Citation

Safer DJ. Ann. Clin. Psychiatry 1997; 9(4): 263-269.

Affiliation

Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Copyright

(Copyright © 1997, American Academy of Clinical Psychiatrists)

DOI

unavailable

PMID

9511952

Abstract

A thorough medical literature review of adolescent self-reported suicide attempts focused on comparing the following: (1) the prevalence of attempts in anonymous vs. face-to-face surveys; (2) the prevalence rates in the United States and Canada vs. those reported elsewhere; and (3) the prevalence of attempt findings vs. self-harm behavior in anonymous surveys. The major findings were: (1) 29 anonymous self-report questionnaire studies from nine countries revealed that a median of 7-10% of adolescent students acknowledged having made one or more suicide attempts; (2) seven structured interview studies revealed a 3-4% lifetime prevalence of attempted suicide by adolescents; (3) self-report questionnaire responses failed to reveal any overlap between deliberate self-harm behavior and suicide attempts; (4) nonanonymous studies had an unusually high rate of refusal. Thus, self-reported suicide attempts are surprisingly frequent in adolescence and are reported two to three times more often under conditions of anonymity. Furthermore, youths report self-harm behavior as distinct from suicide attempts.

Language: en