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Suicidality and posttraumatic stress disorder (PTSD) in adolescents: a systematic review and meta-analysis

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Abstract

Purpose

There is growing evidence in the literature that a diagnosis of Posttraumatic Stress Disorder (PTSD) is an important contributory factor to suicidality in adolescents. However, there is no existing review of the literature examining the relationship between PTSD and suicidality in adolescents. This study aims to provide the first systematic review and meta-analysis of the association between PTSD and suicidality in adolescents.

Methods

Five bibliographic databases (Medline, EMBASE, PsycINFO, Web of Science and PILOT) were screened for suitable articles. Twenty-eight studies (which provided 28 independent samples) were included in the review. The overall meta-analyses of the association between PTSD and suicidality were followed by subgroup and meta-regression analyses.

Results

A highly significant positive association was found between PTSD and suicidality (d = 0.701, 95 % CI 0.555–0.848). The subgroup and meta-regression analyses showed that the association between PTSD and suicidality persisted whilst adjusting for various sources of between-study heterogeneity, such as, different levels of severity of suicidality, target groups, and methodological quality of the studies.

Conclusions

Suicidality in adolescents with PTSD is a major problem which requires further research effort. The implications of these results are discussed.

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References

  1. Shaw D, Fernandes JR, Rao C (2005) Suicide in children and adolescents—a 10-year retrospective review. Am J Forensic Med Pathol 26(4):309–315. doi:10.1097/01.paf.0000188169.41158.58

    Article  PubMed  Google Scholar 

  2. Gould MS, Greenberg T, Velting DM, Shaffer D (2003) Youth suicide risk and preventive interventions: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 42(4):386–405. doi:10.1097/01.chi.0000046821.95464.cf

    Article  PubMed  Google Scholar 

  3. Hawton K, Saunders KE, O’Connor RC (2012) Self-harm and suicide in adolescents. Lancet 379(9834):2373–2382. doi:10.1016/S0140-6736(12)60322-5

    Article  PubMed  Google Scholar 

  4. Bedi S, Nelson EC, Lynskey MT, McCutcheon VV, Heath AC, Madden PAF, Martin NG (2011) Risk for suicidal thoughts and behavior after childhood sexual abuse in women and men. Suicide Life Threat 41(4):406–415. doi:10.1111/j.1943-278X.2011.00040.x

    Article  Google Scholar 

  5. Hill RM, Castellanos D, Pettit JW (2011) Suicide-related behaviors and anxiety in children and adolescents: a review. Clin Psychol Rev 31(7):1133–1144. doi:10.1016/j.cpr.2011.07.008

    Article  PubMed  Google Scholar 

  6. Fitzpatrick KM, Piko BF, Miller E (2008) Suicide ideation and attempts among Low-income African American adolescents. Suicide Life Threat 38(5):552–563. doi:10.1521/suli.2008.38.5.552

    Article  Google Scholar 

  7. Guan K, Fox KR, Prinstein MJ (2012) Nonsuicidal self-injury as a time-invariant predictor of adolescent suicide ideation and attempts in a diverse community sample. J Consult Clin Psychol 80(5):842–849. doi:10.1037/a0029429

    Article  PubMed Central  PubMed  Google Scholar 

  8. Miller AB, Esposito-Smythers C, Weismoore JT, Renshaw KD (2013) The relation between child maltreatment and adolescent suicidal behavior: a systematic review and critical examination of the literature. Clin Child Fam Psychol Rev 16(2):146–172. doi:10.1007/s10567-013-0131-5

    Article  PubMed Central  PubMed  Google Scholar 

  9. Venta A, Ross E, Schatte D, Sharp C (2012) Suicide ideation and attempts among inpatient adolescents with borderline personality disorder: frequency, intensity and age of onset. Personal Ment Health 6(4):340–351. doi:10.1002/pmh.1202

    Article  Google Scholar 

  10. Evans E, Hawton K, Rodham K (2005) Suicidal phenomena and abuse in adolescents: a review of epidemiological studies. Child Abuse Neglect 29(1):45–58. doi:10.1016/j.chiabu.2004.06.014

    Article  PubMed  Google Scholar 

  11. Oquendo M, Brent DA, Birmaher B, Greenhill L, Kolko D, Stanley B, Zelazny J, Burke AK, Firinciogullari S, Ellis SP, Mann JJ (2005) Posttraumatic stress disorder comorbid with major depression: factors mediating the association with suicidal behavior. Am J Psychiat 162(3):560–566. doi:10.1176/appi.ajp.162.3.560

    Article  PubMed  Google Scholar 

  12. Panagioti M, Gooding PA, Dunn G, Tarrier N (2011) Pathways to suicidal behavior in posttraumatic stress disorder. J Trauma Stress 24(2):137–145. doi:10.1002/jts.20627

    Article  PubMed  Google Scholar 

  13. Panagioti M, Gooding PA, Tarrier N (2012) Hopelessness, defeat, and entrapment in posttraumatic stress disorder their association with suicidal behavior and severity of depression. J Nerv Ment Dis 200(8):676–683. doi:10.1097/NMD.0b013e3182613f91

    Article  PubMed  Google Scholar 

  14. Tarrier N, Gregg L (2004) Suicide risk in civilian PTSD patients—predictors of suicidal ideation, planning and attempts. Soc Psychiatry Psychiatr Epidemiol 39(8):655–661. doi:10.1007/s00127-004-0799-4

    Article  PubMed  Google Scholar 

  15. Sareen J, Cox BJ, Stein MB, Afifi TO, Fleet C, Asmundson GJG (2007) Physical and mental comorbidity, disability, and suicidal behavior associated with posttraumatic stress disorder in a large community sample. Psychosom Med 69(3):242–248. doi:10.1097/PSY.0b013e31803146d8

    Article  PubMed  Google Scholar 

  16. Harned MS, Rizvi SL, Linehan MM (2011) Study limitations in report of suicidal behavior among women with co-occurring PTSD and borderline personality disorder response. Am J Psychiat 168(3):328–329. doi:10.1176/appi.ajp.2010.10101551r

    Article  Google Scholar 

  17. Suris A, Link-Malcolm J, North CS (2011) Predictors of suicidal ideation in veterans with PTSD related to military sexual trauma. J Trauma Stress 24(5):605–608. doi:10.1002/jts.20674

    Article  PubMed  Google Scholar 

  18. Flannery DJ, Singer MI, Wester K (2001) Violence exposure, psychological trauma, and suicide risk in a community sample of dangerously violent adolescents. J Am Acad Child Adolesc Psychiatry 40(4):435–442. doi:10.1097/00004583-200104000-00012

    Article  CAS  PubMed  Google Scholar 

  19. Tang T-C, Yen C-F, Cheng C-P, Yang P, Chen C-S, Yang R-C, Huang M-S, Jong Y-J, Yu H-S (2010) Suicide risk and its correlate in adolescents who experienced typhoon-induced mudslides: a structural equation model. Depress Anxiety 27(12):1143–1148. doi:10.1002/da.20748

    Article  PubMed  Google Scholar 

  20. Wilcox HC, Storr CL, Breslau N (2009) Posttraumatic stress disorder and suicide attempts in a community sample of urban american young adults. Arch Gen Psychiatry 66(3):305–311. doi:10.1001/archgenpsychiatry.2008.557

    Article  PubMed  Google Scholar 

  21. Panagioti M, Gooding PA, Tarrier N (2012) A meta-analysis of the association between posttraumatic stress disorder and suicidality: the role of comorbid depression. Compr Psychiatry 53(7):915–930. doi:10.1016/j.comppsych.2012.02.009

    Article  PubMed  Google Scholar 

  22. Krysinska K, Lester D (2010) Post-traumatic stress disorder and suicide risk: a systematic review. Arch Suicide Res 14(1):1–23. doi:10.1080/13811110903478997

    Article  PubMed  Google Scholar 

  23. Panagioti M, Gooding PA, Tarrier N (2014) A prospective study of suicidal ideation in posttraumatic stress disorder: the role of perceptions of defeat and entrapment. J Clin Psychol. doi:10.1002/jclp.22103

    PubMed  Google Scholar 

  24. Hellmuth JC, Stappenbeck CA, Hoerster KD, Jakupcak M (2012) Modeling PTSD symptom clusters, alcohol misuse, anger, and depression as they relate to aggression and suicidality in returning US veterans. J Trauma Stress 25(5):527–534. doi:10.1002/jts.21732

    Article  PubMed Central  PubMed  Google Scholar 

  25. Jakupcak M, Conybeare D, Phelps L, Hunt S, Holmes HA, Felker B, Klevens M, McFall ME (2007) Anger, hostility, and aggression among Iraq and Afghanistan war veterans reporting PTSD and subthreshold PTSD. J Trauma Stress 20(6):945–954. doi:10.1002/jts.20258

    Article  PubMed  Google Scholar 

  26. Held P, Owens GP, Schumm JA, Chard KM, Hansel JE (2011) Disengagement coping as a mediator between trauma-related guilt and PTSD severity. J Trauma Stress 24(6):708–715. doi:10.1002/jts.20689

    Article  PubMed  Google Scholar 

  27. Panagioti M, Gooding P, Tarrier N (2009) Post-traumatic stress disorder and suicidal behavior: a narrative review. Clin Psychol Rev 29(6):471–482. doi:10.1016/j.cpr.2009.05.001

    Article  PubMed  Google Scholar 

  28. Johnson J, Gooding P, Tarrier N (2008) Suicide risk in schizophrenia: explanatory models and clinical implications, The Schematic Appraisal Model of Suicide (SAMS). Psychol Psychother 81(Pt 1):55–77. doi:10.1348/147608307X244996

    Article  PubMed  Google Scholar 

  29. Beck AT, Brown G, Berchick RJ, Stewart BL, Steer RA (1990) Relationship between hopelessness and ultimate Suicide—a replication with psychiatric outpatients. Am J Psychiat 147(2):190–195

    Article  CAS  PubMed  Google Scholar 

  30. Williams JMG (2001) The Cry of Pain. Penguin, London

    Google Scholar 

  31. Linehann NN (1993) Cognitive-behavioral treatment for borderline personality disorder. Guilford Press, New York

    Google Scholar 

  32. Joiner TE, Van Orden KA, Witte TK, Selby EA, Ribeiro JD, Lewis R, Rudd MD (2009) Main predictions of the interpersonal-psychological theory of suicidal behavior: empirical tests in two samples of young adults. J Abnorm Psychol 118(3):634–646. doi:10.1037/A0016500

    Article  PubMed Central  PubMed  Google Scholar 

  33. O’Connor RC (2011) Towards an integrated motivational–volitional model of suicidal behaviour. In: O’Connor RC, Platt S, Gordon J (eds) International handbook of suicide prevention. Wiley, New York, pp 181–198. doi:10.1002/9781119998556.ch11

  34. O’Connor RC, Rasmussen S, Hawton K (2012) Distinguishing adolescents who think about self-harm from those who engage in self-harm. Brit J Psychiat 200(4):330–335. doi:10.1192/bjp.bp.111.097808

    Article  PubMed  Google Scholar 

  35. Thompson MP, Kaslow NJ, Kingree JB, Puett R, Thompson NJ, Meadows L (1999) Partner abuse and posttraumatic stress disorder as risk factors for suicide attempts in a sample of low-income, inner-city women. J Trauma Stress 12(1):59–72. doi:10.1023/a:1024742215337

    Article  CAS  PubMed  Google Scholar 

  36. Thompson MP, Kaslow NJ, Lane DB, Kingree JB (2000) Childhood maltreatment, PTSD and suicidal behavior among African American females. J Interpers Violence 15(1):3–15. doi:10.1177/088626000015001001

    Article  Google Scholar 

  37. Weierich MR, Nock MK (2008) Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury. J Consult Clin Psychol 76(1):39–44. doi:10.1037/0022-006x.76.1.39

    Article  PubMed  Google Scholar 

  38. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JPA, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Plos Med 6(7):e1000100. doi:10.1371/journal.pmed.1000100

    Article  PubMed Central  PubMed  Google Scholar 

  39. Craig JC, Irwig LM, Stockler MR (2001) Evidence-based medicine: useful tools for decision making. Med J Aust 174(5):248–253

    CAS  PubMed  Google Scholar 

  40. Sanderson S, Tatt LD, Higgins JPT (2007) Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography. Int J Epidemiol 36(3):666–676. doi:10.1093/ije/dym018

    Article  PubMed  Google Scholar 

  41. Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA, Thacker SB, Grp M (2000) Meta-analysis of observational studies in epidemiology—a proposal for reporting. JAMA J Am Med Assoc 283(15):2008–2012. doi:10.1001/jama.283.15.2008

    Article  CAS  Google Scholar 

  42. McGough JJ, Faraone SV (2009) Estimating the size of treatment effects: moving beyond p values. Psychiatry (Edgmont (Pa : Township)) 6(10):21–29

    Google Scholar 

  43. Cohen J (1988) Statistical power analysis for the behavioral sciences. Eribaum, Hillsdale

    Google Scholar 

  44. Borenstein M, Hedges L, Higgins J, Rothstein H (2005) Comprehensive meta-analysis, 2.2.034 edn. Biostat, Englewood

    Google Scholar 

  45. Higgins JPT, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. Br Med J 327(7414):557–560. doi:10.1136/bmj.327.7414.557

    Article  Google Scholar 

  46. Egger M, Smith GD, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315(7109):629–634. doi:10.1136/bmj.315.7109.629

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  47. Giaconia RM, Reinherz HZ, Silverman AB, Pakiz B, Frost AK, Cohen E (1995) Traumas and posttraumatic stress disorder in a community population of older adolescents. J Am Acad Child Adolesc Psychiatry 34(10):1369–1380. doi:10.1097/00004583-199510000-00023

    Article  CAS  PubMed  Google Scholar 

  48. Giaconia RM, Reinherz HZ, Hauf AC, Paradis AD, Wasserman MS, Langhammer DM (2000) Comorbidity of substance use and post-traumatic stress disorders in a community sample of adolescents. Am J Orthopsychiatry 70(2):253–262. doi:10.1037/h0087634

    Article  CAS  PubMed  Google Scholar 

  49. Brent DA, Perper JA, Moritz G, Liotus L, Richardson D, Canobbio R, Schweers J, Roth C (1995) Posttraumatic stress disorder in peers of adolescent suicide victims: predisposing factors and phenomenology. J Am Acad Child Adolesc Psychiatry 34(2):209–215. doi:10.1097/00004583-199502000-00016

    Article  CAS  PubMed  Google Scholar 

  50. Chemtob CM, Madan A, Berger P, Abramovitz R (2011) Adolescent exposure to the world trade center attacks, PTSD symptomatology, and suicidal ideation. J Trauma Stress 24(5):526–529. doi:10.1002/jts.20670

    Article  PubMed  Google Scholar 

  51. Chemtob CM, Pat-Horenczyk R, Madan A, Pitman SR, Wang Y, Doppelt O, Burns KD, Abramovitz R, Brom D (2011) Israeli adolescents with ongoing exposure to terrorism: suicidal ideation, posttraumatic stress disorder, and functional impairment. J Trauma Stress 24(6):756–759. doi:10.1002/jts.20708

    Article  PubMed  Google Scholar 

  52. Dilsaver SC, Benazzi F, Akiskal HS, Akiskal KK (2007) Post-traumatic stress disorder among adolescents with bipolar disorder and its relationship to suicidality. Bipolar Disord 9(6):649–655. doi:10.1111/j.1399-5618.2007.00396.x

    Article  PubMed  Google Scholar 

  53. Dixon A, Howie P, Starling J (2005) Trauma exposure, posttraumatic stress, and psychiatric comorbidity in female juvenile offenders. J Am Acad Child Adolesc Psychiatry 44(8):798–806. doi:10.1097/01.chi.0000164590.48318.9c

    Article  PubMed  Google Scholar 

  54. Famularo R, Fenton T, Kinscherff R, Augustyn M (1996) Psychiatric comorbidity in childhood post traumatic stress disorder. Child Abuse Negl 20(10):953–961. doi:10.1016/0145-2134(96)00084-1

    Article  CAS  PubMed  Google Scholar 

  55. Fordwood SR, Asarnow JR, Huizar DP, Reise SP (2007) Suicide attempts among depressed adolescents in primary care. J Clin Child Adolesc Psychol 36(3):392–404

    Article  PubMed  Google Scholar 

  56. Hardan A, Sahl R (1999) Suicidal behavior in children and adolescents with developmental disorders. Res Dev Disabil 20(4):287–296. doi:10.1016/s0891-4222(99)00010-4

    Article  CAS  PubMed  Google Scholar 

  57. Jacobson CM, Muchlenkamp JJ, Miller AL, Turner JB (2008) Psychiatric impairment among adolescents engaging in different types of deliberate self-harm. J Clin Child Adoles Psychol 37(2):363–375. doi:10.1080/15374410801955771

    Article  Google Scholar 

  58. Jessop M, Scott J, Nurcombe B (2008) Hallucinations in adolescent inpatients with post-traumatic stress disorder and schizophrenia: similarities and differences. Australas Psychiatry 16(4):268–272. doi:10.1080/10398560801982580

    Article  PubMed  Google Scholar 

  59. Kerig PK, Ward RM, Vanderzee KL, Moeddel MA (2009) Posttraumatic stress as a mediator of the relationship between trauma and mental health problems among juvenile delinquents. J Youth Adolescence 38(9):1214–1225. doi:10.1007/s10964-008-9332-5

    Article  Google Scholar 

  60. Lau JTF, Yu X, Zhang J, Mak WWS, Choi KC, Lui WWS, Chan EYY (2010) Psychological distress among adolescents in Chengdu, Sichuan at 1 month after the 2008 Sichuan earthquake. J Urban Health Bull NY Acad Med 87(3):504–523. doi:10.1007/s11524-010-9447-3

    Article  Google Scholar 

  61. Lipschitz DS, Winegar RK, Hartnick E, Foote B, Southwick SM (1999) Posttraumatic stress disorder in hospitalized adolescents: psychiatric comorbidity and clinical correlates. J Am Acad Child Adolesc Psychiatry 38(4):385–392. doi:10.1097/00004583-199904000-00010

    Article  CAS  PubMed  Google Scholar 

  62. Mazza JJ (2000) The relationship between posttraumatic stress symptomatology and suicidal behavior in school-based adolescents. Suicide Life Threat 30(2):91–103

    CAS  Google Scholar 

  63. Mazza JJ, Reynolds WM (1999) Exposure to violence in young inner-city adolescents: relationships with suicidal ideation, depression, and PTSD symptomatology. J Abnorm Child Psychol 27(3):203–213. doi:10.1023/a:1021900423004

    Article  CAS  PubMed  Google Scholar 

  64. Plattner B, The SSL, Kraemer HC, Williams RP, Bauer SM, Kindler J, Feucht M, Friedrich MH, Steiner H (2007) Suicidality, psychopathology, and gender in incarcerated adolescents in Austria. J Clin Psychiatry 68(10):1593–1600

    Article  PubMed  Google Scholar 

  65. Prinstein MJ, Nock MK, Simon V, Aikins JW, Cheah CSL, Spirito A (2008) Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. J Consult Clin Psychol 76(1):92–103. doi:10.1037/0022-006x.76.1.92

    Article  PubMed Central  PubMed  Google Scholar 

  66. Ruchkin VV, Schwab-Stone M, Koposov RA, Vermeiren R, King RA (2003) Suicidal ideations and attempts in juvenile delinquents. J Child Psychol Psychiatry 44(7):1058–1066. doi:10.1111/1469-7610.00190

    Article  PubMed  Google Scholar 

  67. Soylu N, Alpaslan AH (2013) Suicidal behavior and associated factors in sexually abused adolescents. Child Youth Serv Rev 35(2):253–257. doi:10.1016/j.childyouth.2012.11.002

    Article  Google Scholar 

  68. Waldrop AE, Hanson RF, Resnick HS, Kilpatrick DG, Naugle AE, Saunders BE (2007) Risk factors for suicidal Behavior among a national sample of adolescents: implications for prevention. J Trauma Stress 20(5):869–879. doi:10.1002/jts.20291

    Article  PubMed  Google Scholar 

  69. Wolitzky-Taylor KB, Ruggiero KJ, McCart MR, Smith DW, Hanson RF, Resnick HS, de Arellano MA, Saunders BE, Kilpatrick DG (2010) Has adolescent suicidality decreased in the United States? Data from two national samples of adolescents interviewed in 1995 and 2005. J Clin Child Adolesc Psychol 39(1):64–76. doi:10.1080/15374410903401146

    Article  PubMed Central  PubMed  Google Scholar 

  70. Wunderlich U, Bronisch T, Wittchen HU (1998) Comorbidity patterns in adolescents and young adults with suicide attempts. Eur Arch Psychiatry Clin Neurosci 248(2):87–95. doi:10.1007/s004060050023

    Article  CAS  PubMed  Google Scholar 

  71. Yen S, Weinstock LM, Andover MS, Sheets ES, Selby EA, Spirito A (2013) Prospective predictors of adolescent suicidality: 6-month post-hospitalization follow-up. Psychol Med 43(5):983–993. doi:10.1017/s0033291712001912

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  72. Yoder KA, Longley SL, Whitbeck LB, Hoyt DR (2008) A dimensional model of psychopathology among homeless adolescents: suicidality, internalizing, and externalizing disorders. J Abnorm Child Psychol 36(1):95–104. doi:10.1007/s10802-007-9163-y

    Article  PubMed Central  PubMed  Google Scholar 

  73. Wasserman D, Cheng Q, Jiang GX (2005) Global suicide rates among young people aged 15-19. World Psychiatry Off J World Psychiatr Assoc 4(2):114–120

    Google Scholar 

  74. Hawton K, Hall S, Simkin S, Bale L, Bond A, Codd S, Stewart A (2003) Deliberate self-harm in adolescents: a study of characteristics and trends in Oxford, 1990–2000. J Child Psychol Psychiatry 44(8):1191–1198

    Article  PubMed  Google Scholar 

  75. Boeninger DK, Masyn KE, Feldman BJ, Conger RD (2010) Sex differences in developmental trends of suicide ideation, plans, and attempts among European American adolescents. Suicide Life Threat 40(5):451–464

    Article  Google Scholar 

  76. Leiner AS, Compton MT, Houry D, Kaslow NJ (2008) Intimate partner violence, psychological distress, and suicidality: a path model using data from African American women seeking care in an urban emergency department. J Fam Violence 23(6):473–481. doi:10.1007/s10896-008-9174-7

    Article  Google Scholar 

  77. Clum GA, Weaver TL (1997) Diagnostic morbidity and its relationship to severity of ideation for a nonpsychiatric sample of chronic and severe suicide ideators. J Psychopathol Behav Assess 19(3):191–206. doi:10.1007/bf02229178

    Article  Google Scholar 

  78. Clover K, Carter GL, Whyte IM (2004) Posttraumatic stress disorder among deliberate self-poisoning patients. J Trauma Stress 17(6):509–517. doi:10.1007/s10960-004-5800-1

    Article  PubMed  Google Scholar 

  79. Drescher KD, Rosen CS, Burling TA, Foy DW (2003) Causes of death among male veterans who received residential treatment for PTSD. J Trauma Stress 16(6):535–543. doi:10.1023/b:jots.0000004076.62793.79

    Article  PubMed  Google Scholar 

  80. Thompson SG, Higgins JPT (2002) How should meta-regression analyses be undertaken and interpreted? Stat Med 21(11):1559–1573. doi:10.1002/sim.1187

    Article  PubMed  Google Scholar 

  81. Maniglio R (2011) The role of child sexual abuse in the etiology of suicide and non-suicidal self-injury. Acta Psychiatr Scand 124(1):30–41. doi:10.1111/j.1600-0447.2010.01612.x

    Article  CAS  PubMed  Google Scholar 

  82. Panagioti M, Gooding P, Taylor P, Tarrier N (2012) Negative self-appraisals and suicidal behavior among trauma victims experiencing PTSD symptoms: the mediating role of defeat and entrapment. Depress Anxiety 29(3):187–194. doi:10.1002/da.21917

    Article  PubMed  Google Scholar 

  83. Panagioti M, Gooding P, Taylor P, Tarrier N (2013) A model of suicidal behavior in those with Posttraumatic Stress Disorder (PTSD). The mediating role of perceptions of defeat and entrapment. Psychiatry Res 209(1):55–59

    Article  PubMed  Google Scholar 

  84. Panagioti M, Gooding PA, Taylor PJ, Tarrier N (2014) Perceived social support buffers the impact of PTSD symptoms on suicidal behavior: implications into suicide resilience research. Compr Psychiatry 55(1):104–112. doi:10.1016/j.comppsych.2013.06.004

    Article  CAS  PubMed  Google Scholar 

  85. Consoli A, Peyre H, Speranza M, Hassler C, Falissard B, Touchette E, Cohen D, Moro MR, Revah-Levy A (2013) Suicidal behaviors in depressed adolescents: role of perceived relationships in the family. Child Adolesc Psychiatry Ment Health 7(1):8. doi:10.1186/1753-2000-7-8

    Article  PubMed Central  PubMed  Google Scholar 

  86. King CA, Merchant CR (2008) Social and interpersonal factors relating to adolescent suicidality: a review of the literature. Arch Suicide Res Off J Int Acad Suicide Res 12(3):181–196. doi:10.1080/13811110802101203

    Article  Google Scholar 

  87. Pisani AR, Wyman PA, Petrova M, Schmeelk-Cone K, Goldston DB, Xia YL, Gould MS (2013) Emotion regulation difficulties, youth-adult relationships, and suicide attempts among high school students in underserved communities. J Youth Adolesc 42(6):807–820. doi:10.1007/s10964-012-9884-2

    Article  PubMed Central  PubMed  Google Scholar 

  88. Stepp SD, Morse JQ, Yaggi KE, Reynolds SK, Reed LI, Pilkonis PA (2008) The role of attachment styles and interpersonal problems in suicide-related behaviors. Suicide Life Threat Behav 38(5):592–607. doi:10.1521/suli.2008.38.5.592

    Article  PubMed Central  PubMed  Google Scholar 

  89. Cathey C (2007) Power of peer review: an online collaborative learning assignment in social psychology. Teach Psychol 34(2):97–99

    Article  Google Scholar 

  90. Marshall BDL, Galea S, Wood E, Kerr T (2013) Longitudinal associations between types of childhood trauma and suicidal behavior among substance users: a cohort study. Am J Public Health 103(9):e69–e75. doi:10.2105/ajph.2013.301257

    Article  PubMed Central  PubMed  Google Scholar 

  91. Adams DM, Lehnert KL (1997) Prolonged trauma and subsequent suicidal behavior: child abuse and combat trauma reviewed. J Trauma Stress 10(4):619–634. doi:10.1002/jts.2490100408

    CAS  PubMed  Google Scholar 

  92. Ben-Ya’acov Y, Amir M (2004) Posttraumatic symptoms and suicide risk. Personal Individ Differ 36(6):1257–1264. doi:10.1016/s0191-8869(03)00003-5

    Article  Google Scholar 

  93. Jakupcak M, Varra EM (2011) Treating Iraq and Afghanistan war veterans with PTSD who are at high risk for suicide. Cognitive Behav Pract 18(1):85–97. doi:10.1016/j.cbpra.2009.08.007

    Article  Google Scholar 

  94. Zimmerman M, Mattia JI (1999) Is posttraumatic stress disorder underdiagnosed in routine clinical settings? J Nerv Ment Dis 187(7):420–428. doi:10.1097/00005053-199907000-00005

    Article  CAS  PubMed  Google Scholar 

  95. Ivanov M-L, Weber O, Gholam-Rezaee M, Weber G, Reeves D, Benharrats R, Yersin B, Stiefel F (2012) Screening for post-traumatic stress disorder (PTSD) in a psychiatric emergency setting. Eur J Psychiatry 26(3):159–168

    Article  Google Scholar 

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Authors and Affiliations

  1. Institute of Population Health, University of Manchester, Williamson Building, Oxford Road, Manchester, M13 9PL, UK

    Maria Panagioti

  2. School of Psychological Sciences, University of Manchester, Manchester, UK

    Patricia A. Gooding & Kalliopi Triantafyllou

  3. Institute of Psychiatry, Kings College London, London, UK

    Nicholas Tarrier

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  1. Maria Panagioti
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  2. Patricia A. Gooding
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  4. Nicholas Tarrier
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Panagioti, M., Gooding, P.A., Triantafyllou, K. et al. Suicidality and posttraumatic stress disorder (PTSD) in adolescents: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol 50, 525–537 (2015). https://doi.org/10.1007/s00127-014-0978-x

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  • DOI: https://doi.org/10.1007/s00127-014-0978-x

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