.

    Article  Google Scholar 

  • Barzilay, S., Feldman, D., Snir, A., Apter, A., Carli, V., Hoven, C. W., ...... & Wasserman, D. (2015). The interpersonal theory of suicide and adolescent suicidal behavior. Journal of Affective Disorders, 183, 68–74.

  • Bauman, S., Toomey, R. B., & Walker, J. L. (2013). Associations among bullying, cyberbullying, and suicide in high school students. Journal of Adolescence, 36(2), 341–350.

    Article  PubMed  Google Scholar 

  • Carballo, J. J., Llorente, C., Kehrmann, L., Flamarique, I., Zuddas, A., Purper-Ouakil, D., ..... & Arango, C. (2020). Psychosocial risk factors for suicidality in children and adolescents. European Child & Adolescent Psychiatry, 29(6), 759–776.

  • Centers for Disease Control and Prevention. (2016). Suicide facts at a glance 2015. Retrieved from http://www.cdc.gov/violenceprevention/pdf/suicide-datasheet-a.pdf

  • Centers for Disease Control and Prevention. (2020). Web-based Injury Statistics Query and Reporting System (WISQARS). Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control

  • Curtin, S. C. (2020). State suicide rates among adolescents and young adults aged 10–24: United States, 2000–2018. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics. https://www.cdc.gov/nchs/data/nvsr/nvsr69/nvsr-69-11-508.pdf

  • Forsyth, C. J., Biggar, Jr., R. W., & Chen, J. (2020). Bullied youth: Suicide attempts, planning, ideation, and pre-ideation. Criminal Justice Studies, 33(2), 170–177.

    Article  Google Scholar 

  • Hart, T. C. (2019). Identifying situational clustering and quantifying its magnitude in dominant case configurations: New methods for conjunctive analysis. Crime & Delinquency, 66(1), 143–159.

    Article  Google Scholar 

  • Hart, T. C. (2014). Conjunctive Analysis of Case Configurations (JDiBrief Series). London, England: UCL Jill Dando Institute of Security and Crime Science

  • Hart, T. C., Rennison, C. M., & Miethe, T. D. (2017). Identifying patterns of situational clustering and contextual variability in criminological data: An overview of conjunctive analysis of case configurations. Journal of Contemporary Criminal Justice, 33(2), 112–120.

    Article  Google Scholar 

  • Hart, T. C., Miethe, T. D., & Regoeczi, W. C. (2014). Contextualizing sentencing disparities: using conjunctive analysis of case configurations to identify patterns of variability. Criminal Justice Studies, 27(4), 344–361.

    Article  Google Scholar 

  • Hinduja, S., & Patchin, J. W. (2019). Connecting adolescent suicide to the severity of bullying and cyberbullying. Journal of School Violence, 18(3), 333–346.

    Article  Google Scholar 

  • Hinduja, S., & Patchin, J. W. (2017). Cultivating youth resilience to prevent bullying and cyberbullying victimization. Child Abuse & Neglect, 73(9), 51–62.

    Article  Google Scholar 

  • Holt, M. K., Vivolo-Kantor, A. M., Polanin, J. R., Holland, K. M., DeGue, S., Matjasko, J. L., Wolfe, M., & Reid, G. (2015). Bullying and suicidal ideation and behaviors: a meta-analysis. Pediatrics, 135(2), 496–509.

    Article  Google Scholar 

  • Jiang, Y., Perry, D. K., & Hesser, J. E. (2010). Adolescent suicide and health risk behaviors: Rhode Island’s 2007 youth risk behavior survey. American Journal of Preventative Medicine, 38(5), 551–555.

    Article  Google Scholar 

  • Katsaras, G. N., Vouloumanou, E. K., Kourlaba, G., Kyritsi, E., & Evagelou, E. (2018). Bullying and suicidality in children and adolescents without predisposing factors: A systematic review and meta-analysis. Adolescent Research Review, 3, 193–217.

    Article  Google Scholar 

  • Marcum, C. D., & Higgins, G. E. (2019). Exploration of the predictors of adolescent suicidal ideation based on routine activities and lifestyle. Deviant Behavior, 40(11), 1409–1420.

    Article  Google Scholar 

  • Mayes, S. D., Baweja, R., Calhoun, S. L., Syed, E., Mahr, F., & Siddiqui, F. (2014). Suicide ideation and attempts and bullying in children and adolescents: Psychiatric and general population samples. Crisis, 35(5), 301–309.

    Article  PubMed  Google Scholar 

  • McKinnon, B., Gariepy, G., Sentenac, M., & Elgar, F. J. (2016). Adolescent suicidal behaviors in 32 low- and middle-income countries. Bulletin of the World Health Organization, 94, 340–350.

    Article  PubMed  PubMed Central  Google Scholar 

  • Miethe, T. D., Hart, T. C., & Regoeczi, W. C. (2008). The conjunctive analysis of case configurations: an exploratory method for discrete multivariate analysis of crime data. Journal of Quantitative Criminology, 24(2), 227–241.

    Article  Google Scholar 

  • Mueller, A. S., James, W., Abrutyn, S., & Levin, M. L. (2015). Suicide ideation and bullying among US adolescents: examining the intersections of sexual orientation, gender, and race/ethnicity. American Journal of Public Health, 105(5), 980–985.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nahapetyan, L., Orpinas, P., Song, X., & Holland, K. (2014). Longitudinal association of suicidal ideation and physical dating violence among high school students. Journal of Youth and Adolescence, 43, 629–640.

    Article  PubMed  Google Scholar 

  • Nickerson, A. B., & Slater, E. D. (2009). School and community violence and victimization as predictors of adolescent suicidal behavior. School Psychology Review, 38(2), 218–232.

    Article  Google Scholar 

  • Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: Results from the national comorbidity survey replication adolescent supplement. JAMA Psychiatry, 70, 300–310.

    Article  PubMed  Google Scholar 

  • Olweus, D. (1993). Bullying at school: What we know and what we can do. Oxford: Blackwell

  • Opperman, K., Czyz, E. K., Gipson, & King, C. A. (2015). Connectedness and perceived burdensomeness among adolescents at elevated suicide risk: An examination of the interpersonal theory of suicidal behavior. Archives of Suicide Research, 19(3), 385–400.

    Article  PubMed  PubMed Central  Google Scholar 

  • Paez, G. R., & Hart, T. C. (2021). Context matters (but some contexts matter more): disentangling the influence of traditional bullying victimization on patterns of cyberbullying outcomes. International Journal of Bullying Prevention, 1–13

  • Paez, G. R., & Richmond, O. L. (2022). Contextualizing adolescent bullying: The overlap between victimization and perpetration. Crime & Delinquency, 1–23

  • Pengpid, S., & Peltzer, K. (2020). Suicide attempt and associated factors among adolescents in five southeast Asian countries in 2015. Crisis, 41(4), 296–303.

    Article  PubMed  Google Scholar 

  • Reed, K. P., Nugent, W., & Cooper, R. L. (2015). Testing a path model of relationships between gender, age, and bullying victimization and violent behavior, substance abuse, depression, suicidal ideation, and suicide attempts in adolescents. Children and Youth Services Review, 55, 128–137.

    Article  Google Scholar 

  • Schilling, E. A., Aseltine, R. H., & James, A. (2016). The SOS suicide prevention program: further evidence of efficacy and effectiveness. Prevention Science, 17, 157–166.

    Article  PubMed  Google Scholar 

  • Smith, P. K. (2014). Understanding school bullying: Its nature and prevention strategies. Sage Publications, Ltd

  • Suárez-Soto, E., Guilera, G., & Pereda, N. (2018). Victimization and suicidality among adolescents in child and youth-serving systems in Spain. Children and Youth Services Review, 91, 383–389.

    Article  Google Scholar 

  • Zanorskis, A., Ilionsky, G., Tesler, R., & Heinz, A. (2019). The associations between cyberbullying, school bullying, and suicidality among adolescents: Findings from the cross-national study HBSC in Israel, Lithuania, and Luxembourg. Crisis, 40(2), 100–114.

    Article  Google Scholar 

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Correspondence to G. R. Paez.

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Paez, G.R. Contextualizing Adolescent Suicidality: Using Conjunctive Analysis of Case Configurations to Identify Patterns in Variability. J Child Fam Stud 32, 3976–3987 (2023). https://doi.org/10.1007/s10826-023-02675-0

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