Family Environment and Suicidal Ideation Among Bipolar Youth

被引:31
作者
Goldstein, Tina R. [1 ]
Birmaher, Boris [1 ]
Axelson, David [1 ]
Goldstein, Benjamin I. [1 ]
Gill, Mary Kay [1 ]
Esposito-Smythers, Christianne [2 ,3 ]
Ryan, Neal D. [1 ]
Strober, Michael A. [4 ]
Hunt, Jeffrey [1 ,2 ,3 ]
Keller, Martin [2 ,3 ]
机构
[1] Univ Pittsburgh, Western Psychiat Inst & Clin, Med Ctr, Pittsburgh, PA 15213 USA
[2] Brown Univ, Dept Psychiat, Sch Med, Providence, RI 02912 USA
[3] Brown Univ, Sch Med, Butler Hosp, Providence, RI 02912 USA
[4] Univ Calif Los Angeles, Dept Psychiat & Behav Sci, Los Angeles, CA 90024 USA
关键词
family environment; pediatric bipolar disorder; suicidal ideation; youth; SPECTRUM DISORDERS; ADOLESCENT SUICIDE; RISK-FACTORS; CHILDREN; ONSET; PSYCHOTHERAPY; HOPELESSNESS; RELIABILITY; DEPRESSION; BEHAVIORS;
D O I
10.1080/13811110903266699
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The objective of this study was to examine the association between family environment and suicidal ideation among youth with bipolar disorder. Subjects included 446 bipolar (BP) youth (age 7-17) enrolled in the Course and Outcome of Bipolar Youth study. Current suicidal ideation, family functioning and family stress were assessed at intake. BP youth with current suicidal ideation reported more conflict with their mother and less family adaptability. Ideators endorsed more stressful family events over the prior year and higher rates of specific familial stressors. Clinicians treating bipolar youth should consider family stress when conducting suicide risk assessment. Treatment goals may include enhancing family communication and addressing issues of loss.
引用
收藏
页码:378 / 388
页数:11
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