Abstract
Suicidal thoughts might emerge in any individual at different stages of his/her life. However, adolescents are more prone to experience suicidal thoughts than other age groups, even much older ones. Though the severity of suicidal ideation can vary and takes time to develop, it is still a disturbing stage as it precedes actual suicide. International teams of researchers have pointed out to different mediators and moderators of suicidal ideation during adolescence. Among them physical abuse, exposure to bullying and victimization, depression and anxiety, peer suicide ideation, life stress, problematic internet use, sleep problems, risky behaviour, lack of attachment within family and others. In this review existing publications on suicidal ideation in adolescents are analysed from the point of view of possible cultural differences that determine peculiarities of this phenomenon in modern societies confronted by modernization and information technologies pressure, with implication for both mental health professionals and child care providers. Though absolute figures of prevalence of suicidal thoughts in adolescents should be taken with caution, data from China, South Korea and Taiwan, as well as a general number of publications from these countries reflect high prevalence and concerns among researchers. Conflict of cultures and suicide exposure by mass media, among other factors, may contribute to this tendency. Not only eliminating of risk factors like bullying and sexual and physical abuse but also wider measures that may promote meaning in life in adolescents are important within the prevention context.
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Notes
- 1.
The suicidal ideation composite included responses to the following items: “I thought there was nothing good for me in the future”; “I thought life wasn’t worth living”; “I thought about death and dying”; “I thought my family was better off without me”; and “I thought about killing myself”.
- 2.
Jewish Israelis (1770), Arab Israelis (2185) and Palestinians in Gaza and the West Bank (4390).
References
Ahmad, N., Cheong, S. M., Ibrahim, N., & Rosman, A. (2014). Suicidal ideation among Malaysian adolescents. Asia Pacific Journal of Public Health, 26(5), 63S–69S.
Baca-Garcia, E., Diaz-Sastre, C., García Resa, E., Blasco, H., Braquehais Conesa, D., Oquendo, M. A.,…, de Leon, J. (2005). Suicide attempts and impulsivity. European Archives of Psychiatry and Clinical Neuroscience, 255(2), 152–156.
Bandiera, F. C., Ramirez, R., Arheart, K. L., Canino, G., & Goodwin, R. D. (2013). Asthma and suicidal ideation and behaviour among Puerto Rican older children and adolescents. Journal of Nervous and Mental Disease, 201(7), 587–591.
Baumsteiner, R. F. (1986). Identity: Cultural change and the struggle for self. New York, NY: Oxford University Press.
Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: The scale for suicidal ideation. Journal of Consultative and Clinical Psychology, 47(2), 343–352.
Bertolote, J., Fleischman, A., De Leo, D., & Wasserman, D. (2009). Suicidal thoughts, suicide plans and attempts in the general population on different continents. In D. Wasserman & C. Wasserman (Eds.), Oxford textbook on suicidology and suicide prevention (pp. 99–104). NY: Oxford University Press.
Borges, G., Angst, J., Nock, M. K., Ruscio, A. M., & Kessler, R. C. (2008). Risk factors for the incidence and persistence of suicide-related outcomes: A 10-year follow-up study using the National Comorbidity Surveys. Journal of Affected Disorders, 105(1–3), 25–33.
Brådvik, L., & Berglund, M. (2009). Repetition and severity of suicide attempts across the life cycle: A comparison by age group between suicide victims and controls with severe depression. BMC Psychiatry, 9(62), 1–7.
Brassai, L., Piko, B. F., & Steger, M. F. (2011). Meaning in life: Is it a protective factor for adolescents’ psychological health? International Journal of Behavioural Medicine, 18(1), 44–51.
Bromberg, M. H., Law, E. F., & Palermo, T. M. (2017). Suicidal ideation in adolescents with and without chronic pain. The Clinical Journal of Pain, 33(1), 21–27.
Busch, K. A., Fawcett, J., & Jacobs, D. G. (2003). Clinical correlates of inpatient suicide. Journal of Clinical Psychiatry, 64(1), 14–19.
Cao, X.-L., Zhong B.-L., Xiang Y.-T., Ungvari, G. S., Lai, K. Y., Chiu, H. F., & Caine, E. D. (2015). Prevalence of suicidal ideation and suicide attempts in the general population of China: A meta-Analysis. International Journal of Psychiatric Medicine, 49(4), 296–308.
Centers for Disease Control and Prevention. (2013). Web-based Injury Statistics Query and Reporting System (WISQARS) [Online]. National Center for Injury Prevention and Control, CDC (producer).
Centre for Disease Control and Prevention (2014). Fatal Injury reports, 1999–2013. Retrieved from http://www.cdc.gov/injury/wisqars/fatal_injury_reports.html.
Chan, L., Shamsul, A. S., & Maniam, T. (2014). Are predictors of future suicide attempts and the transition from suicidal ideation to suicide attempts shared or distinct: A 12-month prospective study among patients with depressive disorders. Psychiatry Research, 220(3), 867–873.
Conrad, R., Walz, F., Geiser, F., Imbierowicz, K., Liedtke, R., & Wegener, I. (2008). Temperament and character personality profile in relation to suicidal ideation and suicide attempts in major depressed patients. Psychiatry Research, 170(2–3), 212–217.
Coombs, D. W., Miller, H. L., Alarcon, R., Herlihy, C., Lee, J. M., & Morrison, D. P. (1992). Presuicide attempt communications between parasuicides and consulted caregivers. Suicide and Life Threatening Behaviour, 22(3), 289–302.
De Luca, S. M., & Wyman, P. A. (2012). Association between school engagement and disclosure of suicidal ideation to adults among Latino adolescents. Journal of Primary Prevention, 33(2–3), 99–110.
Deisenhammer, E. A., Ing, C. M., Strauss, R., Kemmler, G., Hinterhuber, H., & Weiss, E. M. (2009). The duration of the suicidal process: How much time is left for intervention between consideration and accomplishment of a suicide attempt? Journal of Clinical Psychiatry, 70(1), 19–24.
Dunn, E. C., McLaughlin, K. A., Slopen, N., Rosand, J., & Smoller, J. W. (2013). Developmental timing of child maltreatment and symptoms of depression and suicidal ideation in young adulthood: Results from the National Longitudinal Study of Adolescent Health. Depression and Anxiety, 30(10), 955–964.
Gallagher, M., Prinstein, M. J., Simon, V., & Spirito, A. (2014). Social anxiety symptoms and suicidal ideation in a clinical sample of early adolescents: Examining loneliness and social support as longitudinal mediators. Journal of Abnormal Child Psychology, 42(6), 871–883.
Giegling, I., Olgiati, P., Hartmann, A. M., Calati, R., Möller, H. J., Rujescu, D.& Serretti, A. (2009). Personality and attempted suicide. Analysis of anger, aggression and impulsivity. Journal of Psychiatric Research, 43(16), 1262–1271.
Gliatto, M. F., & Rai, A. K. (1999). Evaluation and treatment of patients with suicidal ideation. American Family Physician, 59(6), 1500–1506.
Halvorsen, J. A., Stern, R. S., Dalgard, F., Thoresen, M., Bjertness, E., & Lien, L. (2011). Suicidal ideation, mental health problems, and social impairment are increased in adolescents with acne: A population-based study. Journal of Investigative Dermatology, 131(2), 363–370.
Harel-Fisch, Y., Abdeen, Z., Walsh, S. D., Radwan, Q., & Fogel-Grinvald, H. (2012). Multiple risk behaviours and suicidal ideation and behaviour among Israeli and Palestinian adolescents. Social Sciences and Medicine, 75(1), 98–108.
Harwood, D., & Jacoby, R. (2000). Sucidal Behaviour among the elderly. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 275–292). Chichester: Wiley.
Hawton, K., Houston, K., Haw, C., Townsend, E., & Harriss, L. (2003). Comorbidity of Axis I and Axis II disorders in patients who attempted suicide. The American Journal of Psychiatry, 160(8), 1494–1500.
Hawton, K., Sutton, L., Haw, C., Sinclair, J., & Deeks, J. J. (2005). Schizophrenia and suicide: Systematic review of risk factors. The British Journal of Psychiatry, 187(1), 9–20.
Heikkinen, M. E., Henriksson, M. M., Isometsä, E. T., Marttunen, M. J., Aro, H. M., & Lönnqvist, J. K. (1997). Recent life events and suicide in personality disorders. Journal of Nervous and Mental Disorders, 185(6), 373–381.
Horwitz, A. G., Hill, R. M., & King, C. A. (2011). Specific coping behaviours in relation to adolescent depression and suicidal ideation. Journal of Adolescence, 34(5), 1077–1085.
Ibrahim, N., Amit, N., & Suen, M. W. (2014). Psychological factors as predictors of suicidal ideation among adolescents in Malaysia. PLoS ONE, 9(10), e110670.
Ilardi, S. S., & Craighead, W. E. (1999). The relationship between personality pathology and dysfunctional cognitions in previously depressed adults. Journal of Abnormal Psychology, 108(1), 51–57.
Jang, S. I., Lee, K. S., & Park, E. C. (2013). Relationship between current sleep duration and past suicidal ideation or attempt among Korean adolescents. Journal of Preventive Medicine and Public Health, 46(6), 329–335.
Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.
Juan, W., Xiao-Juan, D., Jia-Ji, W., Xin-Wang, W., & Liang, X. (2010). The associations between health risk behaviours and suicidal ideation and attempts in an urban Chinese sample of adolescents. Affective Disorders, 126(1–2), 180–187.
Kessler, R. C. (2012). The costs of depression. Psychiatric Clinics of North America, 35(1), 1–14.
Kobler, A. L., Stotland, E., & Gotfried, S. D. (1964). The end of hope. A social–clinical study of suicide. London: Collier-Macmillan.
Kukoyi, O. Y., Shuaib, F. M., Campbell-Forrester, S., Crossman, L., & Jolly, P. E. (2010). Suicidal ideation and suicide attempt among adolescents in Western Jamaica: A preliminary study. Crisis, 31(6), 317–327.
Kwok, S. Y., Chai, W., & He, X. (2013). Child abuse and suicidal ideation among adolescents in China. Child Abuse and Neglect, 37(11), 986–996.
Kwok, S. Y., & Shek, D. T. (2010). Family processes and suicidal ideation among Chinese adolescents in Hong Kong. The Scientific World Journal, 11, 27–41.
Labelle, R., Breton, J. J., Pouliot, L., Dufresne, M. J., & Berthiaume, C. (2013). Cognitive correlates of serious suicidal ideation in a community sample of adolescents. Journal of Affective Disorders, 145(3), 370–377.
Linker, J., Gillespie, N. A., Maes, H., Eaves, L., & Silberg, J. L. (2012). Suicidal ideation, depression, and conduct disorder in a sample of adolescent and young adult twins. Suicide and Life Threatening Behaviour, 42(4), 426–436.
Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. L. (1999). Toward a clinical model of suicidal behaviour in psychiatric patients. American Journal of Psychiatry, 156(2), 181–189.
McCarty, C. A., Russo, J., Grossman, D. C., Katon, W., Rockhill, C., McCauley, E., … Richardson, L. (2011). Adolescents with suicidal ideation: Health care use and functioning. Academic Pediatrics, 11(5), 422–426.
McEwen, B. S. (2016). In pursuit of resilience: Stress, epigenetics, and brain plasticity. Annals of the New York Academy of Sciences, 1373(1), 56–64.
McKeown, R. E., Cuffe, S. P., & Schulz, R. M. (2006). US suicide rates by age group, 1970–2002: An examination of recent trends. American Journal of Public Health, 96(10), 1744–1751.
Neeleman, J., de Graaf, R., & Vollebergh, W. (2004). The suicidal process: Prospective comparison between early and later stages. Journal of Affective Disorders, 82(1), 43–52.
Nock, M. K., & Banaji, M. R. (2007). Prediction of suicide ideation and attempts among adolescents using a brief performance-based test. Journal of Consulting and Clinical Psychology, 75(5), 707–715.
Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Bruffaerts, A. B., … Williams, D. R. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. The British Journal of Psychiatry, 192(2), 98–105.
Nock, M. K., Hwang, I., Sampson, N. A., & Kessler, R. C. (2010). Mental disorders, comorbidity and suicidal behaviour: Results from the National Comorbidity Survey Replication. Molecular Psychiatry, 15(8), 868–876.
Nordqvist, C. (2014). What are suicidal thoughts? What is suicidal ideation? Medical News Today. Retrieved from http://www.medicalnewstoday.com/articles/193026.php.
O’Connor, R. C., & Nock, M. K. (2014). The psychology of suicidal behaviour. The Lancet Psychiatry, 1(1), 73–85.
Park, B. C., Im, J. S., & Ratcliff, K. S. (2014). Rising youth suicide and changing cultural context in South Korea. Crisis, 35(2), 102–109.
Park, Y. J., Ryu, H., Han, K. S., Kwon, J. H., Kim, H. K., Kang, H. C., … Shin, H. (2010). Anger, anger expression, and suicidal ideation in Korean adolescents. Archives of Psychiatric Nursing, 24(3), 168–177.
Paykel, E. S., Prusoff, B. A., & Myers, J. K. (1975). Suicide attempts and recent life events. A controlled comparison. Archives of General Psychiatry, 32(3), 327–333.
Peltzer, K., & Pengpid, S. (2012). Suicidal ideation and associated factors among school-going adolescents in Thailand. International Journal of Environmental Research on Public Health, 9(2), 462–473.
Petrie, K., & Chamberlain, K. (1986). Predicting suicidal behaviour: Clinical and statistical strategies. In R. J. Brook (Ed.), The fascination of statistics (pp. 295–305). New York: Marcel-Dekker.
Pflum, S., Venema, K., Tomlins, J., Goldblum, P., & Bongar, B. (2015). Suicidal ideation and behaviour among sexually minorities youth. In U. Kumar (Ed.), Suicidal behaviour: Underlying dynamics (pp. 123–135). New York: Routledge.
Rew, L., Young, C., Brown, A., & Rancour, S. (2016). Suicide ideation and life events in a sample of rural adolescents. Archives of Psychiatric Nursing, 30(2), 198–203.
Robins, E., Gassner, S., Kayes, J., Wilkinson, Rh, Jr., & Murphy, G. E. (1959). The communication of suicidal intent: A study of 134 consecutive cases of successful (completed) suicide. American Journal of Psychiatry, 115(8), 724–733.
Rozanov, V. A. (2017). Stress and Epigenetics in Suicide. London: Academic Press.
Rozanov, V. A. (2014). Suicides in children and adolescents—What is happening and what may be the reason? Suicidology (Suitsidologia), 14, 14–24.
Rozanov, V. A., & Mid’ko, A. (2011). Personality patterns of suicide attempters: Gender differences in Ukraine. Spanish Journal of Psychology, 14(2), 693–700.
Rozanov, V. A., Rakhimkulova, A. V., & Ukhanova, A. I. (2014). “Life has no meaning” feelings in adolescents—Relation to suicidal ideation and attempts and mental health. Suicidology (Suitsidologia), 5, 33–40.
Rodgers, R. F., van Leeuwen, N., Chabrol, H., & Leichsenring, F. (2011). An exploration of the role of defensive psychopathology in adolescent suicidal ideation and behaviour. Bulletin of the Menninger Clinic, 75(3), 236–253.
Rudd, M. D., Joiner, T., & Rajab, M. H. (2001). Treating suicidal behaviour: An effective, time-limited approach. New York: The Guilford Press.
Sarchiapone, M., Mandelli, L., Carli, V., Iosue, M., Wasserman, C., Hadlaczky, G., … Wasserman, D. (2014). Hours of sleep in adolescents and its association with anxiety, emotional concerns, and suicidal ideation. Sleep Medicine, 15(2), 248–254.
Sareen, J., Cox, B. J., Afifi, T. O., de Graaf, R., Asmundson, G. J. C., ten Have, M., & Stein, M. B. (2005). Anxiety disorders and risk for suicidal ideation and suicide attempts. A population-based longitudinal study of adults. Archives of General Psychiatry, 62(11), 1249–1257.
Schotte, D. E., & Clum, G. A. (1987). Problem-solving skills in suicidal psychiatric patients. Journal of Consulting and Clinical Psychology, 55(1), 49–54.
Schneider, B., Schnabel, A., & Wetterling, T. (2008). How do personality disorders modify suicide risk. Journal of Personality Disorders, 22(3), 233–245.
Shneidman, E. (1985). Definition of suicide. New York: Wiley.
Selby, E. A., Yen, S., & Spirito, A. (2013). Time varying prediction of thoughts of death and suicidal ideation in adolescents: Weekly ratings over 6-month follow-up. Journal of Clinical Child and Adolescent Psychology, 42(4), 481–495.
Simon, R. I. (2014). Passive suicidal ideation: Still a high-risk clinical scenario. Current Psychiatry, 13(3), 13–15.
Skapinakis, P., Bellos, S., Gkatsa, T., Magklara, K., Lewis, G., Araya, R., … Mavreas, V. (2011). The association between bullying and early stages of suicidal ideation in late adolescents in Greece. BMC Psychiatry, 11, 22.
Souza, L. D., Silva, R. A., Jansen, K., Kuhn, R. P., Horta, B. L., & Pinheiro, R. T. (2010). Suicidal ideation in adolescents aged 11 to 15 years: Prevalence and associated factors. Revista Brasileira de Psiquiatria, 32(1), 37–41.
Tu, C., Huang, Z., Fu, L., Fang, Y., Wang, J., Guo, T., .. & Tao, F. (2012). Predictors of suicidal ideation with sub-optimal health status and anxiety symptom among Chinese adolescents. Journal of Tropical Pediatr, 58(4), 314–319.
Turner, H. A., Finkelhor, D., Shattuck, A., & Hamby, S. (2012). Recent victimization exposure and suicidal ideation in adolescents. Archives of Pediatric and Adolescent Medicine, 166(12), 1149–1154.
Twenge, J. M. (2011). Generational differences in mental health: Are children and adolescents suffering more, or less? American Journal of Orthopsychiatry, 81(4), 469–472.
Undheim, A. M., & Sund, A. M. (2013). Involvement in bullying as predictor of suicidal ideation among 12- to 15-year-old Norwegian adolescents. European Child and Adolescent Psychiatry, 22(6), 357–365.
Vander-Stoep, A., McCauley, E., Flynn, C., & Stone, A. (2009). Thoughts of death and suicide in early adolescence. Suicide and Life Threatening Behaviour, 39(6), 599–613.
Ventura-Juncá, D. R., Carvajal, C., Undurraga, S., Vicuña, P., Egaña, J., & Garib, M. J. (2010). Prevalence of suicidal ideations and suicidal attempts among adolescents living in Metropolitan Santiago. Revista Medico Chile, 138(3), 309–315.
Wasserman, D. (2001). A stress-vulnerability model and the development of the suicidal process. In D. Wasserman (Ed.), Suicide. An unnecessary death (pp. 13–27). London: Martin Duniz.
Wasserman, D. (2016). The suicidal process. In D. Wasserman (Ed.), Suicide. An unnecessary death (2nd ed., pp. 27–37). New York: Oxford University Press.
Wasserman, D., & Sokolowski, M. (2016). Stress-vulnerability model of suicidal behaviours. In D. Wasserman (Ed.), Suicide. An unnecessary death (2nd ed., pp. 27–37). New York: Oxford University Press.
Wang, R. H., Lai, H. J., Hsu, H. Y., & Hsu, M. T. (2011). Risk and protective factors for suicidal ideation among Taiwanese adolescents. Nursing Research, 60(6), 413–421.
Weyrauch, K. F., Roy-Byrne, P., Katon, W., & Wilson, L. (2001). Stressful life events and impulsiveness in failed suicide. Suicide and Life Threatening Behaviour, 31(3), 311–319.
Wenzel, A., & Beck, A. T. (2008). A cognitive model of suicidal behaviour: Theory and treatment. Applied and Preventive Psychology, 12(4), 189–201.
WHO. (2010). International statistical classification of diseases and related health problems, volumes 1, 2 and 3 (Tenth Revision). Retrieved from http://www.who.int/classifications/icd/en/.
WHO. (2013). Suicide data. Retrieved from http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/.
WHO. (2014). Preventing suicide: A global imperative. Executive summary. Retrieved from http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/.
Williams, J. M. G., & Pollock, L. R. (2000). The psychology of suicidal behaviour. In K. Hawton & K. van Heeringen (Eds.), The international handbook of suicide and attempted suicide (pp. 79–93). Chichester: Wiley.
Yen, C. F., Lai, C. Y., Ko, C. H., Liu, T. L., Tang, T. C., Wu, Y. Y. & Yang, P. (2014). The associations between suicidal ideation and attempt and anxiety symptoms and the demographic, psychological, and social moderators in Taiwanese adolescents. Archives of Suicide Research, 18(1), 104–116.
Zubin, J. (1974). Observations on nosological issues in the classification of suicidal behaviour. In A. T. Beck, H. L. P. Resnik, & D. J. Lettieri (Eds.), The prediction of suicide (pp. 3–25). Bowie: The Charles Press Publishers.
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Rozanov, V.A., Rakhimkulova, A.S. (2017). Suicidal Ideation in Adolescents—A Transcultural Analysis. In: Kumar, U. (eds) Handbook of Suicidal Behaviour. Springer, Singapore. https://doi.org/10.1007/978-981-10-4816-6_15
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