{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T18:42:57Z","timestamp":1781030577579,"version":"3.54.1"},"reference-count":73,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T00:00:00Z","timestamp":1702252800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pathological personality traits have repeatedly been identified as important risk factors for suicidal ideation and behaviors. Moreover, impulsive-aggressive traits, have shown a consistent association with suicidal behaviors across the lifespan. Adolescence represents a critical period for the emergence of different personality traits, mood disorders, and suicidal behaviors, but the relationship between these variables remain poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>These variables were examined in a cross-sectional case\u2013control design involving three groups: 30 adolescents with a depressive disorder and past suicide attempt (Mean Age\u2009=\u200916.2, Females\u2009=\u200926), 38 adolescents with a depressive disorder but without past suicide attempt (Mean age\u2009=\u200916.0, Females\u2009=\u200929), and 34 healthy adolescent controls (Mean age\u2009=\u200915.2, Females\u2009=\u200922). Suicidal ideations were indexed using Suicidal Behavior Questionnaire (SBQ-R), psychiatric disorder assessed using a semi-structured questionnaire (K-SADS-PL), depressive symptoms with the Beck Depressive Inventory (BDI), symptoms characteristics of personality disorders with the Scheduled Clinical Interview for the DSM-IV (SCID-II) screening questionnaire, and impulsivity with the Barratt Impulsivesness Scale (BIS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings showed that impulsivity (<jats:italic>F<\/jats:italic>\u2009=\u200911.0, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.0001) and antisocial symptoms characteristics of personality disorders (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001, d\u2009=\u20090.70) displayed the most robust association with adolescent suicide attempts. Borderline symptoms characteristics of personality disorders did not discriminate attempters from non-attempters but presented high correlations with suicidal ideation and depression severity. In an item-wise analysis, suicide attempt status was uniquely correlated with symptoms characteristics of an antisocial personality disorder. Suicide attempt status also correlated with non-suicidal self-injury and a chronic feeling of emptiness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The caveats of this cross-sectional study include the stability of symptoms characteristics of personality disorders in adolescence and the limited sample size. In sum, suicidal behaviors were characteristically correlated with increased impulsivity and antisocial symptoms characteristics of personality disorders, but other symptoms characteristics of personality disorders were relevant to adolescent depression and suicidal ideation. Understanding the emergence of symptoms characteristics of personality disorders and suicidal behaviors in a developmental context can ultimately inform not only the neurobiological origin of suicidal behaviors, but also provide new avenues for early detection and intervention.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2023.1269744","type":"journal-article","created":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T15:51:53Z","timestamp":1702309913000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Symptoms characteristics of personality disorders associated with suicidal ideation and behaviors in a clinical sample of adolescents with a depressive disorder"],"prefix":"10.3389","volume":"14","author":[{"given":"Anthony Joseph","family":"Gifuni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Spodenkiewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevi\u00e8ve","family":"Laurent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sasha","family":"MacNeil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrice","family":"Jollant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanne","family":"Renaud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1097\/MOP.0b013e32833063e1","article-title":"Epidemiology of youth suicide and suicidal behavior","volume":"21","author":"Cash","year":"2009","journal-title":"Curr Opin Pediatr"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1001\/2013.jamapsychiatry.55","article-title":"Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement","volume":"70","author":"Nock","year":"2013","journal-title":"JAMA Psychiatry"},{"key":"ref3","volume-title":"Suicide worldwide in 2019: Global Health estimates [internet]","year":"2021"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2383","DOI":"10.1016\/S0140-6736(16)00648-6","article-title":"Global burden of diseases, injuries, and risk factors for young people\u2019s health during 1990\u20132013: a systematic analysis for the global burden of disease study 2013","volume":"387","author":"Mokdad","year":"2016","journal-title":"Lancet"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1111\/jcpp.12831","article-title":"Annual research review: suicide among youth - epidemiology, (potential) etiology, and treatment","volume":"59","author":"Cha","year":"2017","journal-title":"J Child Psychol Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"540","DOI":"10.3389\/fpsyt.2018.00540","article-title":"Suicide and youth: Risk factors","volume":"9","author":"Bilsen","year":"2018","journal-title":"Front Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1017\/S003329179900135X","article-title":"Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood","volume":"30","author":"Fergusson","year":"2000","journal-title":"Psychol Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1176\/ajp.153.8.1001","article-title":"Relationships of age and axis I diagnoses in victims of completed suicide: a psychological autopsy study","volume":"153","author":"Conwell","year":"1996","journal-title":"Am J Psychiatry"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1017\/S0033291702006943","article-title":"Psychological autopsy studies of suicide: a systematic review","volume":"33","author":"Cavanagh","year":"2003","journal-title":"Psychol Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1017\/S0033291707001419","article-title":"Impulsive-aggressive behaviours and completed suicide across the life cycle: a predisposition for younger age of suicide","volume":"38","author":"McGirr","year":"2008","journal-title":"Psychol Med"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1037\/bul0000084","article-title":"Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research","volume":"143","author":"Franklin","year":"2017","journal-title":"Psychol Bull"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1176\/ajp.156.2.181","article-title":"Toward a clinical model of suicidal behavior in psychiatric patients","volume":"156","author":"Mann","year":"1999","journal-title":"Am J Psychiatry"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1111\/j.1600-0447.2005.00702.x","article-title":"Personality traits as correlates of suicidal ideation, suicide attempts, and suicide completions: a systematic review","volume":"113","author":"Brezo","year":"2006","journal-title":"Acta Psychiatr Scand"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1111\/j.1600-0447.2009.01366.x","article-title":"Personality traits as prospective predictors of suicide attempts","volume":"120","author":"Yen","year":"2009","journal-title":"Acta Psychiatr Scand"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1521\/suli.2007.37.6.698","article-title":"The relations between perfectionism and suicidality: a systematic review","volume":"37","author":"O\u2019Connor","year":"2007","journal-title":"Suicide Life Threat Behav"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"306","DOI":"10.1016\/j.jad.2012.05.021","article-title":"Longitudinal risk profiling for suicidal thoughts and behaviours in a community cohort using decision trees","volume":"142","author":"Batterham","year":"2012","journal-title":"J Affect Disord"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e76646","DOI":"10.1371\/journal.pone.0076646","article-title":"Personality factors and suicide risk in a representative sample of the German general population","volume":"8","author":"Bl\u00fcml","year":"2013","journal-title":"PLoS One"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1002\/wps.20575","article-title":"Personality traits and risk of suicide mortality: findings from a multi-cohort study in the general population","volume":"17","author":"Batty","year":"2018","journal-title":"World Psychiatry"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1111\/j.1943-278X.2012.00084.x","article-title":"Perfectionistic self-presentation, socially prescribed perfectionism, and suicide in youth: a test of the perfectionism social disconnection model: perfectionism, social disconnection, and suicide","volume":"42","author":"Roxborough","year":"2012","journal-title":"Suicide Life Threat Behav"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1515\/ijamh.2005.17.3.205","article-title":"Impulsivity in the prediction of suicidal behavior in adolescent population","volume":"17","author":"Gorlyn","year":"2005","journal-title":"Int J Adolesc Med Health"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1111\/sltb.12030","article-title":"Relations among behavioral and questionnaire measures of impulsivity in a sample of suicide attempters","volume":"43","author":"Bagge","year":"2013","journal-title":"Suicide Life Threat Behav"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1111\/cpsp.12136","article-title":"What distinguishes suicide attempters from suicide ideators? A meta-analysis of potential factors","volume":"23","author":"May","year":"2016","journal-title":"Clin Psychol Sci Pract"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.copsyc.2017.07.020","article-title":"Ideation-to-action theories of suicide: a conceptual and empirical update","volume":"22","author":"Klonsky","year":"2018","journal-title":"Curr Opin Psychol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1016\/j.jpsychires.2009.04.013","article-title":"Personality and attempted suicide. Analysis of anger, aggression and impulsivity","volume":"43","author":"Giegling","year":"2009","journal-title":"J Psychiat Res"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1080\/13811118.2011.565265","article-title":"Aggression, impulsivity, and suicide behavior: a review of the literature","volume":"15","author":"Gvion","year":"2011","journal-title":"Arch Suicide Res"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1375","DOI":"10.1176\/appi.ajp.162.7.1375","article-title":"Is violent method of suicide a behavioral marker of lifetime aggression?","volume":"162","author":"Dumais","year":"2005","journal-title":"Am J Psychiatry"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/j.psc.2018.07.004","article-title":"Adolescence as a sensitive period for the development of personality disorder","volume":"41","author":"Sharp","year":"2018","journal-title":"Psychiatr Clin North Am"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1521\/pedi.1998.12.1.13","article-title":"The persistence of borderline personality disorder in adolescence","volume":"12","author":"Meijer","year":"1998","journal-title":"J Personal Disord"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1037\/0021-843X.111.3.411","article-title":"Etiologic connections among substance dependence, antisocial behavior and personality: modeling the externalizing spectrum","volume":"111","author":"Krueger","year":"2002","journal-title":"J Abnorm Psychol"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1037\/a0020327","article-title":"Linking \u201cbig\u201d personality traits to anxiety, depressive, and substance use disorders: a meta-analysis","volume":"136","author":"Kotov","year":"2010","journal-title":"Psychol Bull"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1001\/jamapsychiatry.2018.1109","article-title":"Efficacy of dialectical behavior therapy for adolescents at high risk for suicide: a randomized clinical trial","volume":"75","author":"McCauley","year":"2018","journal-title":"JAMA Psychiatry"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1136\/archdischild-2015-310072","article-title":"Bridging the gap: the assessment and treatment of adolescent personality disorder in routine clinical care","volume":"102","author":"Sharp","year":"2017","journal-title":"Arch Dis Child"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.1176\/ajp.2007.164.7.1035","article-title":"Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA\u2019s pediatric suicidal risk analysis of antidepressants","volume":"164","author":"Posner","year":"2007","journal-title":"Am J Psychiatry."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"E347","DOI":"10.1503\/jpn.200198","article-title":"Brain cortical and subcortical morphology in adolescents with depression and a history of suicide attempt","volume":"46","author":"Gifuni","year":"2021","journal-title":"J Psychiatry Neurosci"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1001\/archpsyc.59.9.801","article-title":"Familial pathways to early-onset suicide attempt","volume":"59","author":"Brent","year":"2002","journal-title":"Arch Gen Psychiatry"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1038\/s41398-018-0170-2","article-title":"Neuroimaging-informed phenotypes of suicidal behavior: a family history of suicide and the use of a violent suicidal means","volume":"8","author":"Jollant","year":"2018","journal-title":"Transl Psychiatry"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"980","DOI":"10.1097\/00004583-199707000-00021","article-title":"Schedule for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data","volume":"36","author":"Kaufman","year":"1997","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1177\/107319110100800409","article-title":"The suicidal behaviors questionnaire-revised (SBQ-R): validation with clinical and nonclinical samples","volume":"8","author":"Osman","year":"2001","journal-title":"Assessment"},{"key":"ref39","volume-title":"The structured clinical interview for DSM-IV axis I disorders (SCID-I) and the structured clinical interview for DSM-IV axis II disorders (SCID-II)","author":"First","year":"2004"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1002\/1097-4679(199511)51:6<768::AID-JCLP2270510607>3.0.CO;2-1","article-title":"Factor structure of the barratt impulsiveness scale","volume":"51","author":"Patton","year":"1995","journal-title":"J Clin Psychol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1007\/BF00913799","article-title":"Properties of the beck depression inventory as a screening instrument for adolescent depression","volume":"16","author":"Barrera","year":"1988","journal-title":"J Abnorm Child Psychol"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1037\/h0037562","article-title":"The measurement of pessimism: the hopelessness scale","volume":"42","author":"Beck","year":"1974","journal-title":"J Consult Clin Psychol"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1080\/08039488.2016.1227370","article-title":"Specificity and sensitivity of the Beck hopelessness scale for suicidal ideation among adolescents entering early intervention service","volume":"71","author":"Gran\u00f6","year":"2017","journal-title":"Nord J Psychiatry"},{"key":"ref44","volume-title":"Wechsler intelligence scale for children, fourth edition [internet]","author":"Wechsler","year":"2012"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/073428298300100310","article-title":"Test review: Wechsler, D. Manual for the Wechsler adult intelligence scale, revised: New York: Psychological Corporation, 1981","volume":"1","author":"Kaufman","year":"1983","journal-title":"J Psychoeduc Assess"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1871","DOI":"10.1176\/appi.ajp.158.11.1871","article-title":"The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression","volume":"158","author":"Brodsky","year":"2001","journal-title":"Am J Psychiatry"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"538172","DOI":"10.3389\/fpsyt.2020.538172","article-title":"The mediating role of impulsivity in the relationship between suicidal behavior and early traumatic experiences in depressed subjects","volume":"11","author":"Dal Santo","year":"2020","journal-title":"Front Psych"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.jpsychires.2019.05.012","article-title":"Impulsivity in the self-harm and suicidal behavior of young people: a systematic review and meta-analysis","volume":"116","author":"McHugh","year":"2019","journal-title":"J Psychiatr Res"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1007\/s10802-016-0146-8","article-title":"Impulsivity and suicidality in adolescent inpatients","volume":"45","author":"Auerbach","year":"2017","journal-title":"J Abnorm Child Psychol"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1016\/j.neuroimage.2005.06.023","article-title":"Emotion and attention interactions in social cognition: brain regions involved in processing anger prosody","volume":"28","author":"Sander","year":"2005","journal-title":"NeuroImage"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1037\/vio0000141","article-title":"Emotion regulation and aggression: the incremental contribution of alexithymia, impulsivity, and emotion dysregulation facets","volume":"8","author":"Garofalo","year":"2018","journal-title":"Psychol Violence"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.paid.2015.01.044","article-title":"Suicidal and violent behavior: the role of anger, emotion dysregulation, and impulsivity","volume":"79","author":"Ammerman","year":"2015","journal-title":"Personal Individ Differ"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1016\/j.jad.2015.08.034","article-title":"Predicting suicide attempts in depressed adolescents: clarifying the role of disinhibition and childhood sexual abuse","volume":"187","author":"Stewart","year":"2015","journal-title":"J Affect Disord"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"32","DOI":"10.5709\/acp-0154-5","article-title":"Executive functions, impulsivity, and inhibitory control in adolescents: a structural equation model","volume":"10","author":"Fino","year":"2014","journal-title":"Adv Cogn Psychol"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.neubiorev.2016.07.037","article-title":"The neurobiology of the emotional adolescent: from the inside out","volume":"70","author":"Guyer","year":"2016","journal-title":"Neurosci Biobehav Rev"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.1007\/s11682-016-9612-8","article-title":"The relationship of impulsivity and cortical thickness in depressed and non-depressed adolescents","volume":"11","author":"Fradkin","year":"2017","journal-title":"Brain Imaging Behav"},{"key":"ref57","first-page":"1","article-title":"Decision-making and cognitive control in adolescent suicidal behaviors: a qualitative systematic review of the literature","volume":"9","author":"Gifuni","year":"2020","journal-title":"European Child & Adolescent Psychiatry"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1111\/j.1600-0447.1994.tb08087.x","article-title":"Antisocial behaviour in adolescent suicide","volume":"89","author":"Marttunen","year":"1994","journal-title":"Acta Psychiatr Scand"},{"key":"ref59","volume-title":"Aggression and antisocial behavior","author":"Coie","year":"1998"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1111\/sltb.12325","article-title":"Reactive aggression and suicide-related behaviors in children and adolescents: a review and preliminary meta-analysis","volume":"48","author":"Hartley","year":"2018","journal-title":"Suicide Life-Threat Behav"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"128","DOI":"10.3389\/fpsyt.2018.00128","article-title":"Personality and suicidal behavior in old age: a systematic literature review","volume":"9","author":"Sz\u00fccs","year":"2018","journal-title":"Front Psych"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1111\/j.1469-7610.2007.01862.x","article-title":"Research review: the importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior","volume":"49","author":"Frick","year":"2008","journal-title":"J Child Psychol Psychiatry"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.jad.2007.05.013","article-title":"Current psychiatric morbidity, aggression\/impulsivity, and personality dimensions in child and adolescent suicide: a case-control study","volume":"105","author":"Renaud","year":"2008","journal-title":"J Affect Disord"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1016\/j.tins.2011.11.008","article-title":"The neurodevelopmental origins of suicidal behavior","volume":"35","author":"Turecki","year":"2012","journal-title":"Trends Neurosci"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1016\/S0272-7358(97)00039-1","article-title":"The serotonin hypothesis of aggression revisited","volume":"17","author":"Berman","year":"1997","journal-title":"Clin Psychol Rev"},{"key":"ref66","doi-asserted-by":"publisher","first-page":"3059","DOI":"10.1017\/S0033291714000646","article-title":"Increased severity of suicidal behavior in impulsive aggressive patients exposed to familial adversities","volume":"44","author":"Lopez-Castroman","year":"2014","journal-title":"Psychol Med"},{"key":"ref67","doi-asserted-by":"publisher","first-page":"1395","DOI":"10.1038\/mp.2017.141","article-title":"Neuropathology of suicide: recent findings and future directions","volume":"22","author":"Lutz","year":"2017","journal-title":"Mol Psychiatry"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1146\/annurev-clinpsy-021815-093253","article-title":"Trait impulsivity and the externalizing Spectrum","volume":"13","author":"Beauchaine","year":"2017","journal-title":"Annu Rev Clin Psychol"},{"key":"ref69","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1007\/s10802-016-0214-0","article-title":"Examining the course of suicidal and nonsuicidal self-injurious thoughts and behaviors in outpatient and inpatient adolescents","volume":"45","author":"Glenn","year":"2017","journal-title":"J Abnorm Child Psychol"},{"key":"ref70","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.1017\/S0033291720000732","article-title":"Trajectories of suicide attempts from early adolescence to emerging adulthood: prospective 11-year follow-up of a Canadian cohort","volume":"51","author":"Geoffroy","year":"2021","journal-title":"Psychological medicine."},{"key":"ref71","first-page":"262","article-title":"Factors associated with lifetime suicidal ideation and suicide attempts in outpatients with substance use disorders","volume":"1","author":"Rodr\u00edguez-Cintas","year":"2018","journal-title":"Psychiatry Research."},{"key":"ref72","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1007\/s10802-016-0214-0","article-title":"Examining the course of suicidal and nonsuicidal self-injurious thoughts and behaviors in outpatient and inpatient adolescents","volume":"45","author":"Glenn","year":"2017","journal-title":"J Abnorm Child Psychol."},{"key":"ref73","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/j.brat.2015.12.013","article-title":"Dialectical behavior therapy and domains of functioning over two years","volume":"77","author":"Wilks","year":"2016","journal-title":"Behav Res Ther"}],"container-title":["Frontiers in Psychiatry"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1269744\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,11]],"date-time":"2023-12-11T15:52:00Z","timestamp":1702309920000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyt.2023.1269744\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,11]]},"references-count":73,"alternative-id":["10.3389\/fpsyt.2023.1269744"],"URL":"https:\/\/doi.org\/10.3389\/fpsyt.2023.1269744","relation":{},"ISSN":["1664-0640"],"issn-type":[{"value":"1664-0640","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,11]]},"article-number":"1269744"}}