Parameters of suicidal crises vary as a function of previous suicide attempts in youth inpatients

Objectives: Although suicidal crises demand an enormous amount of clinical attention. surprisingly little empirical research has been conducted on the parameters of suicidal crises in general, and in children and adolescents in particular. On the basis of past conceptual work on the unique character istics of multiple suicide attempters, as well as work on the effect of pre vious suicidal and depressive experience on later functioning, the authors developed predictions regarding the intensity and duration of suicidal cris es in youths presenting to inpatient psychiatry units. Specifically, it was hypothesized that multiple attempt status would relate significantly to in tensity of suicidal crises and would relate more strongly to intensity than to duration of crises. Method: Data on past suicide history and self-rated symptoms were collected for 50 suicidal patients, all of whom were availab le at follow-up. Results: Findings conformed to prediction: Multiple attemp ters experienced more intense but not more long-lasting crises; the relatio n between multiple attempt status and crisis intensity exceeded that betwee n multiple attempt status and crisis duration. Conclusions: Previous suicid al experience may alter the parameters of current suicidal crises. Implicat ions of these findings for suicide risk and clinical assessment and managem ent are discussed.