{"doi":"10.1111/sltb.12715","title":"Fearlessness about death predicts adolescent suicide attempt: A preliminary analysis","abstract":"<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>Several theories of suicide suggest that people will only attempt suicide if they have both the desire to die and the capability for suicide. Fearlessness about death is a key component of capability for suicide. There is little information in the literature about the prospective relationship between fearlessness about death and suicide attempt in adolescents.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>We obtained baseline fearlessness about death from adolescents (<jats:italic>N</jats:italic> = 122; ages 12–18; 80% girls; 82% Caucasian) who received intensive outpatient treatment for active suicidal ideation and/or a recent attempt. We tested if fearlessness about death at treatment entry predicted an attempt (<jats:italic>n</jats:italic> = 14) between entry and six‐month follow‐up after discharge from the program.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Fearlessness about death significantly predicted the presence of an attempt between treatment entry and six‐month follow‐up after controlling for common covariates (Quade <jats:italic>F</jats:italic> = 2.15, <jats:italic>p</jats:italic> &lt; .02).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>In a preliminary analysis of a group of suicidal adolescents, fearlessness about death was a significant independent predictor of attempt between treatment entry and six months post‐discharge, even when controlling for other commonly cited risk factors.</jats:p></jats:sec>","journal":"Suicide and Life-Threatening Behavior","year":2020,"id":617287,"datarank":0.8652056377284381,"base_score":3.258096538021482,"endowment":3.258096538021482,"self_citation_contribution":0.4887144807032224,"citation_network_contribution":0.37649115702521563,"self_endowment_contribution":0.4887144807032224,"citer_contribution":0.37649115702521563,"corpus_percentile":null,"corpus_rank":null,"citation_count":25,"citer_count":23,"citers_with_citation_signal":17,"citers_with_endowment":17,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1591825,"name":"Laura A. Frazee","orcid":null,"position":1,"is_corresponding":false},{"id":731260,"name":"Betsy D. Kennard","orcid":"0000-0003-2376-4348","position":2,"is_corresponding":false},{"id":1591827,"name":"Jessica D. King","orcid":null,"position":3,"is_corresponding":false},{"id":731261,"name":"Graham J. Emslie","orcid":"0000-0003-1851-4328","position":4,"is_corresponding":false},{"id":731262,"name":"Sunita M. Stewart","orcid":"0000-0002-0642-781X","position":5,"is_corresponding":false},{"id":1591824,"name":"Mikael S. Ferm","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Fearlessness about death predicts adolescent suicide attempt: A preliminary analysis","abstract":"<jats:title>Abstract</jats:title><jats:sec><jats:title>Objective</jats:title><jats:p>Several theories of suicide suggest that people will only attempt suicide if they have both the desire to die and the capability for suicide. Fearlessness about death is a key component of capability for suicide. There is little information in the literature about the prospective relationship between fearlessness about death and suicide attempt in adolescents.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>We obtained baseline fearlessness about death from adolescents (<jats:italic>N</jats:italic> = 122; ages 12–18; 80% girls; 82% Caucasian) who received intensive outpatient treatment for active suicidal ideation and/or a recent attempt. We tested if fearlessness about death at treatment entry predicted an attempt (<jats:italic>n</jats:italic> = 14) between entry and six‐month follow‐up after discharge from the program.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Fearlessness about death significantly predicted the presence of an attempt between treatment entry and six‐month follow‐up after controlling for common covariates (Quade <jats:italic>F</jats:italic> = 2.15, <jats:italic>p</jats:italic> &lt; .02).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>In a preliminary analysis of a group of suicidal adolescents, fearlessness about death was a significant independent predictor of attempt between treatment entry and six months post‐discharge, even when controlling for other commonly cited risk factors.</jats:p></jats:sec>","is_dataset_classified":null,"base_score":3.258096538021482,"endowment":3.258096538021482,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"33103267","pmcid":null,"openalex_id":"https://openalex.org/W3094029734","authors":[],"funders":[{"funder_name":"National Center for Advancing Translational Sciences of the National Institutes for Health","grant_id":"UL1TR001105","title":null}],"total_grants":1,"fwci":0.8468,"citation_percentile":0.83511367,"influential_citations":0,"citation_trend":[{"year":2021,"count":2},{"year":2022,"count":4},{"year":2023,"count":4},{"year":2024,"count":5},{"year":2025,"count":9},{"year":2026,"count":1}],"oa_status":"closed","license":"http://onlinelibrary.wiley.com/termsAndConditions#vor","oa_locations":[{"url":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/sltb.12715","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/full-xml/10.1111/sltb.12715","host_type":"publisher"},{"url":"https://doi.org/10.1111/sltb.12715","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/33103267","host_type":"repository"}],"fields_of_study":["Suicide and Self-Harm Studies","Death Anxiety and Social Exclusion","Pediatric Pain Management Techniques","Adolescent","Aftercare","Child","Female","Humans","Patient Discharge","Prospective Studies","Risk Factors","Suicidal Ideation","Suicide, Attempted"],"mesh_terms":["Adolescent","Aftercare","Child","Female","Humans","Patient Discharge","Prospective Studies","Risk Factors","Suicide, Attempted","Suicidal Ideation"],"keywords":["Suicidal ideation","Suicide attempt","Suicide prevention","Injury prevention","Psychology","Poison control","Clinical psychology","Medicine","Psychiatry","Medical emergency"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-03T01:19:06.747942Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}