Emotional Triggers and Psychopathology Associated with Suicidal Ideation in Urban Children with Elevated Aggressive-Disruptive Behavior

被引:40
作者
Wyman, Peter A. [1 ]
Gaudieri, Patricia A. [1 ]
Schmeelk-Cone, Karen [1 ]
Cross, Wendi [1 ]
Brown, C. Hendricks [2 ]
Sworts, Luke [1 ]
West, Jennifer [1 ]
Burke, Katharine C. [1 ]
Nathan, Janaki [1 ]
机构
[1] Univ Rochester, Sch Med & Dent, Dept Psychiat, Rochester, NY 14642 USA
[2] Univ Miami, Ctr Studies Family, Dept Epidemiol & Publ Hlth, Miami, FL USA
关键词
Suicidal ideation; Urban children; Aggressive-disruptive behaviors; Emotional triggers and psychopathology; PSYCHIATRIC RISK-FACTORS; INFORMANT AGREEMENT; DEPRESSIVE SYMPTOMS; ANXIETY DISORDERS; PREVENTION; DEATH; ADOLESCENCE; INTERVIEW; IMPACT; YOUTH;
D O I
10.1007/s10802-009-9330-4
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
8.6% suicidal ideation (SI) was found among 349 urban 6-9 year olds in the top tercile of aggressive-disruptive behavior. SI was associated with more self-reported depression, ODD, conduct problems, and ADHD symptoms (ES 0.70-0.97) and 3.5-5 times more clinically significant symptoms. Parents rated more symptoms in older children associated with SI compared to parents of similar age children without SI, including greater somatic and behavior problems in 8-9 year olds with SI. Parent ratings did not differentiate SI and non-SI in 6-7 year olds. SI frequently co-occurred with thoughts about death. Children described anger, dysphoria and interpersonal conflict as motivators/triggers for SI and worries about safety/health as motivator/triggers for thoughts about death, suggesting that problems managing emotionally challenging situations are a specific factor in initiating SI. Universal and indicated interventions for children to strengthen emotional self-regulation and behavioral control are recommended to complement the current emphasis on suicide prevention among adolescents.
引用
收藏
页码:917 / 928
页数:12
相关论文
共 66 条
[1]  
Achenbach T.M., 1991, Manual for the Child Behavior Checklist/4-18
[2]   Pubertal changes in hormone levels and depression in girls [J].
Angold, A ;
Costello, EJ ;
Erkanli, A ;
Worthman, CM .
PSYCHOLOGICAL MEDICINE, 1999, 29 (05) :1043-1053
[3]  
[Anonymous], WASHINGTON STATE YOU
[4]   COPING STRATEGIES, SELF-PERCEPTIONS, HOPELESSNESS, AND PERCEIVED FAMILY ENVIRONMENTS IN DEPRESSED AND SUICIDAL CHILDREN [J].
ASARNOW, JR ;
CARLSON, GA ;
GUTHRIE, D .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1987, 55 (03) :361-366
[5]   PSYCHIATRIC RISK-FACTORS FOR ADOLESCENT SUICIDE - A CASE-CONTROL STUDY [J].
BRENT, DA ;
PERPER, JA ;
MORITZ, G ;
ALLMAN, C ;
FRIEND, A ;
ROTH, C ;
SCHWEERS, J ;
BALACH, L ;
BAUGHER, M .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1993, 32 (03) :521-529
[6]   The role of randomized trials in testing interventions for the prevention of youth suicide [J].
Brown, C. Hendricks ;
Wyman, Peter A. ;
Brinales, Joseph M. ;
Gibbons, Robert D. .
INTERNATIONAL REVIEW OF PSYCHIATRY, 2007, 19 (06) :617-631
[7]   Dynamic wait-listed designs for randomized trials:: new designs for prevention of youth suicide [J].
Brown, C. Hendricks ;
Wyman, Peter A. ;
Guo, Jing ;
Pena, Juan .
CLINICAL TRIALS, 2006, 3 (03) :259-271
[8]  
Brown CH, 2007, RECOGNITION AND PREVENTION OF MAJOR MENTAL AND SUBSTANCE USE DISORDERS, P347
[9]  
Burlingame G.M., 1996, YOUTH OUTCOME QUESTI
[10]  
*CDCP, 1998, MMWR-MORBID MORTAL W, V47, P193