Caregiver-child affective dynamics during preschool predict preadolescent suicidal thoughts and behaviors

Personality and Individual Differences, Journal Year: 2025, Volume and Issue: 237, P. 113048 - 113048

Published: Jan. 18, 2025

Language: Английский

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Trajectories of parent criticism across treatment for youth self‐harm

Journal of Child Psychology and Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: March 24, 2025

Background Criticism from parents is a risk factor for poor youth mental health, including self‐harm and limited response to psychosocial interventions. We identified trajectories of change in parent criticism across treatment (suicide attempts non‐suicidal self‐injury) compared these on outcomes. Methods This preregistered secondary analysis data the Self‐harm Intervention: Family Therapy trial. Participants ( N = 831, 11–17 years; 89% girls, 11% boys; 84% White) were clinically referred randomly assigned family therapy or usual care. A growth mixture model self‐reported baseline, 3, 6 months. Trajectories self‐harm, suicidal ideation, depression, hopelessness, distress (baseline, baseline 12 12–18 months). Results Four identified: High remaining elevated despite small decrease (51.6%); sharply decreasing (7.6%); low/stable (37.2%); increasing (3.6%). Youth with high class had more severe behavior. Treatment type was not related trajectory. Parent increased class. showed less improvement ideation at 12‐month follow‐up classes. Conclusions Current treatments may reduce subclinical levels. Increasing forecast poorer range be indicative increases distress.

Language: Английский

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Asking Preadolescents About Suicide is Not Associated With Increased Suicidal Thoughts

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Rising rates of suicidal thoughts and behaviors (STBs) in preadolescents make suicide-risk screening this age group critical to reduce harm. Although appears generally safe for youth aged 12+, effects remain unknown. This study tested iatrogenic repeated two groups (aged 8-12): a lower-risk with no prior STBs, higher-risk who had experienced STBs. The Ask-Suicide Screening Questions (ASQ) screener, modified query over the week, was administered 194 preteens from Pediatric Suicidality Study (PED-SI) 12 months. PED-SI is preschool-onset depression following children recruited at ages 3-6 non-depressed peers. Lower-risk (n=68) completed monthly screens, whereas (n=124) weekly remotely via text or email. We examined correlations between screen completion positive changes screens time, if previous predicted future screen. Bayes Factors assessed meaningfulness null effects. 192 (Mage=10.13 years; 63% boys;, 37% girls 79.2% White, 8.9% Black, 9.9% Multiracial, 2.1% Asian; 7.3%, Hispanic) least one Findings inferential statistics supported by factors indicated evidence that increased either group. In were rare (1.6%), significant increases time. 7% positive, but frequent did not exacerbate thoughts. Suicide-risk preadolescents. Clinicians can proceed confidence benefits outweigh risks.

Language: Английский

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Editorial: Why Are Children Hurting Themselves and What Can We Do?

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2024, Volume and Issue: unknown

Published: July 1, 2024

Language: Английский

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