A Longitudinal Study of Health Care Resources, Family Support, and Mental Health Outcomes Among Suicidal Adolescents

LeCloux, Mary; Maramaldi, Peter; Thomas, Kristie A.; Wharff, Elizabeth A.

doi:10.1111/asap.12139

Cited by 11 publications

(12 citation statements)

References 46 publications

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“…However, a longitudinal study conducted among a large sample of adolescents showed conflicting results. Parental support was predictive of lower levels of depression but was not significantly associated with the outcomes related to suicidal behaviors [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study

et al. 2018

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BackgroundSuicidal ideation and suicidal risk assessment are major concerns for health professionals. The perception of a low level of parental support is a risk factor for suicidal tendencies among adolescents, but little is known about its long-term impact on the vulnerability to suicidal behavior in young adults. We investigated whether the perceived level of parental support during childhood and adolescence was associated with current suicidal ideation in young adults.MethodsWe retrieved data collected in the i-Share study from February 1st, 2013 through January 30, 2017. This cross-sectional study included 10,015 French students, aged 18–24 years that completed an on-line self-reported questionnaire about suicidal ideation in the last 12 months and their perceived parental support in childhood and adolescence. We performed multinomial logistic regressions and sensitivity analyses to assess associations between the degree of perceived parental support and the frequency suicidal thoughts, after adjusting for the main known risk factors of suicidal ideation. We employed multiple imputations to account for missing data.ResultsThe study sample included 7539 female (75.7%) and 2436 male (24.3%) students (mean [SD] age 20.0 [1.8] years). About one in five students reported occasional suicidal thoughts (n = 1775, 17.7%) and 368 students (3.7%) reported frequent suicidal thoughts. The adjusted multinomial logistic regression revealed a significant negative association between perceived parental support and suicidal thoughts. A lack of perceived parental support in childhood and adolescence was associated with > 4-fold elevated risk of occasional (adjusted OR, 4.55; 95% CI: 2.97–6.99) and nearly 9-fold elevated risk of frequent (adjusted OR, 8.58; 95% CI: 4.62–15.96) suicidal thoughts, compared to individuals that perceived extremely strong parental support. This association was strongest among students with no personal history of depression or suicide attempts.ConclusionsStudents that perceived low levels of past parental support had a higher risk of suicidal ideation. Past perceived parental support appeared to be a potent marker of suicidal risk in young adults. This marker should be routinely collected in studies on suicidal risk in young adults, and it could be considered an additional screening tool.

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Section: Discussionmentioning

confidence: 99%

Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study

et al. 2018

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“…Although this study addresses an important gap in the literature, it is also characterized by several notable limitations. First, while consistent with previous measures of parental support using Add Health (LeCloux et al 2017), the items used to construct parental support do not directly reflect attitudes or feelings regarding the child's romantic relationship. Future work should seek to incorporate a distinctive measure of parental support that reflects thoughts and attitudes about of the romantic relationship in which their child is engaged, particularly in the context of an interracial relationship.…”

Section: Discussionmentioning

confidence: 95%

Parent’s Just Don’t Understand: Parental Support, Religion and Depressive Symptoms among Same-Race and Interracial Relationships

Henderson

Brantley

2019

Religions

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Research finds that individuals in interracial relationships have poorer mental health than those in same-race relationships. Family support, or lack thereof, may play an important role in explaining the psychological risks for such individuals. Growing attention has focused on the complex interplay between religion, health, and family life, particularly the stress-buffering role of religious involvement. However, little attention has been given to the possible mitigating effects of religion in the face of limited family support among same-race and interracial couples. Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), this study addresses two important questions: (1) Is weak family support associated with depressive symptoms among individuals in same-race and interracial relationships?; and (2) Does religious involvement buffer the association between weak family support and depressive symptoms for individuals engaged in these romantic ties? Results suggest that weak parental support is associated with depressive symptoms for individuals in both same-race and interracial relationships, however we find limited support of religion protecting against weak parental support for individuals in interracial unions. The results highlight the complex interplay between religion, health, and family in contemporary American life.

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“…Finally, implications for practice include potential transformations for clinical and mental health care such as increased intersectional representation among providers and culturally informed and relevant treatment and prevention strategies. In addition, integrating family support into screening and treatment referral processes (LeCloux et al, 2017) and counseling families to improve parent-child interactions (Bond et al, 2000;Logan et al, 2011) may be particularly valuable given the moderation finding in this study. Finally, boosting community-level trust, relationships, and sense of common good can supplement the effects of family support on suicidality among youth (Maimon et al, 2010), suggesting that the interactions between ecological levels are also worth exploring in future research.…”

Section: Implications For Research Policy and Practicementioning

confidence: 99%

Intersectionality, social support, and youth suicidality: A socioecological approach to prevention

Standley

Foster-Fishman

2021

Suicide & Life Threat Behav

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Objective This study examined the relationship between social support and suicidality among youth from a public health perspective by using (1) a socioecological framework and (2) an intersectional approach to social identity. Methods Secondary analysis of cross‐sectional survey data (N = 5058) involved means comparisons and a series of standard and hierarchical regression analyses. Results Youth with intersecting marginalized identities (i.e., females and racial and sexual minority youth) were significantly more likely to report higher suicidality scores. Social support at the family, school, and community levels was significantly associated with lower suicidality scores, and the combination of family and school support was associated with the lowest suicidality scores. Finally, family support significantly reduced the relationship between intersecting marginalized identities and suicidality. Conclusions Findings highlight the importance of protective factors in every context in which youth live, learn, and play. Measuring and reporting social identities as well as their intersections add to our understanding of both risk and prevention.

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A Longitudinal Study of Health Care Resources, Family Support, and Mental Health Outcomes Among Suicidal Adolescents

Cited by 11 publications

References 46 publications

Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study

Perceived parental support in childhood and adolescence and suicidal ideation in young adults: a cross-sectional analysis of the i-Share study

Parent’s Just Don’t Understand: Parental Support, Religion and Depressive Symptoms among Same-Race and Interracial Relationships

Intersectionality, social support, and youth suicidality: A socioecological approach to prevention

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