ArticleEuropean child & adolescent psychiatry2018
Assessing for suicidal behavior in youth using the Achenbach System of Empirically Based Assessment.
Article in European child & adolescent psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Systematic Review and Meta-analysis: International Prevalence of Suicidal Ideation and Attempt in Youth.Journal of the American Academy of Child and Adolescent Psychiatry · 2023Pooled it
- The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review.Journal of medical Internet research · 2020Pooled it
- The Family Check-Up and Youth Suicide: Assessing Indirect Effects of Improving Self-Regulation and Reducing Depression in Promoting Long-Term Resilience.Suicide & life-threatening behavior · 2025Trial
- Long-term impact of the Fostering Healthy Futures for Preteens program on suicide-related thoughts and behaviors for youth in out-of-home care: A randomized controlled trial.American journal of community psychology · 2024Trial
- Emotional and Behavioral Problem Profiles of Preteens With Self-Injurious Thoughts and Behaviors: A Multicultural Study.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Article
- Mental Health Evaluation of Younger and Older Adolescents Referred to the Center of Expertise on Gender Dysphoria in Amsterdam, The Netherlands.Archives of sexual behavior · 2024Article
- Informant Discrepancies in Suicidality Screening Tools Among School Age Youth.Child psychiatry and human development · 2024Article
- Correlates of Informant Discrepancies in Self-Harm Among Youth Involved in Child Protective Services.Children and youth services review · 2023Article
- Suicidal Risk Behaviors in Adolescents With Rare Neurodevelopmental Disorders: The Role of Sex, Autistic Traits, and Mental Health Difficulties.Journal of pediatric psychology · 2023Article
- Application of the RDoC Framework to Predict Alcohol Use and Suicidal Thoughts and Behaviors among Early Adolescents in the Adolescent Brain and Cognitive Development (ABCD) Study.Brain sciences · 2022Article
- Suicidality in clinic-referred transgender adolescents.European child & adolescent psychiatry · 2022Article
- Article
- An Exploratory Analysis of Predictors of Youth Suicide-Related Behaviors in Autism Spectrum Disorder: Implications for Prevention Science.Journal of autism and developmental disorders · 2020Article
- Prospective Investigation of the Interaction Between Social Problems and Neuropsychological Characteristics on the Development of Suicide Ideation.Suicide & life-threatening behavior · 2020Article
- Differential pathways from childhood maltreatment to self-harm and suicidal ideation.European child & adolescent psychiatry · 2019Article
- Prevalence of emotional and behavioral problems and subthreshold psychiatric disorders in Austrian adolescents and the need for prevention.Social psychiatry and psychiatric epidemiology · 2018Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
This study investigated the clinical utility of the Achenbach System of Empirically Based Assessment (ASEBA) for identifying youth at risk for suicide. Specifically, we investigated how well the Total Problems scores and the sum of two suicide-related items (#18 "Deliberately harms self or attempts suicide" and #91 "Talks about killing self") were able to distinguish youth with a history of suicidal behavior. Youth (N = 1117) aged 5-18 were recruited for two studies of mental illness. History of suicidal behavior was assessed by semi-structured interviews (K-SADS) with youth and caregivers. Youth, caregivers, and a primary teacher each completed the appropriate form (YSR, CBCL, and TRF, respectively) of the ASEBA. Areas under the curve (AUCs) from ROC analyses and diagnostic likelihood ratios (DLRs) were used to measure the ability of both Total Problems T scores, as well as the summed score of two suicide-related items, to identify youth with a history of suicidal behavior. The Suicide Items from the CBCL and YSR performed well (AUCs = 0.85 and 0.70, respectively). The TRF Suicide Items did not perform better than chance, AUC = 0.45. The AUCs for the Total Problems scores were poor-to-fair (0.33-0.65). The CBCL Suicide Items outperformed all other scores (ps = 0.04 to <0.0005). Combining the CBCL and YSR items did not lead to incremental improvement in prediction over the CBCL alone. The sum of two questions from a commonly used assessment tool can offer important information about a youth's risk for suicidal behavior. The low burden of this approach could facilitate wide-spread screening for suicide in an increasingly at-risk population.
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