Childhood exposure to a parental suicide attempt and risk for substance use disorders

O’Brien, Kimberly H. McManama; Salas-Wright, Christopher P.; Vaughn, Michael G.; LeCloux, Mary

doi:10.1016/j.addbeh.2015.03.008

Cited by 13 publications

(6 citation statements)

References 43 publications

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“…In our study, parental SAs at each one of the times examined predicted externalizing problems in childhood or adolescence. These findings align with existing studies indicating that lifetime parental SAs predict several offspring externalizing problems during adulthood, including certain substance use disorders (e.g., sedative and opioid disorders, but not alcohol, cannabis, or cocaine disorders) and conviction for violent offending (Mok et al, 2016;O'Brien et al, 2015). The only study that has examined offspring mental health problems during childhood found that lifetime parental SAs were Model 2 was further adjusted for parental SA before the childhood assessment and the associations remained significant (Table S2).…”

Section: Discussionsupporting

confidence: 89%

Parental suicide attempts and offspring mental health problems in childhood and adolescence

Ortin-Peralta

Kerkelä

Veijola

et al. 2022

Child Psychology Psychiatry

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Background The relationship between parental suicide attempts and offspring suicide risk has been established. However, the impact of parental suicide attempts on mental health problems in offspring as youth remains unexplored. This study examined the prospective association between parental suicide attempts and offspring internalizing, externalizing, and attention/hyperactivity problems in childhood and adolescence. We also examined how offspring mental health problems in childhood mediated the association between parental suicide attempts and offspring mental health problems in adolescence. Methods A subsample of 6,381 (48.4% female) cohort members with complete data on mental health problems in childhood and adolescence was extracted from the Northern Finland Birth Cohort 1986 Study. Offspring mental health problems were assessed via teacher's Rutter B2 scale during the childhood assessment (child's age of 8) and the Youth Self‐Report scale (child's age of 15/16). Information about first parental suicide attempts was collected using ICD codes from hospital discharge records. Results Lifetime parental suicide attempts during the study period (N = 95) were associated with offspring internalizing, externalizing, and attention/hyperactivity problems in adolescence. Parental suicide attempts before the childhood assessment (N = 55) were associated with offspring behavioral problems in childhood [B (95% CI) = .64 (0.08–1.28)]. In the mediation models, parental suicide attempts before the childhood assessment had a significant indirect effect on offspring externalizing [B (95% CI) = .03 (0.01–0.05)] and attention/hyperactivity problems [B (95% CI) = .02 (0.01–0.04)] in adolescence via offspring behavioral problems in childhood. Conclusions Our findings highlight the importance of assessing and monitoring mental health problems in offspring whose parents have been hospitalized for attempting suicide. Among children with behavioral problems, clinicians should inquire about parental history of suicide attempts, as children with familial vulnerability to suicide may develop externalizing and attention/hyperactivity problems in adolescence.

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Section: Discussionsupporting

confidence: 89%

Parental suicide attempts and offspring mental health problems in childhood and adolescence

Ortin-Peralta

Kerkelä

Veijola

et al. 2022

Child Psychology Psychiatry

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“…In another Swedish population-based study of 14,440 individuals hospitalized due to suicide attempt demonstrated that the strongest independent familial risk factors for youth suicide attempt were siblings’ (OR 3.4), maternal (OR 2.7) and paternal (OR 1.9) suicide attempt [ 21 ]. Other identified risk factors associated with parental suicidal behavior are diminished educational performance [ 22 ], as well as substance abuse, e.g., illicit drugs, tranquilizers and opioids [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Systematic Literature Review of Attempted Suicide and Offspring

Lunde

Reigstad

Moe

et al. 2018

IJERPH

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Background: Exposure to parental suicide attempt is associated with higher risks of adverse outcomes like lower educational performance, drug abuse and delinquent behavior. When a patient is hospitalized after a suicide attempt, this presents a unique opportunity to identify whether the patient has children, and thereby provide adequate follow-up for both the parent/patient and their children. The objective of this paper was to review the existing literature on follow-up measures for children subjected to parental suicide attempt. Methods: In line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, we conducted a systematic literature search. Results: The search resulted in a total of 1275 article titles, of which all abstracts were screened. Out of these, 72 full text papers were read, and a final four articles were included. Three of the included papers described parts of the same study from an emergency department in The Hague, where a protocol was implemented for monitoring and referring children of parents attempting suicide. The fourth article described the association between maternal attempted suicide and risk of abuse or neglect of their children. Conclusions: The lack of research in this particular area is striking. The circumstances surrounding a parent’s suicide attempt call for appropriate familial care.

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“…In terms of historical events that make up the chronosystem for parents with OUD, individuals with OUD often have a history of exposure to home instability and unhealthy attachment (Cerdá et al, 2014;McManama O'Brien, Salas-Wright, Vaughn, & LeCloux, 2015). Unsurprisingly, some of these patterns of instability and negative parenting may be repeated by parents with their own offspring, given the intergenerational nature of parenting and trauma (Cohen, Hien, & Batchelder, 2008;Yehuda & Lehrner, 2018).…”

Section: Socio-cultural Considerations For Implementation Strategiesmentioning

confidence: 99%

Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder

Cioffi

Leve²,

Seeley

2019

Parenting

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A public health emergency exists in the United States as a result of rising overdose deaths related to Opioid Use Disorder (OUD). With the rise of OUD has also come an increase in the number of children exposed to parents who suffer from an OUD. There is a pressing need for parenting interventions for individuals with OUD to provide safe environments for the children being reared in the face of this epidemic. Research on parenting with an OUD is sparse, but it is impractical to move linearly from basic research to program development and implementation given the urgent need for intervention-a trajectory that prior research has established takes approximately 17 years. We have created an outline of strategies that can be used to accelerate the pace of science so that parenting practices are more immediately improved for this population. First, we summarize what is already known about OUD and parenting to characterize mechanisms that existing interventions have targeted and optimal settings for the wide dissemination of implementable interventions. Next, we identify existing interventions that either specifically target parents with OUD or mechanisms specific to parents with OUD. We describe four different approaches for accelerating the pace of science to improve the lives of parents with OUD and their children. By doing so, we hope to provide a roadmap for future researchers and practitioners to deliver more timely evidence-based interventions to address the additional burden placed on families and communities due to the rise in OUD in the United States.

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Childhood exposure to a parental suicide attempt and risk for substance use disorders

Cited by 13 publications

References 43 publications

Parental suicide attempts and offspring mental health problems in childhood and adolescence

Parental suicide attempts and offspring mental health problems in childhood and adolescence

Systematic Literature Review of Attempted Suicide and Offspring

Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder

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