Suicide intervention for adolescents reduces mortality in long term

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Takeaway

Why this matters

  • Suicide prevalence among adolescents is rising, while the search for effective interventions continues.

Key results

  • There were 448 original participants.
  • Of the 15 deaths at follow-up, 4 were by suicide.
  • At 11-14 years of follow-up, the treatment-as-usual group had 13 deaths (3 by suicide).
  • The intervention group had 2 (1 by suicide; 1 by homicide).
  • HR, 6.62 (95% CI, 1.49-29.35; P<.01>
  • No one withdrew for adverse effects.
  • Causes of death: 
    • Suicide: 4;  
    • Drug overdose with unknown intent, accidental, or undetermined: 8; 
    • Traffic fatality, homicide, infective endocarditis: 1 each.

Study design

  • Post-hoc secondary analysis.
  • Follow-up from 11.2 to 14.1 years.
  • The intervention was a psychoeducational, social support intervention.
  • Outcome: survival at follow-up.
  • Funding: National Institute of Mental Health.

Limitations

  • Small sample size.