Suicidal behaviors and irritability in children and adolescents: a systematic review of the nature and mechanisms of the association.
While many psychiatric disorders are associated with an increased risk for suicidal behaviors (SB) in children and adolescents, a few studies have explored the role of clinical symptoms based on a dimensional approach. Irritability is seen as a marker, a general psychopathology, and a symptom of bot...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 28; no. 5; pp. 667 - 684 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
May2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136417032&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136417032 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: May2019 vid: 28 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 136417032 136417032 136417032 10.1007/s00787-018-1234-9 136417032 ppf: 667 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Suicidal behaviors and irritability in children and adolescents: a systematic review of the nature and mechanisms of the association. aug: au: Benarous, Xavier Consoli, Angèle Cohen, David Renaud, Johanne Lahaye, Hélène Guilé, Jean-Marc affil: Department of Child and Adolescent Psychiatry, Pitié-Salpêtrière Hospital, 83, boulevard de l'Hôpital, 75013, Paris, France sug: subj: Affective Disorders Complications Suicidal Ideation Risk Factors Suicide, Attempted Risk Factors Pediatric Care Human Systematic Review Mental Disorders Depression Suicide Prevention Child Adolescence Models, Psychological Child: 6-12 years Adolescent: 13-18 years ab: While many psychiatric disorders are associated with an increased risk for suicidal behaviors (SB) in children and adolescents, a few studies have explored the role of clinical symptoms based on a dimensional approach. Irritability is seen as a marker, a general psychopathology, and a symptom of both externalizing and internalizing disorders. In this review, we are interested in determining whether and how irritability can predict SB in youth. First, we reviewed consistencies and variation in the literature linking irritability to suicidal ideation (SI) and suicide attempt (SA). Second, based on the available models, we proposed specific mechanistic pathways, whereby irritability may modulate the risk for SB. Irritability has been found associated with SB both in cross-sectional and in longitudinal studies. The relation is consistent in different settings (i.e., general population and clinical settings) and across psychiatric disorders. The association is reduced but persists after adjusting for psychiatric disorder, including depression. On one hand, irritability constitutes a risk factor for SI via the onset of internalized disorder. On the other hand, irritable youth may be more prone to attempt suicide when experiencing SI. The measures for irritability were heterogeneous. A limited number of studies were designed to explore the role of mediators and/or moderators. Recognizing irritability in children and adolescents is a key issue with regards to suicide prevention. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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