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Question: Are adolescents with psychopathology or psychotic symptoms at increased risk of attempting suicide?
People: In total 1112 adolescents (aged 13–16 years) attending schools participating in the Saving and Empowering Young Lives in Europe (SEYLE) project.
Setting: Seventeen schools in Ireland.
Risk factors: Psychopathology, assessed using the Strengths and Difficulties Questionnaire (SDQ), and defined as having a combined score in the highest quintile of all participants. The combined score was based on three subscales: emotional disorders (anxiety, depressive and obsessive compulsive disorders); conduct disorders (conduct and oppositional defiant disorders); and hyperkinetic disorders (attention deficit/hyperactivity disorders). Psychotic symptoms were assessed using the Adolescent Psychotic Symptoms Screener (‘Have you ever heard voices or sounds that no one else can hear?’).
Outcomes: Suicidal thoughts and behaviour, measured using the Paykel Suicide Scale at baseline, 3-month and 12-month follow-up. Suicide attempts were classified as acute (occurring during the previous 2 weeks) or earlier. Logistic regression analysis was used to assess the association between baseline psychopathology, with and without …
Sources of funding: European Union Seventh Framework Programme, Health Research Board of Ireland.
Competing interests None.
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