Danzo Sarah, Adrian Molly C, Twohy Eileen, Babeva Kalina, McCauley Elizabeth
University of Washington, Seattle, Washington.
Seattle Children's Hospital, Seattle, Washington.
JAACAP Open. 2024 Sep 27;3(3):557-566. doi: 10.1016/j.jaacop.2024.09.006. eCollection 2025 Sep.
Suicide is a leading cause of death among young people 10 to 24 years old in the United States. Interventions that include both adolescents and their caregivers demonstrate promise in reducing adolescent suicidal thoughts and behaviors (STB), suggesting that caregiver attitudes may impact treatment outcomes. Better understanding of how caregiver attitudes impact youth STB outcomes may highlight important treatment targets.
This study examined data from youth (N = 187) and their caregivers who participated in a 4-session outpatient crisis stabilization intervention (mean [SD] youth age = 14.6 [1.9] years; majority cisgender female [62%], mean [SD] number of sessions attended = 3.7 [1.2]). Paired-samples t tests examined changes in caregiver attitudes over the course of the intervention, and moderation analyses examined how baseline caregiver attitudes regarding youth STB impacted the relationship between intervention attendance and self-reported suicide risk at intervention completion.
Caregivers' confidence that they could keep their child safe and their child would not attempt suicide again and hopefulness/optimism for the future significantly moderated the relationship between number of sessions attended and suicide risk ( = .17, = 2.12, < .05; = .51, = 2.89, < .01; = .24, = 2.39, < .05), and caregiver confidence significantly increased over the intervention.
Differences in caregiver confidence and hopefulness for the future at intervention initiation impacted youth suicide risk outcomes at intervention completion. These results highlight the need to assess and address caregiver confidence and hopefulness through involving caregivers directly in adolescent crisis interventions to improve youth STB outcomes.
在美国，自杀是10至24岁年轻人的主要死因。包括青少年及其照顾者在内的干预措施在减少青少年自杀念头和行为（STB）方面显示出前景，这表明照顾者的态度可能会影响治疗结果。更好地了解照顾者态度如何影响青少年STB结果可能会突出重要的治疗靶点。
本研究检查了参与为期4节门诊危机稳定干预的青少年（N = 187）及其照顾者的数据（青少年平均年龄[标准差]= 14.6 [1.9]岁；大多数为顺性别女性[62%]，平均参加节数[标准差]= 3.7 [1.2]）。配对样本t检验检查了干预过程中照顾者态度的变化，调节分析检查了照顾者对青少年STB的基线态度如何影响干预结束时干预参与度与自我报告自杀风险之间的关系。
照顾者对确保孩子安全以及孩子不会再次自杀的信心，以及对未来的希望/乐观情绪显著调节了参加节数与自杀风险之间的关系（β = .17，t = 2.12，p < .05；β = .51，t = 2.89，p < .01；β = .24，t = 2.39，p < .05），并且照顾者的信心在干预过程中显著增加。
干预开始时照顾者信心和对未来希望的差异影响了干预结束时青少年的自杀风险结果。这些结果强调了通过让照顾者直接参与青少年危机干预来评估和解决照顾者信心和希望的必要性，以改善青少年STB结果。
