Evidence map›Paper›PMID 27894037›Full record

Trial reportJournal of affective disorders2017

Psychopathology profiles of acutely suicidal adolescents: Associations with post-discharge suicide attempts and rehospitalization.

Johnny Berona, Adam G Horwitz, Ewa K Czyz, Cheryl A King

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Article
  6. Symptoms and Diagnoses Prior to Suicide in Children and Young Adults-A Swedish Medical Record Review.International journal of environmental research and public health · 2026
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  8. Symptom profile in suicide attempters during the COVID-19 pandemic: Relationships with suicide outcomes.European psychiatry : the journal of the Association of European Psychiatrists · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Johnny BeronaUniversity of Michigan, Department of Psychology, USA; University of Michigan, Department of Psychiatry, USA. Electronic address: jberona@umich.edu.
Adam G HorwitzUniversity of Michigan, Department of Psychology, USA; University of Michigan, Department of Psychiatry, USA.
Ewa K CzyzUniversity of Michigan, Department of Psychiatry, USA.
Cheryl A KingUniversity of Michigan, Department of Psychology, USA; University of Michigan, Department of Psychiatry, USA.

Funding

Youth Support Team Intervention for Suicidal AdolescentsR01MH063881 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KING, CHERYL A · 2002 to 2006
$3.2M
NIMH NIH HHS R01 MH063881
6 · The paper itself

Abstract

backgroundSuicidal adolescents are heterogeneous, which can pose difficulties in predicting suicidal behavior. The Youth Self-Report (YSR) psychopathology profiles predict the future onset of psychopathology and suicide-related outcomes. The present study examined the prevalence and correlates of YSR psychopathology profiles among suicidal adolescents and prospective associations with post-discharge rates of suicide attempts and psychiatric rehospitalization.

methodsParticipants were acutely suicidal, psychiatrically hospitalized adolescents (N=433 at baseline; n=355 at follow-up) who were enrolled in a psychosocial intervention trial during hospitalization. Psychopathology profiles were assessed at baseline. Suicide attempts and rehospitalization were assessed for up to 12 months following discharge.

resultsLatent profile analysis identified four psychopathology profiles: subclinical, primarily internalizing, and moderately and severely dysregulated. At baseline, profiles differed by history of non-suicidal self-injury (NSSI) and multiple suicide attempts (MA) as well as severity of suicide ideation, hopelessness, depressive symptoms, anxiety symptoms, substance abuse, and functional impairment. The dysregulation profiles predicted suicide attempts within 3 months post-discharge. The internalizing profile predicted suicide attempts and rehospitalization at 3 and 12 months. LIMITATIONS: This study's participants were enrolled in a randomized trial and were predominantly female, which limit generalizability. Additionally, only a history of NSSI was assessed.

conclusionsThe dysregulation profile was overrepresented among suicidal youth and associated with impairment in several domains as well as suicide attempts shortly after discharge. Adolescents with a severe internalizing profile also reported adverse outcomes throughout the study period. Psychopathology profiles warrant further examination in terms of their potential predictive validity in relation to suicide-related outcomes.

Indexed as

Patient DischargeSuicidal IdeationAdolescentFemaleHospitalizationHumansMaleMental DisordersPrevalenceProspective StudiesRisk FactorsSelf-Injurious BehaviorSex FactorsSubstance-Related DisordersSuicide, AttemptedAdolescentDysregulation profileHospitalizationSuicidal behaviorYouth Self-Report

Identifiers

PMID27894037
PMCPMC5473155

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.