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While prior research has identified numerous correlates of suicide attempts, few longitudinal studies have distinguished between factors associated with incident versus recurrent suicidal behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective follow-up study, adolescents diagnosed with MDD were assessed at baseline (T0) and followed for one year (T1). Suicide attempts were evaluated longitudinally, and participants were categorized according to baseline and follow-up suicide attempt status. Multivariable logistic regression models were used to examine baseline correlates of suicide attempt history and prospective predictors of incident and recurrent suicide attempts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At baseline, several social and environmental factors\u2014including peer suicide attempts (OR = 14.07), parental consanguinity (OR = 6.32), witnessing domestic violence (OR = 3.57), labeling distress (OR = 1.36), and cybervictimization (OR = 1.07)\u2014were associated with a history of suicide attempts. Longitudinal analyses revealed distinct risk profiles: witnessing domestic violence (OR = 30.00) and alcohol use (OR = 16.67) were most strongly associated with incident suicide attempts, whereas trauma-related factors such as physical neglect (OR = 1.24) and sleep disturbances such as insomnia (OR = 2.00) were more prominently associated with recurrent attempts. Parental consanguinity also emerged as a potentially relevant and underexplored risk marker.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Incident and recurrent suicide attempts among adolescents with MDD may involve partly distinct clinical correlates and prospective risk patterns. These findings support stage-sensitive suicide prevention strategies and highlight parental consanguinity as a culturally relevant factor warranting further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045261453630","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:57:16Z","timestamp":1778857036000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Incident and Recurrent Suicide Attempts in Adolescents With Major Depressive Disorder: Baseline Correlates and Prospective Predictors in a One-Year Follow-Up"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6058-7857","authenticated-orcid":false,"given":"Dilan","family":"Aydin Ayva","sequence":"first","affiliation":[{"name":"Ankara Yildirim Beyazit University Yenimahalle Education and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4816-0228","authenticated-orcid":false,"given":"Selma","family":"Tural Hesapcioglu","sequence":"additional","affiliation":[{"name":"Ankara Yildirim Beyazit University Yenimahalle Education and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Fatih","family":"Ceylan","sequence":"additional","affiliation":[{"name":"Ankara Yildirim Beyazit University Yenimahalle Education and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_3_7_2_1","volume-title":"Diagnostic and statistical manual of mental disorders: Fifth edition, text revision (DSM-5-TR)","author":"APA A. 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