3811 O'Hara St., Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15213, USA.
Avenue of the Arts, Department of Psychology, Christopher Newport University, Newport News, VA 23606, USA.
J Psychiatr Res. 2018 Sep;104:72-77. doi: 10.1016/j.jpsychires.2018.06.016. Epub 2018 Jun 27.
Family factors are associated with suicidal behavior in youth, but little is known about how the joint influence of multiple family factors prospectively predicts onsets of suicidal ideation (SI) in adolescence, a developmental period characterized by increases in SI and risk for suicide. This study investigated whether parent history of SI interacted with either positive or negative parent-child relationship quality to longitudinally predict time to SI onsets during the transition into and across adolescence. Specifically, we used a longitudinal, multi-wave design and survival analyses to examine whether the interaction between these family factors prospectively predicted time to emergence of SI onsets (assessed at 6 month intervals over 3 years) in a community sample of youth ages 8 to 15 (N = 238; 57% girls). Results supported an interaction effect, such that more negative relationship quality with parents predicted earlier emergence of SI among those youth whose parents had no history of SI. However, negative parent relationship quality did not amplify risk among youth with parent history of SI; all youth with a parent history of SI were more likely to experience earlier emergence of SI regardless of level of negative relationship quality. Findings did not support an interaction between low levels of parent-child positive relationship quality and parent history of ideation. Implications for the role of family factors in the etiology and prevention of SI are discussed.
家庭因素与青少年的自杀行为有关，但对于多种家庭因素如何共同预测青少年时期自杀意念（SI）的发作知之甚少，青少年时期是 SI 增加和自杀风险增加的发展阶段。本研究调查了父母的 SI 病史是否与积极或消极的亲子关系质量相互作用，从而前瞻性地预测青少年期进入和跨越期间 SI 发作的时间。具体来说，我们使用纵向、多波设计和生存分析来检验这些家庭因素的相互作用是否前瞻性地预测了社区样本中 8 至 15 岁青少年（N=238；57%为女孩）SI 发作的出现时间（在 3 年内每 6 个月评估一次）。结果支持了一种相互作用效应，即父母关系质量越差，那些父母没有 SI 病史的青少年出现 SI 的时间就越早。然而，消极的父母关系质量并没有增加有 SI 病史的青少年的风险；无论父母关系质量如何，所有有 SI 病史的青少年都更有可能更早地出现 SI。研究结果不支持亲子积极关系质量低与父母观念史之间的相互作用。讨论了家庭因素在 SI 的病因和预防中的作用。
