Original ArticlesSuicidal Behavior and Self-Disclosure in Adolescent Psychiatric InpatientsHoresh, Netta PhD*†; Zalsman, Gil MD*; Apter, Alan MD*†Author Information *Feinberg Child Study Center, Schneider Children's Medical Center of Israel, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel; and †Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel. Send reprint requests to Netta Horesh, PhD, Department of Psychology, Bar-Ilan University, Ramat-Gan 52900, Israel. The Journal of Nervous and Mental Disease: December 2004 - Volume 192 - Issue 12 - p 837-842 doi: 10.1097/01.nmd.0000146738.78222.e5 Buy Metrics Abstract The inability to communicate feelings and thoughts to people close to oneself may be an important risk factor for suicidal behavior. This inability has been operationalized in the concept of self-disclosure. The purpose of this article was to evaluate the correlation of self-disclosure with suicidal behavior in adolescents. Eighty consecutive admissions to an adolescent psychiatric inpatient unit were evaluated. Thirty-four were suicide attempters, 18 were suicidal ideators, and 18 were nonsuicidal. Assessment measures included the Child Suicide Potential Scale, the Suicide Intent Scale, the Suicide Ideation Scale, and the Self-Disclosure Scale. The results show that low self-disclosure levels are associated with suicidal thinking, suicide attempts, and suicidal attitudes. Thus, low self-disclosure may well be a risk factor worthy of further evaluation in the attempt to understand adolescent suicidal behavior. © 2004 Lippincott Williams & Wilkins, Inc.