Impact of Adolescent Suicide Attempts on Parents

青少年自杀企图对父母的影响

• 批准号: 8076003
• 负责人: DAVID B. GOLDSTON
• 金额: $ 0.99万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-01 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8076003
• 关键词: Address; Adolescent; Adult; Affect; Anxiety; Anxiety Disorders; Area; Behavior; Behavioral; Cessation of life; Child; Communities; Data; Daughter; Depressive disorder; Diagnosis; Discipline; Distress; Drops; Emotional; Ethnic Origin; Family; Family history of; Family psychotherapy; Feeling suicidal; Hospitalization; Hospitalized Adolescent; Hostility; Individual; Insurance Coverage; Interview; Length; Light; Medical; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Methods; Modeling; Monitor; Morbidity - disease rate; Mothers; NIH Program Announcements; Nature; Parenting behavior; Parents; Pathway interactions; Pattern; Pharmacotherapy; Positive Reinforcements; Post-Traumatic Stress Disorders; Predictive Factor; Psychiatric therapeutic procedure; Reaction; Recommendation; Recording of previous events; Recurrence; Relative (related person); Research; Resolution; Risk; Role; Services; Severities; Social support; Son; Suicide; Suicide attempt; Suicide prevention; Supervision; Survivors; Symptoms; Techniques; Teenagers; Time; Youth; acute stress; base; clinically significant; design; emotional distress; experience; follow-up; help-seeking behavior; high risk; maternal depression; medical specialties; meetings; premature; prevent; response; suicidal; suicidal adolescent; suicidal behavior; suicidal morbidity; teenage mother

DESCRIPTION (provided by applicant): The suicidal behavior of teenagers can be associated with considerable distress for parents, raising issues about the possibility of their unaddressed mental health needs. Parents' level of distress and their potentially higher risk for anxiety and depressive disorders may effect interactions with adolescents, parenting practices, and follow-through with treatment recommendations for youths or involvement with treatment. Nonetheless, little is known about which parents have the most difficulties following their teenager's suicidal behaviors, the nature of these difficulties, or how quickly these reactions resolve. This application is a proposal to address these issues, in response to the NIH Program Announcement 07-079, Research on the Reduction and Prevention of Suicidality. This program announcement invites applications that address the burden, and specifically, "the immediate and long-term mental health needs of family survivors who have experiences suicide attempts and/or deaths in the family." In this study, parents of 180 hospitalized teenagers who have made suicide attempts and 180 hospitalized teenagers who have not made attempts will be examined at 1,3, 6, and 12 months following a suicide attempt. The first specific aim of this project is to examine the distress and risk for anxiety and depressive disorders among mothers of suicidal teens relative to the mothers of other hospitalized youths, the diversity of these reactions, and the amount of time for resolution of these reactions. Using latent class trajectory methods, we will identify groups of parents with different patterns of symptoms over time following adolescents' hospitalization. The second Specific Aim of this proposal is examine child and maternal factors that are predictive of maternal emotional symptoms following adolescent suicidal behavior including high medical lethality of the attempt, number of prior attempts, family history of suicidal behavior, and past psychiatric treatment history. The third Specific Aim is to examine the association between material symptoms and anxiety/depressive disorders following adolescent suicidal behavior on parenting practices, mental health specialty service use, length of treatment and follow-through with the treatment recommendations. This project will help us to understand the mental health and treatment needs of mothers of adolescents who have attempted suicide. The results of this study will help shed light on the best strategies for meeting parental needs following adolescent suicide attempts, and involving parents in their son's and daughter's treatment.

描述（由申请人提供）：青少年的自杀行为可能会给父母带来相当大的痛苦，引发他们的心理健康需求可能未得到解决的问题。父母的痛苦程度以及他们患焦虑症和抑郁症的潜在较高风险可能会影响与青少年的互动、养育子女的做法以及对青少年的治疗建议或参与治疗的后续行动。尽管如此，对于哪些父母在青少年自杀行为后遇到的困难最大、这些困难的性质或这些反应解决的速度如何，我们知之甚少。此应用程序是解决这些问题的提案，以响应 NIH 计划公告 07-079“减少和预防自杀的研究”。该计划公告邀请申请来解决这一负担，特别是“经历过自杀未遂和/或家庭死亡的家庭幸存者的当前和长期心理健康需求”。在这项研究中，180 名曾尝试过自杀的住院青少年和 180 名未曾尝试过自杀的住院青少年的父母将在自杀未遂后 1、3、6 和 12 个月接受检查。该项目的第一个具体目标是检查自杀青少年的母亲相对于其他住院青少年的母亲的痛苦和焦虑和抑郁症的风险，这些反应的多样性以及解决这些反应的时间。使用潜在类别轨迹方法，我们将识别青少年住院后随着时间的推移具有不同症状模式的父母群体。该提案的第二个具体目标是检查可预测青少年自杀行为后母亲情绪症状的儿童和母亲因素，包括自杀行为的高医疗致死率、先前尝试的次数、自杀行为的家族史和过去的精神病治疗史。第三个具体目标是检查青少年自杀行为后的物质症状与焦虑/抑郁症之间的关系，包括养育方式、心理健康专业服务的使用、治疗时间的长短以及治疗建议的后续情况。该项目将帮助我们了解试图自杀的青少年母亲的心理健康和治疗需求。这项研究的结果将有助于揭示在青少年自杀未遂后满足父母需求的最佳策略，并让父母参与儿子和女儿的治疗。