{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T00:52:41Z","timestamp":1793839961149,"version":"4.6.1"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Youth with substance use disorders (SUDs) might be at heightened risk for suicidal behavior, yet early identification remains challenging. This study aimed to estimate the prevalence of the NANDA-I nursing diagnosis (ND) Risk for suicidal behavior in this population and explore its associations with clinical and socio-demographic factors and diagnostic indicators burden and risk profiles emerging from clustering risk factors (RFs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted in July 2024 at a public youth community addiction care service. All clients under 25 receiving nursing care were included. The ND was formulated by consensus through a structured clinical assessment based on NANDA-I diagnostic indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 90 participants (median age 21; 62.2% male), the Risk for suicidal behavior ND was identified in 81 individuals (90.0%). Higher frequency was observed among those lacking family support (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">=<\/jats:italic>\n                      \u20090.027), unemployed (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">=<\/jats:italic>\n                      \u20090.010), with lower education (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">=<\/jats:italic>\n                      \u20090.025), involved with multiple services (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">=<\/jats:italic>\n                      \u20090.003) or receiving longer duration of care (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009\n                      <jats:italic toggle=\"yes\">&lt;<\/jats:italic>\n                      \u20090.001\n                      <jats:italic toggle=\"yes\">)<\/jats:italic>\n                      . Among those, 42 of 60 possible RFs were present at least once, with a median of nine RFs per person. A two-cluster solution revealed a subgroup with a markedly higher indicator burden and a prominent affective profile characterized by deep sadness, unhappiness, depressive symptoms, hopelessness and greater social adversity. The other subgroup showed a lower burden and more externalizing features.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The high prevalence\n                      <jats:italic toggle=\"yes\">Risk for suicidal behavior<\/jats:italic>\n                      ND suggest that the diagnosis may function as a universal safety flag in youth addiction care. However, differences in indicator burden and cluster-derived profiles offer a more nuanced understanding of vulnerability, supporting the need to prioritize care based on individualized configurations of RFs rather than the diagnostic label alone. Findings reinforce the relevance of standardized nursing language for structured assessment and tailored intervention planning in this population.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20473087261442862","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:51:40Z","timestamp":1778579500000},"page":"514-525","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Risk for Suicidal Behavior Nursing Diagnosis in Youth Addiction Community Care: Prevalence and Risk Factors"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7077-8596","authenticated-orcid":false,"given":"Claudia","family":"Fantuzzi","sequence":"first","affiliation":[{"name":"University of Rome Tor Vergata"},{"name":"Azienda Sanitaria Universitaria Integrata Giuliano Isontina (ASUGI)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5589-5533","authenticated-orcid":false,"given":"Alessandra","family":"Zarl","sequence":"additional","affiliation":[{"name":"Azienda Sanitaria Universitaria Giuliano Isontina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0649-2766","authenticated-orcid":false,"given":"Teresa","family":"Nicola","sequence":"additional","affiliation":[{"name":"Azienda Sanitaria Universitaria Integrata Giuliano Isontina (ASUGI)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1701-1879","authenticated-orcid":false,"given":"Valentina","family":"Zeffiro","sequence":"additional","affiliation":[{"name":"University of Rome Tor Vergata"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8319-635X","authenticated-orcid":false,"given":"Gianfranco","family":"Sanson","sequence":"additional","affiliation":[{"name":"University of Trieste"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"e_1_3_2_2_1","volume-title":"Nursing: Scope and standards of practice, 4th Edition","author":"American Nurses Association","year":"2021","unstructured":"American Nurses Association. 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