School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
Royal Ottawa Hospital, Institute of Mental Health Research, University of Ottawa, Ottawa, ON, Canada.
Suicide Life Threat Behav. 2020 Dec;50(6):1149-1157. doi: 10.1111/sltb.12672. Epub 2020 Jul 28.
To investigate longitudinal relationships between parenting practices in childhood and adolescent suicidality, and assess the mediating role of emotional and behavioral symptoms.
Data were drawn from the National Longitudinal Survey of Children and Youth, a Canadian population-based longitudinal cohort study. The sample included 9,490 children aged 10-11 who were followed up biennially to ages 14-15. Parents reported their positive and punitive parenting practices when children were 10-11. Adolescents self-reported symptoms of depression/anxiety, hyperactivity, conduct disorder, and social aggression at 12-13, and past-year suicidal ideation and suicide attempts at 14-15.
The inverse associations between positive parenting at 10-11 and suicidal behaviors at 14-15 were significantly mediated by symptoms of hyperactivity, conduct disorder, and social aggression at 12-13. Direct relationships between punitive parenting and suicidal behaviors were observed. These associations were significantly mediated by hyperactivity and, among boys only, by conduct disorder and social aggression. The association between punitive parenting and suicide attempt was additionally mediated by depression/anxiety.
Parenting in childhood may be associated with adolescent suicidality both directly and indirectly through emotional and behavioral symptoms. Interventions aimed at reducing the use of harsh disciplinary strategies and promoting positive parent-child interactions may reduce the burden of adolescent suicidality.
探讨儿童期养育实践与青少年自杀倾向的纵向关系，并评估情绪和行为症状的中介作用。
数据来自加拿大基于人群的纵向队列研究——全国儿童青少年纵向调查。该样本包括 9490 名 10-11 岁的儿童，每两年随访至 14-15 岁。当儿童 10-11 岁时，父母报告其积极和惩罚性养育实践。青少年在 12-13 岁时自我报告抑郁/焦虑、多动、品行障碍和社交攻击症状，在 14-15 岁时报告过去一年的自杀意念和自杀企图。
10-11 岁时积极养育与 14-15 岁时自杀行为之间呈负相关，这种负相关在 12-13 岁时通过多动、品行障碍和社交攻击症状得到显著中介。惩罚性养育与自杀行为之间存在直接关系。这种关联在多动方面表现显著，仅在男孩中，品行障碍和社交攻击也表现显著。惩罚性养育与自杀企图之间的关联还通过抑郁/焦虑得到中介。
儿童时期的养育方式可能与青少年自杀倾向直接或间接相关，通过情绪和行为症状起作用。旨在减少严厉纪律策略使用和促进积极亲子互动的干预措施可能会减轻青少年自杀倾向的负担。
