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Adolescent Suicide
Perspectives on a Clinical Quandary
Charles R. Keith, MD
JAMA. 2001;286:3126-3127.
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In this issue of The Journal, 2 articles provide useful perspectives on the important clinical problem of suicide. In the first article, Dube et al1 presented questionnaires to a large number of adult health maintenance organization members, asking whether they had experienced a series of adverse childhood experiences and whether they ever attempted suicide. The researchers found that those reporting the most adverse events were more likely to have attempted suicide. The authors cite previous research showing a graded relationship between adverse childhood events and a number of health and social problems.
Important questions in studies such as this include how to determine whether these events really happened in childhood, what is meant by a suicide attempt, and whether the events and a suicide attempt really happened. The perception of childhood events and belief that one attempted or is capable of attempting suicide may be the . . . [Full Text of this Article]
Author Affiliation: Division of Child and Adolescent Psychiatry, Duke University Medical Center, Durham, NC.
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