Suicide Risk in Adolescents with Fetal Alcohol Spectrum Disorders

Details

• Alternative Title:
  Birth Defects Res
• Personal Author:
  O’Connor, Mary J. ; Portnoff, Larissa C. ; Lebsack-Coleman, Michael ; Dipple, Katrina M.
• Description:
  Background.
  
  The teratogenic effects of prenatal alcohol exposure (PAE) have been extensively documented over the course of 45 years of research and psychiatric problems are pervasive in this population. In adults with PAE, suicidal risk is high but less is known about the suicidal risk in adolescents with Fetal Alcohol Spectrum Disorders (FASD). This study describes the prevalence of suicidal ideation and serious suicide attempts in a sample of 54 adolescents between the ages of 13 and 18 years with FASD.
  
  Methods.
  
  Adolescents were diagnosed with FASD using the Updated Clinical Guidelines for Diagnosing Fetal Alcohol Spectrum Disorders. The Children’s Interview for Psychiatric Syndromes was used to identify those adolescents who experienced suicidal ideation and/or who had made a serious suicide attempt in the last 12 months.
  
  Results.
  
  The prevalence of suicidal behaviors in this sample was high with 35.2% of teens reporting incidences of suicidal ideation and 13.0% reporting at least one serious suicide attempt in the past year. This finding is in contrast to the 17.2% and 2.4% for ideation and serious attempts, respectively, reported in the general U.S. adolescent population. Alarmingly, 29.2% of males with FASD reported a serious suicide attempt which was 19 ½ times higher than national norms for males. No females reported attempts. Number of home placements and the presence of a depressive disorder contributed to study outcomes.
  
  Conclusions.
  
  Findings suggest the need for health practitioners to be aware of the significant risk for suicidality in this population, particularly in adolescent males, and to assess and treat this life threatening behavior.
  
  
• Subjects:
  Adolescent Adolescent Behavior Depressive Disorder Female Fetal Alcohol Spectrum Disorders Humans Male Pregnancy Prenatal Exposure Delayed Effects Prevalence Risk Factors Sex Factors Suicidal Ideation Suicide, Attempted

  More +
• Keywords:
  FASD PAE Prenatal Alcohol Exposure Suicide Risk
• Source:
  Birth Defects Res. 111(12):822-828
• Pubmed ID:
  30677250
• Pubmed Central ID:
  PMC6650307
• Document Type:
  Journal Article
• Funding:
  R01 AA025066/AA/NIAAA NIH HHSUnited States/ ; U84 DD000504/DD/NCBDD CDC HHSUnited States/
• Volume:
  111
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:217ec296f2324ccde2ca4e01f069d647399bea1f81dba28ab3ad9510b32b096f1c2de4b44a0dd60d236b7c763cad169b901e3311ea644c0e02f919a5838cf817
• Download URL:
  https://stacks.cdc.gov/view/cdc/80088/cdc_80088_DS1.pdf
• File Type:
  [PDF - 318.27 KB ]