Perceived Stressful Life Events and Suicide Risk in Adolescence: The Mediating Role of Perceived Family Functioning.

Autor: Caro-Cañizares I; Department of Psychology, School of Health and Educational Sciences, UDIMA (Universidad a Distancia de Madrid), 28400 Collado Villalba, Spain., Sánchez-Colorado N; Department of Psychology, School of Health and Educational Sciences, UDIMA (Universidad a Distancia de Madrid), 28400 Collado Villalba, Spain., Baca-García E; Department of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, 28015 Madrid, Spain.; Department of Psychiatry, Hospital Universitario Infanta Elena, 28342 Valdemoro, Spain.; Department of Psychiatry, Hospital Universitario General de Villalba, 28400 Collado Villalba, Spain.; Department of Psychiatry, Hospital Universitario Rey Juan Carlos, 28933 Móstoles, Spain.; Department of Psychology, School of Health Sciences, Universidad Católica del Maule, Talca 3605, Chile.; CIBERSAM (Centro de Investigación Biomédica en Red-Salud Mental), 28029 Madrid, Spain.; Department of Psychiatry, Centre Hospitalier Universitaire de Nîmes, 30900 Nîmes, France.; Department of Psychiatry, Universidad Autónoma de Madrid, 28049 Madrid, Spain., Carballo JJ; CIBERSAM (Centro de Investigación Biomédica en Red-Salud Mental), 28029 Madrid, Spain.; Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.; Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), 28009 Madrid, Spain.
Jazyk: angličtina
Zdroj: Behavioral sciences (Basel, Switzerland) [Behav Sci (Basel)] 2024 Jan 03; Vol. 14 (1). Date of Electronic Publication: 2024 Jan 03.
DOI: 10.3390/bs14010035
Abstrakt: Aim: Suicidal behavior is a serious public health problem and a major cause of death among adolescents. Three categories of major risk factors have been identified: psychological factors, stressful life events, and personality traits. Severe and objective stressful life events (SLEs), such as childhood mistreatment or abuse, have been clearly associated with higher rates of suicide risk. However, the relationship between suicide risk and adolescents' perceptions of the SLE impact is not as clear. This paper studies the relationship between SLE impact perception and suicide risk and the possible mediating role of perceived family functioning in this relationship. The need for longer-term or more intense psychological or psychiatric treatment in relation to SLE impact perception is also addressed.
Method: One hundred forty-seven adolescents aged 11-17 were consecutively recruited from the Child and Adolescent Mental Health Outpatient Services Department of a general hospital in Madrid, Spain. Self-informed questionnaires were used to assess suicide risk, SLEs, and family functioning. In addition, the clinical records of the participants were consulted to collect information about their treatment histories, including the number of appointments and the duration of follow-up.
Results: SLE impact perception correlates significantly with suicide risk, the number of clinical appointments, the duration of treatment, and the perceived level of family functioning. The mediation model of the family functioning perception variable in the relationship between SLE impact perception and suicide risk is significant. The linear regression model of SLE impact perception and family functioning perception on suicide risk is also significant, accounting for 25.7% of the variance.
Conclusions: Beyond the clear and proven effect of serious and objective SLEs, the perceived impact of SLEs reported by adolescents is related to an increased risk of suicide and more intense psychological and/or psychiatric follow-up. This relationship is mediated by the perceived level of family functioning. Adolescents' perceptions of their life experiences and perceived family support may be key determinants of suicide risk prevention.
Competing Interests: The authors declare no conflict of interest.
Databáze: MEDLINE
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