Risk for Preadolescent Suicidal Behavior: An Ecological Model

The relationship between preadolescent suicidality (ideation, threats, attempts) and subsequent adolescent suicidal behavior is well documented. We tested a six domain, ecological suicide risk model in a sample of 69 preadolescent outpatients (ages 5 to 12 years). We correlated items from each domain with Suicidality as measured by the Pfeffer Spectrum of Suicide Potential Scale. Three domains (Child Risk Factors, Childhood Traumas, Family Stressors) had a total of 19 items that were significantly correlated with Suicidality (alpha < .05 level); one item in the fourth dimension, Social Supports, was included (alpha = .06). We show that children who demonstrate anxiety/depression, aggressive and antisocial behavior in a climate of parental hostility are at risk for suicidal behavior.