Purpose The purpose of this study was to assess the influence of multiple adverse life experiences (sexual abuse, homelessness, running away, and substance abuse in the family) on suicide ideation and suicide attempt among adolescents at an urban juvenile detention facility in the United States. Materials and Methods The study sample included a total of 3,156 adolescents processed at a juvenile detention facility in an urban area in Ohio between 2003 and 2007. The participants, interacting anonymously with a voice enabled computer, self-administered a questionnaire with 100 items related to health risk behaviors. Results Overall 19.0% reported ever having thought about suicide (suicide ideation) and 11.9% reported ever having attempted suicide (suicide attempt). In the multivariable logistic regression analysis those reporting sexual abuse (Odds Ratio = 2.75; 95% confidence interval = 2.08–3.63) and homelessness (1.51; 1.17–1.94) were associated with increased odds of suicide ideation, while sexual abuse (3.01; 2.22–4.08), homelessness (1.49; 1.12–1.98), and running away from home (1.38; 1.06–1.81) were associated with increased odds of a suicide attempt. Those experiencing all four adverse events were 7.81 times more likely (2.41–25.37) to report having ever attempted suicide than those who experienced none of the adverse events. Conclusions Considering the high prevalence of adverse life experiences and their association with suicidal behaviors in detained adolescents, these factors should not only be included in the suicide screening tools at the intake and during detention, but should also be used for the intervention programming for suicide prevention.
References
[1]
Centers for Disease Control and Prevention (2013) Web-based Injury Statistics Query and Reporting System (WISQARS). Available: http://www.cdc.gov/injury/wisqars/index.？html. Accessed July 15, 2013.
[2]
American Association of Suicidology (2013) USA Suicide: 2010 Official Final Data. Available: http://www.suicidology.org/c/document_li？brary/get_file?folderId=262&name=DLFE-63？6.pdf. Accessed July 15, 2013.
[3]
Gallagher CA, Dobrin A (2006) Deaths in juvenile justice residential facilities. J Adolesc Health 38(6): 662–668. doi: 10.1016/j.jadohealth.2005.01.002
[4]
Fazel S, Benning R, Danesh J (2003) Suicide in male prisoners in England and Wales, 1978–2003. Lancet 366: 1301–1302. doi: 10.1016/s0140-6736(05)67325-4
[5]
Morris RE, Harrison EA, Knox GW, Tromanhauser E, Marquis DK, et al. (1995) Health risk behavioral survey from 39 juvenile correctional facilities in the United States. J Adolesc Health 17(6): 334–344. doi: 10.1016/1054-139x(95)00098-d
[6]
Centers for Disease Control and Prevention (2012) Youth Risk Behavior Surveillance – United States, 2011. MMWR Morb Mortal Wkly Rep 61(No. SS-4): 1–161.
[7]
Freedenthal S, Vaughn MG, Jenson JM, Howard MO (2007) Inhalant use among incarcerated youth. Drug Alcohol Depend 90(1): 81–88. doi: 10.1016/j.drugalcdep.2007.02.021
[8]
Abram KM, Choe JY, Washburn JJ, Telpin LA, King DC, et al. (2008) Suicidal ideation and behaviors among youths in juvenile detention. J Am Acad Child Adolesc Psychiatry 47(3): 291–300. doi: 10.1097/chi.0b013e318160b3ce
[9]
Esposito CL, Clum GA (2002) Social support and problem-solving as moderators of the relationship between childhood abuse and suicidality: Applications to a delinquent population. J Trauma Stress 15(2): 137–146. doi: 10.1023/a:1014860024980
[10]
Sanislow CA, Grilo CM, Fehon DC, Axelrod SR, McGlashan TH (2003) Correlates of suicide risk in juvenile detainees and adolescent inpatients. J Am Acad Child Adolesc Psychiatry 42(2): 234–240. doi: 10.1097/00004583-200302000-00018
[11]
Alessi NE, McManus M, Brickman A, Grapentine L (1984) Suicidal behavior among serious juvenile offenders. Am J Psychiatry 141(2): 286–287.
[12]
Plattner B, The SS, Kraemer HC, Williams RP, Bauer SM, et al. (2007) Suicidality, psychopathology, and gender in incarcerated adolescents in Austria. J Clin Psychiatry 68(10): 1593–1600. doi: 10.4088/jcp.v68n1019
[13]
Rohde P, Seeley JR, Mace DE (1997) Correlates of suicidal behavior in a juvenile detention population. Suicide Life Threat Behav 27(2): 164–175.
[14]
Penn JV, Esposito CL, Schaeffer LE, Fritz GK, Spirito A (2003) Suicide attempts and self-mutilative behavior in a juvenile correctional facility. J Am Acad Child Adolesc Psychiatry 42(7): 762–769. doi: 10.1097/01.chi.0000046869.56865.46
[15]
Chapman JF, Ford JD (2008) Relationships between suicide risk, traumatic experiences, and substance use among juvenile detainees. Arch Suicide Res 12: 50–61. doi: 10.1080/13811110701800830
[16]
Ruchkin VV, Schwab-Stone M, Koposov RA, Vermeiren K, King RA (2003) Suicidal ideations and attempts in juvenile delinquents. J Child Psychol Psychiatry 44: 1058–1066. doi: 10.1111/1469-7610.00190
[17]
Putnins AL (2005) Correlates and predictors of self-reported suicide attempts among incarcerated youths. Int J Offender Ther Comp Criminol 49(2): 143–157. doi: 10.1177/0306624x04269412
[18]
Miller ML, Chiles JA, Barnes VE (1982) Suicide attempters within a delinquent population. J Consult Clin Psychol 50(4): 491–498. doi: 10.1037/0022-006x.50.4.491
[19]
Harris TE, Lennings CJ (1993) Suicide and adolescence. Int J Offender Ther Comp Criminol 37(3): 263–270. doi: 10.1177/0306624x9303700307
[20]
Kempton T, Forehand R (1992) Suicide attempts among juvenile delinquents: The contribution of mental health factors. Behav Res Ther 30(5): 537–541. doi: 10.1016/0005-7967(92)90038-i
[21]
Suk E, Mill JV, Vermeiren R, Ruchkin V, Schwab-Stone M, et al. (2009) Adolescent suicidal ideation: A comparison of incarcerated and school-based samples. Eur Child Adolesc Psychiatry 18: 377–383. doi: 10.1007/s00787-009-0740-1
[22]
Hayes LM (2004) Juvenile Suicide in Confinement: A National Survey. Mansfield, MA: National Center on Institutions and Alternatives.
[23]
Gallagher CA, Dobrin A (2005) The association between suicide screening practices and attempts requiring emergency care in juvenile justice facilities. J Am Acad Child Adolesc Psychiatry 44(5): 485–493. doi: 10.1097/01.chi.0000156281.07858.52
[24]
Morgan J, Hawton K (2004) Self-reported suicidal behavior in juvenile offenders in custody: Prevalence and associated factors. Crisis 25(1): 8–11. doi: 10.1027/0227-5910.25.1.8
[25]
Howard J, Lennings CJ, Copeland J (2003) Suicidal behavior in a young offender population. Crisis 24(3): 98–104. doi: 10.1027//0227-5910.24.3.98
[26]
Matsumoto T, Tsutsumi A, Izutsu T, Imamura F, Chiba Y, et al. (2009) Comparative study of the prevalence of suicidal behavior and sexual abuse history in delinquent and non-delinquent adolescents. Psychiatry Clin Neurosci 63(2): 238–240. doi: 10.1111/j.1440-1819.2009.01929.x
[27]
Alemagno SA, Stephens P, Shaffer-King P, Teasdale B (2009) Prescription drug abuse among adolescent arrestees: correlates and implications. J Correct Health Care 15(1): 35–46. doi: 10.1177/1078345808326620
[28]
Andrews G, Corry J, Armstrong GL, Hutin YJF (2005) Child sexual abuse. In: Ezzati M, Lopez AD, Rodgers A, Murray CJL, editors. Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors. Vol. I. Geneva: WHO. 1851.
[29]
Bolen RM, Scannapieco M (1999) Prevalence of child sexual abuse: A corrective meta-analysis. Social Service Review 73(3): 281–313. doi: 10.1086/514425
[30]
Everett Jones S, Lollar DJ (2008) Relationship between physical disabilities or long-term health problems and health risk behaviors or conditions among US high school students. J Sch Health 78(5): 252–7. doi: 10.1111/j.1746-1561.2008.00297.x
[31]
Johnson JG, Cohen P, Gould MS, Kasen S, Brown J, et al. (2002) Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry 59(8): 741–749. doi: 10.1001/archpsyc.59.8.741
