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‘Bad’ Boys and ‘Sad’ Girls? Examining Internalizing and Externalizing Effects on Parasuicides Among Youth

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Abstract

Suicide and parasuicides (i.e. suicidal ideation and suicidal attempt) have long been recognized as serious social problems, especially among youth. A series of logistic regression models were developed incorporating various internalizing and externalizing risk factors experienced by young people with the goal of predicting parasuicides among Canadian youth. The main objective of the research is to determine whether or not there are significant sex differences between these internalizing and externalizing influences on suicidal behavior. Data were used from the National Longitudinal Study of Children and Youth—Waves 3 through 6, for a total sample of 2,499 15-year olds (48.9% male). Results show that both suicidal ideation and attempt are more frequent for girls compared to boys. Contrary to expectations, externalizing problems had a greater impact on girls and internalizing problems had a marginally greater impact on boys. This casts doubt on the notion that “bad boys” and “sad girls” are at greater risk for suicidal behavior. These results are discussed in light of their substantive importance, policy implications, and suggestions for future research.

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References

  • AAS, American Association of Suicidology. (2008). Youth suicide fact sheet. Washington, DC: American Association of Suicidology.

    Google Scholar 

  • Allgood-Mertern, B., Lewinsohn, P. A., & Hops, H. (1990). Sex differences and adolescent depression. Journal of Abnormal Psychology, 99, 55–63.

    Article  Google Scholar 

  • Annest, J. L., Mercy, J. A., Gibson, D. R., & Ryan, G. W. (1995). National estimates of nonfatal firearm-related injury. Beyond the tip of the iceberg. Journal of the American Medical Association, 273, 1749–1754.

    Article  PubMed  Google Scholar 

  • Armstrong, K. A., & Khawaja, N. G. (2002). Gender differences in anxiety: An investigation of the symptoms, cognitions, and sensitivity towards anxiety in a nonclinical population. Behavioural and Cognitive Psychotherapy, 30, 227–231.

    Article  Google Scholar 

  • Beck, A. T., Brown, G. K., Steer, R. A., Dahlsgaard, K. K., & Grisham, J. R. (1999). Suicide ideation at its worst point: A predictor of eventual suicide in psychiatric outpatients. Suicide and Life-Threatening Behavior, 29, 1–9.

    PubMed  Google Scholar 

  • Bekker, M. H. J., & van Mens-Verhulst, J. (2007). Anxiety disorders: Sex differences in prevalence, degree, and background, but gender-neutral treatment. Gender Medicine, 4, 178–193.

    Article  Google Scholar 

  • Birmaher, B., Ryan, N. D., Williamson, D. E., Brent, D. A., Kaufman, J., Dahl, R. E., et al. (1996). Childhood and adolescent depression: A review of the past 10 years. Part I. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 1427–1439.

    Article  Google Scholar 

  • Brent, D. A., Perper, J. A., Moritz, G., Allman, C., Friend, A., et al. (1993). Psychiatric risk factors for adolescent suicide: A case-control study. Journal of the American Academy on Child Adolescent Psychiatry, 32, 521–529.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2006). Youth risk behavior surveillance—United States, 2005. Surveillance Summaries, 5(SS-5), 1–112.

    Google Scholar 

  • Centre for Suicide Prevention. (2005). Trends in youth suicide: Summaries and links. Calgary: Centre for Suicide Prevention.

    Google Scholar 

  • Chassin, L., Hussong, A., Barrera, M., Molina, B. S. G., Trim, R., & Ritter, J. (2004). Adolescent substance use. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (2nd ed., pp. 665–696). New York: Wiley.

    Google Scholar 

  • Cheung, A. H., & Dewa, C. S. (2006). Canadian Community Health Survey: Major depression and suicidality in adolescents. Healthcare Policy, 2, 76–89.

    PubMed  Google Scholar 

  • Cheung, A. H., & Dewa, C. S. (2007). Mental health service use among adolescents and young adults with major depressive disorder and suicidality. The Canadian Journal of Psychiatry, 52, 228–232.

    Google Scholar 

  • Costello, E. J., & Angold, A. (1995). Epidemiology. In J. S. March (Ed.), Anxiety disorders in children and adolescents (pp. 109–124). New York: Guilford Press.

    Google Scholar 

  • Farrington, D. P. (2004). Conduct disorder, aggression, and delinquency. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (2nd ed., pp. 627–664). New York: Wiley.

    Google Scholar 

  • Gagnon, A., Davidson, S. I., Cheifetz, P. N., Martineau, M., & Beauchamp, G. (2009). Youth suicide: A psychological autopsy study of completers and controls. Vulnerable Children and Youth Studies, 4, 13–22.

    Article  Google Scholar 

  • Gottfredson, M., & Hirschi, T. (1990). A general theory of crime. Stanford: Stanford University Press.

    Google Scholar 

  • Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 386–405.

    PubMed  Google Scholar 

  • Gove, W. R. (1985). The effect of age and gender on deviant behavior: A biopsychosocial perspective. In A. S. Rossi (Ed.), Gender and the life course (pp. 115–144). New York: American Sociological Association.

    Google Scholar 

  • Graber, J. A. (2004). Internalizing problems during adolescence. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (2nd ed., pp. 587–626). New York: Wiley.

    Google Scholar 

  • Groholt, B., Ekeber, O., Wichstrom, L., & Haldorsen, T. (2000). Young suicide attempters: A comparison between a clinical and an epidemiological sample. Journal of the American Academy on Child Adolescent Psychiatry, 39, 868–875.

    Article  Google Scholar 

  • Hallfors, D., Waller, M., Ford, C., Halpern, C., Brodish, P., & Iritani, B. (2004). Adolescent depression and suicide risk: Association with sex and drug behavior. American Journal of Preventive Medicine, 27, 224–231.

    PubMed  Google Scholar 

  • Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders: A meta-analysis. British Journal of Psychiatry, 170, 205–227.

    Article  PubMed  Google Scholar 

  • Hirschi, T. (1969). Causes of delinquency. Berkeley: University of California Press.

    Google Scholar 

  • Johnston, L. D., O’Malley, P. M., & Bachman, J. G. (2002). Monitoring the future—national survey results on drug use, 1975–2002 volume 1: Secondary school students. Washington, DC: National Institutes of Health and the National Institute on Drug Abuse.

    Google Scholar 

  • King, R. A., Schwab-Stone, M., Flisher, A. J. M., Greenwald, S., Kramer, R. A., et al. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 837–846.

    Article  Google Scholar 

  • Lewinsohn, P. M., & Essau, C. A. (2002). Depression in adolescents. In I. Gotlib & C. Hammen (Eds.), Handbook of depression (pp. 541–559). New York: Guilford Press.

    Google Scholar 

  • Lewinsohn, P. M., Seeley, J. R., Hibbard, J., Rohde, P., & Sack, W. H. (1996). Cross-sectional and prospective relationships between physical morbidity and depression in older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1120–1129.

    Article  PubMed  Google Scholar 

  • Mandel, H. (1997). Conduct disorder and underachievement: Risk factors, assessment, treatment, and prevention. New York: Wiley.

    Google Scholar 

  • Marttunen, M. J., Aro, H. M., Henriksson, M. M., & Lonnqvist, J. K. (1991). Mental disorders in adolescent suicide. Archives of Clinical Psychiatry, 48, 834–839.

    Google Scholar 

  • McNamee, J. E., & Offord, D. R. (1994). Prevention of suicide. Canadian Task Force on the Periodic Health Examination, 1, 456–467.

    Google Scholar 

  • Miller, T., & Taylor, D. M. (2005). Adolescent suicidality: Who will ideate, who will act? Suicide and Life-Threatening Behavior, 35, 425–435.

    Article  PubMed  Google Scholar 

  • Offord, D. R., Boyle, M. H., & Szatmari, P. (1987). Ontario child health study: Six-month prevalence of disorder and rates of service. Archives of General Psychiatry, 44, 832–836.

    PubMed  Google Scholar 

  • Peter, T., Roberts, L. W., & Buzdugan, R. (2008). Suicidal ideation among Canadian youth: A multivariate analysis. Archives of Suicide Research, 12, 263–275.

    Article  PubMed  Google Scholar 

  • Phelan, J. E., & Basow, S. A. (2007). College students’ attitudes toward mental illness: An examination of the stigma process. Journal of Applied Social Psychology, 37, 2877–2902.

    Article  Google Scholar 

  • Renaud, J., Brent, D. A., Birmaher, B., Chiappetta, L., & Bridge, J. (1999). Suicide in adolescents with disruptive disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 846–851.

    Article  Google Scholar 

  • Saab, H., & King, M. (2007). Chapter 4: Health risk behaviours. In Public Health Agency of Canada (PHAC), Healthy settings for young people in Canada (pp. 57–89). Ottawa: PHAC.

  • Shaffer, D., Garland, A., Gould, M., Fisher, P., & Trautman, P. (1988). Preventing teenage suicide: A critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 675–687.

    Article  PubMed  Google Scholar 

  • Silverman, W. K., & Carter, R. (2006). Anxiety disturbance in girls and women. In J. Worell & C. D. Goodheart (Eds.), Handbook of girls’ and women’s psychological health. Oxford: Oxford University Press.

    Google Scholar 

  • Smalley, N., Scourfield, J., & Greenland, K. (2005). Young people, gender, and suicide: A review of research on the social context. Journal of Social Work, 5, 133–154.

    Article  Google Scholar 

  • Smucker, M. R., Craighead, W. E., Craighead, L. W., & Green, B. J. (1986). Normative and reliability data for the children’s depression inventory. Archives of General Psychiatry, 14, 25–39.

    Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn and Bacon.

    Google Scholar 

  • Wade, T. J., Cairney, J., & Pevalin, D. (2002). Emergence of gender differences in depression during adolescence: National panel results from three countries. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 190–198.

    Article  Google Scholar 

  • Wunderlich, U., Bronisch, T., & Wittchen, H. U. (1998). Comorbidity patterns in adolescents and young adults with suicide attempts. European Archives for Psychiatry and Clinical Neurosci, 248, 87–95.

    Article  Google Scholar 

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Correspondence to Tracey Peter.

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Peter, T., Roberts, L.W. ‘Bad’ Boys and ‘Sad’ Girls? Examining Internalizing and Externalizing Effects on Parasuicides Among Youth. J Youth Adolescence 39, 495–503 (2010). https://doi.org/10.1007/s10964-009-9498-5

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  • DOI: https://doi.org/10.1007/s10964-009-9498-5

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