Evidence map›Paper›PMID 34506928›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022

Trajectories of Suicidal Thoughts and Behaviors From Preschool Through Late Adolescence.

Diana J Whalen, Laura Hennefield, Nourhan M Elsayed, Rebecca Tillman, Deanna M Barch, Joan L Luby

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
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

25 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Diana J WhalenWashington University School of Medicine in St. Louis, Missouri. Electronic address: diana.whalen@wustl.edu.
Laura HennefieldWashington University School of Medicine in St. Louis, Missouri.
Nourhan M ElsayedWashington University in St. Louis, Missouri.
Rebecca TillmanWashington University School of Medicine in St. Louis, Missouri.
Deanna M BarchWashington University School of Medicine in St. Louis, Missouri; Washington University in St. Louis, Missouri.
Joan L LubyWashington University School of Medicine in St. Louis, Missouri.
Washington University in St. Louis · US

Funding

NEUROIMAGING IN EARLY ONSET DEPRESSION: LONGITUDINAL ASSESSMENT OF BRAIN CHANGESR01MH090786 · NIMH · WASHINGTON UNIVERSITY · PI GILBERT, KIRSTEN, WHALEN, DIANA J · 2010 to 2025
$10.4M
Influence of Physical Activity on Daily Positive Affect & Affective Neural Activity in PreschoolersK23MH118426 · NIMH · WASHINGTON UNIVERSITY · PI WHALEN, DIANA J · 2018 to 2022
$879k
The Development of Optimism in Preschool Age Children: Individual Differences and Implications for Resiliency and Mental HealthF32HD093273 · NICHD · WASHINGTON UNIVERSITY · PI HENNEFIELD, LAURA · 2017 to 2020
$173k
NICHD NIH HHS F32 HD093273NIMH NIH HHS K23 MH118426NIMH NIH HHS L30 MH108015NIMH NIH HHS R01 MH090786
6 · The paper itself

Abstract

objectiveSuicidal thoughts and behaviors (STBs) represent a significant and escalating public health concern in youth. Evidence that STBs can emerge in the preschool years suggests that some pathways leading to clinically significant STBs begin early in life.

methodThis prospective longitudinal study examined the developmental trajectories of STBs in children from ages 3 to 17, oversampled for preschool-onset depression.

resultsThree unique trajectories of STBs across childhood and adolescence were identified: low class (n = 273) characterized by low rates of STBs, early-persistent class (n = 21) characterized by steadily increasing STBs, and late-onset class (n = 21) characterized by low rates of STBs through age 10 followed by a dramatic increase from ages 11 to 14 years. Preschool measures of depression symptoms, externalizing symptoms, impulsivity, and lower income relative to needs were associated with both high-risk STB classes. Both high-risk STB classes reported greater functional impairment, more externalizing symptoms, and more cumulative stressful life events in adolescence relative to the low class; the late-onset class also reported poorer academic functioning relative to both the early-persistent and low classes.

conclusionA significant minority of this prospectively followed group of preschool children evidenced STBs by and/or after age 10. Although relatively rare before age 10, approximately half of the children who experienced STBs in adolescence first exhibited STBs in early childhood and comprised a trajectory suggesting increasing STBs. In contrast, approximately half of children first exhibited STBs in early adolescence. Early screening and identification of at-risk youth during both preschool and late childhood is important for early intervention regarding STBs.

Indexed as

Suicidal IdeationSuicide, AttemptedAdolescentChildChild, PreschoolHumansLongitudinal StudiesProspective StudiesSchoolslongitudinalpreschoolsuicidal ideationsuicide behavioryouth

Identifiers

PMID34506928
PMCPMC8898992
OpenAlexW3196980695

What OpenQuestion holds

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Registered trials

None linked

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.