Speaker: Meghan Romanelli
Suicide is the second leading cause of death among US youth age 10–19. Though the majority of youth reporting suicide ideation do not transition to an attempt, identifying factors associated with this transition remains a priority as suicide attempts are predictive of eventual suicide death. This presentation utilizes ideation-to-action theories of suicide to frame two interrelated studies that examine: 1) demographic, psychosocial, and substance use factors associated with distinct patterns of past 12-month suicide thoughts, plans, and attempts (Study 1); 2) a measurement model of suicide capability (Study 2), and; 3) suicide capability as a moderator of the relationship between level of suicide ideation and attempted suicide (Study 2). These studies harness population-based data from the CDC’s 2015, 2017, and 2019 National Youth Risk Behavior Survey (YRBS), to address prominent limitations of adolescent suicide research focusing on differences between those with suicide ideation and those attempt suicide, i.e., that most studies rely on small, homogeneous, and/or clinical samples where generalizability is limited. Implications for responsive suicide screening and prevention will be discussed within the context of study findings.