Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis

Background: Despite the identification of several risk factors, an understanding of the role of specific psychopathological profiles in association with adolescent suicidal behaviours remains a key challenge in public health research. The study aimed to identify psychopathological profiles in suicid...

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Autores: García-Fernández, Ainoa, Pérez Solà, Víctor, Saiz, Pilar A., SURVIVE Group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:dnet:rdupf_______::baa0c12b729e33266a54831308aff332
Acceso en línea:https://hdl.handle.net/10230/72778
http://dx.doi.org/10.1016/j.jpsychires.2025.07.035
Access Level:acceso abierto
Palabra clave:Adolescent
Latent profile analysis
Psychopathology symptoms
Suicide attempt
Symptom profile
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spelling Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysisGarcía-Fernández, AinoaPérez Solà, VíctorSaiz, Pilar A.SURVIVE GroupAdolescentLatent profile analysisPsychopathology symptomsSuicide attemptSymptom profileBackground: Despite the identification of several risk factors, an understanding of the role of specific psychopathological profiles in association with adolescent suicidal behaviours remains a key challenge in public health research. The study aimed to identify psychopathological profiles in suicidal adolescents and to analyse their association with suicide-related outcomes. Methods: A total of 285 adolescents aged 12-17 years [mean age (SD) = 14.98 (1.51); females: 249 (87.40 %)] who had attempted suicide within the past 10 days were recruited from different Spanish hospitals. Clinical assessments included psychiatric diagnoses, depressive symptoms, trauma, impulsivity, and suicidal thoughts and behaviours. Latent profile analysis was performed to classify subgroups with similar patterns based on self-report Strengths and Difficulties Questionnaire. Logistic regression and generalised linear modelling were applied to examine the relationship between profile membership and suicidal behaviours. Results: Three psychopathological profiles were identified: internalizing symptom profile (52.63 %), externalizing symptom profile (24.21 %), and low symptom profile (25.58 %). The predominantly female internalizing symptom profile members were more likely to report higher levels of psychopathological symptoms, including number of psychiatric diagnoses, depressive symptoms, and trauma (except sexual abuse). Additionally, they had more non-suicidal self-injury and suicidal thoughts and behaviours. Likewise, greater ideation intensity was associated with the internalizing symptom profile compared to other groups, while greater number of previous suicide attempts correlated with an increase in suicidal behaviours. Finally, higher levels of motor impulsivity were associated with a lower probability of suicidal behaviours. Conclusions: Identifying symptom profiles among adolescents who have attempted suicide provides a valuable framework for guiding suicide prevention and personalized interventions. These findings support the use of tailored approaches, such as DBT-A or CBT for internalizing symptoms, and behavioural or family-based interventions for externalizing traits.Elsevier2026202620252026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/10230/72778http://dx.doi.org/10.1016/j.jpsychires.2025.07.035reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJournal of Psychiatric Research. 2025;190:169-80© 2025 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:dnet:rdupf_______::baa0c12b729e33266a54831308aff3322026-06-12T07:21:37Z
dc.title.none.fl_str_mv Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
title Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
spellingShingle Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
García-Fernández, Ainoa
Adolescent
Latent profile analysis
Psychopathology symptoms
Suicide attempt
Symptom profile
title_short Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
title_full Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
title_fullStr Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
title_full_unstemmed Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
title_sort Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: a comprehensive analysis
dc.creator.none.fl_str_mv García-Fernández, Ainoa
Pérez Solà, Víctor
Saiz, Pilar A.
SURVIVE Group
author García-Fernández, Ainoa
author_facet García-Fernández, Ainoa
Pérez Solà, Víctor
Saiz, Pilar A.
SURVIVE Group
author_role author
author2 Pérez Solà, Víctor
Saiz, Pilar A.
SURVIVE Group
author2_role author
author
author
dc.subject.none.fl_str_mv Adolescent
Latent profile analysis
Psychopathology symptoms
Suicide attempt
Symptom profile
topic Adolescent
Latent profile analysis
Psychopathology symptoms
Suicide attempt
Symptom profile
description Background: Despite the identification of several risk factors, an understanding of the role of specific psychopathological profiles in association with adolescent suicidal behaviours remains a key challenge in public health research. The study aimed to identify psychopathological profiles in suicidal adolescents and to analyse their association with suicide-related outcomes. Methods: A total of 285 adolescents aged 12-17 years [mean age (SD) = 14.98 (1.51); females: 249 (87.40 %)] who had attempted suicide within the past 10 days were recruited from different Spanish hospitals. Clinical assessments included psychiatric diagnoses, depressive symptoms, trauma, impulsivity, and suicidal thoughts and behaviours. Latent profile analysis was performed to classify subgroups with similar patterns based on self-report Strengths and Difficulties Questionnaire. Logistic regression and generalised linear modelling were applied to examine the relationship between profile membership and suicidal behaviours. Results: Three psychopathological profiles were identified: internalizing symptom profile (52.63 %), externalizing symptom profile (24.21 %), and low symptom profile (25.58 %). The predominantly female internalizing symptom profile members were more likely to report higher levels of psychopathological symptoms, including number of psychiatric diagnoses, depressive symptoms, and trauma (except sexual abuse). Additionally, they had more non-suicidal self-injury and suicidal thoughts and behaviours. Likewise, greater ideation intensity was associated with the internalizing symptom profile compared to other groups, while greater number of previous suicide attempts correlated with an increase in suicidal behaviours. Finally, higher levels of motor impulsivity were associated with a lower probability of suicidal behaviours. Conclusions: Identifying symptom profiles among adolescents who have attempted suicide provides a valuable framework for guiding suicide prevention and personalized interventions. These findings support the use of tailored approaches, such as DBT-A or CBT for internalizing symptoms, and behavioural or family-based interventions for externalizing traits.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10230/72778
http://dx.doi.org/10.1016/j.jpsychires.2025.07.035
url https://hdl.handle.net/10230/72778
http://dx.doi.org/10.1016/j.jpsychires.2025.07.035
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Psychiatric Research. 2025;190:169-80
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
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