Suicide among youth - Which mental disorders are responsible?

October 23, 2005

WASHINGTON -- Mental health professionals need to be watchful of mental health problems beyond depression in order to prevent youth suicide, according to new research from the World Health Organization (WHO). WHO researchers examine which mental disorders or combinations of disorders may be most responsible for youth suicide in a new study being released in the October issue of the American Journal of Orthopsychiatry, published by the American Psychological Association (APA).

Researchers from the WHO in Geneva, Switzerland and from the Christchurch School of Medicine in New Zealand reviewed the English language research from 1982 to 2001 to re-examine the occurrence and distribution of mental disorders in 894 cases of completed suicides among young people worldwide. The majority of the cases (89 percent) had at least one diagnosis of a mental disorder. Mood disorders were the most frequently diagnosed (42 percent) followed by substance-related disorders (40 percent) and then disruptive disorders (20 percent).

Mood disorders include major and minor depressive disorder, dysthymia, mania, hypomania, bipolar disorder and non-specific mood disorders. Substance-related disorders include drug abuse and alcohol dependency/abuse. Disruptive disorders include conduct disorder, attention deficit disorder, oppositional disorder and identity disorder.

The cases included subjects who were under 20 years of age - 72 percent. Twelve percent were between the ages of 20 - 29 and 15.5 percent were 15-29 years old. Studies that met the criteria for this review originated mostly from Europe and North America. Hence, caution is necessary in application of findings from that region to program development in Asian, African, South American or developing countries.

From the limited information available, lead author Alexandra Fleischmann, Ph.D., and co-authors suggest that comprehensive suicide prevention strategies for young people target mental disorders as a whole rather than just look for depression. Even though mood disorders were tied to suicide the most, these disorders were lower than expected, according to the study.

The authors add that beyond diagnosable mental disorders, other components, such as a person's predisposition, social and environmental conditions, psychosocial risk factors, and culture should be considered to prevent suicide among youth from escalating.
-end-
Article: "Completed Suicide and Psychiatric Diagnoses in Young People: A Critical Examination of the Evidence," Alexandra Fleischmann, PhD, Jose Manoel Bertolote, MD, and Myron Belfar, MD, World Health Organization; Annette Beautrais, PhD, Christchurch School of Medicine, New Zealand; American Journal of Orthopsychiatry, Vol. 75, No. 4.

Full text of the article is available from the APA Public Affairs Office or at www.apa.org/journals/releases/ort754676.pdf.

Alexandra Fleischmann, PhD can be reached by phone at 011-41-22-791- 3444 or by email at fleischmanna@who.int

The American Psychological Association (APA), in Washington, DC, is the largest scientific and professional organization representing psychology in the United States and is the world's largest association of psychologists. APA's membership includes more than 150,000 researchers, educators, clinicians, consultants and students. Through its divisions in 53 subfields of psychology and affiliations with 60 state, territorial and Canadian provincial associations, APA works to advance psychology as a science, as a profession and as a means of promoting health, education and human welfare.

American Psychological Association

Related Depression Articles from Brightsurf:

Children with social anxiety, maternal history of depression more likely to develop depression
Although researchers have known for decades that depression runs in families, new research from Binghamton University, State University of New York, suggests that children suffering from social anxiety may be at particular risk for depression in the future.

Depression and use of marijuana among US adults
This study examined the association of depression with cannabis use among US adults and the trends for this association from 2005 to 2016.

Maternal depression increases odds of depression in offspring, study shows
Depression in mothers during and after pregnancy increased the odds of depression in offspring during adolescence and adulthood by 70%.

Targeting depression: Researchers ID symptom-specific targets for treatment of depression
For the first time, physician-scientists at Beth Israel Deaconess Medical Center have identified two clusters of depressive symptoms that responded to two distinct neuroanatomical treatment targets in patients who underwent transcranial magnetic brain stimulation (TMS) for treatment of depression.

A biological mechanism for depression
Researchers report that in depressed individuals there are increased amounts of an unmodified structural protein, called tubulin, in lipid rafts compared with non-depressed individuals.

Depression in adults who are overweight or obese
In an analysis of primary care records of 519,513 UK adults who were overweight or obese between 2000-2016 and followed up until 2019, the incidence of new cases of depression was 92 per 10,000 people per year.

Why stress doesn't always cause depression
Rats susceptible to anhedonia, a core symptom of depression, possess more serotonin neurons after being exposed to chronic stress, but the effect can be reversed through amygdala activation, according to new research in JNeurosci.

Which comes first: Smartphone dependency or depression?
New research suggests a person's reliance on his or her smartphone predicts greater loneliness and depressive symptoms, as opposed to the other way around.

Depression breakthrough
Major depressive disorder -- referred to colloquially as the 'black dog' -- has been identified as a genetic cause for 20 distinct diseases, providing vital information to help detect and manage high rates of physical illnesses in people diagnosed with depression.

CPAP provides relief from depression
Researchers have found that continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea (OSA) can improve depression symptoms in patients suffering from cardiovascular diseases.

Read More: Depression News and Depression Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.