Seidman Samuel, Danzo Sarah, Connell Arin, Stormshak Elizabeth
Columbia University Irving Medical Center, New York City, New York, USA.
University of Washington, Seattle, Washington, USA.
Suicide Life Threat Behav. 2025 Jun;55(3):e70029. doi: 10.1111/sltb.70029.
The Family Check-Up (FCU) is a family-focused prevention program originally developed to reduce externalizing behaviors, which has demonstrated improvements in internalizing behaviors and suicide. The present study attempted a conceptual replication of previous results from a separate trial of the FCU, initiated in early childhood, that found that the FCU predicts reductions in suicide risk via improvements in youth self-regulation.
The current study examined whether the FCU would predict reductions in youth suicidality via improvements in self-regulatory ability, in an independent trial of the FCU, initiated in early adolescence. The sample included 782 families, youth were 50.7% female, and 11 years old at baseline.
Findings from previous trials were partially replicated, suggesting that improvements in self-regulatory skills in early adolescence support long-term reductions in suicide risk into early adulthood. However, the indirect effect of the FCU on suicide-related outcomes was only observed at the level of statistical trend in the current trial. Findings are discussed in the context of broader suicide treatments for youth involving family members and targeting important mechanisms of risk.
NCT01490307.
家庭体检（FCU）是一项以家庭为重点的预防项目，最初旨在减少外化行为，该项目已证明在内化行为和自杀方面有所改善。本研究试图对FCU另一项始于幼儿期的单独试验的先前结果进行概念性复制，该试验发现FCU通过改善青少年自我调节来预测自杀风险的降低。
在一项始于青春期早期的FCU独立试验中，本研究检验了FCU是否会通过改善自我调节能力来预测青少年自杀倾向的降低。样本包括782个家庭，青少年中女性占50.7%，基线时年龄为11岁。
先前试验的结果得到了部分复制，表明青春期早期自我调节技能的改善有助于长期降低成年早期的自杀风险。然而，在当前试验中，FCU对自杀相关结果的间接影响仅在统计趋势水平上观察到。研究结果在涉及家庭成员并针对重要风险机制的更广泛青少年自杀治疗背景下进行了讨论。
NCT01490307。
