Suicidal thoughts and depressive feelings amongst Estonian schoolchildren: effect of family relationship and family structure

Samm, Algi; Tooding, Liina-Mai; Sisask, Merike; Kõlves, Kairi; Aasvee, Katrin; Värnik, Airi

doi:10.1007/s00787-009-0079-7

Cited by 46 publications

(47 citation statements)

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“…Second, childhood abuse, a history of separation and loss (by death or divorce) and exposure to physical and/or sexual violence are also associated with suicidality [16,[52][53][54][55]. Third, adolescents with suicidal behaviors are more likely to be living in non-intact families [17,22,33,[56][57][58][59] and their environment is characterized by problematic communication, poor attachment and high levels of conflict [14,16,17,28,29,34,51,57,[60][61][62]. In depressed adolescents, poor family function is predictor of suicide attempts [1], and suicidal ideations and family conflict were independently associated with a suicidal event over a one-year follow-up [26].…”

Section: Discussionmentioning

confidence: 99%

- A Two-Year Perspective: Who May Ease the Burden of Girls’ Loneliness in School?

2015

Adolescent Mental Health

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Context: 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. Objective: 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. Methods: 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.Results: 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.Conclusion: 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.

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Section: Discussionmentioning

confidence: 99%

- A Two-Year Perspective: Who May Ease the Burden of Girls’ Loneliness in School?

2015

Adolescent Mental Health

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“…Likewise, adolescents living with single parents or in step families also face certain challenges that might influence their emotional wellbeing. Adolescence is generally a particular sensitive period for family problems [29]. …”

Section: Discussionmentioning

confidence: 99%

Prevalence of bullying and aggressive behavior and their relationship to mental health problems among 12- to 15-year-old Norwegian adolescents

Undheim

Sund

2010

Eur Child Adolesc Psychiatry

160

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The aim of this study was to examine the relationships between being bullied and aggressive behavior and self-reported mental health problems among young adolescents. A representative population sample of 2,464 young Norwegian adolescents (50.8% girls) aged 12–15 years was assessed. Being bullied was measured using three items concerning teasing, exclusion, and physical assault. Self-esteem was assessed by Harter’s self-perception profile for adolescents. Emotional and behavioral problems were measured by the Moods and Feelings Questionnaire (MFQ) and the youth self-report (YSR). Aggressive behavior was measured by four items from the YSR. One-tenth of the adolescents reported being bullied, and 5% reported having been aggressive toward others during the past 6 months. More of the students being bullied and students being aggressive toward others reported parental divorce, and they showed higher scores on all YSR subscales and on the MFQ questions, and lower scores on the global self-worth subscale (Harter) than students not being bullied or aggressive. A few differences emerged between the two groups being bullied or being aggressive toward others: those who were aggressive showed higher total YSR scores, higher aggression and delinquency scores, and lower social problems scores, and reported higher scores on the social acceptance subscale (Harter) than bullied students. However, because social problems were demonstrated in both the involved groups, interventions designed to improve social competence and interaction skills should be integrated in antibullying programs.

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“…[33]), and ignoring other common risk factors from multivariate analysis (e.g. [16,19,34]). Moreover, data suggest a different effect of family factors on suicidal behaviours according to gender (e.g.…”

Section: Introductionmentioning

confidence: 99%

Suicidal behaviors in depressed adolescents: role of perceived relationships in the family

Consoli

Peyre

Speranza

et al. 2013

Child Adolesc Psychiatry Ment Health

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ContextSuicide 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.ObjectiveTo 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.MethodsA 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.Results7.5% 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.ConclusionFamily 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.

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Suicidal thoughts and depressive feelings amongst Estonian schoolchildren: effect of family relationship and family structure

Cited by 46 publications

References 45 publications

- A Two-Year Perspective: Who May Ease the Burden of Girls’ Loneliness in School?

- A Two-Year Perspective: Who May Ease the Burden of Girls’ Loneliness in School?

Prevalence of bullying and aggressive behavior and their relationship to mental health problems among 12- to 15-year-old Norwegian adolescents

Suicidal behaviors in depressed adolescents: role of perceived relationships in the family

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