Impact of Adolescent Suicide Attempts on Parents

描述（由申请人提供）：青少年的自杀行为可能会给父母带来相当大的痛苦，引发他们可能存在未解决的心理健康需求的问题。父母的痛苦程度和他们潜在的更高的焦虑和抑郁障碍风险可能会影响与青少年的互动，父母的做法，以及对青少年的治疗建议的跟进或参与治疗。然而，很少有人知道哪些父母在他们的孩子有自杀行为后会遇到最大的困难，这些困难的本质，或者这些反应解决的速度有多快。根据美国国立卫生研究院项目公告07-079“减少和预防自杀研究”，本申请旨在解决这些问题。这一项目公告邀请申请解决负担，特别是“经历过自杀企图和/或家庭成员死亡的家庭幸存者的即时和长期精神健康需求”。本研究将于自杀未遂后1、3、6、12个月，对180名曾有自杀企图的住院青少年和180名未有自杀企图的住院青少年的父母进行调查。该项目的第一个具体目标是检查自杀青少年的母亲相对于其他住院青少年的母亲的焦虑和抑郁障碍的痛苦和风险，这些反应的多样性，以及解决这些反应所需的时间。使用潜在类别轨迹方法，我们将在青少年住院后的一段时间内确定具有不同症状模式的父母组。本提案的第二个具体目标是检查儿童和母亲的因素，这些因素可以预测青少年自杀行为后母亲的情绪症状，包括企图的高医疗致死率、先前企图的次数、自杀行为的家族史和过去的精神治疗史。第三个具体目标是检查青少年自杀行为后的物质症状与焦虑/抑郁障碍之间的关系，包括父母的做法、心理健康专业服务的使用、治疗时间和治疗建议的跟进情况。这个项目将帮助我们了解企图自杀的青少年的母亲的心理健康和治疗需求。这项研究的结果将有助于阐明在青少年自杀未遂后满足父母需求的最佳策略，并使父母参与到他们儿子和女儿的治疗中来。

DESCRIPTION (provided by applicant): The suicidal behavior of teenagers can be associated with considerable distress for parents, raising issues about the possibility of their unaddressed mental health needs. Parents' level of distress and their potentially higher risk for anxiety and depressive disorders may effect interactions with adolescents, parenting practices, and follow-through with treatment recommendations for youths or involvement with treatment. Nonetheless, little is known about which parents have the most difficulties following their teenager's suicidal behaviors, the nature of these difficulties, or how quickly these reactions resolve. This application is a proposal to address these issues, in response to the NIH Program Announcement 07-079, Research on the Reduction and Prevention of Suicidality. This program announcement invites applications that address the burden, and specifically, "the immediate and long-term mental health needs of family survivors who have experiences suicide attempts and/or deaths in the family." In this study, parents of 180 hospitalized teenagers who have made suicide attempts and 180 hospitalized teenagers who have not made attempts will be examined at 1,3, 6, and 12 months following a suicide attempt. The first specific aim of this project is to examine the distress and risk for anxiety and depressive disorders among mothers of suicidal teens relative to the mothers of other hospitalized youths, the diversity of these reactions, and the amount of time for resolution of these reactions. Using latent class trajectory methods, we will identify groups of parents with different patterns of symptoms over time following adolescents' hospitalization. The second Specific Aim of this proposal is examine child and maternal factors that are predictive of maternal emotional symptoms following adolescent suicidal behavior including high medical lethality of the attempt, number of prior attempts, family history of suicidal behavior, and past psychiatric treatment history. The third Specific Aim is to examine the association between material symptoms and anxiety/depressive disorders following adolescent suicidal behavior on parenting practices, mental health specialty service use, length of treatment and follow-through with the treatment recommendations. This project will help us to understand the mental health and treatment needs of mothers of adolescents who have attempted suicide. The results of this study will help shed light on the best strategies for meeting parental needs following adolescent suicide attempts, and involving parents in their son's and daughter's treatment.