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与父母的相当大的痛苦，提出了他们的未解决的心理健康需求的可能性的问题。父母的痛苦程度及其患焦虑和抑郁症的潜在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或参与治疗的后续行动。尽管如此，人们对哪些父母在青少年自杀行为后遇到的困难、这些困难的性质以及这些反应解决的速度知之甚少。本申请是一项旨在解决这些问题的提案，以响应NIH计划公告07-079，减少和预防自杀的研究。该计划宣布邀请解决负担的申请，特别是“有自杀企图和/或家庭死亡经历的家庭幸存者的直接和长期心理健康需求。“在这项研究中，180名有自杀企图的住院青少年和180名没有自杀企图的住院青少年的父母将在自杀企图后的1个月、3个月、6个月和12个月接受检查。该项目的第一个具体目标是研究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，以及解决这些反应的时间。使用潜在类轨迹方法，我们将确定青少年住院后随着时间的推移具有不同症状模式的父母群体。该提案的第二个具体目标是检查儿童和母亲因素，这些因素可预测青少年自杀行为后的母亲情绪症状，包括企图的高医学致死率，先前尝试的次数，自杀行为的家族史和过去的精神病治疗史。第三个具体目标是研究青少年自杀行为后的物质症状和焦虑/抑郁障碍之间的相关性，包括父母的养育方式、精神卫生专业服务的使用、治疗时间和治疗建议的随访。这个项目将帮助我们了解有自杀企图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，并使父母参与儿子和女儿的治疗。

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.