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, Ayad Ahmed, Wala, Díaz Marsa, Marina Francisca, De La-Torre Luque, Alejandro Francisco, Zorrilla, Iñaki
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/123369
Acceso en línea:https://hdl.handle.net/20.500.14352/123369
Access Level:acceso abierto
Palabra clave:616.89
Suicide attempt
Adolescent
Psychopathology symptoms
Symptom profile
Latent profile analysis
Psiquiatría
Psicología clínica y psicodiagnóstico
3211 Psiquiatría
61 Psicología
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oai_identifier_str oai:docta.ucm.es:20.500.14352/123369
network_acronym_str ES
network_name_str España
repository_id_str
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
616.89
Suicide attempt
Adolescent
Psychopathology symptoms
Symptom profile
Latent profile analysis
Psiquiatría
Psicología clínica y psicodiagnóstico
3211 Psiquiatría
61 Psicología
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
Ayad Ahmed, Wala
Díaz Marsa, Marina Francisca
De La-Torre Luque, Alejandro Francisco
Zorrilla, Iñaki
author García Fernández, Ainoa
author_facet García Fernández, Ainoa
Ayad Ahmed, Wala
Díaz Marsa, Marina Francisca
De La-Torre Luque, Alejandro Francisco
Zorrilla, Iñaki
author_role author
author2 Ayad Ahmed, Wala
Díaz Marsa, Marina Francisca
De La-Torre Luque, Alejandro Francisco
Zorrilla, Iñaki
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616.89
Suicide attempt
Adolescent
Psychopathology symptoms
Symptom profile
Latent profile analysis
Psiquiatría
Psicología clínica y psicodiagnóstico
3211 Psiquiatría
61 Psicología
topic 616.89
Suicide attempt
Adolescent
Psychopathology symptoms
Symptom profile
Latent profile analysis
Psiquiatría
Psicología clínica y psicodiagnóstico
3211 Psiquiatría
61 Psicología
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 to 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
2025-07-31
2025
2025-07-31
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/123369
url https://hdl.handle.net/20.500.14352/123369
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00236 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00569 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00685 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00941 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00954 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F01027 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F01484 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI20%2F00229 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIO
Instituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica, Técnica y de Innovación para el periodo 2021-2023 PI23%2F01277 SURVIVE 2: Un estudio de cohorte extendida para investigar la conducta suicida en España y la eficacia de estrategias de prevención secundaria. Estudio de Cohorte y Ensayo Clínico Aleatorizado en adolescentes
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Psychopathological profiles of adolescent presenting to emergency departments following a suicide attempt: A comprehensive analysisGarcía Fernández, AinoaAyad Ahmed, WalaDíaz Marsa, Marina FranciscaDe La-Torre Luque, Alejandro FranciscoZorrilla, Iñaki616.89Suicide attemptAdolescentPsychopathology symptomsSymptom profileLatent profile analysisPsiquiatríaPsicología clínica y psicodiagnóstico3211 Psiquiatría61 PsicologíaBackground. 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 to 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.ElsevierUniversidad Complutense de Madrid20252025-07-3120252025-07-31journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/123369reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)InglésengInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00236 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00569 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00685 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00941 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F00954 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F01027 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI19%2F01484 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI20%2F00229 PREVENCION E INTERVENCION EN SUICIDIO (SURVIVE): ESTUDIO DE COHORTE Y ENSAYOS CLINICOS CONTROLADOS ANIDADOS DE PROGRAMAS DE PREVENCION SECUNDARIA PARA INTENTOS DE SUICIDIOInstituto de Salud Carlos III http://dx.doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica, Técnica y de Innovación para el periodo 2021-2023 PI23%2F01277 SURVIVE 2: Un estudio de cohorte extendida para investigar la conducta suicida en España y la eficacia de estrategias de prevención secundaria. Estudio de Cohorte y Ensayo Clínico Aleatorizado en adolescentesopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1233692026-06-02T12:44:21Z
score 15.812429

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