Family risk factors for child and adolescent suicidal behavior.

Wagner, Barry M.

doi:10.1037/0033-2909.121.2.246

Cited by 266 publications

(182 citation statements)

References 209 publications

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“…The literature shows that, regardless of ethnicity or culture, adolescents who demonstrate suicidal behaviors often report negative parenting, histories of abuse, excessive parental control, and poor communication between children and parents and between parents (King, Segal, Naylor, & Evans, 1993;Marttunen, Aro, & Lonnqvist, 1993;Rew et al, 2001;Wagner, 1997).…”

Section: Family Processes and Cultural Traditionsmentioning

confidence: 99%

Suicidal Behavior in Latinas: Explanatory Cultural Factors and Implications for Intervention

Zayas

Pilat

2008

Suicide & Life Threat Behav

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We posit that the high rates of suicidal behavior by teenage Hispanic females reported in large-scale surveys can be understood as a cultural phenomenon, a product of specific elements of the history, tradition, ideology, or social norms of a particular society, and that treatment interventions must take family and cultural factors into consideration. For over a decade, surveys have reported that among ethnic and racial minority youth in the United States, Latinas have the highest rates of suicidal behavior compared to African American and non-Hispanic White adolescent females. However, other research shows that the psychological profiles of suicidal Latina adolescent girls and the risk factors for Latina suicidal behavior may not be that different from non-Hispanic suicidal adolescent females. The unique situation of adolescent Latinas involves the convergence of cultural and familial factors (i.e., familism, acculturation, relatedness, autonomy, etc.) with the developmental, social, and individual factors frequently associated with suicidal behaviors. Based on this background, familyoriented interventions appear to be the most appropriate approach to the prevention and treatment of Hispanic suicidal girls. Factors implicated in Latina suicidal behavior and community-based interventions that include the adolescent and her family are suggested. Although data do not distinguish Latino youth by country of origin or heritage, Latino 1 youth of both sexes have shown consistently higher rates of suicidal ideation, plans, and behavior than their non-Hispanic counterparts, except for the category of youth designated as "Other" (which includes Native American youth). In spite of the higher than average reports of suicidal behavior among Hispanic youth, their actual rates of suicides are lower than those of non-Hispanic White and Native American adolescents, but higher than those of nonHispanic Black youth.Although these reports confirm observations from other epidemiological and clinical research as well as observations made by many urban mental health clinicians working with Latino populations, empirical literature explaining this dramatic difference is quite sparse. With our current state of knowledge, we are not yet able to explain, with a high degree of empirical certainty, what the reasons are that explain why the rates of suicidal ideation and attempts are higher among Latino youth. In this article, we do not purport to present explanations derived from rigorous, first-hand empirical research. Rather, we integrate knowledge from past

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Section: Family Processes and Cultural Traditionsmentioning

confidence: 99%

Suicidal Behavior in Latinas: Explanatory Cultural Factors and Implications for Intervention

Zayas

Pilat

2008

Suicide & Life Threat Behav

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“…Questions remain about the temporal sequencing of family variables and selfharm phenomena, as well as the specifi city of implicated family risk factors. This has led previous reviews to suggest that studies of supposed family risk factors for self-harm may in fact be addressing overlapping populations that share a number of family characteristics, such as poor parent -child attachment, criticism, hostility and lack of warmth (Diamond et al, 1996;Wagner, 1997).…”

Section: Introductionmentioning

confidence: 99%

“…Following from these perspectives, cross-sectional studies have consistently found that the families of self-harming adolescents are characterized by significant dysfunction, most often in comparison with nonmatched clinical and community control groups (Gould et al, 2003;Wagner, 1997). There is evidence that the families of adolescent self-harmers are disorganized (Friedrich et al, 1982;Meneese & Yutrzenka, 1990), with poor cohesion (Asarnow, 1992;Asarnow et al, 1987;Brent et al, 1990;Friedrich et al, 1982;Garrison et al, 1991;Rubenstein et al, 1989) and prone to domestic violence (Cohen-Sandler et al, 1982).…”

Section: Introductionmentioning

confidence: 99%

Family environment, expressed emotion and adolescent self-harm: A review of conceptual, empirical, cross-cultural and clinical perspectives

Michelson

Bhugra

2012

International Review of Psychiatry

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Self-harm in young people is a complex and pervasive problem with a number of co-existing risk factors. Although research has implicated a range of family variables in understanding the onset, maintenance and prevention of adolescent self-harm, relatively little attention has been given to the expressed emotion (EE) construct. Based on a narrative review and synthesis of peer-reviewed literature up to and including 2011, this paper considers the conceptual background and empirical evidence for the role of family environment in the expression of adolescent self-harm, with a particular focus on EE. The clinical implications of this literature for working with young people and families from different cultures are also addressed. In summary, the surveyed research provides insuffi cient evidence for a direct causal link between family environment and adolescent self-harm, with questions raised about the temporal sequencing of measured variables, specifi city of implicated family risk factors, and the nature and role of protective factors in families. Emerging evidence for an association between high EE and adolescent self-harm requires replication in well-controlled, prospective studies. There is also a lack of empirically-supported, family-based treatment modalities for adolescents who self-harm. Intervention strategies should be guided by personalised formulation, taking into account individual vulnerabilities, strengths and social contexts, as well as cultural norms for family environment.

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“…Our study showed no significant difference between complete and incomplete family. Dysfunctional relationships, poor parent-child communication, family conflict, socioeconomic situation, lack of emotional closeness, incomplete family, have been identified as risk factor for suicide behavior in adolescents [25,26].…”

Section: Discussionmentioning

confidence: 99%

Suicide attempts among children and adolescents

Kesic¹,

Vučinić²,

Marković³

et al. 2016

Engrami

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SummaryIntroduction: Suicide is the second largest cause of mortality in the 10-24 age group. Investigation of suicide attempts among children and adolescents are rare in Serbia.Objective: The aim of this study is to analyze suicide attempts of children and adolescents who were hospitalized during the twelve -year period (2003.-2014.) in the Clinic of Neurology and Psychiatry for Children and Youth in Belgrade.Method: We retrospectively analyzed medical records of 130 patients. The diagnosis was made according to the ICD 10 criteria. Patients data (gender, age, number of attempts, suicide attempt method, time of year, prior psychiatric diagnosis, family characteristics) were analyzed using standard statistical methods ( Student's t-test and Chi Square test).Results: Gender distribution showed 77.7 % female and 22.3 % male. The mean age was 15.28 years (SD -1.834). The youngest child who attempted suicide was 9.The most common method of attempting suicide was intentional selfpoisoning by drugs (66.2 %), followed by wrist cutting (11.5 %) and hanging (10.8 %). In terms of the gender distribution, statistically significant difference was found in the method of attempting suicide (x2= 12.238; df=4; p=0.016) . The highest suicide rate was in 2013 with 18 attempts, and the lowest was in 2006 with 6 attempts. Most suicide attempts took place in the winter and also in June. 48 patients (36.9%) who attempted suicide had previous psychiatric diagnoses. 14 patients (10.8 %) have at least one member of immediate family who attempted or committed suicide.Conclusion: We confirmed previous results from the literature about gender prevalence and gender differences in method of suicide attempts. Early identification of youth at high risk for suicide behavior is very important, as well as developing specific preventive programs.

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Family risk factors for child and adolescent suicidal behavior.

Cited by 266 publications

References 209 publications

Suicidal Behavior in Latinas: Explanatory Cultural Factors and Implications for Intervention

Suicidal Behavior in Latinas: Explanatory Cultural Factors and Implications for Intervention

Family environment, expressed emotion and adolescent self-harm: A review of conceptual, empirical, cross-cultural and clinical perspectives

Suicide attempts among children and adolescents

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