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Psychosocial risk factors for suicidality in children and adolescents

2019; Springer Science+Business Media; Volume: 29; Issue: 6 Linguagem: Inglês

10.1007/s00787-018-01270-9

1435-165X

Juan J. Carballo, C. Llorente, L. Kehrmann, Itziar Flamarique, Alessandro Zuddas, Diane Purper‐Ouakil, P. J. Hoekstra, David Coghill, Ulrike Schulze, Regina Dittmann, Jan K. Buitelaar, Josefina Castro‐Fornieles, Kate Lievesley, Paramala Santosh, Celso Arango, Alastair Sutcliffe, Sarah Curran, Laura Selema, Robert J. Flanagan, Ian Craig, Nathan Parnell, Keren Yeboah, Regina Sala, Jatinder Singh, Federico Fiori, Florence Pupier, Loes Vinkenvleugel, Jeffrey Glennon, Mireille J. Bakker, Cora Drent, Elly Bloem, Mark‐Peter Steenhuis, Ruth Berg, Alexander Häge, Mahmud Ben Dau, Konstantin Mechler, Sylke Rauscher, Sonja Aslan, Simon Schlanser, Ferdinand Keller, Alexander Schneider, Paul L. Plener, Jörg M. Fegert, Jacqui Paton, M. G. Macey, Noha Iessa, Kolozsvari Alfred, Furse Helen, P. Lao-Kaim Nick, Claire Baillon, Hugo Peyre, Doron Cohen, Olivier Bonnot, Julie Brunelle, Nathalie Franc, Pierre Raysse, Véronique Humbertclaude, Alberto Rodríguez-Quiroga, Covadonga M. Díaz‐Caneja, Ana Espliego, Jessica Merchán‐Naranjo, Cecilia Tapia, Immaculada Baeza, Soledad Romero, Amalia La Fuente, Ana E. Ortiz, Manuela Pintor, Franca Ligas, Francesca Micol, Roberta Frongia, Bruno Falissard, Ameli Schwalber, Juliane Dittrich, Andrea Wohner, Katrin Zimmermann, Andrea Schwalber, Katherine J. Aitchison,

Maternal Mental Health During Pregnancy and Postpartum

Abstract Suicidality in childhood and adolescence is of increasing concern. The aim of this paper was to review the published literature identifying key psychosocial risk factors for suicidality in the paediatric population. A systematic two-step search was carried out following the PRISMA statement guidelines, using the terms ‘suicidality, suicide, and self-harm’ combined with terms ‘infant, child, adolescent’ according to the US National Library of Medicine and the National Institutes of Health classification of ages. Forty-four studies were included in the qualitative synthesis. The review identified three main factors that appear to increase the risk of suicidality: psychological factors (depression, anxiety, previous suicide attempt, drug and alcohol use, and other comorbid psychiatric disorders); stressful life events (family problems and peer conflicts); and personality traits (such as neuroticism and impulsivity). The evidence highlights the complexity of suicidality and points towards an interaction of factors contributing to suicidal behaviour. More information is needed to understand the complex relationship between risk factors for suicidality. Prospective studies with adequate sample sizes are needed to investigate these multiple variables of risk concurrently and over time.