Depression in Adolescent Suicide Attempters: A Cross-Sectional Comparative Study
Leila Cherif, Hela Ayadi, Narjess Boussaid, Yousr Moalla, Noureddine Rekik and Farhat Ghribi
Affiliation: Service de pedopsychiatrie, CHU Hedi Chaker, Avenue Majida Boulila, 3029 Sfax, Tunisie.
Keywords: Suicide attempts, adolescent, depression.
Objectives: The objectives were to estimate the prevalence of major depressive disorder in adolescent suicide
attempters and to search adolescent suicide attempters’ characteristics associated with severe depression.
Methods: A cross-sectional comparative study was conducted on two groups of adolescents matched on age, sex and
socioeconomic status, during a period of 8 months (April-November 2010). The first group included 30 adolescents
admitted to the emergency department of Habib Bourguiba Sfax Hospital for suicide attempts. The second group included
30 adolescents examined in a community clinic in Sfax for a benign acute medical condition. The two groups underwent a
semi-structured interview based on the DSM-IV-TR criteria, conducted by a child and adolescent psychiatrist. All
adolescents completed the Child’s Depression Inventory (CDI) and the Hospital Anxiety and Depression scale (HADS).
Results: The diagnosis of major depressive disorder was significantly more frequent in adolescent suicide attempters than
in the control group (23.3% against 3%). According to the HADS, 50% of adolescent suicide attempters exhibited
pathological depression scores against 26.6% in the control group (p = 0.043). Adolescent suicide attempters’ mean CDI
score was significantly higher than the control group (28.56 versus 13.22). Higher levels of depressive symptoms on the
CDI were significantly related to suicidal ideations during the past six months, previous suicidal attempts, impulsivity, a
high intent to die and parent-adolescent conflicts.
Conclusion: These findings provide support for suggesting a need for a systematic screening for major depressive disorder
in adolescent suicide attempters to ensure early mental health treatment and prevent the recurrence of suicide attempts.
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