Impact of Parental Suicide in Children and Families

父母自杀对儿童和家庭的影响

• 批准号: 6945401
• 负责人: David A. Brent
• 金额: $ 66.46万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-08-09 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6945401
• 关键词: adolescence (12-20); adult human (21+); behavioral /social science research tag; bereavement; child (0-11); children; clinical depression; clinical research; coping; death; family; grief; human subject; interview; longitudinal human study; parents; psychopathology; spouses; suicide

DESCRIPTION (provided by applicant): A 5-year, population-based, longitudinal study of the impact of parental suicide on surviving children and their families is proposed. We will (1) recruit the families of parents who have either committed suicide (n=100), died by accident (n=100), or are neighborhood controls (n=l00), matched by neighborhood, age, race, and sex to the suicides; (2) assess the suicide and accident victims by psychological autopsy, and the control parent by direct interview; (3) assess the surviving spouse (or in the case of the living control, simply the spouse) and biological offspring of the index parents aged 8-17 at 3 months after the death; and (4) follow the surviving spouse and offspring annually over the course of the project. The main goals of the project are to: (1) identify possible adverse sequelae of parental suicide, namely an increased incidence of psychopathology such as depression, suicide attempt, and PTSD, and increased incidence of traumatic grief and (2) identify factors that either increase risk or increase protection against the development of these sequelae. Offspring and the surviving spouse will be assessed with regard to outcome (current and incident psychopathology, suicidal behavior, grief, other risk behaviors, and functional status); vulnerability factors (traumatic exposure to the death; relationship with the deceased; previous personal and family history of psychopathology, ongoing mental health status of surviving parent, exposure to family adversity, and intercurrent life events), and protective factors (social support, connectedness to family and school, religious involvement, involvement in organized activities, coping style, personality traits [e.g., self-esteem, locus of control], and involvement with informal and formal bereavement services). This study would be the first large-scale, population-based investigation of the sequelae of parental suicide to have comprehensive coverage of domains of outcome, risk and protective factors. The results of this study should be very useful in the design of preventive interventions for bereaved children and their families.

描述（由申请人提供）：5年，基于人口的纵向 研究父母自杀对幸存的儿童及其的影响 提出了家庭。我们将（1）招募拥有的父母家属 犯有自杀（n = 100），死于事故（n = 100），或者是邻居 对照（n = l00），与自杀相匹配，与邻里，年龄，种族和性别相匹配； （2）通过心理尸检评估自杀和事故受害者， 通过直接访谈控制父母； （3）评估尚存的配偶（或 生活控制的案例，仅仅是配偶）和生物后代 死亡后3个月的8-17岁的索引父母； （4）遵循 每年在项目过程中每年幸存下来的配偶和后代。这 该项目的主要目标是：（1）确定可能的不良后遗症 父母的自杀，即心理病理学的发生率增加 抑郁症，自杀尝试和PTSD，以及创伤性的发生率增加 悲伤和（2）确定增加风险或增加保护的因素 反对这些后遗症的发展。后代和幸存的配偶 将对结果进行评估（当前和事件心理病理学， 自杀行为，悲伤，其他风险行为和功能状况）； 脆弱性因素（创伤性暴露于死亡；与 死者;以前的个人和家族病史，持续 尚存父母的心理健康状况，暴露于家庭逆境和 事件发生事件）和保护因素（社会支持， 与家庭和学校的联系，宗教参与，参与 有组织的活动，应对风格，人格特质[例如自尊， 控制场所]，并参与非正式和正式丧亲 服务）。这项研究将是第一个大规模的，基于人群的 对父母自杀的后遗症的调查以具有全面 覆盖结果，风险和保护因素的领域。结果 这项研究在设计预防性干预措施时应非常有用 失去的儿童及其家人。