Suicidality, depression, and substance abuse in adolescence



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Am J Psychiatry 1989; 146:1462-1467
Copyright © 1989 by American Psychiatric Association

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Suicidality, depression, and substance abuse in adolescence

JC Levy and EY Deykin
Department of Maternal and Child Health, Harvard School of Public Health, MA 02115.

The authors assessed the occurrence of suicidal ideation, suicide attempts, major depression, and substance abuse in a sample of 424 apparently healthy college students 16-19 years old. Major depression and substance abuse were independent and interactive risk factors for suicidal ideation and for suicide attempts; substance abuse had a particularly deleterious effect on men. A prolonged desire to be dead was a more specific risk factor for a suicide attempt than was a thought of suicide. The authors conclude that suicidal ideation in the presence of major depression and/or substance abuse in older adolescents should call forth greater concern for lethality.

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