Suicidal ideation in adolescence: Depression,substance use,and other risk factors

The interrelationships of depression and suicide with adolescent drug use, delinquency, eating disorders, and the risk factors for these different problems were investigated among 597 9th and 11th graders in an urban high school. There is a strong association of drug use with suicidal ideation among girls, and a stronger relationship with attempts among girls and boys. Suicidal youths are ill-adjusted and display a lack of attachment and commitment to family and school. Causal models indicate that poor interpersonal interactions with parents, absence of peer interactions, and life events lead to depression, which in turn leads to suicidal ideation. Depressive symptoms are the strongest predictors of suicidal ideation. Among females, depression predicts drug involvement, and in turn, drug use increases suicidal ideation. Drug use is only one class of problem behaviors that constitutes a risk factor for suicidal behavior in adolescence. Delinquency and eating disorders also have direct effects on suicidal ideation beyond those of depressive affect. As for drug involvement, these problem behaviors are more predictive of suicidal behavior among girls than boys. Similarity and specificity of the predictors for problem behaviors within and between the sexes are discussed. Although young women use drugs to handle feelings of depression, drug use appears ineffective in the long run in relieving these depressive feelings. Understanding the dynamics of suicidal ideation in adolescence has important public health implications, since ideation is a strong predictor of attempts, especially among females.Revised version of a presentation at the Workshop on Adolescent Depression, Princeton, NJ, June 3, 1987.Work on this research has been partially supported by Research Grants DA00064, DA01097, DA03196, and DA02867, and by Research Scientist Award DA00081 from the National Institute on Drug Abuse; and awards from the John D. and Catherine MacArthur Foundation and the Research Foundation for Mental Hygiene, New York State Psychiatric Institute. Partial support for computer costs was provided by Mental Health Clinical Research Center Grant MH30906-07 from NIMH to the New York State Psychiatric Institute.Received Ph.D. in Sociology from Columbia University. Research interests include adolescent psychosocial development, epidemiology and risk factors for drug use, and interpersonal networks.Work on this research was carried out while a Research Associate at the School of Public Health, Columbia University. Received Ph.D. in Sociology from Columbia University. Research interests include personal networks and social support systems in chronic illness, societal factors in mental health, psychosocial consequences of drug use and abuse, panel mortality, and survey methodology.Received M.P.H. from Columbia University. Research interests include reliability and child psychiatry.     

A cross-cultural comparison of sociopsychological factors in alcohol use among adolescents in Israel,France, and the United States

The correlates of alcohol use by adolescents are compared in three cultures with different prevalences of alcohol use: France, with high prevalence; Israel, with low prevalence; and the United States, in the middle. In all three countries, significant others, parents and peers, are more powerful predictors of alcohol use than are the adolescent's personal attributes, such as attitudes, behaviors, and demographic characteristics. Cross-cultural differences appear in the relative importance of parents and peers and in the structure of influence of parents and peers as role models. Parents are more important role models in Israel than in the other two cultures, while peers are more important in the United States than in France or in Israel.This research was partially supported by Research Grants DA01902, DA00064, and Research Scientist Grant K05-DA00081 from the National Institute on Drug Abuse, and by the Center for SocioCultural Research on Drug Use, Columbia University.Received Ph.D. from Stanford University. Main interests are mathematical sociology, social stratification, and adolescent substance use.Received Ph.D. from Columbia University. Main interests are adolescent socialization, substance use, and psychiatric epidemiology.     

Congenital determinants of violence

Specialization--the predisposition to violent behavior persisting over an extended period of time--is considered in relation to congenital factors, to determine whether such factors are contributory to this predisposition. Congenital factors include inherited characteristics and perinatal experiences. Evidence for inherited characteristics in criminal behavior is approached through family studies, the study of twins, and adoption studies. Of those three, adoption studies provide the most fertile ground for study. Predisposition toward criminal behavior is noted to be limited to property crime. The second congenital factor is the perinatal experience. Minor physical anomalies appear to be strongly related to hyperactivity and later criminal involvement, but only if the offender was reared in an unstable, nonintact family. Indices of perinatal problems relate to later violent crime, rather than to property crime, and may have as their basis some form of trauma occurring very early in life.     

Biology, violence, and antisocial personality.

Previous reports have examined separately the role of perinatal biology in the etiology of violent criminal behavior and the etiology of antisocial personality disorder (ASP). This paper brings together those two studies to test the hypothesis that violent behavior and ASP may result from different etiological factors. The two studies are on Danish birth cohorts, examined both for perinatal health and for violent, aggressive, and antisocial behavior later in life. Results suggest that while perinatal factors may be important in the etiology of violent criminal behavior, they do not appear to be similarly influential in the formation of ASP. These two studies are examined and their results and findings discussed in light of the limited literature in this area.     

Antecedents of adolescent initiation into stages of drug use: A developmental analysis

The social psychological antecedents of entry into three sequential stages of adolescent drug use, hard liquor, marihuana, and other illicit drugs, are examined in a cohort of high school students in which the population at risk for initiation into each stage could be clearly specified. The analyses are based on a two-wave panel sample of New York State public secondary students and subsamples of matched adolescent-parent and adolescent-best schoolfriend dyads. Each of four clusters of predictor variables, parental influences, peer influences, adolescent involvement in various behaviors, and adolescent beliefs and values, and single predictors within each cluster assume differential importance for each stage of drug behavior. Prior involvement in a variety of activities, such as minor delinquency and use of cigarettes, beer, and wine are most important for hard liquor use. Adolescents' beliefs and values favorable to the use of marihuana and association with marihuana-using peers are the strongest predictors of initiation into marihuana. Poor relations with parents, feelings of depression, and exposure to drug-using peers are most important for initiation into illicit drugs other than marihuana.This research is supported by Grant DA-00064 from the National Institute on Drug Abuse and by the Center for Socio-Cultural Research on Drug Use of Columbia University.Revised version of a paper presented at the Conference on Strategies of Longitudinal Research on Drug Use, San Juan, Puerto Rico, April 1976. Authors' names are listed alphabetically.Received Ph.D. in sociology from Columbia University in 1960. Current research interests are adolescent socialization, longitudinal approaches to the study of human behavior and psychopathology, and processes of interpersonal influence.Received Ph.D. in sociology from New York University in 1975. Major interest is quantitative sociology.Received Ph.D. in sociology from Columbia University in 1975. Current research interests include adolescent socialization and deviant behavior.