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Participants were\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009482 13- to 17-years-olds from the Lifelines Cohort Study. Data were collected at three times (2007\u20132023). Two group-based trajectory models were fitted. Factors across social and built environments (family functioning, parental rearing, air quality) were accounted for using regression models. All variables except air quality used self-report measures. Two trajectories of suicidal ideation were identified: \u2018Low\u2019 (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009456); and \u2018Early Adult Peak\u2019 (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200926). Two trajectories of depressive symptoms were identified: \u2018Low\u2019 (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009421); and \u2018Elevated\u2019 (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200961). Regarding risk\/protective factors, higher acne severity increased odds of membership in the \u2018Early Adult Peak\u2019 trajectory. Findings suggest that severe acne exposure in adolescence may increase risks of experiencing suicidal ideation during the transition to adulthood. Implications involve treating youth with acne, particularly severe cases, with a psychodermatological approach.\n                  <\/jats:p>","DOI":"10.1177\/13591053251375318","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T07:40:08Z","timestamp":1759822808000},"page":"1609-1626","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Resilience and trajectories of depressive symptoms and suicidal ideation in the context of exposure to acne: Findings from the Lifelines Cohort Study"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4745-8727","authenticated-orcid":false,"given":"Clodagh","family":"Flinn","sequence":"first","affiliation":[{"name":"University College Dublin, Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Ungar","sequence":"additional","affiliation":[{"name":"Dalhousie University, Halifax, NS, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9258-0895","authenticated-orcid":false,"given":"Sonya","family":"Desch\u00eanes","sequence":"additional","affiliation":[{"name":"University College Dublin, Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2018-9096","authenticated-orcid":false,"given":"Finiki","family":"Nearchou","sequence":"additional","affiliation":[{"name":"University College Dublin, Republic of Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"key":"e_1_3_3_2_1","volume-title":"DSM Guide for the ASEBA","author":"Achenbach TM","year":"2013","unstructured":"Achenbach TM (2013) DSM Guide for the ASEBA, Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families."},{"key":"e_1_3_3_3_1","volume-title":"Ratings of relations between DSM-IV diagnostic categories and items of the CBCL\/6-18, TRF, and YSR","author":"Achenbach TM","year":"2001","unstructured":"Achenbach TM, Dumenci L, Rescorla LA (2001) Ratings of relations between DSM-IV diagnostic categories and items of the CBCL\/6-18, TRF, and YSR. 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