Suicidal behaviors in depressed adolescents: role of perceived relationships in the family
Identifieur interne : 000010 ( Canada/Analysis ); précédent : 000009; suivant : 000011Suicidal behaviors in depressed adolescents: role of perceived relationships in the family
Auteurs : Angèle Consoli [France] ; Hugo Peyre [France] ; Mario Speranza [France] ; Christine Hassler [France] ; Bruno Falissard [France] ; Evelyne Touchette [Canada] ; David Cohen [France] ; Marie-Rose Moro [France] ; Anne Révah-Lévy [France]Source :
- Child and Adolescent Psychiatry and Mental Health [ 1753-2000 ] ; 2013.
Abstract
Suicide is the second leading cause of death in adolescents and young adults in Europe. Reducing suicides is therefore a key public health target. Previous studies have shown associations between suicidal behaviors, depression and family factors.
To assess the role of family factors in depression and suicidality in a large community-based sample of adolescents and to explore specific contributions (e.g. mother vs. father; conflict vs. no conflict; separation vs. no separation) taking into account other risk factors.
A cross-sectional sample of adolescents aged 17 years was recruited in 2008. 36,757 French adolescents (18,593 girls and 18,164 boys) completed a questionnaire including socio-demographic characteristics, drug use, family variables, suicidal ideations and attempts. Current depression was assessed with the Adolescent Depression Rating Scale (ADRS). Adolescents were divided into 4 groups according to suicide risk severity (grade 1 = depressed without suicidal ideation and without suicide attempts, grade 2 = depressed with suicidal ideations and grade 3 = depressed with suicide attempts; grade 0 = control group). Multivariate regressions were applied to assess the Odds Ratio of potential risk factors comparing grade 1, 2 or 3 risk with grade 0.
7.5% of adolescents (10.4% among girls vs. 4.5% among boys) had ADRS scores compatible with depression; 16.2% reported suicidal ideations in the past 12 months and 8.2% reported lifetime suicide attempts. Repeating a year in school was significantly associated to severity grade of suicide risk (1 and 3), as well as all substance use, tobacco use (severity grades 2 and 3) and marijuana use (severity grade 3), for girls and boys. After adjustment, negative relationships with either or both parents, and parents living together but with a negative relationship were significantly associated with suicide risk and/or depression in both genders (all risk grades), and Odds Ratios increased according to risk severity grade.
Family discord and negative relationship with parents were associated with an increased suicide risk in depressed adolescents. So it appears essential to take intrafamilial relationships into account in depressed adolescents to prevent suicidal behaviours.
Url:
DOI: 10.1186/1753-2000-7-8
PubMed: 23497551
PubMed Central: 3655930
Affiliations:
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Paris-Sud, Univ. Paris-Descartes, Paris, F-75005, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Univ. Paris-Sud, Univ. 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Paris-Sud, Univ. Paris-Descartes, Paris, F-75005, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Univ. Paris-Sud, Univ. Paris-Descartes, Paris, F-75005</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Speranza, Mario" sort="Speranza, Mario" uniqKey="Speranza M" first="Mario" last="Speranza">Mario Speranza</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Child and Adolescent Psychiatry, Centre Hospitalier de Versailles, Le Chesnay, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Child and Adolescent Psychiatry, Centre Hospitalier de Versailles, Le Chesnay</wicri:regionArea><wicri:noRegion>Le Chesnay</wicri:noRegion><wicri:noRegion>Le Chesnay</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="I6">INSERM U-669, PSIGIAM, Paris, F-75679, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>INSERM U-669, PSIGIAM, Paris, F-75679</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I7">Univ. Paris-Sud, Univ. Paris-Descartes, Paris, F-75005, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Univ. Paris-Sud, Univ. Paris-Descartes, Paris, F-75005</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Hassler, Christine" sort="Hassler, Christine" uniqKey="Hassler C" first="Christine" last="Hassler">Christine Hassler</name><affiliation wicri:level="3"><nlm:aff id="I6">INSERM U-669, PSIGIAM, Paris, F-75679, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>INSERM U-669, PSIGIAM, Paris, F-75679</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I7">Univ. Paris-Sud, Univ. Paris-Descartes, Paris, F-75005, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Univ. Paris-Sud, Univ. 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Paris-Sud, Univ. Paris-Descartes, Paris, F-75005, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Univ. Paris-Sud, Univ. Paris-Descartes, Paris, F-75005</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Revah Levy, Anne" sort="Revah Levy, Anne" uniqKey="Revah Levy A" first="Anne" last="Révah-Lévy">Anne Révah-Lévy</name><affiliation wicri:level="3"><nlm:aff id="I2">Centre de Soins Psychothérapeutiques de Transition pour Adolescents, Hôpital d’Argenteuil, Argenteuil, Argenteuil, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre de Soins Psychothérapeutiques de Transition pour Adolescents, Hôpital d’Argenteuil, Argenteuil, Argenteuil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Argenteuil (Val-d'Oise)</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I6">INSERM U-669, PSIGIAM, Paris, F-75679, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>INSERM U-669, PSIGIAM, Paris, F-75679</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I7">Univ. Paris-Sud, Univ. Paris-Descartes, Paris, F-75005, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Univ. Paris-Sud, Univ. Paris-Descartes, Paris, F-75005</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author></analytic><series><title level="j">Child and Adolescent Psychiatry and Mental Health</title><idno type="eISSN">1753-2000</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Context</title><p>Suicide is the second leading cause of death in adolescents and young adults in Europe. Reducing suicides is therefore a key public health target. Previous studies have shown associations between suicidal behaviors, depression and family factors.</p></sec><sec><title>Objective</title><p>To assess the role of family factors in depression and suicidality in a large community-based sample of adolescents and to explore specific contributions (e.g. mother vs. father; conflict vs. no conflict; separation vs. no separation) taking into account other risk factors.</p></sec><sec><title>Methods</title><p>A cross-sectional sample of adolescents aged 17 years was recruited in 2008. 36,757 French adolescents (18,593 girls and 18,164 boys) completed a questionnaire including socio-demographic characteristics, drug use, family variables, suicidal ideations and attempts. Current depression was assessed with the Adolescent Depression Rating Scale (ADRS). Adolescents were divided into 4 groups according to suicide risk severity (grade 1 = depressed without suicidal ideation and without suicide attempts, grade 2 = depressed with suicidal ideations and grade 3 = depressed with suicide attempts; grade 0 = control group). Multivariate regressions were applied to assess the Odds Ratio of potential risk factors comparing grade 1, 2 or 3 risk with grade 0.</p></sec><sec><title>Results</title><p>7.5% of adolescents (10.4% among girls vs. 4.5% among boys) had ADRS scores compatible with depression; 16.2% reported suicidal ideations in the past 12 months and 8.2% reported lifetime suicide attempts. Repeating a year in school was significantly associated to severity grade of suicide risk (1 and 3), as well as all substance use, tobacco use (severity grades 2 and 3) and marijuana use (severity grade 3), for girls and boys. After adjustment, negative relationships with either or both parents, and parents living together but with a negative relationship were significantly associated with suicide risk and/or depression in both genders (all risk grades), and Odds Ratios increased according to risk severity grade.</p></sec><sec><title>Conclusion</title><p>Family discord and negative relationship with parents were associated with an increased suicide risk in depressed adolescents. 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Faulkner</name></author><author><name sortKey="Fergusson, Dm" uniqKey="Fergusson D">DM Fergusson</name></author><author><name sortKey="Mulder, Rt" uniqKey="Mulder R">RT Mulder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nock, Mk" uniqKey="Nock M">MK Nock</name></author><author><name sortKey="Kessler, Rc" uniqKey="Kessler R">RC Kessler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beautrais, Al" uniqKey="Beautrais A">AL Beautrais</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brent, Da" uniqKey="Brent D">DA Brent</name></author><author><name sortKey="Perper, Ja" uniqKey="Perper J">JA Perper</name></author><author><name sortKey="Moritz, G" uniqKey="Moritz G">G Moritz</name></author><author><name sortKey="Liotus, L" uniqKey="Liotus L">L Liotus</name></author><author><name sortKey="Schweers, J" uniqKey="Schweers J">J Schweers</name></author><author><name sortKey="Balach, L" uniqKey="Balach L">L Balach</name></author><author><name sortKey="Roth, C" uniqKey="Roth C">C Roth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Groholt, B" uniqKey="Groholt B">B Groholt</name></author><author><name sortKey="Ekeberg, O" uniqKey="Ekeberg O">O Ekeberg</name></author><author><name sortKey="Wichstrom, L" uniqKey="Wichstrom L">L Wichstrom</name></author><author><name sortKey="Haldorsen, T" uniqKey="Haldorsen T">T Haldorsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sauvola, A" uniqKey="Sauvola A">A Sauvola</name></author><author><name sortKey="Rasanen, Pk" uniqKey="Rasanen P">PK Rasanen</name></author><author><name sortKey="Joukamaa, Mi" uniqKey="Joukamaa M">MI Joukamaa</name></author><author><name sortKey="Jokelainen, J" uniqKey="Jokelainen J">J Jokelainen</name></author><author><name sortKey="Jarvelin, Mr" uniqKey="Jarvelin M">MR Jarvelin</name></author><author><name sortKey="Isohanni, Mk" uniqKey="Isohanni M">MK Isohanni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fergusson, Dm" uniqKey="Fergusson D">DM Fergusson</name></author><author><name sortKey="Lynskey, Mt" uniqKey="Lynskey M">MT Lynskey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lewinsohn, Pm" uniqKey="Lewinsohn P">PM Lewinsohn</name></author><author><name sortKey="Rohde, P" uniqKey="Rohde P">P Rohde</name></author><author><name sortKey="Seeley, Jr" uniqKey="Seeley J">JR Seeley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tousignant, M" uniqKey="Tousignant M">M Tousignant</name></author><author><name sortKey="Bastien, Mf" uniqKey="Bastien M">MF Bastien</name></author><author><name sortKey="Hamel, S" uniqKey="Hamel S">S Hamel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Im, Js" uniqKey="Im J">JS Im</name></author><author><name sortKey="Choi, Sh" uniqKey="Choi S">SH Choi</name></author><author><name sortKey="Hong, D" uniqKey="Hong D">D Hong</name></author><author><name sortKey="Seo, Hj" uniqKey="Seo H">HJ Seo</name></author><author><name sortKey="Park, S" uniqKey="Park S">S Park</name></author><author><name sortKey="Hong, Jp" uniqKey="Hong J">JP Hong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vitiello, B" uniqKey="Vitiello B">B Vitiello</name></author><author><name sortKey="Brent, Da" uniqKey="Brent D">DA Brent</name></author><author><name sortKey="Greenhill, Ll" uniqKey="Greenhill L">LL Greenhill</name></author><author><name sortKey="Emslie, G" uniqKey="Emslie G">G Emslie</name></author><author><name sortKey="Wells, K" uniqKey="Wells K">K Wells</name></author><author><name sortKey="Walkup, Jt" uniqKey="Walkup J">JT Walkup</name></author><author><name sortKey="Stanley, B" uniqKey="Stanley B">B Stanley</name></author><author><name sortKey="Bukstein, O" uniqKey="Bukstein O">O Bukstein</name></author><author><name sortKey="Kennard, Bd" uniqKey="Kennard B">BD Kennard</name></author><author><name sortKey="Compton, S" uniqKey="Compton S">S Compton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gould, Ms" uniqKey="Gould M">MS Gould</name></author><author><name sortKey="King, R" uniqKey="King R">R King</name></author><author><name sortKey="Greenwald, S" uniqKey="Greenwald S">S Greenwald</name></author><author><name sortKey="Fisher, P" uniqKey="Fisher P">P Fisher</name></author><author><name sortKey="Schwab Stone, M" uniqKey="Schwab Stone M">M Schwab-Stone</name></author><author><name sortKey="Kramer, R" uniqKey="Kramer R">R Kramer</name></author><author><name sortKey="Flisher, Aj" uniqKey="Flisher A">AJ Flisher</name></author><author><name sortKey="Goodman, S" uniqKey="Goodman S">S Goodman</name></author><author><name sortKey="Canino, G" uniqKey="Canino G">G Canino</name></author><author><name sortKey="Shaffer, D" uniqKey="Shaffer D">D Shaffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jacobson, Cm" uniqKey="Jacobson C">CM Jacobson</name></author><author><name sortKey="Muehlenkamp, Jj" uniqKey="Muehlenkamp J">JJ Muehlenkamp</name></author><author><name sortKey="Miller, Al" uniqKey="Miller A">AL Miller</name></author><author><name sortKey="Turner, Jb" uniqKey="Turner J">JB Turner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Muehlenkamp, Jj" uniqKey="Muehlenkamp J">JJ Muehlenkamp</name></author><author><name sortKey="Ertelt, Tw" uniqKey="Ertelt T">TW Ertelt</name></author><author><name sortKey="Miller, Al" uniqKey="Miller A">AL Miller</name></author><author><name sortKey="Claes, L" uniqKey="Claes L">L Claes</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>France</li></country><region><li>Québec</li><li>Île-de-France</li></region><settlement><li>Argenteuil (Val-d'Oise)</li><li>Montréal</li><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Consoli, Angele" sort="Consoli, Angele" uniqKey="Consoli A" first="Angèle" last="Consoli">Angèle Consoli</name></region><name sortKey="Cohen, David" sort="Cohen, David" uniqKey="Cohen D" first="David" last="Cohen">David Cohen</name><name sortKey="Cohen, David" sort="Cohen, David" uniqKey="Cohen D" first="David" last="Cohen">David Cohen</name><name sortKey="Consoli, Angele" sort="Consoli, Angele" uniqKey="Consoli A" first="Angèle" last="Consoli">Angèle Consoli</name><name sortKey="Consoli, Angele" sort="Consoli, Angele" uniqKey="Consoli A" first="Angèle" last="Consoli">Angèle Consoli</name><name sortKey="Falissard, Bruno" sort="Falissard, Bruno" uniqKey="Falissard B" first="Bruno" last="Falissard">Bruno Falissard</name><name sortKey="Falissard, Bruno" sort="Falissard, Bruno" uniqKey="Falissard B" first="Bruno" last="Falissard">Bruno Falissard</name><name sortKey="Falissard, Bruno" sort="Falissard, Bruno" uniqKey="Falissard B" first="Bruno" last="Falissard">Bruno Falissard</name><name sortKey="Hassler, Christine" sort="Hassler, Christine" uniqKey="Hassler C" first="Christine" last="Hassler">Christine Hassler</name><name sortKey="Hassler, Christine" sort="Hassler, Christine" uniqKey="Hassler C" first="Christine" last="Hassler">Christine Hassler</name><name sortKey="Moro, Marie Rose" sort="Moro, Marie Rose" uniqKey="Moro M" first="Marie-Rose" last="Moro">Marie-Rose Moro</name><name sortKey="Moro, Marie Rose" sort="Moro, Marie Rose" uniqKey="Moro M" first="Marie-Rose" last="Moro">Marie-Rose Moro</name><name sortKey="Moro, Marie Rose" sort="Moro, Marie Rose" uniqKey="Moro M" first="Marie-Rose" last="Moro">Marie-Rose Moro</name><name sortKey="Peyre, Hugo" sort="Peyre, Hugo" uniqKey="Peyre H" first="Hugo" last="Peyre">Hugo Peyre</name><name sortKey="Peyre, Hugo" sort="Peyre, Hugo" uniqKey="Peyre H" first="Hugo" last="Peyre">Hugo Peyre</name><name sortKey="Peyre, Hugo" sort="Peyre, Hugo" uniqKey="Peyre H" first="Hugo" last="Peyre">Hugo Peyre</name><name sortKey="Revah Levy, Anne" sort="Revah Levy, Anne" uniqKey="Revah Levy A" first="Anne" last="Révah-Lévy">Anne Révah-Lévy</name><name sortKey="Revah Levy, Anne" sort="Revah Levy, Anne" uniqKey="Revah Levy A" first="Anne" last="Révah-Lévy">Anne Révah-Lévy</name><name sortKey="Revah Levy, Anne" sort="Revah Levy, Anne" uniqKey="Revah Levy A" first="Anne" last="Révah-Lévy">Anne Révah-Lévy</name><name sortKey="Speranza, Mario" sort="Speranza, Mario" uniqKey="Speranza M" first="Mario" last="Speranza">Mario Speranza</name><name sortKey="Speranza, Mario" sort="Speranza, Mario" uniqKey="Speranza M" first="Mario" last="Speranza">Mario Speranza</name><name sortKey="Speranza, Mario" sort="Speranza, Mario" uniqKey="Speranza M" first="Mario" last="Speranza">Mario Speranza</name></country><country name="Canada"><region name="Québec"><name sortKey="Touchette, Evelyne" sort="Touchette, Evelyne" uniqKey="Touchette E" first="Evelyne" last="Touchette">Evelyne Touchette</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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