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，这引发了关于他们的心理健康需求可能得不到解决的问题。父母的痛苦程度及其焦虑和抑郁障碍的潜在更高风险可能会影响与青少年的互动、育儿实践，以及对青少年的治疗建议的后续行动或参与治疗。然而，关于哪些父母在青少年自杀行为后遇到的困难最多，这些困难的性质，或者这些反应解决的速度有多快，我们知之甚少。本申请是一项解决这些问题的建议，以回应NIH计划公告07-079，关于减少和预防自杀的研究。该计划的公告邀请申请，以解决负担，特别是，“谁的家庭幸存者有自杀企图和/或死亡的直接和长期的心理健康需求。”在这项研究中，180名有自杀未遂的住院青少年和180名没有自杀未遂的住院青少年的父母将在自杀未遂后的1、3、6和12个月进行检查。该项目的第一个具体目标是检查自杀青少年的母亲与其他住院青少年的母亲相比，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长短。使用潜在的班级轨迹方法，我们将识别在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。这项建议的第二个具体目标是检查儿童和母亲因素，这些因素可以预测青少年自杀行为后的母亲情绪症状，包括自杀未遂的高医疗致死率、既往未遂次数、自杀行为家族史和既往精神治疗史。第三个具体目标是考察青少年自杀行为后的焦虑/抑郁障碍与父母养育方式、心理健康专科服务的使用、治疗持续时间和治疗建议的后续行动之间的联系。这个项目将帮助我们了解自杀未遂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，并让父母参与他们儿子和女儿的治疗。

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.