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First grade predictors of adolescent...

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First grade predictors of adolescent suicide-related ideation in a urban sample: A latent class approach.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	First grade predictors of adolescent suicide-related ideation in a urban sample: A latent class approach./
Author:	Dusablon, Tracy L.
Description:	179 p.
Notes:	Adviser: Philip Leaf.
Contained By:	Dissertation Abstracts International69-12B.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3339707
ISBN:	9780549937234

First grade predictors of adolescent suicide-related ideation in a urban sample: A latent class approach.
Dusablon, Tracy L.

First grade predictors of adolescent suicide-related ideation in a urban sample: A latent class approach. - 179 p.

Adviser: Philip Leaf.

Thesis (Ph.D.)--The Johns Hopkins University, 2009.

Objective. Suicide is the third leading cause of death among adolescents in the United States and suicide-related ideations contribute a significant public health concern in their own right. Identification of early risks for suicide-related ideations is imperative to prevention efforts. This study set out to identify distinct classes of first grade depressive symptoms, items of social adaptational status (SAS), and family environment and to examine the predictive utility of these classifications for adolescent suicide-related ideation among an urban sample of youth. Method. The sample consisted of 588 Baltimore City youth (86.8% African American) participating in a larger, epidemiologically defined prospective intervention study. In grade 1, depressive symptoms, items of SAS, and family environment were assessed from multiple sources. In grades 6 through 11 and again at the age 19 follow-up assessment, adolescent suicide-related ideations were assessed using a question from the Major Depressive Disorder module of the Diagnostic Interview Schedule for Children-IV. Latent class analysis, a person-centered method, was used to identify the latent classes of the first grade predictors. Adolescent suicide-related ideation was then regressed on the first grade latent predictors. Interaction effects between the first grade latent constructs were also examined for the prediction to suicide-related ideation. Results. Two class solutions were found to be the best fit for each of the first grade predictors. First grade depressive symptoms were significantly associated with adolescent suicide-related ideation among girls (OR = 5.25, 95% CI 1.47--18.78). No significant association was found for boys' depressive symptoms and suicide-related ideation. There was neither a significant association between SAS and suicide-related ideation nor between family environment and suicide-related ideation among boys or girls. Examination of moderation analyses indicated no moderating effects of first grade depressive symptoms and SAS, depressive symptoms and family environment, or SAS and family environment on suicide-related ideation. Conclusions. This study was novel in the suicide-related ideation literature as it applied a person-centered approach to risk identification and examined risks for later suicide-related ideation as early as the first grade. The primary finding from this study suggests that first grade depressive symptoms among girls are associated with suicide-related ideation years later during adolescence. This has important implications for prevention programming as targeting prevention efforts toward girls depressive symptoms in the first grade may help to prevent later suicide-related ideation.

ISBN: 9780549937234Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

First grade predictors of adolescent suicide-related ideation in a urban sample: A latent class approach.
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245 1 0 $a First grade predictors of adolescent suicide-related ideation in a urban sample: A latent class approach.
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500 $a Source: Dissertation Abstracts International, Volume: 69-12, Section: B, page: 7409.
502 $a Thesis (Ph.D.)--The Johns Hopkins University, 2009.
520 $a Objective. Suicide is the third leading cause of death among adolescents in the United States and suicide-related ideations contribute a significant public health concern in their own right. Identification of early risks for suicide-related ideations is imperative to prevention efforts. This study set out to identify distinct classes of first grade depressive symptoms, items of social adaptational status (SAS), and family environment and to examine the predictive utility of these classifications for adolescent suicide-related ideation among an urban sample of youth. Method. The sample consisted of 588 Baltimore City youth (86.8% African American) participating in a larger, epidemiologically defined prospective intervention study. In grade 1, depressive symptoms, items of SAS, and family environment were assessed from multiple sources. In grades 6 through 11 and again at the age 19 follow-up assessment, adolescent suicide-related ideations were assessed using a question from the Major Depressive Disorder module of the Diagnostic Interview Schedule for Children-IV. Latent class analysis, a person-centered method, was used to identify the latent classes of the first grade predictors. Adolescent suicide-related ideation was then regressed on the first grade latent predictors. Interaction effects between the first grade latent constructs were also examined for the prediction to suicide-related ideation. Results. Two class solutions were found to be the best fit for each of the first grade predictors. First grade depressive symptoms were significantly associated with adolescent suicide-related ideation among girls (OR = 5.25, 95% CI 1.47--18.78). No significant association was found for boys' depressive symptoms and suicide-related ideation. There was neither a significant association between SAS and suicide-related ideation nor between family environment and suicide-related ideation among boys or girls. Examination of moderation analyses indicated no moderating effects of first grade depressive symptoms and SAS, depressive symptoms and family environment, or SAS and family environment on suicide-related ideation. Conclusions. This study was novel in the suicide-related ideation literature as it applied a person-centered approach to risk identification and examined risks for later suicide-related ideation as early as the first grade. The primary finding from this study suggests that first grade depressive symptoms among girls are associated with suicide-related ideation years later during adolescence. This has important implications for prevention programming as targeting prevention efforts toward girls depressive symptoms in the first grade may help to prevent later suicide-related ideation.
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