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Behavioral Sciences
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Suicide Risk Assessment, Management and Prevention in Adolescents
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Suicide Risk Assessment, Management and Prevention in Adolescents

A special issue of Behavioral Sciences (ISSN 2076-328X). This special issue belongs to the section "Psychiatric, Emotional and Behavioral Disorders".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 13206

Special Issue Editors

Dr. Alejandro Porras-Segovia

E-Mail Website
Guest Editor
Translational Psychiatry Research Group, Instituto de Investigación Fundación Jiménez Díaz, 28040 Madrid, Spain.
Interests: suicidilogoy; depression; new technologies; ecological momentary assessment; creative writing
Dr. Inmaculada Peñuelas-Calvo

E-Mail Website
Guest Editor
Department of Child and Adolescent Psychiatry, University Hospital 12 de Octubre, 28041 Madrid, Spain
Interests: suicidilogy; new technologies; ecological momentary assessment; ADHD

Special Issue Information

Dear Colleagues,

Suicidal behaviour is a major health problem worldwide. This problem affects young people notably, which makes the number of years of potential life lost (YPLL) due to suicide very high. According to data from the Centers for Disease Control and Prevention, the YPLL due to suicide exceeded those due to COVID-19 in 2020. It is precisely after the pandemic that there has been an increasing concern about suicidal behaviour in adolescents, which is also related to an increase in non-suicidal self-injury in this population. Many social, psychological and biological factors influence this phenomenon, posing a major scientific, social and clinical challenge. In this Special Issue, we will focus on suicidal behaviour in the adolescent population from the points of view of risk assessment, management and prevention. We welcome all submissions related to this topic, from various perspectives and disciplines, such as psychiatry, clinical psychology, social psychology, neuroscience or developmental science.

Dr. Alejandro Porras-Segovia
Dr. Inmaculada Peñuelas-Calvo
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Behavioral Sciences is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • suicide
  • suicide attempt
  • suicide ideation
  • child and adolescent psychiatry
  • self-harm
  • non-suicidal self-injury
  • assessment
  • prevention

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Published Papers (5 papers)

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Research

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12 pages, 311 KiB  
Article
Protective and Risk Factors for Suicidal Behaviour in Self-Declared LGBTIQ+ Adolescents
by David Sánchez-Teruel, Francisca López-Torrecillas, María Auxiliadora Robles-Bello and Nieves Valencia-Naranjo
Behav. Sci. 2024, 14(5), 422; https://doi.org/10.3390/bs14050422 - 18 May 2024
Cited by 1 | Viewed by 2290
Abstract
Background: Adolescents who identify as sexual minorities often face social stigmatisation, which can lead to increased adversity and a higher risk of suicidal behaviours. However, there are also protective factors that may promote resilience to these risk behaviours. This study aims to identify [...] Read more.
Background: Adolescents who identify as sexual minorities often face social stigmatisation, which can lead to increased adversity and a higher risk of suicidal behaviours. However, there are also protective factors that may promote resilience to these risk behaviours. This study aims to identify factors that predict resilience in sexual minority adolescents with high suicidal vulnerability. Methods: The study sample comprised 78 self-reported LGBTIQ+ adolescents aged between 13 and 18 years old (M = 16.11, SD = 1.56) who had previously attempted suicide. They completed several psychosocial instruments to measure risk and protective variables related to suicidal vulnerability. Results: Entrapment was found to be the most predictive risk variable for suicide attempts. However, protective variables promoting resilience were also found, such as adequate parental communication, life satisfaction, and cognitive reframing. Discussion: The findings related to prevention of suicide attempts are discussed and we highlight the urgent need to enhance certain internal and contextual protective factors to promote resilience in the face of suicidal vulnerability in certain clinical subpopulations exposed to highly adverse situations. Full article
(This article belongs to the Special Issue Suicide Risk Assessment, Management and Prevention in Adolescents)
14 pages, 563 KiB  
Article
Perceived Stressful Life Events and Suicide Risk in Adolescence: The Mediating Role of Perceived Family Functioning
by Irene Caro-Cañizares, Nuria Sánchez-Colorado, Enrique Baca-García and Juan J. Carballo
Behav. Sci. 2024, 14(1), 35; https://doi.org/10.3390/bs14010035 - 3 Jan 2024
Cited by 5 | Viewed by 2998
Abstract
Aim: Suicidal behavior is a serious public health problem and a major cause of death among adolescents. Three categories of major risk factors have been identified: psychological factors, stressful life events, and personality traits. Severe and objective stressful life events (SLEs), such as [...] Read more.
Aim: Suicidal behavior is a serious public health problem and a major cause of death among adolescents. Three categories of major risk factors have been identified: psychological factors, stressful life events, and personality traits. Severe and objective stressful life events (SLEs), such as childhood mistreatment or abuse, have been clearly associated with higher rates of suicide risk. However, the relationship between suicide risk and adolescents’ perceptions of the SLE impact is not as clear. This paper studies the relationship between SLE impact perception and suicide risk and the possible mediating role of perceived family functioning in this relationship. The need for longer-term or more intense psychological or psychiatric treatment in relation to SLE impact perception is also addressed. Method: One hundred forty-seven adolescents aged 11–17 were consecutively recruited from the Child and Adolescent Mental Health Outpatient Services Department of a general hospital in Madrid, Spain. Self-informed questionnaires were used to assess suicide risk, SLEs, and family functioning. In addition, the clinical records of the participants were consulted to collect information about their treatment histories, including the number of appointments and the duration of follow-up. Results: SLE impact perception correlates significantly with suicide risk, the number of clinical appointments, the duration of treatment, and the perceived level of family functioning. The mediation model of the family functioning perception variable in the relationship between SLE impact perception and suicide risk is significant. The linear regression model of SLE impact perception and family functioning perception on suicide risk is also significant, accounting for 25.7% of the variance. Conclusions: Beyond the clear and proven effect of serious and objective SLEs, the perceived impact of SLEs reported by adolescents is related to an increased risk of suicide and more intense psychological and/or psychiatric follow-up. This relationship is mediated by the perceived level of family functioning. Adolescents’ perceptions of their life experiences and perceived family support may be key determinants of suicide risk prevention. Full article
(This article belongs to the Special Issue Suicide Risk Assessment, Management and Prevention in Adolescents)
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12 pages, 511 KiB  
Article
Early Risk Factors for Self-Injurious Thoughts and Behaviours: A UK Population-Based Study of 219,581 People
by Alejandro Porras-Segovia, Ana Pascual-Sanchez, Geva Greenfield, Hanna-Marie Creese, Sonia Saxena, Dougal Hargreaves and Dasha Nicholls
Behav. Sci. 2024, 14(1), 16; https://doi.org/10.3390/bs14010016 - 24 Dec 2023
Cited by 1 | Viewed by 2107
Abstract
Mental disorders are a major problem among young people. To identify early risk factors of self-injurious thoughts and behaviours (SITB) among young adults with mental health problems, this case–control study drew data from the Clinical Practice Research Datalink (CPRD), a primary care database [...] Read more.
Mental disorders are a major problem among young people. To identify early risk factors of self-injurious thoughts and behaviours (SITB) among young adults with mental health problems, this case–control study drew data from the Clinical Practice Research Datalink (CPRD), a primary care database covering 8% of the UK population. We explored the role of early factors (presenting at 8–14 years old) for suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI) in young adulthood (age 18–25 years) by performing logistic regressions. Our sample consisted of 219,581 participants, of which 6.51% had at least one SITB in young adulthood. Early risk factors for SITB included early NSSI, suicidal ideation, sexual abuse, behavioural problems, and mood and psychotic symptoms. Frequency of GP visits had a protective effect. Lack of access to mortality data, ethnicity, and socioeconomic status was a limitation of the current study. In conclusion, early symptoms in late childhood/early adolescence can be the start of long-standing problems going into adult life. The training of primary care providers in suicide risk assessment and proper co-ordination with child and adolescent mental health services are crucial for suicide prevention. Full article
(This article belongs to the Special Issue Suicide Risk Assessment, Management and Prevention in Adolescents)
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Review

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19 pages, 1035 KiB  
Review
The Etiopathogenic Mosaic of Suicidal Behaviour
by Doinița Temelie-Olinici, Anton Knieling, Dan Vâță, Laura Gheucă-Solovăstru, Monica Neamțu, Mădălina Mocanu, Adriana-Ionela Pătrașcu, Vasile-Bogdan Grecu and Daniela-Anicuța Leca
Behav. Sci. 2025, 15(1), 87; https://doi.org/10.3390/bs15010087 - 18 Jan 2025
Viewed by 714
Abstract
Suicidality is among the most controversial concepts in multi-disciplinary studies worldwide, regardless of the form and approach. The etiopathological variability in suicidal ideation correlates with the heterogeneity of the clinical and behavioural patterns of self-harm attempts, which significantly impact the prognosis and quality [...] Read more.
Suicidality is among the most controversial concepts in multi-disciplinary studies worldwide, regardless of the form and approach. The etiopathological variability in suicidal ideation correlates with the heterogeneity of the clinical and behavioural patterns of self-harm attempts, which significantly impact the prognosis and quality of life of patients. The main objective of the present study was to identify and outline the spectrum of factors predisposing to suicide, with the whole suite of consequences and manifestations in ideation and behaviour. In this regard, the research literature of the last decade contains numerous articles dealing with the theoretical premises pertaining to both the statistical and the profoundly psychological and philosophical dimensions of suicide. The micro-environment favouring the clinical evolution of self-harm/self-destructive thoughts and attempts to the terminal, final act integrates individual medical-biological and psychological factors into the overall social reality. Knowledge of the whole etiopathogenic amalgam with clinical-evolutionary implications allows for the development of methods and tools for the early assessment and prevention of suicidal risk. At the same time, the present study aims to qualitatively focus on the subjective motivation declared by patients regarding the internal, individual catalyst of suicidal ideation and attempts on a predominantly psycho-social coordination. Full article
(This article belongs to the Special Issue Suicide Risk Assessment, Management and Prevention in Adolescents)
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11 pages, 217 KiB  
Review
First- and Second-Generation Psychological Theories of Suicidal Behaviour
by Elif Yöyen and Merve Keleş
Behav. Sci. 2024, 14(8), 710; https://doi.org/10.3390/bs14080710 - 14 Aug 2024
Cited by 2 | Viewed by 4088
Abstract
Suicidal behaviour is defined as taking actions with the intention of killing oneself and thinking of performing these actions. Suicide is a serious public health problem with complex biological, social and psychological risk factors and a multidimensional clinical appearance, occurring all over the [...] Read more.
Suicidal behaviour is defined as taking actions with the intention of killing oneself and thinking of performing these actions. Suicide is a serious public health problem with complex biological, social and psychological risk factors and a multidimensional clinical appearance, occurring all over the world and ranking among the leading causes of death. In this study, psychological approaches explaining suicide were evaluated under the headings of first-generation and second-generation suicide theories, the different aspects of these theories were put forward, and previously published studies and recent evidence were reviewed. A literature review on the theoretical foundations of suicide is presented. First-generation suicide theories were developed before the 2000s and second-generation suicide theories were developed after the 2000s. While Psychodynamic Theory, Social Learning Theory, Hopelessness Theory, Shneidman’s Suicide Theory and Escape Theory are included under the title of first-generation suicide theories, Interpersonal Psychological Suicide Theory, Three Stage Suicide Theory, Complementary Motivational-Demotivational Theory and Variable Predisposition Theory are examined as second-generation suicide theories. The approaches of the theories provide important evidence in understanding suicidal behaviour and recognising various risk factors in the transition from suicidal ideation to suicidal action. Controlling the risk factors may contribute both in terms of preventive community mental health and in the development of health policies. Full article
(This article belongs to the Special Issue Suicide Risk Assessment, Management and Prevention in Adolescents)
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