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Needs and Strengths Associated With Acute Suicidal Ideation and Behavior in a Sample of Adolescents in Mental Health Treatment: Youth and Family Correlates

This study examined a comprehensive set of adolescent and family needs and strengths associated with acute suicidal ideation and/or behavior among youth using mental health services in Indiana (U.S.). Youth (n = 3292) were assessed with the Child and Adolescent Needs and Strengths questionnaire. Findings revealed that mental health issues (depression, psychosis) were the most important cofactors of acute suicidal ideation and/or behavior, followed by high-risk behaviors and psychosocial adjustment (nonsuicidal self-injury, harmful behavior, aggression, sleep disruption), and strengths (optimism). Family and caregiver needs were not significant predictors after controlling for other variables. Prevention and outpatient treatment among adolescents should encompass a wide array of individual needs and strengths.